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Saturated fat in the diet of Spanish children: relationship with anthropometric, alimentary, nutritional and lipid profiles

Published online by Cambridge University Press:  02 January 2007

MA Royo-Bordonada*
Instituto de Salud Carlos III, Ministerio de Sanidad y Consumo, Paseo del Prado 18–20, E-28071 Madrid, Spain
C Garcés
Laboratorio de Lípidos, Fundación Jiménez Díaz, Madrid, Spain
L Gorgojo
Instituto de Salud Carlos III, Ministerio de Sanidad y Consumo, Paseo del Prado 18–20, E-28071 Madrid, Spain
JM Martín-Moreno
Instituto de Salud Carlos III, Ministerio de Sanidad y Consumo, Paseo del Prado 18–20, E-28071 Madrid, Spain Departamento de Medicina Preventiva y Salud Pública, Universidad Autónoma de Madrid, Madrid, Spain
MA Lasunción
Departamento de Bioquímica y Biología Molecular, Universidad de Alcalá de Henares, Madrid, Spain
F Rodríguez-Artalejo
Departamento de Medicina Preventiva y Salud Pública, Universidad Autónoma de Madrid, Madrid, Spain
O Fernández
Servicio de Medicina Interna, Complexo Hospitalario de Ourense, Ourense, Spain
M de Oya
Laboratorio de Lípidos, Fundación Jiménez Díaz, Madrid, Spain
*Corresponding author: Email
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To compare the anthropometric, alimentary, nutritional and lipid profiles and global diet quality of Spanish children according to saturated fat intake.


This was a cross-sectional study. Food data were collected using a food-frequency questionnaire.

Subjects and methods

The sample included 1112 children of both sexes, aged between 6 and 7 years, selected by means of random cluster sampling in schools. The plasma lipid profile included measurements of low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), triglycerides, apolipoprotein A1 (apoA1) and apolipoprotein B (apoB). Global diet quality was evaluated by the Dietary Variety Index (DVI) and the Healthy Eating Index (HEI).


Energy intake, DVI and HEI of children from the lower quartile of saturated fat intake (LL) were higher (P < 001) than in the remaining children (UL). However, there were no significant differences in average height or weight between groups. The UL children had lower intakes of meat, fish, vegetables, fruits and olive oil and a higher intake of dairy products (P < 0.001). The intakes of fibre, vitamins C, D, B6, E and folic acid were higher in the LL children, who had lower intakes of vitamin A and calcium. The ratios LDL-C/HDL-C and apoB/apoA1 were lower (P = 0.04) in the LL children (1.87 and 0.52, respectively) than in the UL children (2.02 and 0.54, respectively).


The growth rate of children does not seem to be affected by the level of saturated fat intake. Furthermore, at the levels of intake observed in this study, diets with less saturated fat are associated with better alimentary, nutritional and plasma lipid profiles.

Research Article
Copyright © The Authors 2006


1Hu, FB, Manson, JE, Willett, WC. Types of dietary fat and risk of coronary heart disease: a critical review. Journal of the American College of Cardiology 2001; 20: 519.Google ScholarPubMed
2World Health Organization (WHO). Diet, Nutrition, and the Prevention of Chronic Diseases. Report of a Joint Food and Agriculture Organization/WHO Expert Consultation. WHO Technical Report Series No. 916 Geneva: WHO, 2003.Google Scholar
3Trumbo, P, Schlicker, S, Yates, AA, Poos, M. Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids. Journal of the American Dietetic Association 2002; 102: 1621–30.CrossRefGoogle ScholarPubMed
4Krauss, RM, Eckel, RH, Howard, B, Appel, LJ, Daniels, SR, Deckelbaum, RJ, et al. Revision 2000: a statement for healthcare professionals from the nutrition committee of the American Heart Association. Circulation 2000; 102: 2284–99.CrossRefGoogle ScholarPubMed
5Serra, Ll, Aranceta, J. Objetivos Nutricionales para la población española. Consenso de la Sociedad Española de Nutrición Comunitaria. In: Serra, Ll, Aranceta, J, Mataix, J, eds. Guías Alimentarias para la Población Española. Recomendaciones para una Dieta Saludable. Madrid: IM&C, 2001; 345–51.Google Scholar
6Nicklas, TA, Dwyer, JH, Feldman, HA, Luepker, R, Kelder, SH, Nader, PR. Serum cholesterol levels in children are associated with dietary fat and fatty acid intake. Journal of the American Dietetic Association 2002; 102: 511–7.CrossRefGoogle ScholarPubMed
7Ku, CY, Gower, BA, Nagy, TR, Goran, MI. Relationships between dietary fat, body fat, and serum lipid profile in prepubertal children. Obesity Research 1998; 6: 400–7.CrossRefGoogle ScholarPubMed
8Rogers, I, Emmet, P. Fat content of the diet among preschool children in southwest Britain: II. Relationship with growth, blood lipids, and iron status. Pediatrics 2001; 108: e49.CrossRefGoogle ScholarPubMed
9Ortega, R, Requejo, A, Navia, B, López-Sobaler, A, Andrés, P, Perea, JM, et al. Effect of saturated fatty acid consumption on energy and nutrient intake and blood lipid levels in preschool children. Annals of Nutrition & Metabolism 2001; 45: 121–7.CrossRefGoogle ScholarPubMed
10American Academy of Pediatrics. Cholesterol in childhood. Pediatrics 1998; 101: 141–7.CrossRefGoogle Scholar
11Lifshitz, F, Tarim, O. Considerations about dietary fat restrictions for children. Journal of Nutrition 1996; 126: 1031S–41S.CrossRefGoogle ScholarPubMed
12Zlotkin, SH. A review of the Canadian ‘Nutrition recommendations update: dietary fat and children’. Journal of Nutrition 1996; 126: 1022S–7S.CrossRefGoogle Scholar
13Olson, RE. Is it wise to restrict fat in the diets of children? Journal of the American Dietetic Association 2003; 100: 2832.CrossRefGoogle Scholar
14Kavey, R, Daniels, SR, Lauer, R, Atkins, DL, Hayman, L, Taubert, K. American Heart Association guidelines for primary prevention of atherosclerotic cardiovascular disease beginning in childhood. Circulation 2003; 107: 1562–6.CrossRefGoogle ScholarPubMed
15Luepker, R, Perry, C, McKinlay, S, Nader, PR, Parcel, G, Stone, E, et al. Outcomes of a field trial to improve children's dietary patterns and physical activity. The Child and Adolescent Trial for Cardiovascular Health (CATCH). Journal of the American Medical Association 1996; 275: 768–76.CrossRefGoogle Scholar
16Lapinleimu, H, Viikari, J, Jokinen, E, Salo, P, Routi, T, Leino, A, et al. Prospective randomised trial in 1062 infants of diet low in saturated fat and cholesterol. Lancet 1995; 345: 471–6.CrossRefGoogle ScholarPubMed
17Lagström, H, Seppänen, R, Jokinen, E, Niinikoski, H, Ronemaa, T, Viikari, J, et al. Influence of dietary fat on the nutrient intake and growth of children from 1 to 5 y of age: the Special Turku Coronary Risk Factor Intervention Project. American Journal of Clinical Nutrition 1999; 69: 516–23.CrossRefGoogle Scholar
18Lifshitz, F, Moses, N. Growth failure. A complication of dietary treatment of hypercholesterolemia. American Journal of Diseases of Children 1989; 143: 537–42.CrossRefGoogle ScholarPubMed
19Picciano, M, Smiciklas-Wright, H, Birch, L, Mitchell, D, Murray-Kolb, L, McConahy, K. Nutritional guidance is needed during dietary transition in early childhood. Pediatrics 2000; 106: 109–14.CrossRefGoogle ScholarPubMed
20Rodríguez-Artalejo, F, Garcés, C, Gil, A, Lasunción, MA, Martín-Moreno, JM, Gorgojo, L, et al. Estudio Cuatro Provincias: principales objetivos y diseño. Revista Espanola de Cardiologia 1999; 52: 319–26.CrossRefGoogle Scholar
21Rodríguez-Artalejo, F, Garcés, C, Gorgojo, L, López, E, Martín-Moreno, JM, Benavente, M, et al. Dietary patterns among children aged 6–7 years in four Spanish cities with widely differing cardiovascular mortality. European Journal of Clinical Nutrition 2002; 56: 18.CrossRefGoogle Scholar
22 REAL DECRETO 561/1993, de 16 de abril, por el que se establecen los requisitos para la realización de ensayos clínicos con medicamentos. Boletín Oficial del Estado No. 114, 13 05 1993; 14346–64.Google Scholar
23Martín-Moreno, JM, Boyle, P, Gorgojo, L, Maisonneuve, P, Fernandez-Rodriguez, JC, Salvini, S, et al. Development and validation of a food frequency questionnaire in Spain. International Journal of Epidemiology 1993; 22: 512–9.CrossRefGoogle ScholarPubMed
24Gorgojo, L, Guallar, E, Martín-Moreno, JM, López-Nomdedeu, C, Vázquez, C, Martí-Henneberg, C, et al. Encuestas alimentarias en los niños españoles de edad escolar: análisis del período 1984–1994. Medicina Clinica 1999; 112: 368–74.Google Scholar
25Moreiras-Varela, O, Carbajal, A, Cabrera, L. Tablas de Composición de Alimentos. Madrid: Ediciones Pirámide, 2001.Google Scholar
26Mataix, J, Mañas, M, Llopis, J, Martínez, E, Sánchez, J, Borregón, A. Tabla de Composición de Alimentos Españoles. Granada: Editorial Universidad de Granada, 1998.Google Scholar
27Cole, TJ, Bellizi, MC, Flegal, KM, Dietz, WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. British Medical Journal 2000; 320: 1240–3.CrossRefGoogle ScholarPubMed
28McCullough, ML, Feskanich, D, Rimm, EB, Giovannucci, EL, Ascherio, A, Variyam, JM, et al. Adherence to the Dietary Guidelines for Americans and risk of major chronic disease in men. American Journal of Clinical Nutrition 2000; 72: 1223–31.CrossRefGoogle ScholarPubMed
29US Department of Agriculture (USDA). The Healthy Eating Index. Washington, DC: USDA, 1995.Google Scholar
30Kennedy, ET, Ohls, J, Carlson, S, Fleming, K. The Healthy Eating Index: design and applications. Journal of the American Dietetic Association 1995; 95: 1103–8.CrossRefGoogle ScholarPubMed
31US Department of Agriculture and US Department of Health and Human Services. Nutrition and Your Health: Dietary Guidelines for Americans. Home and Garden Bulletin No. 232. Washington, DC: US Government Printing Office, 2000; 139.Google Scholar
32McCullough, ML, Feskanich, D, Stampfer, MJ, Rosner, BA, Hu, FB, Hunter, DJ, et al. Adherence to the Dietary Guidelines for Americans and risk of major chronic disease in women. American Journal of Clinical Nutrition 2000; 72: 1214–22.CrossRefGoogle ScholarPubMed
33Martín-Moreno, JM. Adjustment for total caloric intake in nutritional studies: an epidemiologic perspective. European Journal of Clinical Nutrition 1993; 47: S51–2.Google Scholar
34Cody, RP, Smith, JK. Applied Statistics and the SAS Programming Language. Englewood Cliffs, NJ: Prentice-Hall, 1991.Google Scholar
35Nicklas, TA, Webber, LS, Koschak, M, Berenson, GS. Nutrient adequacy of low fat intakes for children: the Bogalusa Heart Study. Pediatrics 1992; 89: 221–8.Google ScholarPubMed
36Lee, Y, Mitchell, D, Smiciklas-Wright, H, Birch, L. Diet quality, nutrient intake, weight status, and feeding environments of girls meeting or exceeding recommendations for total dietary fat of the American Academy of Pediatrics. Pediatrics 2001; 107: e95.CrossRefGoogle ScholarPubMed
37Willett, WC. Dietary fat plays a major role in obesity: no. Obesity Research 2002; 3: 5968.CrossRefGoogle Scholar
38Johnson, RK. Changing eating and physical activity patterns of US children. Proceedings of the Nutrition Society 2000; 59: 295301.CrossRefGoogle ScholarPubMed
39Tonstad, S, Sivertsen, M. Relation between dietary fat and energy and micronutrient intakes. Archives of Disease in Childhood 1997; 76: 416–20.CrossRefGoogle ScholarPubMed
40Dixon, L, McKenzie, J, Shannon, B, Mitchell, D, Smiciklas-Wright, H, Tershakovec, A. The effect of changes in dietary fat on the food group and nutrient intake of 4- to 10-year-old-children. Pediatrics 1997; 100: 863–72.CrossRefGoogle ScholarPubMed
41Rogers, I, Emmet, P. Fat content of the diet among pre-school children in Britain; relationship with food and nutrient intakes. European Journal of Clinical Nutrition 2002; 56: 252–63.CrossRefGoogle ScholarPubMed
42Shea, S, Basch, CE, Stein, AD, Contento, IR, Irigoyen, M, Zybert, P. Is there a relationship between dietary fat and stature or growth in children three to five years of age?. Pediatrics 1993; 92: 579–86.Google ScholarPubMed
43Royo-Bordonada, MA, Gorgojo, L, de Oya, M, Garcés, C, Rodríguez-Artalejo, F, Rubio, R, et al. Food sources of nutrients in the diet of Spanish children: the Four Provinces Study. British Journal of Nutrition 2003; 89: 105–14.CrossRefGoogle ScholarPubMed
44Peterson, S, Sigman-Grant, M. Impact of adopting lower-fat food choices on nutrient intake of American children. Pediatrics 1997; 100: e4.CrossRefGoogle ScholarPubMed
45Obarzanek, E, Kimn, S, Barton, B, Horn, L, Kwiterovich, P, Simons-Morton, D, et al. Long-term safety and efficacy of a cholesterol-lowering diet in children with elevated low-density lipoprotein cholesterol: seven-year results of the Dietary Intervention Study in Children (DISC). Pediatrics 2001; 107: 256–64.CrossRefGoogle Scholar
46Jokinen, E, Rask-Nissilä, L, Jokinen, E, Terho, P, Tammi, A, Lapinleimu, H, et al. Neurological development of 5-year-old children receiving a low-saturated fat, low-cholesterol diet since infancy. A randomized controlled trial. Journal of the American Medical Association 2000; 284: 9931000.Google Scholar
47Couch, S, Cross, A, Kida, K, Ros, E, Plaza, I, Shea, S, et al. Rapid Westernization of children's blood cholesterol in 3 countries: evidence for nutrient–gene interactions? American Journal of Clinical Nutrition 2000; 72: 1266S–74S.CrossRefGoogle ScholarPubMed