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Dietary patterns in early childhood and child cognitive and psychomotor development: the Rhea mother-child cohort study in Crete.
Br J Nutr. 2016 04; 115(8):1431-7.BJ

Abstract

Early-life nutrition is critical for optimal brain development; however, few studies have evaluated the impact of diet as a whole in early childhood on neurological development with inconsistent results. The present analysis is a cross-sectional study nested within an ongoing prospective birth cohort, the Rhea study, and aims to examine the association of dietary patterns with cognitive and psychomotor development in 804 preschool (mean age 4·2 years) children. Parents completed a validated FFQ, and dietary patterns were identified using principal component analysis. Child cognitive and psychomotor development was assessed by the McCarthy Scales of Children's Abilities (MSCA). Multivariable linear regression models were used to investigate the associations of dietary patterns with the MSCA scales. After adjustment for a large number of confounding factors, the 'Snacky' pattern (potatoes and other starchy roots, salty snacks, sugar products and eggs) was negatively associated with the scales of verbal ability (β=-1·31; 95 % CI -2·47, -0·16), general cognitive ability (β=-1·13; 95 % CI -2·25, -0·02) and cognitive functions of the posterior cortex (β=-1·20; 95 % CI -2·34, -0·07). Further adjustment for maternal intelligence, folic acid supplementation and alcohol use during pregnancy attenuated the observed associations, but effect estimates remained at the same direction. The 'Western' and the 'Mediterranean' patterns were not associated with child neurodevelopmental scales. The present findings suggest that poorer food choices at preschool age characterised by foods high in fat, salt and sugar are associated with reduced scores in verbal and cognitive ability.

Authors+Show Affiliations

1Department of Social Medicine, Faculty of Medicine,University of Crete,Heraklion, 71003,Crete,Greece.1Department of Social Medicine, Faculty of Medicine,University of Crete,Heraklion, 71003,Crete,Greece.1Department of Social Medicine, Faculty of Medicine,University of Crete,Heraklion, 71003,Crete,Greece.1Department of Social Medicine, Faculty of Medicine,University of Crete,Heraklion, 71003,Crete,Greece.1Department of Social Medicine, Faculty of Medicine,University of Crete,Heraklion, 71003,Crete,Greece.1Department of Social Medicine, Faculty of Medicine,University of Crete,Heraklion, 71003,Crete,Greece.1Department of Social Medicine, Faculty of Medicine,University of Crete,Heraklion, 71003,Crete,Greece.2Centre for Research in Environmental Epidemiology (CREAL),Barcelona,E-08003,Spain.1Department of Social Medicine, Faculty of Medicine,University of Crete,Heraklion, 71003,Crete,Greece.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26887648

Citation

Leventakou, Vasiliki, et al. "Dietary Patterns in Early Childhood and Child Cognitive and Psychomotor Development: the Rhea Mother-child Cohort Study in Crete." The British Journal of Nutrition, vol. 115, no. 8, 2016, pp. 1431-7.
Leventakou V, Roumeliotaki T, Sarri K, et al. Dietary patterns in early childhood and child cognitive and psychomotor development: the Rhea mother-child cohort study in Crete. Br J Nutr. 2016;115(8):1431-7.
Leventakou, V., Roumeliotaki, T., Sarri, K., Koutra, K., Kampouri, M., Kyriklaki, A., Vassilaki, M., Kogevinas, M., & Chatzi, L. (2016). Dietary patterns in early childhood and child cognitive and psychomotor development: the Rhea mother-child cohort study in Crete. The British Journal of Nutrition, 115(8), 1431-7. https://doi.org/10.1017/S0007114516000246
Leventakou V, et al. Dietary Patterns in Early Childhood and Child Cognitive and Psychomotor Development: the Rhea Mother-child Cohort Study in Crete. Br J Nutr. 2016;115(8):1431-7. PubMed PMID: 26887648.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dietary patterns in early childhood and child cognitive and psychomotor development: the Rhea mother-child cohort study in Crete. AU - Leventakou,Vasiliki, AU - Roumeliotaki,Theano, AU - Sarri,Katerina, AU - Koutra,Katerina, AU - Kampouri,Mariza, AU - Kyriklaki,Andriani, AU - Vassilaki,Maria, AU - Kogevinas,Manolis, AU - Chatzi,Leda, Y1 - 2016/02/18/ PY - 2016/2/19/entrez PY - 2016/2/19/pubmed PY - 2017/5/6/medline KW - Birth cohort studies KW - Cognition KW - Dietary patterns KW - IQ intelligence quotient KW - MSCA McCarthy Scales of Children’s Abilities KW - Neurodevelopment KW - PCA principal component analysis KW - Preschool children SP - 1431 EP - 7 JF - The British journal of nutrition JO - Br J Nutr VL - 115 IS - 8 N2 - Early-life nutrition is critical for optimal brain development; however, few studies have evaluated the impact of diet as a whole in early childhood on neurological development with inconsistent results. The present analysis is a cross-sectional study nested within an ongoing prospective birth cohort, the Rhea study, and aims to examine the association of dietary patterns with cognitive and psychomotor development in 804 preschool (mean age 4·2 years) children. Parents completed a validated FFQ, and dietary patterns were identified using principal component analysis. Child cognitive and psychomotor development was assessed by the McCarthy Scales of Children's Abilities (MSCA). Multivariable linear regression models were used to investigate the associations of dietary patterns with the MSCA scales. After adjustment for a large number of confounding factors, the 'Snacky' pattern (potatoes and other starchy roots, salty snacks, sugar products and eggs) was negatively associated with the scales of verbal ability (β=-1·31; 95 % CI -2·47, -0·16), general cognitive ability (β=-1·13; 95 % CI -2·25, -0·02) and cognitive functions of the posterior cortex (β=-1·20; 95 % CI -2·34, -0·07). Further adjustment for maternal intelligence, folic acid supplementation and alcohol use during pregnancy attenuated the observed associations, but effect estimates remained at the same direction. The 'Western' and the 'Mediterranean' patterns were not associated with child neurodevelopmental scales. The present findings suggest that poorer food choices at preschool age characterised by foods high in fat, salt and sugar are associated with reduced scores in verbal and cognitive ability. SN - 1475-2662 UR - https://www.unboundmedicine.com/medline/citation/26887648/Dietary_patterns_in_early_childhood_and_child_cognitive_and_psychomotor_development:_the_Rhea_mother_child_cohort_study_in_Crete_ L2 - https://www.cambridge.org/core/product/identifier/S0007114516000246/type/journal_article DB - PRIME DP - Unbound Medicine ER -