Unhealthy Dietary Patterns Established in Infancy Track to Mid-Childhood: The EU Childhood Obesity Project

Luque, Verónica; Escribano, Joaquín; Closa‐Monasterolo, Ricardo; Zaragoza‐Jordana, Marta; Ferré, Natàlia; Grote, Veit; Koletzko, Berthold; Totzauer, Martina; Verduci, Elvira; ReDionigi, Alice; Gruszfeld, Dariusz; Socha, Piotr; Rousseaux, Déborah; Moretti, Melissa; Oddy, Wendy H.; Ambrosini, Gina L.

doi:10.1093/jn/nxy025

Cited by 95 publications

(103 citation statements)

References 24 publications

(26 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Families with a low educational level might need additional support regarding the child's healthy diet (Luque et al, 2018;Rasmussen et al, 2006;Vepsäläinen et al, 2018). Under similar circumstances, counselling based on contextual cues such as "having a good time" generated by parental attitudes related to food and feeding instead of an unbalanced educational approach to counselling might encourage adoption of a balanced diet in the long term (Marty et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Parental experience of counselling about food and feeding practices at the child health centre: A qualitative study

Fagerlund

Helseth

Glavin

2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and objectives To investigate how parents experience counselling about food and feeding practices and the use of a communication tool about diet at the child health centre. Background Food‐related counselling is a key element in parents’ consultations with public health nurses at child health centres. Public health nurses possess limited strategies and tools for addressing nutritional issues, especially in the context of client diversity. Design An interpretive description approach, fulfilling the COREQ checklist criteria. Methods Individual interviews performed between January 2017–May 2017 among parents (n = 12) of children (mean age 28 months) who had been exposed to a communication tool about diet, in regular child health centre consultations with their child. These consultations were included in clinical trial (ClinicalTrials.gov.: Identifier: NCT02266953). Results Counselling using the communication tool about diet was primarily based on the public health nurse presenting images of healthy food choices. After infancy, consultations sometimes became more time‐pressured, inhibiting parents from asking questions related to the child's diet. The parents who had questions related to food allergy or breastfeeding of their child sometimes experienced limited support. Some parents felt overwhelmed with information about healthy food choices if their child's diet differed from the recommendations presented. Conclusions The parents’ existing expectations and needs had an impact on their satisfaction in relation to their perceptions of nutritional counselling. The use of the communication tool about diet to promote a two‐way dialogue instead of providing one‐way dietary information might be particularly useful in consultations for parents who do not follow customary recommendations. Relevance to clinical practice If the diet of the family differs from what is recommended, parents often experience limited support at the child health centre. Promoting a two‐way dialogue in consultations using a communication tool about diet could help parents in their concerns related to feeding their child.

show abstract

Section: Discussionmentioning

confidence: 99%

Parental experience of counselling about food and feeding practices at the child health centre: A qualitative study

Fagerlund

Helseth

Glavin

2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…From age 6 to 24 months, infant feeding transitions progressively from predominantly breastfeeding (or milk feeds) to semisolid early infant foods to a variety of family foods. Dietary patterns that are established during the first 2 years of life (6–24 months of age) may track into midchildhood (Luque et al, ) and influence taste and food preference (Schwartz, Scholtens, Lalanne, Weenen, & Nicklaus, ). Dietary patterns of young children are affected and shaped by the caregiver (May & Dietz, ) and may be related to parental dietary patterns (Salles‐Costa, Barroso, Cabral, & de Castro, ).…”

Section: Introductionmentioning

confidence: 99%

Dietary patterns of 6–24‐month‐old children are associated with nutrient content and quality of the diet

Faber

Rothman

Laubscher

et al. 2019

Maternal & Child Nutrition

View full text Add to dashboard Cite

We determined the associations of dietary patterns with energy/nutrient intakes and diet quality. Previously collected single 24‐hr dietary recalls for children aged 6–11 months (n = 1,585), 12–17 months (n = 1,131), and 18–24 months (n = 620) from four independent studies in low socio‐economic populations in South Africa were pooled. A maximum‐likelihood factor model, with the principal‐factor method, was used to derive dietary (food) patterns. Associations between dietary pattern scores and nutrient intakes were determined using Kendall's Rank Correlations, with Bonferroni‐adjusted significance levels. For both 6–11 months and 12–17 months, the formula milk/reverse breast milk pattern was positively associated with energy and protein intake and mean adequacy ratio (MAR). The family foods pattern (6–11 months) and rice and legume pattern (12–17 months) were positively associated with plant protein, fibre, and PU fat; both for total intake and nutrient density of the complementary diet. These two patterns were also associated with the dietary diversity score (DDS; r = 0.2636 and r = 0.2024, respectively). The rice pattern (18–24 months) showed inverse associations for nutrient intakes and nutrient densities, probably because of its inverse association with fortified maize meal. The more westernized pattern (18–24 months) was positively associated with unfavourable nutrients, for example, saturated fat and cholesterol. These results highlight that underlying dietary patterns varied in terms of energy/nutrient composition, nutrient adequacy, nutrient densities of the complementary diet, and dietary diversity.

show abstract

“…This relationship likely relates to introduction of new foods/flavours and incorporation of family foods into the diet as a child ages. In addition to increasing the risk for overnutrition in childhood by providing excessive energy intakes (Nicklas, Yang, Baranowski, Zakeri, & Berenson, 2003;Welsh, 2005), early consumption of USFB can establish taste preferences for less healthy foods that continue into later childhood (Luque et al, 2018). Another consequence of high USFB consumption is the potential for displacement of other nutrient-rich foods (Maunder et al, 2015), which could be detrimental for growth and development among this young age group.…”

Section: Factors Associated With High Consumption Of Usfbmentioning

confidence: 99%

“…In populations undergoing economic transition, the presence of processed and ultra‐processed foods in diets is increasing (Monteiro, Moubarac, Cannon, Ng, & Popkin, ; Popkin, Adair, & Ng, ). For young children, the incorporation of ultra‐processed foods into diets introduces foods typically high in sodium/sugar/unhealthy fats at an age when taste preferences are being established (Birch & Doub, ; Luque et al, ) and could potentially displace consumption of more nutrient‐dense foods (Maunder, Nel, Steyn, Kruger, & Labadarios, ). Despite evidence on the increasing prevalence of these shifting consumption patterns, there is limited evidence from LMIC on the nutrient profiles and cost of these foods, which are often assumed to be energy‐dense, nutrient‐poor, and inexpensive (Drewnowski, Darmon, & Briend, ).…”

Section: Introductionmentioning

confidence: 99%

Energy intake from unhealthy snack food/beverage among 12‐23‐month‐old children in urban Nepal

Pries

Sharma

Upadhyay

et al. 2019

Maternal & Child Nutrition

View full text Add to dashboard Cite

Unhealthy snack food and beverage (USFB) consumption among young children has been noted in many low‐income and middle‐income countries (LMIC), however, there is a lack of information on the contribution of these foods to children's diets in these contexts. This study describes the nutrient profiles and costs of snacks consumed by young children in Kathmandu Valley, Nepal, and assesses the proportion of total energy intake from nonbreastmilk foods (%TEI‐NBF) contributed by USFB and factors associated with high USFB consumption. A cross‐sectional survey was conducted among 745 randomly sampled primary caregivers of children aged 12–23 months. Of 239 unique snack foods and beverages consumed, 180 (75.3%) were classified as unhealthy based on nutrient profiling, with 158 of these being commercially branded. Median cost/100 kcal of USFB was lower as compared with healthy snacks. Ninety‐one percent of children had consumed a USFB in the previous 24 hr, with these foods contributing a mean %TEI‐NBF of 24.5 ± 0.7 among all children. Biscuits (10.8%), candy/chocolate (3.5%), and savoury snacks (3.4%) provided the largest %TEI‐NBF. Children who were older, female, or from the poorest households had significantly higher odds of high USFB consumption, whereas children whose caregivers were of upper caste/ethnicity or had achieved tertiary education had lower odds of consumption than other children. To reduce USFB consumption, interventions should seek to further understand social/cultural drivers of feeding practices, target disadvantaged populations, and ensure caregivers are fully aware of the nutritional quality of food products they choose for their children.

show abstract

Unhealthy Dietary Patterns Established in Infancy Track to Mid-Childhood: The EU Childhood Obesity Project

Cited by 95 publications

References 24 publications

Parental experience of counselling about food and feeding practices at the child health centre: A qualitative study

Parental experience of counselling about food and feeding practices at the child health centre: A qualitative study

Dietary patterns of 6–24‐month‐old children are associated with nutrient content and quality of the diet

Energy intake from unhealthy snack food/beverage among 12‐23‐month‐old children in urban Nepal

Contact Info

Product

Resources

About