Presentation on theme: "Dietary patterns in toddlers The Generation R Study Jessica Kiefte-de Jong, RD, MSc Department of Paediatrics / The Generation R Study group Erasmus Medical."— Presentation transcript:
Dietary patterns in toddlers The Generation R Study Jessica Kiefte-de Jong, RD, MSc Department of Paediatrics / The Generation R Study group Erasmus Medical Centre, Rotterdam, The Netherlands
Objectives Aim: To identify dietary patterns in toddlers and to assess socio- demographic and lifestyle determinants of these dietary patterns Identifying children at potential risk for unhealthy eating behaviour in future. Forming a basis for future studies on dietary patterns and health outcomes within our cohort
Methods: Generation R Generation R Study, Rotterdam, The Netherlands. Population based prospective cohort study from fetal life onwards. N=5088 mothers with a delivery data between April 2002 and January 2006 provided consent for follow-up and received a food frequency questionnaire for their child at 14 months. (Mean; SD: 14; 2 months).
Methods: Food groups Refined grains Whole grains Pasta and rice Dairy Fruit Soy substitutes Vegetables Potatoes Soups and sauces Savoury and snacks Confectionary Vegetable oils Other fats (margarines, butter) Fish Shellfish Meat Eggs Legumes Sugar-containing beverages Non-sugar containing beverages Composite dishes
Methods: statistical analyses (1) Food groups were entered in PCA by grams/day consumed. Dietary patterns with an Eigenvalue of >1.5 were extracted. Explaining 24.5% of the variation in food consumption. Varimax rotation to reduce correlation between patterns Individual adherence scores on the dietary patterns by using regression-based factor scores. Multivariate analyses on dietary pattern score Stepwise backward elimination procedure retaining only the strongest predictors.
Methods: statistical analyses (2) Mother factors: Maternal educational background Household income Marital status Maternal alcohol consumption Maternal smoking Folic acid supplementation Maternal BMI Maternal age Parity Parental stress Any history of depression or anxiety Any diabetes, hypertension or hypercholesterolemia Maternal macronutrient intake Child factors: Age of food assessment Gender Birth weight Breast-feeding Timing of solid introduction Daycare attendance Weight and Height Watching TV Variables in model:
Mean intake grams/day Health conscious dietary pattern Western-like dietary pattern Refined bread and breakfast cereals15-0.57 Whole bread and breakfast cereals62-- Pasta and rice230.62- Dairy626-- Fruit1620.32- Soy substitutes4-- Vegetables520.74- Potatoes340.61- Soups and sauces9-0.23 Savoury and snacks4-0.59 Confectionary28-0.72 Vegetable oils10.50- Animal fats11-0.58 Fish80.22- Shellfish0.3-- Meat260.210.27 Eggs2-- Legumes40.59- Sugar-containing beverages198-0.59 Non-sugar containing beverages56-- Composite dishes102--
Results: Western-like dietary pattern Maternal indicators of a Western-like dietary pattern Difference in western-like dietary pattern score
Results: Western-like dietary pattern Difference in western-like dietary pattern score Child indicators of a Western-like dietary pattern Introduction of solids after the age of 6 months
Results: Health conscious dietary pattern Mother and child indicators of a Health conscious dietary pattern Difference in Health conscious dietary pattern score
Conclusion A Western-like and Health conscious dietary pattern can already be identified in children aged 14 months. Adherence to a Western-like dietary pattern clusters with early-life risk factors for overweight in later life. Determinants of a Health conscious diet may be less straightforward and need further elucidation
Future perspectives (1) Dietary variety in toddlers Tracking dietary patterns? Consequences for later health?