{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T14:52:03Z","timestamp":1768834323906,"version":"3.49.0"},"reference-count":43,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T00:00:00Z","timestamp":1746662400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["1R01HL123865"],"award-info":[{"award-number":["1R01HL123865"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100021703","name":"Whole Kids Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100021703","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004792","name":"Home Depot","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004792","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Obesity"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>High adiposity in children can predict cardiometabolic risk in adulthood. This study investigated if changes in dietary quality, measured by the Healthy Eating Index (HEI), are associated with changes in anthropometric measurements in children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This secondary analysis used data from TX Sprouts, a cluster randomized controlled trial that investigated the effects of a 1\u2010year school nutrition program on child diet and obesity. 24\u2010hour dietary recalls were used to measure HEI\u20102020 at baseline and post\u2010intervention. Anthropometric outcomes were BMI, waist circumference, and body fat percentage via bioelectrical impedance. Linear regression models assessed associations between changes in HEI\u20102020 total and component scores and anthropometrics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants (<jats:italic>n<\/jats:italic>\u2009=\u2009424) were 53% male, 56% Hispanic, and the average age was 9.3\u2009years. A 10\u2010point increase in total HEI\u20102020 score was associated with a 0.4% (95% CI: 0.1%\u20130.6%) decrease in body fat percentage. Increases in whole grain and decreases in refined grain component scores were associated with decreases in body fat percentage. Changes in total or component scores were not associated with changes in BMI, BMI\u2010Z, or waist circumference.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study found associations between increased diet quality and decreased body fat percentage in a primarily low\u2010income, multi\u2010ethnic population of children.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijpo.70018","type":"journal-article","created":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T09:02:35Z","timestamp":1748336555000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Associations between healthy eating index and anthropometric outcomes in multiethnic elementary\u2010aged children"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3030-2803","authenticated-orcid":false,"given":"Amanda M.","family":"J\u00fastiz","sequence":"first","affiliation":[{"name":"UTHealth School of Public Health  Austin Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew J.","family":"Landry","sequence":"additional","affiliation":[{"name":"Department of Population Health and Disease Prevention Joe C. Wen School of Population and Public Health, University of California, Irvine  Irvine California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9103-696X","authenticated-orcid":false,"given":"Jaimie N.","family":"Davis","sequence":"additional","affiliation":[{"name":"Department of Nutritional Sciences University of Texas  Austin Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,8]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Prevalence of overweight, obesity, and severe obesity among children and adolescents aged 2\u201319\u2009years: United States, 1963\u20131965 through 2017\u20132018","author":"Fryar C","year":"2021"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/pch\/14.3.177"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2011.07.006"},{"key":"e_1_2_8_5_1","unstructured":"Purpose of theDietary Guidelines. 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