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. 2018 Jul 5;2018(7):CD012960. doi: 10.1002/14651858.CD012960.pub2

15. Results of cohort studies: height.

Study ID;
mean age at baseline;
analysis
Outcome Outcome units Time point (year) Exposure Exposure unit Results of association (all reported values) Direction;a
energy intake adjusted
(yes/no)
Matched groups or adjusted for (or both)
Height at 1 year: 2 cohort studies; 2 analyses (n ˜ 740) in children aged 2‐6 years
Niinikoski 1997a
2 years;
mean end values per group
Relative heightb % 1 Total fat intake (single 4‐day dietary record at baseline, 1.5 and 2 years) LF (27.7‐28.7 %TE);
HF (> 28.7 %TE)
n overall = 740 (LF = 35, HF = 705); mean end values (SD).
Baseline: LF = 0.30 (0.9); HF = 0.32 (0.9).
At 1 year: LF = 0.18 (1.0); HF = 0.16 (0.9); P = 0.93.
After 1 year, on average children with LF intake (27.7‐28.7 %TE) have a relative height change of 0.12% compared to 0.16% for children with HF intake (> 28.7 %TE).

No
No matching reported. No adjustment for prognostic variables.
Tershakovec 1998 (cohort)
6.2 years;
mean end values per group
Height z‐score 1 Total fat intake (multiple 24‐hour dietary recalls at baseline and 1 year) LF quintile
(24%TE)
HF quintile (34%TE)
n overall = NR (LF = NR, HF = NR); mean end values (SD NR).
Baseline: LF = ‐0.23; HF = 0.17.
At 1 year: LF = ‐0.11; HF = 0.22.
After 1 year, on average children in LF intake (24%TE) quintile gain 0.12 z‐score in height while children in HF intake (34%TE) quintile gain 0.05 z‐score in height.
+
No
No matching reported. No adjustment for prognostic variables.
Height at > 1to 2 years: 2 cohort study; 3 analysis (n = 836) in boys and girls aged 2‐4 years
Ambrosini 2016
3.6 years;
mean end values per group
Height cm 1.5 Total fat intake (single 3‐day unweighed food record at baseline) LF quintile (30.4%TE)
HF quintile (41.8%TE)
n boys, at baseline = 439; at 1.5 years = 387 (LF = NR, HF = NR); mean end values (SD).
Baseline: LF = 99.9 (95% CI 99.2 to 100.5); HF = 99.3 (95% CI 98.7 to 99.9).
At 1.5 years: LF = 110.7 (95% CI 109.9 to 111.5); HF = 109.9 (95% CI 109.1 to 110.7).
After 1.5 years, on average boys with LF intake (30.4%TE) quintile gain 10.8 cm in height while boys with HF intake (41.8%TE) quintile gain 10.6 cm in height.

No
No matching reported. No adjustment for prognostic variables.
Ambrosini 2016
3.6 years;
mean end values per group
Height cm 1.5 Total fat intake (single 3‐day unweighed food record at baseline) LF quintile (30.4%TE)
HF quintile (41.8%TE)
n girls, at baseline = 351; at 1.5 years = 323) (LF = NR, HF = NR); mean end values (SD).
Baseline: LF = 99.9 (95% CI 98.0 to 99.8).
HF = 98.3 (95% CI 97.6 to 99.1).
At 1.5 years: LF = 110.0 (95% CI 108.9 to 111.1); HF = 109.3 (95% CI 108.3 to 110.3).
After 1.5 years, on average girls in LF intake (30.4%TE) quintile will gain10.1 cm in height while girls in HF intake (41.8%TE) quintile will gain 11 cm in height.
+
No
No matching reported. No adjustment for prognostic variables.
Magarey 2001
2 years;
mean end values per group
Height cm 2 Total fat intake (single 3‐day weighed dietary records at baseline and 2 years) LF < 30%TE
HF > 35%TE
n overall = 126 (LF = 14, HF = 112); mean end values (SD).
Baseline: LF = 86.1 (2.6); HF = 87.7 (3.3).
At 2 years: LF (n = 20) = 107 (5.5); HF (n = 76) = 106 (3.9); P = NS.
After 2 years, on average children with LF intake (< 30%TE) gain 20.9 cm in height, while children with HF intake > 35%TE) gain 18.3 cm in height.

No
No matching reported. No adjustment for prognostic variables.
Height at > 2to 5 years: 3 cohort studies; 3 analyses (n = 973) in boys and girls aged 2‐10 years
Shea 1993
4.4 years;
mean change per group
Height cm/year 2.1 Total fat intake (multiple FFQs at baseline) LF ≤ 30%TE
HF > 30%TE
n overall = 215 (LF = 37, HF = 178), mean change (SD).
Baseline: LF = 6.8 (1.4); HF = 6.4 (0.8); P > 0.05.
MD 0.2 (95% CI ‐0.24 to 0.64).
After 2 years, LF intake (≤ 30%TE) will result in a 0.2 cm/year greater increase in height on average compared to HF intake (> 30%TE).

No
No matching reported. No adjustment for prognostic variables.
Obarzanek 1997 (cohort)
9.6 years
regression
Height cm 3 Total fat intake
(multiple 24‐hour recalls at baseline, 1 and 3 years)
%TE n overall = 632; regression results.
B = ‐0.0009, P = 0.6.
After 3 years, for every 1% increase in energy intake from fat, height in children will decrease by 0.0009 cm on average.

Yes
Adjusted for gender, physical activity, treatment, visit number, other sources of energy than fat, and for interactions: fat intake‐by‐treatment, fat intake‐by‐gender, fat intake‐by‐visit number and visit number‐by‐treatment.
Magarey 2001
2 years;
mean end values per group
Height cm 4 Total fat intake (single 3‐day weighed dietary record at baseline, 2 and 4 years) LF < 30%TE HF > 35%TE n overall = 126 (LF = 14, HF = 112); mean end values (SD).
Baseline: LF = 86.1 (2.6); HF = 87.7 (3.3).
At 4 years: LF (n = 14) = 114 (5.5); HF (n = 88) = 116 (4.3); P > 0.05.
After 4 years, on average children with LF intake (< 30%TE) gain 27.9 cm in height, while children with HF intake (> 35%TE) gain 28.3 cm in height.
+
No
No matching reported. No adjustment for prognostic variables.
Height at > 5to 10 years: 1 cohort study; 1 analysis (n = 126) in boys and girls aged 2 years
Magarey 2001
2 years;
mean end values per group
Height cm 6 Total fat intake (single 3‐day weighed dietary record at baseline, 2 and 4 years; single 4‐day weighed dietary record at 6 years) LF < 30%TE HF > 35%TE n overall = 126 (LF = 14, HF = 112); mean end values (SD).
Baseline: LF = 86.1 (2.6); HF = 87.7 (3.3).
At 6 years: LF (n = 13) = 131 (7.7); HF (n = 72) = 128 (5.2); P > 0.05.
At 6 years, on average children in LF intake (< 30%TE) gain 44.9 cm in height while children in HF intake (> 35%TE) gain 40.3 cm in height.

No
No matching reported. No adjustment for prognostic variables.

aDirection refers to whether there was a positive (+: exposure and outcome moved in the same direction), inverse/negative (‐: exposure and outcome moved in opposite directions) or zero (0: no association) between total fat intake and the outcome.

bRelative height, deviation in percentages from the mean height of healthy Finnish children of the same height and gender.

%TE: percentage of total energy; FFQ: Food Frequency Questionnaire; LF: low fat; HF: high fat; MD: mean difference; NA: not applicable; NR: not reported; SD: standard deviation.