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JOURNAL OF THE AMERICAN DIETETIC ASSOCIATION

Salty snacks eating, television or video games viewing and asthma symptoms among 10-12 years old children: The PANACEA study.

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JOURNAL OF THE AMERICAN DIETETIC ASSOCIATION

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  1. Salty snacks eating, television or video games viewing and asthma symptoms among 10-12 years old children: The PANACEA study Fotini Arvaniti, RD, MSc, PhD cand., Agricultural University of Athens (AUA)Kostas N. Priftis, MD, PhD: Penteli Children’s HospitalAnastasios Papadimitriou, MD, PhD: Attikon HospitalPanayiotis Yiallouros, MD: Cyprus International Institute for the Environment and Public Health Maria Kapsokefalou, PhD: AUA Michael B. Anthracopoulos, MD, PhD: University Hospital of Patras Demosthenes B. Panagiotakos, MD, PhD: Harokopio University JOURNAL OFTHE AMERICAN DIETETICASSOCIATION Arvaniti F, et al.J Am Diet Assoc. 2011; 111 (February).

  2. Salty snacks eating, television or video games viewing and asthma symptoms among 10-12 years old children: The PANACEA study Background • Factors associated with a western lifestyle that have been implicated in the development of asthma include changes to dietary patterns, as well as the decrease in fruit and vegetables consumption and the increase in salty snacks and fast food intake which are high in salt and fat. • Salty snack consumption, as well as the amount of time children spend watching television or playing video games have been implicated in the development of asthma; however, the results arestill conflicting. JOURNAL OFTHE AMERICAN DIETETICASSOCIATION Arvaniti F, et al.J Am Diet Assoc. 2011; 111 (February).

  3. Salty snacks eating, television or video games viewing and asthma symptoms among 10-12 years old children: The PANACEA study Study Objective The aim of this work is to evaluate the association of salty snack eating and TV/videogames viewing with childhood asthma. JOURNAL OFTHE AMERICAN DIETETICASSOCIATION Arvaniti F, et al. J Am Diet Assoc. 2011; 111 (February).

  4. Salty snacks eating, television or video games viewing and asthma symptoms among 10-12 years old children: The PANACEA study Serum Vitamin C (mg/dl) by Salad Intake Study Design • Cross-sectional study - N= 700, aged 10 to 12 years old • The students were selected randomly from 18 schools located in various areas of Athens JOURNAL OFTHE AMERICAN DIETETICASSOCIATION Arvaniti F, et al.J Am Diet Assoc. 2011; 111 (February).

  5. Salty snacks eating, television or video games viewing and asthma symptoms among 10-12 years old children: The PANACEA study Serum Vitamin C (mg/dl) by Salad Intake Methods • Children and their parents completed questionnaires. • In order to evaluate asthma symptoms, children’s parents completed the International Study of Asthma and Allergies in Children (ISAAC) questionnaire. • Food frequency questionnaires were completed and gathered information on a daily or weekly basis on 63 foods and beverages usually consumed in Greece and on the habits pertaining to mealtime behaviors. • Adherence to the Mediterranean diet was evaluated using the KidMEd score. JOURNAL OFTHE AMERICAN DIETETICASSOCIATION Arvaniti F, et al.J Am Diet Assoc. 2011; 111 (February).

  6. Salty snacks eating, television or video games viewing and asthma symptoms among 10-12 years old children: The PANACEA study Serum Vitamin C (mg/dl) by Salad Intake Statistical Analysis • All continuous variables are presented as mean  standard deviation (SD) and all categorical variables presented as frequencies. • The estimate of the relative risks of asthma based on children’s dietary habits was performed by calculating the odds ratios (OR) and the corresponding 95% confidence intervals (CIs). JOURNAL OFTHE AMERICAN DIETETICASSOCIATION Arvaniti F, et al.J Am Diet Assoc. 2011; 111 (February).

  7. Salty snacks eating, television or video games viewing and asthma symptoms among 10-12 years old children: The PANACEA study Serum Vitamin C (mg/dl) by Salad Intake Results • The overall lifetime prevalence of asthma symptoms was 23.7% (27.6% among boys, 20.4% among girls, p=0.03). • 48% of children reported salty snack consumption (>=1 times/week). • Salty snack consumption was positively associated with the hours of TV/videogames viewing (p=0.04) and inversely with the KidMed score (p=0.02). Arvaniti F, et al.J Am Diet Assoc. 2011; 111 (February). JOURNAL OFTHE AMERICAN DIETETICASSOCIATION

  8. Salty snacks eating, television or video games viewing and asthma symptoms among 10-12 years old children: The PANACEA study Serum Vitamin C (mg/dl) by Salad Intake Results • Consumption of salty snacks (>3 times/week vs. never/rare) was associated with a 60% higher likelihood of having asthma symptoms (95%CI 0.9-2.7), irrespective of potential confounders. • Mean hours of TV/ videogames viewing is 2.2±1.3/day. • The associations of salty snack eating and asthma were more prominent in children who watch TV or play video games > 2 hours/day. Arvaniti F, et al.J Am Diet Assoc. 2011; 111 (February). JOURNAL OFTHE AMERICAN DIETETICASSOCIATION

  9. Salty snacks eating, television or video games viewing and asthma symptoms among 10-12 years old children: The PANACEA study Distribution of lifestyle and anthropometric characteristics by level of salty snack eating frequency JOURNAL OFTHE AMERICAN DIETETICASSOCIATION Arvaniti F, et al.J Am Diet Assoc. 2011; 111 (February).

  10. Salty snacks eating, television or video games viewing and asthma symptoms among 10-12 years old children: The PANACEA study Serum Vitamin C (mg/dl) by Salad Intake Results from a multiple logistic regression analysis that evaluated the frequency of salty snack consumption with the prevalence of asthma symptoms in 10-12 year-old children JOURNAL OFTHE AMERICAN DIETETICASSOCIATION Arvaniti F, et al.J Am Diet Assoc. 2011; 111 (February).

  11. Salty snacks eating, television or video games viewing and asthma symptoms among 10-12 years old children: The PANACEA study Conclusion • Unhealthy lifestyle behaviors, like salty snack eating and TV/video games viewing are strongly associated with the prevalence of childhood asthma. • Future interventions and public healthy messages should be focused on changing these behaviors from the early stages of life. JOURNAL OFTHE AMERICAN DIETETICASSOCIATION Arvaniti F, et al. J Am Diet Assoc. 2011; 111 (February).

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