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Dietary intake patterns of children aged 6 years and their association with socioeconomic and demographic characteristics, early feeding practices and body mass index.
BMC Public Health 2016; 16(1):1055BP

Abstract

BACKGROUND

Dietary intake patterns of children from the 2004 Pelotas birth cohort study have been described at 12, 24 and 48 months of age, but there is no information about dietary patterns of these children at 6 years. Then, we aimed to identify and describe dietary intake patterns of children aged 6 years as well as to assess their association with socioeconomic and demographic characteristics, early feeding practices and BMI z-score at 6 years.

METHODS

We used principal components analysis to identify dietary intake patterns of 3,427 children from the 2004 Pelotas (Brazil) birth cohort study. We used multiple linear regression models to evaluate whether socioeconomic and demographic characteristics (socioeconomic position, mother's age at birth, and child's sex and skin colour), early feeding practices (exclusive breastfeeding duration and age of introduction of complementary foods), and BMI z-score at 6 years were associated with dietary intake patterns.

RESULTS

We identified seven dietary components of children's dietary intake patterns, namely: fruits and vegetables, snacks and treats, coffee and bread, milk, cheese and processed meats, rice and beans and carbohydrates. Dietary patterns were socially patterned, since six dietary components were associated with socioeconomic position. Moreover, high intake of snacks and treats and less fruits and vegetables were associated with children born to teenage mothers, with those exclusively breastfed for less than one month, and with those who started on complementary feeding before 4 months. Finally, overweight and obese children at 6 years presented lower intake of four out of seven dietary components, but we need to be cautious in interpretation due to limitations on food consumption reporting and due to possible reverse causality.

CONCLUSION

Dietary intake patterns in children are strongly influenced by socioeconomic characteristics. Other factors such as younger maternal age at birth, and both early weaning and early introduction of complementary feeding appear to be related with 'unhealthier' patterns. Overweight and obese children presented lower intake of four out of seven dietary components, but further studies would be interesting to understand the longitudinal effect of children's feeding practices on BMI and adiposity.

Authors+Show Affiliations

Postgraduate Program in Epidemiology, Federal University of Pelotas, 1160 Marechal Deodoro Street, 3th floor, Pelotas, Zip Code 96020-220, Brazil. leonardo_pozza@yahoo.com.br.Postgraduate Program in Epidemiology, Federal University of Pelotas, 1160 Marechal Deodoro Street, 3th floor, Pelotas, Zip Code 96020-220, Brazil.Postgraduate Program in Epidemiology, Federal University of Pelotas, 1160 Marechal Deodoro Street, 3th floor, Pelotas, Zip Code 96020-220, Brazil. Department of Preventive Medicine, University of São Paulo, 455 Dr Arnaldo avenue, 2nd floor, São Paulo, Zip Code 01246-903, Brazil.Postgraduate Program in Epidemiology, Federal University of Pelotas, 1160 Marechal Deodoro Street, 3th floor, Pelotas, Zip Code 96020-220, Brazil.Postgraduate Program in Epidemiology, Federal University of Pelotas, 1160 Marechal Deodoro Street, 3th floor, Pelotas, Zip Code 96020-220, Brazil.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27716197

Citation

Santos, Leonardo Pozza, et al. "Dietary Intake Patterns of Children Aged 6 Years and Their Association With Socioeconomic and Demographic Characteristics, Early Feeding Practices and Body Mass Index." BMC Public Health, vol. 16, no. 1, 2016, p. 1055.
Santos LP, Assunção MCF, Matijasevich A, et al. Dietary intake patterns of children aged 6 years and their association with socioeconomic and demographic characteristics, early feeding practices and body mass index. BMC Public Health. 2016;16(1):1055.
Santos, L. P., Assunção, M. C. F., Matijasevich, A., Santos, I. S., & Barros, A. J. D. (2016). Dietary intake patterns of children aged 6 years and their association with socioeconomic and demographic characteristics, early feeding practices and body mass index. BMC Public Health, 16(1), p. 1055. doi:10.1186/s12889-016-3725-2.
Santos LP, et al. Dietary Intake Patterns of Children Aged 6 Years and Their Association With Socioeconomic and Demographic Characteristics, Early Feeding Practices and Body Mass Index. BMC Public Health. 2016 10 6;16(1):1055. PubMed PMID: 27716197.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dietary intake patterns of children aged 6 years and their association with socioeconomic and demographic characteristics, early feeding practices and body mass index. AU - Santos,Leonardo Pozza, AU - Assunção,Maria Cecília Formoso, AU - Matijasevich,Alicia, AU - Santos,Iná S, AU - Barros,Aluísio J D, Y1 - 2016/10/06/ PY - 2016/05/18/received PY - 2016/09/27/accepted PY - 2016/10/8/entrez PY - 2016/10/8/pubmed PY - 2017/6/16/medline KW - Cohort studies KW - Dietary intake KW - Nutrition assessment KW - Principal component analysis SP - 1055 EP - 1055 JF - BMC public health JO - BMC Public Health VL - 16 IS - 1 N2 - BACKGROUND: Dietary intake patterns of children from the 2004 Pelotas birth cohort study have been described at 12, 24 and 48 months of age, but there is no information about dietary patterns of these children at 6 years. Then, we aimed to identify and describe dietary intake patterns of children aged 6 years as well as to assess their association with socioeconomic and demographic characteristics, early feeding practices and BMI z-score at 6 years. METHODS: We used principal components analysis to identify dietary intake patterns of 3,427 children from the 2004 Pelotas (Brazil) birth cohort study. We used multiple linear regression models to evaluate whether socioeconomic and demographic characteristics (socioeconomic position, mother's age at birth, and child's sex and skin colour), early feeding practices (exclusive breastfeeding duration and age of introduction of complementary foods), and BMI z-score at 6 years were associated with dietary intake patterns. RESULTS: We identified seven dietary components of children's dietary intake patterns, namely: fruits and vegetables, snacks and treats, coffee and bread, milk, cheese and processed meats, rice and beans and carbohydrates. Dietary patterns were socially patterned, since six dietary components were associated with socioeconomic position. Moreover, high intake of snacks and treats and less fruits and vegetables were associated with children born to teenage mothers, with those exclusively breastfed for less than one month, and with those who started on complementary feeding before 4 months. Finally, overweight and obese children at 6 years presented lower intake of four out of seven dietary components, but we need to be cautious in interpretation due to limitations on food consumption reporting and due to possible reverse causality. CONCLUSION: Dietary intake patterns in children are strongly influenced by socioeconomic characteristics. Other factors such as younger maternal age at birth, and both early weaning and early introduction of complementary feeding appear to be related with 'unhealthier' patterns. Overweight and obese children presented lower intake of four out of seven dietary components, but further studies would be interesting to understand the longitudinal effect of children's feeding practices on BMI and adiposity. SN - 1471-2458 UR - https://www.unboundmedicine.com/medline/citation/27716197/Dietary_intake_patterns_of_children_aged_6_years_and_their_association_with_socioeconomic_and_demographic_characteristics_early_feeding_practices_and_body_mass_index_ L2 - https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-016-3725-2 DB - PRIME DP - Unbound Medicine ER -