Dietary patterns and their associations with home food availability among Finnish pre-school children: a cross-sectional study

Vepsäläinen, Henna; Korkalo, Liisa; Mikkilä, Vera; Lehto, Reetta; Ray, Carola; Nissinen, Kaija; Skaffari, Essi; Fogelholm, Mikael; Koivusilta, Leena; Roos, Eva; Erkkola, Maijaliisa

doi:10.1017/s1368980017003871

Cited by 31 publications

(39 citation statements)

References 43 publications

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“…In our study among 3–6-year-olds, children with high PEL had lower consumption of sugary foods and beverages and higher consumption of vegetables. An article describing eating styles derived from a principal component analyses among children in the DAGIS survey [ 39 ] claims that children with high PEL were less likely to have an eating style labeled as sweets-and-treats pattern. On the contrary, high vegetable consumption was characteristic of the vegetables-and-processed meats pattern, which was less often found among children with high PEL [ 39 ].…”

Section: Discussionmentioning

confidence: 99%

“…An article describing eating styles derived from a principal component analyses among children in the DAGIS survey [ 39 ] claims that children with high PEL were less likely to have an eating style labeled as sweets-and-treats pattern. On the contrary, high vegetable consumption was characteristic of the vegetables-and-processed meats pattern, which was less often found among children with high PEL [ 39 ]. These dissimilarities in results, reflecting the vegetable consumption in different PEL groups among the same sample, stress the importance of applying several kinds of methods and viewpoints when examining eating behavior.…”

Section: Discussionmentioning

confidence: 99%

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Increased Health and Wellbeing in Preschools (DAGIS) Study—Differences in Children’s Energy Balance-Related Behaviors (EBRBs) and in Long-Term Stress by Parental Educational Level

Lehto

Ray

Vepsäläinen

et al. 2018

IJERPH

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This paper describes the Increased Health and Wellbeing in Preschools (DAGIS) survey process and socioeconomic status (SES) differences in children’s energy balance-related behaviors (EBRBs), meaning physical activity, sedentary and dietary behaviors, and long-term stress that serve as the basis for the intervention development. A cross-sectional survey was conducted during 2015–2016 in 66 Finnish preschools in eight municipalities involving 864 children (3–6 years old). Parents, preschool personnel, and principals assessed environmental factors at home and preschool with questionnaires. Measurement of children’s EBRBs involved three-day food records, food frequency questionnaires (FFQ), seven-day accelerometer data, and seven-day sedentary behavior diaries. Children’s long-term stress was measured by hair cortisol concentration. Parental educational level (PEL) served as an indicator of SES. Children with low PEL had more screen time, more frequent consumption of sugary beverages and lower consumption of vegetables, fruit, and berries (VFB) than those with high PEL. Children with middle PEL had a higher risk of consuming sugary everyday foods than children with high PEL. No PEL differences were found in children’s physical activity, sedentary time, or long-term stress. The DAGIS intervention, aiming to diminish SES differences in preschool children’s EBRBs, needs to have a special focus on screen time and consumption of sugary foods and beverages, and VFB.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Increased Health and Wellbeing in Preschools (DAGIS) Study—Differences in Children’s Energy Balance-Related Behaviors (EBRBs) and in Long-Term Stress by Parental Educational Level

Lehto

Ray

Vepsäläinen

et al. 2018

IJERPH

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“…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

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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.

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“…Since no culturally appropriate FFQs focusing on the food consumption of Finnish preschool-aged children existed, we developed a 47-item FFQ to measure food consumption among the preschoolers in the DAGIS survey [ 39 , 40 ]. The English version of the FFQ is available online [ 41 ].…”

Section: Methodsmentioning

confidence: 99%

Reproducibility of Preschool Personnel and Guardian Reports on Energy Balance-Related Behaviors and Their Correlates in Finnish Preschool Children

et al. 2018

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Valid and reliable non-objective assessments of guardian and preschool personnel reports are necessary when estimating young children’s health behaviors. This study examines the test-retest reproducibility of (a) guardian and preschool personnel questionnaires about correlates of preschool-aged children’s energy balance-related behaviors (EBRBs), (b) a screen time diary, and (c) a food frequency questionnaire (FFQ) reported by a guardian. A sample of guardians having preschool-aged children (N = 69) and preschool personnel (N = 61) completed questionnaires twice within a five-week time interval during April–May 2018 in Finland. Intra-class correlations (ICC), kappas, and percentage agreement were calculated to test the test-retest-reproducibility. The guardian questionnaire for correlates of the children’s EBRBs demonstrated mainly moderate to good reproducibility whereas the preschool personnel questionnaire of preschool correlates for children’s EBRBs was mostly good. The reproducibility of the screen time diary was good and FFQ food items showed mostly moderate reproducibility. The reproducibility of the FFQ foods items for vegetables, fruit, and berries was slightly better for the amount consumed than for the frequency of consumption. To conclude, all the instruments are acceptable for use in future studies.

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Dietary patterns and their associations with home food availability among Finnish pre-school children: a cross-sectional study

Abstract: Considering dietary patterns, the availability of sugar-enriched foods in the home seems to have a stronger role than that of fruits and vegetables. Parents should restrict the availability of unhealthy foods in the home.

Cited by 31 publications

References 43 publications

Increased Health and Wellbeing in Preschools (DAGIS) Study—Differences in Children’s Energy Balance-Related Behaviors (EBRBs) and in Long-Term Stress by Parental Educational Level

Increased Health and Wellbeing in Preschools (DAGIS) Study—Differences in Children’s Energy Balance-Related Behaviors (EBRBs) and in Long-Term Stress by Parental Educational Level

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

Reproducibility of Preschool Personnel and Guardian Reports on Energy Balance-Related Behaviors and Their Correlates in Finnish Preschool Children

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