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A randomized intervention since infancy to reduce intake of saturated fat: calorie (energy) and nutrient intakes up to the age of 10 years in the Special Turku Coronary Risk Factor Intervention Project.

Abstract

OBJECTIVE

To evaluate the longitudinal impact of dietary counseling on children's nutrient intake.

DESIGN

A prospective, randomized, clinical trial.

PARTICIPANTS

Children were recruited to the study between December 1, 1989, and May 30, 1992. At the age of 7 months, children were randomized to the intervention group (n = 540) or the control group (n = 522) and were followed up until the age of 10 years. Intervention Families in the intervention group have, since randomization, received regularly individualized counseling about how to modify the quality and quantity of fat in the child's diet, the goal being an unsaturated-saturated fat ratio of 2:1.

MAIN OUTCOME MEASURES

Nutrient intakes between the ages of 4 and 10 years based on annual 4-day food records.

RESULTS

The fat intake of the intervention children was constantly around 30% of the calorie (energy) intake, while that of the control children was 2 to 3 calorie percentage units higher (P<.001). The intervention children received 2 to 3 calorie percentage units less saturated fats and 0.5 to 1.0 calorie percentage unit more polyunsaturated fats than the control children (P<.001 for both). However, neither group reached the 2:1 goal set for the unsaturated-saturated fatty acid ratio. The vitamin and mineral intakes of the intervention and control children closely resembled each other despite the marked differences in fat intake.

CONCLUSION

Individualized, biannually given, fat intake-focused dietary counseling that began at the child's age of 8 months continued to influence favorably the diet of 4- to 10-year-old intervention children without disadvantageous dietary effects, but the 2:1 goal for unsaturated-saturated fat ratio was not reached.

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  • Authors+Show Affiliations

    ,

    Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku. sanna.talvia@utu.fi

    , , , , , , , , ,

    Source

    MeSH

    Age Factors
    Child
    Child Nutritional Physiological Phenomena
    Child, Preschool
    Cholesterol, Dietary
    Coronary Disease
    Counseling
    Diet Surveys
    Diet, Fat-Restricted
    Dietary Carbohydrates
    Dietary Fats
    Eating
    Energy Intake
    Humans
    Infant
    Prospective Studies
    Risk Factors
    Sex Factors
    Socioeconomic Factors
    Vitamins

    Pub Type(s)

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

    Language

    eng

    PubMed ID

    14706957

    Citation

    Talvia, Sanna, et al. "A Randomized Intervention Since Infancy to Reduce Intake of Saturated Fat: Calorie (energy) and Nutrient Intakes Up to the Age of 10 Years in the Special Turku Coronary Risk Factor Intervention Project." Archives of Pediatrics & Adolescent Medicine, vol. 158, no. 1, 2004, pp. 41-7.
    Talvia S, Lagström H, Räsänen M, et al. A randomized intervention since infancy to reduce intake of saturated fat: calorie (energy) and nutrient intakes up to the age of 10 years in the Special Turku Coronary Risk Factor Intervention Project. Arch Pediatr Adolesc Med. 2004;158(1):41-7.
    Talvia, S., Lagström, H., Räsänen, M., Salminen, M., Räsänen, L., Salo, P., ... Simell, O. (2004). A randomized intervention since infancy to reduce intake of saturated fat: calorie (energy) and nutrient intakes up to the age of 10 years in the Special Turku Coronary Risk Factor Intervention Project. Archives of Pediatrics & Adolescent Medicine, 158(1), pp. 41-7.
    Talvia S, et al. A Randomized Intervention Since Infancy to Reduce Intake of Saturated Fat: Calorie (energy) and Nutrient Intakes Up to the Age of 10 Years in the Special Turku Coronary Risk Factor Intervention Project. Arch Pediatr Adolesc Med. 2004;158(1):41-7. PubMed PMID: 14706957.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - A randomized intervention since infancy to reduce intake of saturated fat: calorie (energy) and nutrient intakes up to the age of 10 years in the Special Turku Coronary Risk Factor Intervention Project. AU - Talvia,Sanna, AU - Lagström,Hanna, AU - Räsänen,Minna, AU - Salminen,Mari, AU - Räsänen,Leena, AU - Salo,Pia, AU - Viikari,Jorma, AU - Rönnemaa,Tapani, AU - Jokinen,Eero, AU - Vahlberg,Tero, AU - Simell,Olli, PY - 2004/1/7/pubmed PY - 2004/2/27/medline PY - 2004/1/7/entrez SP - 41 EP - 7 JF - Archives of pediatrics & adolescent medicine JO - Arch Pediatr Adolesc Med VL - 158 IS - 1 N2 - OBJECTIVE: To evaluate the longitudinal impact of dietary counseling on children's nutrient intake. DESIGN: A prospective, randomized, clinical trial. PARTICIPANTS: Children were recruited to the study between December 1, 1989, and May 30, 1992. At the age of 7 months, children were randomized to the intervention group (n = 540) or the control group (n = 522) and were followed up until the age of 10 years. Intervention Families in the intervention group have, since randomization, received regularly individualized counseling about how to modify the quality and quantity of fat in the child's diet, the goal being an unsaturated-saturated fat ratio of 2:1. MAIN OUTCOME MEASURES: Nutrient intakes between the ages of 4 and 10 years based on annual 4-day food records. RESULTS: The fat intake of the intervention children was constantly around 30% of the calorie (energy) intake, while that of the control children was 2 to 3 calorie percentage units higher (P<.001). The intervention children received 2 to 3 calorie percentage units less saturated fats and 0.5 to 1.0 calorie percentage unit more polyunsaturated fats than the control children (P<.001 for both). However, neither group reached the 2:1 goal set for the unsaturated-saturated fatty acid ratio. The vitamin and mineral intakes of the intervention and control children closely resembled each other despite the marked differences in fat intake. CONCLUSION: Individualized, biannually given, fat intake-focused dietary counseling that began at the child's age of 8 months continued to influence favorably the diet of 4- to 10-year-old intervention children without disadvantageous dietary effects, but the 2:1 goal for unsaturated-saturated fat ratio was not reached. SN - 1072-4710 UR - https://www.unboundmedicine.com/medline/citation/14706957/A_randomized_intervention_since_infancy_to_reduce_intake_of_saturated_fat:_calorie__energy__and_nutrient_intakes_up_to_the_age_of_10_years_in_the_Special_Turku_Coronary_Risk_Factor_Intervention_Project_ L2 - https://jamanetwork.com/journals/jamapediatrics/fullarticle/10.1001/archpedi.158.1.41 DB - PRIME DP - Unbound Medicine ER -