Age and time trends of dairy intake among children and adolescents of the DONALD study

Hohoff, Eva; Perrar, Ines; Jancovic, Nicole; Alexy, Ute

doi:10.1007/s00394-021-02555-7

Cited by 17 publications

(18 citation statements)

References 49 publications

(72 reference statements)

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“…A limitation of the present study is the overrepresentation of families with a high socio-economic status in the collective of the DONALD study, which limits the generalisability of our results [ 15 ]. However, in our previously conducted trend analysis with the same sample, the dairy intake data were comparable to the results of the German National Nutrition Survey (NVS II) [ 10 , 36 ]. Furthermore, we cannot rule out the possibility of underreporting.…”

Section: Discussionsupporting

confidence: 66%

“…Conflicting effects were observed in overweight children. Previous trend analyses with DONALD participants showed a fluctuating trend in the intake of HSD over time [ 10 , 30 ]. Nevertheless, the intake of low-sugar varieties should be recommended, as the intake of free sugars in Germany exceeds the limit of 10% of energy intake [ 30 , 31 ].…”

Section: Discussionmentioning

confidence: 99%

“…One reason for these inconsistent results could be the heterogeneity of dairy in terms of nutrient content (fat, sugar), processing methods (fermentation), and consistency (liquid, solid) [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

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Dairy intake and long-term body weight status in German children and adolescents: results from the DONALD study

et al. 2021

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Purpose To analyse the association between intake of total dairy (TD) and types of dairy [liquid dairy (LD), solid dairy (SD), low-fat dairy (LFD), high-fat dairy (HFD), high sugar dairy (HSD), low-sugar dairy (LSD), not fermented dairy (NFD), as well as fermented dairy (FD)] and long-term changes in body weight status and composition among children and adolescents in Germany. Methods In total, 9999 3-day dietary records collected between 1985 and 2019 by 1126 participants (3.5–18.5 years; boys: 50.8%) of the Dortmund Nutritional and Anthropometric Longitudinally Designed (DONALD) study were analysed. Polynomial mixed-effects regression models were used to examine whether changes (median follow-up: 9 years) in the intake of TD and dairy types (in 100 g/1000 kcal total energy intake) were associated with changes in body-mass-index-standard-deviation-score (BMI-SDS); fat mass index (FMI); fat-free mass index (FFMI) over time. Results An individual increase in TD intake was slightly but significantly associated with an increase in BMI-SDS (β = 0.0092; p = 0.0371), FMI (β = 0.022; p = 0.0162), and FFMI (β = 0.0156; p = 0.0417) after adjustment for potential confounder. Analyses for LD (BMI-SDS: β = 0.0139; p = 0.0052; FMI: β = 0.0258; p = 0.0125; FFMI: β = 0.0239; p = 0.0052) and LSD intake (BMI-SDS: β = 0.0132; p = 0.0041, FMI: β = 0.02; p = 0.0316, FFMI: β = 0.0183; p = 0.0189) showed similar results to TD. Both processing method and fat content showed no association with body composition in our analyses. Conclusion Increases in TD, LD, and LSD intake showed small but significant increases in BMI and concomitant increases in fat mass and lean mass. However, the observed changes were too small to expect biological or physiological meaningful effects. Overall, our results showed that policies to promote dairy intake in childhood are to be welcomed, as no negative effects on body composition are expected, while the intake of important nutrients for growth is ensured. The type of dairy does not seem to matter.

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Section: Discussionsupporting

confidence: 66%

Section: Discussionmentioning

confidence: 99%

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Dairy intake and long-term body weight status in German children and adolescents: results from the DONALD study

et al. 2021

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“…While the cause of excess weight is multifactorial, changes in diet and decreased level of physical activity have been proposed as contributing factors to the obesity epidemic [1]. Evidence suggests a decrease in dairy consumption coincides with the rise in obesity prevalence in pediatric population [2]. A large percentage of children do not consume the recommended amounts of low-fat and fat-free dairy products, fruits, vegetables, and whole grains, which results in low intakes of calcium, potassium, fiber, magnesium, and vitamin E [3].…”

Section: Introductionmentioning

confidence: 99%

Associations between Frequency of Dairy Intake with Body Composition and Excess Adiposity in Preschool Children from Poland

Matłosz

Wyszyńska

Czarny

et al. 2022

IJERPH

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Evidence suggests there has been a decrease in childhood dairy consumption. There is a need for further studies to evaluate the types of dairy products in relation to the risk of obesity in pediatric population. The aim of the study was to determine the associations between the frequency of consumption of different types of dairy products and body composition and excess adiposity in preschool children from Poland. A cross-sectional study of 1172 children aged 5–6 years was conducted using a bioelectrical impedance analysis for body composition estimation and a modified food frequency questionnaire (FFQ-6) to assess the habitual diets of the participants. Among the analyzed dairy products, milk was consumed most often, followed by fruit yoghurts, yellow cheese, and cottage cheese, and natural yoghurt was the least common. Participants that consumed fruit or natural yoghurt more frequently had higher adipose tissue content. The logistic regression analysis by the method of forward selection showed that more frequent consumption of fruit yoghurt significantly increased the risk of excess adiposity among the total sample (OR = 1.20, p < 0.001). This study revealed that higher consumption of fruit yoghurt could be significant determinant of excess adiposity in Polish preschool children.

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“…Beyond the differences in study design, one plausible explanation behind the observed discrepancies could be attributed to the differences in composition (fat/sugar content), processing type (i.e., fermentation), and form (liquid/solid) of the studied dairy products (i.e., milk, cheese, and yoghurt) [ 11 ]. In light of the conflicting evidence, the fact that Greek children have been recognised as among the most obese in Europe, the forecasted increasing trends of dairy product consumption in Greece, as well as the fundamental role of dairies on musculoskeletal health, and the global burden of childhood obesity, the aim of the present study was to investigate the association of the type of milk with weight status through several characteristics in a representative sample of Greek preadolescent students aged 10–12.…”

Section: Introductionmentioning

confidence: 99%

The Role of Milk on Children’s Weight Status: An Epidemiological Study among Preadolescents in Greece

Kanellopoulou

Kosti²,

Notara³

et al. 2022

Children

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Milk consumption contributes greatly to children’s diet, playing a pivotal role in the development and structure of bones and the functioning of the musculoskeletal system and the heart. This study investigated the association between the type of milk and childhood overweight/obesity. In the school period 2014–2016, 1728 students aged 10–12 years and their parents participated. The measurement and classification of their weight status were performed through the criteria of the International Obesity Task Force. Among others, the type of milk consumption was recorded. Four categories of the type of milk children consumed were classified (white milk, chocolate milk, both types of milk, and no milk at all). Children consuming only white milk were 33.1% less likely to be overweight/obese in comparison with children who were not consuming milk at all [OR (95% CI): 0.669 (0.516, 0.867), p = 0.002]. The consumption of chocolate milk showed a protective role against childhood overweight/obesity although its association was not consistently significant. This study highlights the significant contribution of milk (and particularly of white milk) consumption to weight management, and thus its promotion should be consistently encouraged. More studies are needed to shed light on the effects of different dairy foods on weight status in childhood.

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Age and time trends of dairy intake among children and adolescents of the DONALD study

Cited by 17 publications

References 49 publications

Dairy intake and long-term body weight status in German children and adolescents: results from the DONALD study

Dairy intake and long-term body weight status in German children and adolescents: results from the DONALD study

Associations between Frequency of Dairy Intake with Body Composition and Excess Adiposity in Preschool Children from Poland

The Role of Milk on Children’s Weight Status: An Epidemiological Study among Preadolescents in Greece

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