Longitudinal trends in consumption of vegetables and fruit in Finnish children in an atherosclerosis prevention study (STRIP)

Talvia, Sanna; Rásänen, Leena; Lagström, Hanna; Pahkala, Katja; Viikari, Jorma; Rönnemaa, Tapani; Arffman, Martti; Simell, Olli

doi:10.1038/sj.ejcn.1602283

Cited by 51 publications

(47 citation statements)

References 38 publications

(41 reference statements)

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“…In previous studies, the intervention has favorably affected the intake of saturated fat, fiber, and vegetables. 6,7,15 We suspect that the intervention effect on the individual ideal health factors is due in part to these dietary differences.…”

Section: Discussionmentioning

confidence: 99%

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Ideal Cardiovascular Health in Adolescence

et al. 2013

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Background— In the Special Turku Coronary Risk Factor Intervention Project for Children (STRIP) study, repeated dietary counseling introduced in infancy and maintained until 20 years of age has led to lower intakes of saturated fat and serum low-density lipoprotein cholesterol. In this study, we examined prospectively the intervention effects on the ideal cardiovascular health concept recently described by the American Heart Association. Additionally, we investigated the association between the concept and vascular intima-media thickness and elasticity in adolescence. Methods and Results— In adolescents participating in the longitudinal, randomized, atherosclerosis-prevention STRIP study, complete data on ideal cardiovascular health metrics were available at 15 (n=394), 17 (n=376), and 19 (n=298) years of age. Aortic intima-media thickness and elasticity were measured with ultrasonography at the same ages. None of the adolescents had all 7 ideal cardiovascular health metrics. At least 5 ideal metrics was found in 60.2%, 45.5%, and 34.2% of the adolescents at 15, 17, and 19 years of age, respectively. Adolescents in the control group had an increased risk of low ideal cardiovascular health (≤3 metrics) compared with the intervention adolescents (risk ratio=1.35; 95% confidence interval=1.04–1.77). The number of ideal cardiovascular health metrics was inversely associated with aortic intima-media thickness ( P <0.0001) and directly associated with elasticity ( P =0.045). The risk of having high intima-media thickness (>85th percentile) was nearly 2-fold in adolescents with a low number of metrics (≤3) compared with those with a higher score (risk ratio=1.78; 95% confidence interval=1.31–2.43). Conclusions— Ideal cardiovascular health as determined by the AHA can be promoted in adolescents. The ideal cardiovascular health concept is beneficially associated with vascular health already in adolescence, supporting the relevance of targeting these metrics as part of primordial prevention. Clinical Trial Registration— URL: http://www.clinicaltrials.gov . Unique identifier: NCT00223600

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Section: Discussionmentioning

confidence: 99%

“…2,6,15 In addition, the counseling promoted the intake of vegetables, fruits, and whole-grain products; low intake of salt; and, for example, avoidance of unnecessary changes to larger portion sizes. During the first years, the counseling was given primarily to the parents.…”

Section: Study Design and Participantsmentioning

confidence: 99%

Ideal Cardiovascular Health in Adolescence

et al. 2013

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“…Additionally, the postnatal interventions that are recommended to reduce obesity risk should have very few deleterious effects as they focus on parental support, nutritional modification, healthy eating, and breastfeeding. [41][42][43][44] Finally, this study has revealed the importance of the prenatal and preconception environment. High prepregnancy BMI is linked to intrauterine exposures of early overnutrition and programming, which may have a lasting influence by determining body composition.…”

Section: Figurementioning

confidence: 99%

Estimating Overweight Risk in Childhood From Predictors During Infancy

et al. 2013

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WHAT'S KNOWN ON THIS SUBJECT: Several risk factors for both overweight and obesity in childhood are identifiable during infancy. WHAT THIS STUDY ADDS:A simple risk algorithm can be used to quantify risk of overweight in children. It can be used to help identify at-risk infants in a clinical setting to facilitate targeted intervention.abstract OBJECTIVE: The aim of this study was to develop and validate a risk score algorithm for childhood overweight based on a prediction model in infants. METHODS:Analysis was conducted by using the UK Millennium Cohort Study. The cohort was divided randomly by using 80% of the sample for derivation of the risk algorithm and 20% of the sample for validation.Stepwise logistic regression determined a prediction model for childhood overweight at 3 years defined by the International Obesity Task Force criteria. Predictive metrics R 2 , area under the receiver operating curve (AUROC), sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated.RESULTS: Seven predictors were found to be significantly associated with overweight at 3 years in a mutually adjusted predictor model: gender, birth weight, weight gain, maternal prepregnancy BMI, paternal BMI, maternal smoking in pregnancy, and breastfeeding status. Risk scores ranged from 0 to 59 corresponding to a predicted risk from 4.1% to 73.8%. The model revealed moderately good predictive ability in both the derivation cohort (R 2 = 0.92, AUROC = 0.721, sensitivity = 0.699, specificity = 0.679, PPV = 38%, NPV = 87%) and validation cohort (R 2 = 0.84, AUROC = 0.755, sensitivity = 0.769, specificity = 0.665, PPV = 37%, NPV = 89%).CONCLUSIONS: Using a prediction algorithm to identify at-risk infants could reduce levels of child overweight and obesity by enabling health professionals to target prevention more effectively. Further research needs to evaluate the clinical validity, feasibility, and acceptability of communicating this risk.

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“…To date, the dietary habits and nutrition of young children have not been incorporated into the Finnish national health monitoring system. There are only a few studies currently available on the food consumption and nutrient intake of Finnish children (18)(19)(20)(21)(22)(23) . Compared with the current recommendations (24) , the children's diet has been reported to contain too much fat and sucrose and too little dietary fibre (21)(22)(23) .…”

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confidence: 99%

Food consumption and nutrient intake in Finnish 1–6-year-old children

Kyttälä

Erkkola

Kronberg-Kippilä

et al. 2010

Public Health Nutr.

108

140

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Objective: To study food consumption and nutrient intake in Finnish children aged 1-6 years and to assess the effect of age and sex on food consumption and nutrient intake. Design: Cross-sectional samples of children participating in the Type 1 Diabetes Prediction and Prevention (DIPP) birth cohort study in Finland. Subjects: The study population comprised healthy children recruited in the nutrition study within the DIPP study in 1998-2003. Three-day food records (2535 in total) from 1-, 2-, 3-, 4-and 6-year-old children were kept between the years 2003 and 2005. Results: The energy-adjusted consumption of fruits and berries, cereal products, infant formulas and meat dishes was higher and the consumption of vegetables, salads, breads, dairy products, fat spreads, drinks, sweets and sugar was lower among 1-year-old children than older age groups (P for all ,0?05). The mean daily energy intake increased with age and was higher among boys than girls in all age groups, except among the 2-year-olds (P for all ,0?05). The diet of the 2-6-year-old children contained too much saturated fat and sucrose, and too little PUFA compared with the current Nordic Nutrition Recommendations. The intakes of most vitamins and minerals met the recommendations. However, the intakes of vitamin D, E and iron fell below the recommended levels. The nutrient density of the diet decreased after the age of 1 year at the time that the children adapted to the regular family diet. Conclusions: In order to improve the diet of young children, it is essential to evaluate the diet of the whole family.

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Longitudinal trends in consumption of vegetables and fruit in Finnish children in an atherosclerosis prevention study (STRIP)

Cited by 51 publications

References 38 publications

Ideal Cardiovascular Health in Adolescence

Ideal Cardiovascular Health in Adolescence

Estimating Overweight Risk in Childhood From Predictors During Infancy

Food consumption and nutrient intake in Finnish 1–6-year-old children

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