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Dietary patterns and nutrient intakes of 7-year-old children taking part in an atherosclerosis prevention project in Finland.
J Am Diet Assoc 2002; 102(4):518-24JA

Abstract

OBJECTIVE

To evaluate the dietary patterns of 7-year-old children participating in an atherosclerosis prevention project and the relationship of those dietary patterns to nutrient intakes and serum cholesterol values.

DESIGN

In the randomized, prospective Special Turku Coronary Risk Factor Intervention Project (STRIP) 1,062 children were randomly assigned to an intervention group (n=540; low-saturated fat, low-cholesterol diet) or to a control group (n=522; unrestricted diet) at 7 months of age.

SUBJECTS/SETTINGS

The intervention families received, at 6-month intervals, individualized counseling that focused on the known environmental atherosclerosis risk factors and aimed at reducing children's saturated fat and cholesterol intake. Nutrition counseling was targeted at the child but, because of the young age of the children, was given to the parents. When children were 7 years old, food and nutrient intakes of 307 intervention and 323 control children were studied using 4-day food records.

STATISTICAL ANALYSES PERFORMED

K-means cluster analysis was used to classify children into 4 groups on the basis of similarity of food intake. Differences in nutrient intakes and serum lipid concentrations between children in the 4 food intake clusters were evaluated using Tukey's multiple comparison test.

RESULTS

Intervention children dominated the bread, skim milk, and margarine cluster and the cereals, rice, and pasta cluster whereas the 1.5%-fat milk and butter cluster included mainly control children. Saturated fat intake was nearest to the recommendations, that is 11.7% and 11.9% of energy, in the bread, skim milk, and margarine cluster and the cereals, rice, and pasta cluster, respectively. Children in the bread, skim milk, and margarine cluster had 20% to 27% higher fiber intakes (P<.001) whereas children in the sugar and sweets cluster had markedly higher sugar intakes than children in other clusters (P<.001). Serum cholesterol concentrations were lower in those clusters with high dietary ratios of polyunsaturated to saturated fat.

CONCLUSION

Detailed and repeated dietary counseling of parents, starting when children are aged 7 months, that aims at decreasing children's exposure to known nutrition risk factors for coronary heart disease modifies children's food patterns and nutrient intakes toward expected values.

Authors+Show Affiliations

Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Finland.

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

11985408

Citation

Räsänen, Minna, et al. "Dietary Patterns and Nutrient Intakes of 7-year-old Children Taking Part in an Atherosclerosis Prevention Project in Finland." Journal of the American Dietetic Association, vol. 102, no. 4, 2002, pp. 518-24.
Räsänen M, Lehtinen JC, Niinikoski H, et al. Dietary patterns and nutrient intakes of 7-year-old children taking part in an atherosclerosis prevention project in Finland. J Am Diet Assoc. 2002;102(4):518-24.
Räsänen, M., Lehtinen, J. C., Niinikoski, H., Keskinen, S., Ruottinen, S., Salminen, M., ... Simell, O. (2002). Dietary patterns and nutrient intakes of 7-year-old children taking part in an atherosclerosis prevention project in Finland. Journal of the American Dietetic Association, 102(4), pp. 518-24.
Räsänen M, et al. Dietary Patterns and Nutrient Intakes of 7-year-old Children Taking Part in an Atherosclerosis Prevention Project in Finland. J Am Diet Assoc. 2002;102(4):518-24. PubMed PMID: 11985408.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dietary patterns and nutrient intakes of 7-year-old children taking part in an atherosclerosis prevention project in Finland. AU - Räsänen,Minna, AU - Lehtinen,Jan-Christian, AU - Niinikoski,Harri, AU - Keskinen,Soili, AU - Ruottinen,Soile, AU - Salminen,Mari, AU - Rönnemaa,Tapani, AU - Viikari,Jorma, AU - Simell,Olli, PY - 2002/5/3/pubmed PY - 2002/5/22/medline PY - 2002/5/3/entrez SP - 518 EP - 24 JF - Journal of the American Dietetic Association JO - J Am Diet Assoc VL - 102 IS - 4 N2 - OBJECTIVE: To evaluate the dietary patterns of 7-year-old children participating in an atherosclerosis prevention project and the relationship of those dietary patterns to nutrient intakes and serum cholesterol values. DESIGN: In the randomized, prospective Special Turku Coronary Risk Factor Intervention Project (STRIP) 1,062 children were randomly assigned to an intervention group (n=540; low-saturated fat, low-cholesterol diet) or to a control group (n=522; unrestricted diet) at 7 months of age. SUBJECTS/SETTINGS: The intervention families received, at 6-month intervals, individualized counseling that focused on the known environmental atherosclerosis risk factors and aimed at reducing children's saturated fat and cholesterol intake. Nutrition counseling was targeted at the child but, because of the young age of the children, was given to the parents. When children were 7 years old, food and nutrient intakes of 307 intervention and 323 control children were studied using 4-day food records. STATISTICAL ANALYSES PERFORMED: K-means cluster analysis was used to classify children into 4 groups on the basis of similarity of food intake. Differences in nutrient intakes and serum lipid concentrations between children in the 4 food intake clusters were evaluated using Tukey's multiple comparison test. RESULTS: Intervention children dominated the bread, skim milk, and margarine cluster and the cereals, rice, and pasta cluster whereas the 1.5%-fat milk and butter cluster included mainly control children. Saturated fat intake was nearest to the recommendations, that is 11.7% and 11.9% of energy, in the bread, skim milk, and margarine cluster and the cereals, rice, and pasta cluster, respectively. Children in the bread, skim milk, and margarine cluster had 20% to 27% higher fiber intakes (P<.001) whereas children in the sugar and sweets cluster had markedly higher sugar intakes than children in other clusters (P<.001). Serum cholesterol concentrations were lower in those clusters with high dietary ratios of polyunsaturated to saturated fat. CONCLUSION: Detailed and repeated dietary counseling of parents, starting when children are aged 7 months, that aims at decreasing children's exposure to known nutrition risk factors for coronary heart disease modifies children's food patterns and nutrient intakes toward expected values. SN - 0002-8223 UR - https://www.unboundmedicine.com/medline/citation/11985408/Dietary_patterns_and_nutrient_intakes_of_7_year_old_children_taking_part_in_an_atherosclerosis_prevention_project_in_Finland_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-8223(02)90118-5 DB - PRIME DP - Unbound Medicine ER -