Study on The Association Between Macronutrients Intake and Body Composition in Obese Children and Adolescents
[Objective]To investigate the association between macronutrients intake and body composition in obese children and adolescents.[Method]Clinical data of 6-18-year-old obese children at their first visit were collected,including a 24-hour recall and body composition. General-ized linear model was used to analyze the association between macronutrients intake and body measurement indicators,including Body Mass Index (BMI),Visceral Fat Area (VFA),body fat percentage,Fat Mass Index (FMI),and Muscle Mass Index (MMI).[Result]A total of 432 obese children were included in the analysis,with an average age of (10.4±2.3) years. The ratio of energy from protein,fat,and carbohydrates higher than the Acceptable Macronutrient Distribution Range (AMDR) was 13.9%,49.5%,and 10.0%,respectively. After adjusting for age,gender,and total energy intake in obese children,there was no statistically significant association between macronutrients intake and body composition indicators. However,in boys,the carbohydrates was positively correlated with BMI and fat-related indicators,including VFA,body fat percent-age,and FMI. Protein was negatively correlated with body fat percentage and FMI.[Conclusion]A high proportion of excessive dietary fat intake was found in children and adolescents. Carbohydrate and protein intake were associated with body fat in obese boys.