{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T19:23:16Z","timestamp":1770751396608,"version":"3.50.0"},"reference-count":82,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2018,1,27]],"date-time":"2018-01-27T00:00:00Z","timestamp":1517011200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Obesity and cardiovascular disease (CVD) risk are public health concerns in adolescents, yet few studies have examined the association of their diet to CVD risk factors. This study investigated associations between diet, body mass index (BMI), waist circumference (WC), blood pressure (BP), and blood lipids in 163 16\u201317 year olds. Diet recall data were converted into Healthy Eating Index-2010 (HEI) to assess diet quality. Differences in diet between groups with normal or obese BMI, normal or hypertensive BP, and normal or altered lipids were determined. Associations between diet and BMI, WC, BP, and lipids, controlling for race, gender, and socioeconomic status, were examined. Mean HEI was 49.2 (\u00b112.0), with no differences observed between groups. HEI was not associated with any CVD risk. Sweetened beverage consumption was higher in obese adolescents, and positively related to total cholesterol (TC). Fruit intake was negatively related to BMI and diastolic BP. Total vegetable intake was negatively related to systolic BP. Greens and beans were negatively related to TC and LDL. Whole grains were negatively related to HDL. This research suggests a cardioprotective effect of diets rich in fruits and vegetables, as well as low in sweetened beverages in adolescents.<\/jats:p>","DOI":"10.3390\/nu10020136","type":"journal-article","created":{"date-parts":[[2018,1,29]],"date-time":"2018-01-29T07:46:20Z","timestamp":1517211980000},"page":"136","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":78,"title":["Diets Rich in Fruits and Vegetables Are Associated with Lower Cardiovascular Disease Risk in Adolescents"],"prefix":"10.3390","volume":"10","author":[{"given":"Kevan","family":"Mellendick","sequence":"first","affiliation":[{"name":"Department of Nutrition, University of North Carolina at Greensboro, Greensboro, NC, 27412, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lilly","family":"Shanahan","sequence":"additional","affiliation":[{"name":"Jacobs Center for Productive Youth Development, University of Zurich, CH-8050 Zurich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurie","family":"Wideman","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, University of North Carolina at Greensboro, Greensboro, NC, 27412, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Calkins","sequence":"additional","affiliation":[{"name":"Department of Human Development &amp; Family Studies, Department of Psychology, University of North Carolina at Greensboro, Greensboro, NC, 27412, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Keane","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of North Carolina at Greensboro, Greensboro, NC, 27412, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheryl","family":"Lovelady","sequence":"additional","affiliation":[{"name":"Department of Nutrition, University of North Carolina at Greensboro, Greensboro, NC, 27412, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2018,1,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1001\/jama.2012.40","article-title":"Prevalence of obesity and trends in body mass index among us children and adolescents, 1999\u20132010","volume":"307","author":"Ogden","year":"2012","journal-title":"JAMA"},{"key":"ref_2","unstructured":"Hales, C.M., Carroll, M.D., Fryar, C.D., and Ogden, C.L. (2017). Prevalence of Obesity among Adults and Youth: United States, 2015\u20132016."},{"key":"ref_3","unstructured":"Hiza, H.A.B., Guenther, P.M., and Rihane, C.I. (2013). Diet Quality of Children Age 2\u201317 Years as Measured by the Healthy Eating Index-2010, Nutrition Insights."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Fungwe, T., Guenther, P.M., Juan, W., Hiza, H.A.B., and Lino, M. (2009). The Quality of Children\u2019s Diets in 2003\u201304 as Measured by the Healthy Eating Index-2005, Nutrition Insights.","DOI":"10.1096\/fasebj.23.1_supplement.540.5"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1186\/1475-2891-10-17","article-title":"Diet quality is positively associated with 100% fruit juice consumption in children and adults in the United States: NHANES 2003\u20132006","volume":"10","author":"Nicklas","year":"2011","journal-title":"Nutr. J."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"304","DOI":"10.3945\/jn.110.132613","article-title":"Food prices are associated with dietary quality, fast food consumption, and body mass index among U.S. children and adolescents","volume":"141","author":"Beydoun","year":"2011","journal-title":"J. Nutr."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"923","DOI":"10.1079\/BJN20051418","article-title":"Consistent dietary patterns identified from childhood to adulthood: The cardiovascular risk in Young Finns Study","volume":"93","author":"Raitakari","year":"2005","journal-title":"Br. J. Nutr."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Kaur, J. (2014). A comprehensive review on metabolic syndrome. Cardiol. Res. Pract., 2014.","DOI":"10.1155\/2014\/943162"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1016\/j.pcad.2013.10.016","article-title":"Overview of epidemiology and contribution of obesity to cardiovascular disease","volume":"56","author":"Bastien","year":"2014","journal-title":"Prog. Cardiovasc. Dis."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/j.jocd.2014.07.009","article-title":"Abdominal obesity and metabolic syndrome burden in adolescents\u2014Penn State Children Cohort study","volume":"18","author":"He","year":"2015","journal-title":"J. Clin. Densitom."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1039","DOI":"10.1161\/ATVBAHA.107.159228","article-title":"Abdominal obesity and the metabolic syndrome: Contribution to global cardiometabolic risk","volume":"28","author":"Lemieux","year":"2008","journal-title":"Arterioscler. Thromb. Vasc. Biol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1111\/j.1467-789X.2010.00753.x","article-title":"Prevalence of abdominal obesity in adolescents: A systematic review","volume":"12","author":"Fadoni","year":"2011","journal-title":"Obes. Rev."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"821","DOI":"10.1001\/archpedi.157.8.821","article-title":"Prevalence of a metabolic syndrome phenotype in adolescents: Findings from the third National Health and Nutrition Examination Survey, 1988\u20131994","volume":"157","author":"Cook","year":"2003","journal-title":"Arch. Pediatr. Adolesc. Med."},{"key":"ref_14","unstructured":"Centers for Disease Control and Prevention (CDC) (2010). Prevalence of abnormal lipid levels among youths-United States, 1999\u20132006. MMWR Morb. Mortal. Wkly. Rep., 59, 29\u201333."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1035","DOI":"10.1542\/peds.2011-1082","article-title":"Prevalence of cardiovascular disease risk factors among US adolescents, 1999\u22122008","volume":"129","author":"May","year":"2012","journal-title":"Pediatrics"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1038\/ajh.2008.312","article-title":"Trends of elevated blood pressure among children and adolescents: Data from the National Health and Nutrition Examination Survey 1988\u20132006","volume":"22","author":"Ostchega","year":"2009","journal-title":"Am. J. Hypertens."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1016\/j.jpeds.2007.01.052","article-title":"Prevalence of hypertension and pre-hypertension among adolescents","volume":"150","author":"McNiece","year":"2007","journal-title":"J. Pediatr."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1016\/j.jpeds.2011.10.033","article-title":"Prevalence of persistent prehypertension in adolescents","volume":"160","author":"Acosta","year":"2012","journal-title":"J. Pediatr."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1542\/peds.113.3.475","article-title":"Overweight, ethnicity, and the prevalence of hypertension in school-aged children","volume":"113","author":"Sorof","year":"2004","journal-title":"Pediatrics"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/S0065-3101(23)00094-4","article-title":"Atherogenesis in children: Implications for the prevention of athersclerosis","volume":"47","author":"Olsen","year":"2000","journal-title":"Adv. Pediatr."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1016\/S0735-1097(97)00189-7","article-title":"Endothelial dysfunction: Does it matter? Is it reversible?","volume":"30","author":"Celermajer","year":"1997","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1650","DOI":"10.1056\/NEJM199806043382302","article-title":"Association between multiple cardiovascular risk factors and atherosclerosis in children and young adults. The Bogalusa Heart study","volume":"338","author":"Berenson","year":"1998","journal-title":"N. Engl. J. Med."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1038\/oby.2001.18","article-title":"Increasing fruit and vegetable intake and decreasing fat and sugar intake in families at risk for childhood obesity","volume":"9","author":"Epstein","year":"2001","journal-title":"Obesity"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1016\/S0140-6736(00)04041-1","article-title":"Relation between consumption of sugar-sweetened drinks and childhood obesity: A prospective, observational analysis","volume":"357","author":"Ludwig","year":"2001","journal-title":"Lancet"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1539","DOI":"10.1001\/jama.282.16.1539","article-title":"Dietary fiber, weight gain, and cardiovascular disease risk factors in young adults","volume":"282","author":"Ludwig","year":"1999","journal-title":"JAMA"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1016\/S0140-6736(04)17663-0","article-title":"Fast-food habits, weight gain, and insulin resistance (the CARDIA study): 15-year prospective analysis","volume":"365","author":"Pereira","year":"2005","journal-title":"Lancet"},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Collison, K.S., Zaidi, M.Z., Subhani, S.N., Al-Rubeaan, K., Shoukri, M., and Al-Mohanna, F.A. (2010). Sugar-sweetened carbonated beverage consumption correlates with BMI, waist circumference, and poor dietary choices in school children. BMC Public Health, 10.","DOI":"10.1186\/1471-2458-10-234"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/j.jpeds.2005.11.025","article-title":"Correlates of beverage intake in adolescent girls: The National Heart, Lung, and Blood Institute Growth and Health Study","volume":"148","author":"Thompson","year":"2006","journal-title":"J. Pediatr."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1370","DOI":"10.1017\/S0007114507862362","article-title":"Pattern of beverage consumption and long-term association with body-weight status in German adolescents\u2014Results from the DONALD study","volume":"99","author":"Libuda","year":"2008","journal-title":"Br. J. Nutr."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1106","DOI":"10.1017\/S1368980009004960","article-title":"Fast-food and sweetened beverage consumption: Association with overweight and high waist circumference in adolescents","volume":"12","author":"Francis","year":"2009","journal-title":"Public Health Nutr."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"935","DOI":"10.3945\/ajcn.2009.27623","article-title":"Beverage intake of girls at age 5 y predicts adiposity and weight status in childhood and adolescence","volume":"90","author":"Fiorito","year":"2009","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1080\/07315724.2003.10719333","article-title":"Food away from home, sugar-sweetened drink consumption and juvenile obesity","volume":"22","author":"Gillis","year":"2003","journal-title":"J. Am. Coll. Nutr."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"807","DOI":"10.1016\/j.jpeds.2009.01.015","article-title":"Sugar-sweetened beverages, serum uric acid, and blood pressure in adolescents","volume":"154","author":"Nguyen","year":"2009","journal-title":"J. Pediatr."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"2185","DOI":"10.1017\/S136898001300356X","article-title":"Sugar-sweetened carbonated beverage consumption and childhood\/adolescent obesity: A case-control study","volume":"17","author":"Gea","year":"2014","journal-title":"Public Health Nutr."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"251","DOI":"10.3945\/jn.111.150219","article-title":"Greater fructose consumption is associated with cardiometabolic risk markers and visceral adiposity in adolescents","volume":"142","author":"Pollock","year":"2012","journal-title":"J. Nutr."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"918","DOI":"10.1161\/HYPERTENSIONAHA.109.130146","article-title":"Blood pressure is lower in children and adolescents with a low-saturated-fat diet since infancy. The Special Turku Coronary Risk Factor Intervention Project","volume":"53","author":"Niinikoski","year":"2009","journal-title":"Hypertension"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1016\/j.nutres.2010.07.002","article-title":"Poor diet quality and food habits are related to impaired nutritional status in 13- to 18-year-old adolescents in Jeddah","volume":"30","author":"Washi","year":"2010","journal-title":"Nutr. Res."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1688","DOI":"10.1016\/j.jada.2011.08.008","article-title":"Dietary fiber and nutrient density are inversely associated with the metabolic syndrome in US adolescents","volume":"111","author":"Carlson","year":"2011","journal-title":"J. Am. Diet. Assoc."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1160","DOI":"10.3945\/ajcn.2009.28133","article-title":"Inverse relation between dietary fiber intake and visceral adiposity in overweight Latino youth","volume":"90","author":"Davis","year":"2009","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"19","DOI":"10.2471\/BLT.06.030783","article-title":"Association of physical activity and dietary behaviours in relation to the body mass index in a national sample of Iranian children and adolescents: CASPIAN study","volume":"85","author":"Kelishadi","year":"2007","journal-title":"Bull. World Health Organ."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1017\/S1368980009991546","article-title":"Food group intake and central obesity among children and adolescents in the Third National Health and Nutrition Examination Survey (NHANES III)","volume":"13","author":"Bradlee","year":"2010","journal-title":"Public Health Nutr."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1016\/j.numecd.2011.10.010","article-title":"Eating patterns and lipid levels in older adolescent girls","volume":"23","author":"Bradlee","year":"2013","journal-title":"Nutr. Metab. Cardiovasc. Dis."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1080\/07315724.2008.10719747","article-title":"Dairy intake and anthropometric measures of body fat among children and adolescents in NHANES","volume":"27","author":"Moore","year":"2008","journal-title":"J. Am. Coll. Nutr."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1111\/j.2047-6310.2013.00187.x","article-title":"Is dairy consumption associated with low cardiovascular disease risk in European adolescents? Results from the HELENA study","volume":"9","author":"Mouratidou","year":"2014","journal-title":"Pediatr. Obes."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1038\/sj.jhh.1002268","article-title":"Salt and blood pressure in children and adolescents","volume":"22","author":"He","year":"2007","journal-title":"J. Hum. Hypertens."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"399","DOI":"10.3945\/jn.113.183079","article-title":"The Healthy Eating Index-2010 is a valid and reliable measure of diet quality according to the 2010 Dietary Guidelines for Americans","volume":"144","author":"Guenther","year":"2014","journal-title":"J. Nutr."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1111\/jhn.12415","article-title":"Adherence to the Healthy Eating Index and Alternative Healthy Eating Index dietary patterns and mortality from all causes, cardiovascular disease and cancer: A meta-analysis of observational studies","volume":"30","author":"Onvani","year":"2017","journal-title":"J. Hum. Nutr. Diet."},{"key":"ref_48","unstructured":"Hollingshead, A. (1975). Four Factor Index of Social Status, Yale University."},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Wideman, L., Calkins, S.D., Janssen, J.A., Lovelady, C.A., Dollar, J.M., Keane, S.P., Perrin, E.M., and Shanahan, L. (2016). Rationale, design and methods for the RIGHT Track Health study: Pathways from childhood self-regulation to cardiovascular risk in adolescence. BMC Public Health, 16.","DOI":"10.1186\/s12889-016-3133-7"},{"key":"ref_50","doi-asserted-by":"crossref","unstructured":"National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents (2004). The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics, 114, 555\u2013576.","DOI":"10.1542\/peds.114.2.S2.555"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1016\/j.jand.2012.12.016","article-title":"Update of the Healthy Eating Index: HEI-2010","volume":"113","author":"Guenther","year":"2013","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1017\/S1368980010001655","article-title":"Development and evaluation of a method for calculating the Healthy Eating Index-2005 using the Nutrition Data System for research","volume":"14","author":"Miller","year":"2011","journal-title":"Public Health Nutr."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"237","DOI":"10.3102\/00346543042003237","article-title":"Consequences of failure to meet assumptions underlying the fixed effects analyses of variance and covariance","volume":"42","author":"Glass","year":"1972","journal-title":"Rev. Educ. Res."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"315","DOI":"10.3102\/10769986017004315","article-title":"Summarizing monte carlo results in methodological research: The one- and two-factor fixed effects ANOVA cases","volume":"17","author":"Harwell","year":"1992","journal-title":"J. Educ. Stat."},{"key":"ref_55","first-page":"579","article-title":"Consequences of Assumption Violations Revisited: A quantitative review of alternatives to the one-way analysis of variance F Test","volume":"66","author":"Lix","year":"1996","journal-title":"Rev. Educ. Res."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1080\/01635581.2013.770042","article-title":"Dietary quality, caloric intake, and adiposity of childhood cancer survivors and their siblings: An analysis from the cardiac risk factors in childhood cancer survivors study","volume":"65","author":"Landy","year":"2013","journal-title":"Nutr. Cancer"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"359","DOI":"10.3945\/jn.108.097113","article-title":"The healthy eating index and youth healthy eating index are unique, nonredundant measures of diet quality among low-income, African American adolescents","volume":"139","author":"Hurley","year":"2009","journal-title":"J. Nutr."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/j.jand.2012.08.011","article-title":"Diet quality of Americans differs by age, sex, race\/ethnicity, income, and education level","volume":"113","author":"Hiza","year":"2013","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/j.jand.2015.08.010","article-title":"Poor adherence to US dietary guidelines for children and adolescents in the national health and nutrition examination survey population","volume":"116","author":"Banfield","year":"2016","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1016\/j.numecd.2009.03.024","article-title":"Dietary patterns and markers for the metabolic syndrome in Australian adolescents","volume":"20","author":"Ambrosini","year":"2010","journal-title":"Nutr. Metab. Cardiovasc. Dis."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"821","DOI":"10.1038\/sj.ijo.0802297","article-title":"Association between fruit and vegetable intake and change in body mass index among a large sample of children and adolescents in the United States","volume":"27","author":"Field","year":"2003","journal-title":"Int. J. Obes."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/j.1753-4887.2004.tb00001.x","article-title":"What can intervention studies tell us about the relationship between fruit and vegetable consumption and weight management?","volume":"62","author":"Rolls","year":"2004","journal-title":"Nutr. Rev."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1111\/j.1753-4887.2004.tb00007.x","article-title":"What epidemiologic studies tell us about the relationship between fruit and vegetable consumption and body weight","volume":"62","author":"Tohill","year":"2004","journal-title":"Nutr. Rev."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"1107","DOI":"10.1093\/ajcn\/87.5.1107","article-title":"Does social class predict diet quality?","volume":"87","author":"Darmon","year":"2008","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1093\/ije\/30.2.334","article-title":"Diet and socioeconomic position: Does the use of different indicators matter?","volume":"30","author":"Galobardes","year":"2001","journal-title":"Int. J. Epidemiol."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1038\/sj.ejcn.1602583","article-title":"Multiple socio-economic circumstances and healthy food habits","volume":"61","author":"Lallukka","year":"2006","journal-title":"Eur. J. Clin. Nutr."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/j.jpeds.2006.09.039","article-title":"Childhood overweight and cardiovascular disease risk factors: The National Heart, Lung, and Blood Institute Growth and Health Study","volume":"150","author":"Thompson","year":"2007","journal-title":"J. Pediatr."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"598","DOI":"10.1161\/01.HYP.14.6.598","article-title":"Race and gender influence ambulatory blood pressure patterns of adolescents","volume":"14","author":"Harshfield","year":"1989","journal-title":"Hypertension"},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"I102","DOI":"10.1161\/01.HYP.17.1_Suppl.I102","article-title":"Salt sensitivity and resistance of blood pressure. Age and race as factors in physiological responses","volume":"17","author":"Luft","year":"1991","journal-title":"Hypertension"},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"804","DOI":"10.1542\/peds.99.6.804","article-title":"The utility of body mass index as a measure of body fatness in children and adolescents: differences by race and gender","volume":"99","author":"Daniels","year":"1997","journal-title":"Pediatrics"},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"12","DOI":"10.3109\/17477161003587774","article-title":"Trends and racial\/ethnic disparities in severe obesity among US children and adolescents, 1976\u20132006","volume":"6","author":"Wang","year":"2011","journal-title":"Int. J. Pediatr. Obes."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1093\/jn\/133.1.211","article-title":"Regional variations of blood pressure in the united states are associated with regional variations in dietary intakes: The NHANES-III data","volume":"133","author":"Hajjar","year":"2003","journal-title":"J. Nutr."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1161\/01.STR.31.1.19","article-title":"Geographic variation in stroke risk in the United States. Region, urbanization, and hypertension in the Third National Health and Nutrition Examination survey","volume":"31","author":"Obisesan","year":"2000","journal-title":"Stroke"},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"1925","DOI":"10.1001\/archinte.1991.00400100013003","article-title":"Atherogenic effects of anabolic steroids on serum lipid levels: A literature review","volume":"151","author":"Glazer","year":"1991","journal-title":"Arch. Intern. Med."},{"key":"ref_75","first-page":"428","article-title":"Prevalence of high plasma triglyceride combined with low HDL-c levels and its association with smoking, hypertension, obesity, diabetes, sedentariness and LDL-c levels in the Canadian population. Canadian Heart Health Surveys Research Group","volume":"15","author":"Connelly","year":"1999","journal-title":"Can. J. Cardiol."},{"key":"ref_76","first-page":"757","article-title":"Lipoprotein ratios: Physiological significance and clinical usefulness in cardiovascular prevention","volume":"5","author":"Pallardo","year":"2009","journal-title":"Vasc. Health Risk Manag."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1001\/jamapediatrics.2014.3216","article-title":"Prevalence of and trends in dyslipidemia and blood pressure among US children and adolescents, 1999\u20132012","volume":"169","author":"Kit","year":"2015","journal-title":"JAMA Pediatr."},{"key":"ref_78","first-page":"612038","article-title":"Implication of low HDL-c levels in patients with average LDL-c levels: A focus on oxidized LDL, large HDL subpopulation, and adiponectin","volume":"2013","author":"Sereno","year":"2013","journal-title":"Mediat. Inflamm."},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1155\/2013\/724706","article-title":"Markers of increased cardiovascular risk in postmenopausal women: Focus on oxidized-LDL and HDL subpopulations","volume":"35","author":"Sereno","year":"2013","journal-title":"Dis. Markers"},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1186\/1475-2840-12-61","article-title":"Diabetes abrogates sex differences and aggravates cardiometabolic risk in postmenopausal women","volume":"12","author":"Marado","year":"2013","journal-title":"Cardiovasc. Diabetol."},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"155","DOI":"10.12691\/jfnr-2-4-4","article-title":"Metabolic syndrome and its association with Healthy Eating Index-2005 in adolescents: Tehran lipid and glucose study","volume":"2","author":"Mirmiran","year":"2014","journal-title":"J. Food Nutr. Res."},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1097\/01.ede.0000147106.32027.3e","article-title":"Intake of fruits, vegetables, and dairy products in early childhood and subsequent blood pressure change","volume":"16","author":"Moore","year":"2005","journal-title":"Epidemiology"}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/10\/2\/136\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T14:52:48Z","timestamp":1760194368000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/10\/2\/136"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,27]]},"references-count":82,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2018,2]]}},"alternative-id":["nu10020136"],"URL":"https:\/\/doi.org\/10.3390\/nu10020136","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1,27]]}}}