Ethnicity and socioeconomic status are related to dietary patterns at age 5 in the Amsterdam born children and their development (ABCD) cohort

Rashid, Viyan; Engberink, M.F.; Eijsden, Manon van; Nicolaou, Mary; Dekker, Louise H.; Verhoeff, Arnoud P.; Weijs, P.J.M.

doi:10.1186/s12889-017-5014-0

Cited by 36 publications

(37 citation statements)

References 37 publications

(46 reference statements)

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“…In compliance with other studies, 47,48 our study shows that children with a non-western ethnicity and lower educated mothers were more likely to have a poorer cardiovascular health, public health interventions regarding cardiovascular health should focus particularly on these at risk individuals.…”

Section: Discussionsupporting

confidence: 89%

Ideal Cardiovascular Health at Age 5-6 years and Cardiometabolic Outcomes in Preadolescence

Westerink

Stavnsbo²,

Hutten

et al. 2020

Preprint

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Background- The American Heart Association (AHA) developed a definition of ideal cardiovascular health (ICH) based on the presence of both ideal health behaviours (diet, physical activity, weight status and smoking) and ideal health factors (glucose, total cholesterol and blood pressure levels). However, research of ICH in the paediatric population is scarce. We aimed to study ICH at age 5-6 years by extending the original ICH score with the health behaviours: sleep duration, screen time and prenatal smoke exposure, and to evaluate its association with cardiometabolic outcomes at age 11-12.Methods- A total of 1,666 children aged 5-6 years were selected from the prospective ABCD-cohort study. Data on health behaviours and factors were used to calculate the ICH scores (original and extended) by adding the frequency of scoring ‘healthy’ on each indicator, based on international cut-offs. The children were followed up for 6 years and cardiometabolic outcomes (carotid intima-media thickness (CIMT), blood pressure, glucose and lipids) were measured. Associations between ICH (both original and extended) and cardiometabolic outcomes were examined using multivariable regression models. Results- At age 5-6 years, 11% scored poor (score 1-5), 56% intermediate (score 6-7) and 33% good (score 8-9) on extended ICH. Healthy diet and normal total cholesterol concentrations were the least prevalent. Neither the original nor the extended ICH scores were associated with CIMT at age 11-12. A higher score on the extended ICH was associated with lower total cholesterol (p for trend <0.001), lower systolic (p for trend=0.012) and diastolic blood pressure (p for trend=0.011), and lower body mass index (BMI) (p<0.001) at age 11-12. The original ICH score was associated with lower total cholesterol (p<0.001) and BMI (p<0.001) only. Conclusion- Our findings suggest that extending the ICH score in young children with additional health behaviours improves prediction of some cardiometabolic outcomes, but not CIMT in preadolescence, compared to the original ICH score. Further research with longer follow-up is needed to find out whether associations persist into adulthood.

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Section: Discussionsupporting

confidence: 89%

Ideal Cardiovascular Health at Age 5-6 years and Cardiometabolic Outcomes in Preadolescence

Westerink

Stavnsbo²,

Hutten

et al. 2020

Preprint

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“…Furthermore, mothers with obesity have been found to provide higher proportions of ‘adult’ foods to their infants than mothers with normal weight . The observed associations could also have been attenuated by differences in dietary practices during early childhood . Second, absence of statistical significance for some associations could be also due to the limited number of participants in certain risk groups.…”

Section: Discussionmentioning

confidence: 99%

Prospective associations of age at complementary feeding and exclusive breastfeeding duration with body mass index at 5–6 years within different risk groups

et al. 2018

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SummaryBackgroundChildren with overweight or obesity are at risk for developing obesity in adulthood. Certain maternal characteristics, such as ethnicity, education, body mass index (BMI) or neighbourhood, are determinants for childhood overweight risk. There are large variations in how mothers differing in these characteristics feed their infants. Therefore, associations of age at complementary feeding, exclusive breast feeding duration with childhood overweight may differ in these groups. Understanding these associations would be essential to develop overweight prevention strategies.ObjectivesThe objective of this study is to study the associations of age at complementary feeding, exclusive breastfeeding duration with BMI‐standard deviation score (SDS) at 5–6 years within risk groups.MethodsUsing data from the Amsterdam Born Children and their Development study, a population‐based birth cohort (n = 4495), we formed groups of children at varying risk of overweight according to maternal characteristics of ethnicity, education, pre‐pregnancy BMI and neighbourhood. Linear and logistic regression analyses were conducted.ResultsComplementary feeding after 5 months of age was associated with lower BMI‐SDS in children of mothers of Dutch ethnicity (B: −0.12; 95% CI: −0.21, −0.04), medium‐level education (−0.19; −0.30, −0.08), normal BMI (−0.08; −0.16, −0.01) and high‐risk neighbourhood (−0.16; −0.29, −0.02). Compared with exclusive breastfeeding for <3 months, exclusive breastfeeding for ≥6 months was associated with lower BMI‐SDS in groups of medium‐level education (−0.28; 0.44, −0.11), normal BMI (−0.18; −0.29, −0.08) and medium‐risk (−0.18; −0.33, −0.04) and high‐risk (−0.22; −0.42, −0.02) neighbourhoods.ConclusionsAssociations between infant feeding practices and childhood BMI may differ between risk groups, implying that overweight prevention strategies should be group‐specific.

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“…To our knowledge, few studies have compared the association between socioeconomic position and diet quality across ethnic groups. Those that have, found socioeconomic and ethnic inequalities in diet independently, and interaction between the two variables [7,20,21].…”

Section: Strengths and Limitationsmentioning

confidence: 97%

Differences in diet quality and socioeconomic patterning of diet quality across ethnic groups: cross-sectional data from the HELIUS Dietary Patterns study

et al. 2019

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Background/objectives Socioeconomic inequalities in diet quality are consistently reported, but few studies have investigated whether and how such inequalities vary across ethnic groups. This study aimed to examine differences in diet quality and socioeconomic patterning of diet quality across ethnic groups. Subjects/methods Cross-sectional data from the HELIUS study were used. Dutch, South-Asian Surinamese, African Surinamese, Ghanaian, Turkish and Moroccan adults (aged 18-70 years) were randomly sampled, stratified by ethnicity. Dietary intake was estimated among a subsample (n = 4602) from 200-item, ethnic-specific food frequency questionnaires, and diet quality was assessed using the Dutch Healthy Diet Index 2015 (DHD15-Index). Wald tests were used to compare non-Dutch and Dutch participants. Adjusted linear regression models were used to examine differences in DHD15-Index by three indicators of socioeconomic position: educational level, occupational status and perceived financial difficulties. All analyses were stratified by sex. Results Dutch participants had lower median DHD15-Index than most ethnic minority participants (P < 0.001). Lower educational level was associated with lower DHD15-Index among Dutch men (P trend < 0.0001), South-Asian Surinamese men (P trend = 0.01), Dutch women (P trend = 0.0001), African Surinamese women (P trend = 0.002) and Moroccan women (P trend = 0.04). Lower occupational status was associated with lower DHD15-Index in Dutch men, β −7.8 (95% CI −11.7, −3.9) and all women (β −4.4 to −8.8), except Turkish women. DHD15-Index was not associated with perceived financial difficulties in most groups. Conclusions We observed variations in diet quality across ethnic groups. Low socioeconomic position was not consistently associated with poor diet quality in all ethnic groups. This may be due to ethnicity-specific retention of traditional diets, irrespective of socioeconomic position.

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Ethnicity and socioeconomic status are related to dietary patterns at age 5 in the Amsterdam born children and their development (ABCD) cohort

Cited by 36 publications

References 37 publications

Ideal Cardiovascular Health at Age 5-6 years and Cardiometabolic Outcomes in Preadolescence

Ideal Cardiovascular Health at Age 5-6 years and Cardiometabolic Outcomes in Preadolescence

Prospective associations of age at complementary feeding and exclusive breastfeeding duration with body mass index at 5–6 years within different risk groups

Differences in diet quality and socioeconomic patterning of diet quality across ethnic groups: cross-sectional data from the HELIUS Dietary Patterns study

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