Preschool children dietary patterns and associated factors

Nobre, Luciana Neri; Lamounier, Joel Alves; Franceschini, Sylvia C. C.

doi:10.2223/jped.2169

Cited by 34 publications

(52 citation statements)

References 21 publications

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“…In this context, dietary pattern analysis was proposed as a holistic approach that investigates the joint effects of multiple dietary components on obesity risk [16,17]. Few studies have examined dietary patterns amongst preschoolers and their association with the risk of overweight or obesity [18][19][20][21][22]. A dietary pattern rich in French fries and sweetened beverages and low in dairy products and water was found to be associated with increased risk of overweight and obesity amongst 3-6-year-old French children [18].…”

Section: Introductionmentioning

confidence: 99%

A traditional dietary pattern is associated with lower odds of overweight and obesity among preschool children in Lebanon: a cross-sectional study

et al. 2017

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PurposeThe high burden of preschool overweight in the Middle East and North Africa highlights the need for rigorous investigations of its determinants. This study aims at identifying dietary patterns amongst preschoolers in Lebanon and assessing their association with overweight and obesity.MethodsA national cross-sectional survey was conducted amongst 2–5-year-old children (n = 525). Socio-demographic, dietary, lifestyle and anthropometric variables were collected. Dietary patterns were derived by factor analysis. Overweight/obesity was defined based on the World Health Organization 2006 criteria (BMI-for-age z-score > + 2).ResultsTwo patterns, “Fast Food and Sweets” and “Traditional Lebanese”, were identified. The “Fast Food and Sweets” pattern was characterized by higher consumption of sweetened beverages, fast foods, salty snacks and sweets. The “Traditional Lebanese” was driven by higher intakes of cereals, dairy products, fruits and vegetables. Children belonging to the 3rd tertile of the Traditional pattern scores had significantly lower odds of overweight/obesity compared to the 1st tertile (OR 0.33; 95% CI 0.11, 0.97). Higher maternal education and higher frequency of eating with family predicted adherence to the traditional pattern, while the presence of a household helper was a negative determinant. Adherence to the Fast Food and Sweets pattern was positively associated with the child’s age, and negatively associated with female gender and maternal education.ConclusionsThe “Traditional Lebanese” pattern was associated with decreased risk of preschool overweight. Policies aiming at re-anchoring this traditional dietary pattern in contemporary lifestyles may be developed as potential preventive strategies against overweight in this age group.

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Section: Introductionmentioning

confidence: 99%

A traditional dietary pattern is associated with lower odds of overweight and obesity among preschool children in Lebanon: a cross-sectional study

et al. 2017

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“…The objective was to monitor growth and development in the first year of life 12. Details regarding the cohort selection and cross-sectional study have been described earlier elsewhere 13…”

Section: Methodsmentioning

confidence: 99%

“…The present study involved 5 year-old (±5 months) children of both genders from the cohort mentioned above 12. Data collection was done between July 2009 and July 2010.…”

Section: Methodsmentioning

confidence: 99%

Influence of glycemic index and glycemic load of the diet on the risk of overweight and adiposity in childhood

Silva

Nobre

Vicente

et al. 2016

Revista Paulista de Pediatria (English Edition)

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Objective:To investigate the association between the glycemic index and the glycemic load of the diet with the risk of overweight and high adiposity in children with 5 years of age.Methods:Cross-sectional study nested in a cohort of 232 children born and living in Diamantina (MG, Brazil). Parents and/or guardians provided the food intake data, using a semiquantitative food frequency questionnaire, past history and socioeconomic conditions. Anthropometric and fatness data were collected from the children. The dietary glycemic index and the glycemic load were calculated from the food intake. The glycemic index and glycemic load effect on overweight and adiposity in children was assessed by the Poisson regression (p<0.05).Results:The prevalence of overweight by body mass index was 17.3%, and high adiposity was observed in 3.4% and 6.9% by triceps skinfold and subscapular skinfold, respectively. No difference was reported between the mean body mass index, triceps skinfold and subscapular skinfold according to the glycemic index and glycemic load tertiles; however, the overweight group presented a higher carbohydrate intake (p=0.04). No association was found between glycemic index and glycemic load with overweight and adiposity among the children assessed.Conclusions:The glycemic index and glycemic load of the diet were not identified as risk factors for overweight and adiposity in this cross-sectional study.

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“…As in most Brazilian cities, the children in this study were mostly (73.8%) mixed race [16]. The details of the formation of the cohort are described elsewhere [17]. In this study the children were 5 years old (±5 months).…”

Section: Study Design Subjects and Locationmentioning

confidence: 99%

“…The internal consistency of the dimensions of the FFQ was also evaluated, and a level of Cronbach's alpha ≥ 0.60 was considered acceptable. More methodological details of the dietary patterns have been published elsewhere [17]. Each component (dietary pattern) has been labeled, although these labels do not perfectly describe each underlying pattern, but rather aid in the reporting and discussion of the results [17].…”

Section: Dietary Patternsmentioning

confidence: 99%

Relationship between Overweight and Dietary Patterns in Brazilian Preschoolers

Nobre¹,

Lessa²,

Lamounier³

et al. 2017

FNS

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Background/Objectives: The prevalence of overweight in children is a growing health problem. The aim of this study was to investigate the relationship between overweight and dietary patterns in preschoolers. Methods: In total, 232 preschoolers (age 5) residing in the city of Diamantina, Brazil, were evaluated. Dietary intake from a food frequency questionnaire, anthropometric parameters and socioeconomic/behavioral information from a questionnaire were evaluated using a cross-sectional design. Dietary patterns were identified using principal component analysis, and the relationship between overweight and dietary patterns was examined by logistic regression analysis. Results: "Mixed diet", "snack" and "unhealthy" dietary patterns were identified. Children daughters of obese mothers, and those who had higher average weight gain in the first four months of life had a significantly higher chance of being overweight (respective values: OR = 3.81; p = 0.002; and OR = 2.97; p = 0.009).Higher levels of maternal education were associated with higher "mixed diet" scores (p < 0.001), whereas lower levels of maternal education (p < 0.001), higher per capita income (p < 0.001) and higher average weight gain from 0 to 4 months (p = 0.002) were associated with higher "snack" scores. Higher per capita income was also associated with lower "unhealthy" scores (p < 0.001). Dietary patterns no associated with overweight. Conclusions: In the present study, overweight was not associated with dietary pattern. However, unhealthy eating habits are known to be risk factors for overweight, and considering that eating habits are formed in childhood, it is very important that healthy eating be encouraged in the family environment and in other spaces like childcare and school.

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Preschool children dietary patterns and associated factors

Cited by 34 publications

References 21 publications

A traditional dietary pattern is associated with lower odds of overweight and obesity among preschool children in Lebanon: a cross-sectional study

A traditional dietary pattern is associated with lower odds of overweight and obesity among preschool children in Lebanon: a cross-sectional study

Influence of glycemic index and glycemic load of the diet on the risk of overweight and adiposity in childhood

Relationship between Overweight and Dietary Patterns in Brazilian Preschoolers

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