3ObjectivesAim:To identify dietary patterns in toddlers and to assess socio-demographic and lifestyle determinants of these dietary patternsIdentifying children at potential risk for unhealthy eating behaviour in future.Forming a basis for future studies on dietary patterns and health outcomes within our cohortPercentage of mothers who breastfed during their child's first 6 months of life, according to mother's educational level (N = 2914).
4Methods: 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).
5Methods: Food groups Refined grains Whole grains Pasta and rice Dairy FruitSoy substitutesVegetablesPotatoesSoups and saucesSavoury and snacksConfectionaryVegetable oilsOther fats (margarines, butter)FishShellfishMeatEggsLegumesSugar-containing beveragesNon-sugar containing beveragesComposite dishes
6Methods: 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 patternsIndividual ‘adherence scores’ on the dietary patterns by using regression-based factor scores.Multivariate analyses on dietary pattern scoreStepwise backward elimination procedure retaining only the strongest predictors.
7Methods: statistical analyses (2) Variables in model:Mother factors:Maternal educational backgroundHousehold incomeMarital statusMaternal alcohol consumptionMaternal smokingFolic acid supplementationMaternal BMIMaternal ageParityParental stressAny history of depression or anxietyAny diabetes, hypertension or hypercholesterolemiaMaternal macronutrient intakeChild factors:Age of food assessmentGenderBirth weightBreast-feedingTiming of solid introductionDaycare attendanceWeight and HeightWatching TV
9Health conscious dietary pattern Western-like dietary pattern Mean intakegrams/dayHealth conscious dietary patternWestern-like dietary patternRefined bread and breakfast cereals15-0.57Whole bread and breakfast cereals62Pasta and rice230.62Dairy626Fruit1620.32Soy substitutes4Vegetables520.74Potatoes340.61Soups and sauces90.23Savoury and snacks0.59Confectionary280.72Vegetable oils10.50Animal fats110.58Fish80.22Shellfish0.3Meat260.210.27Eggs2LegumesSugar-containing beverages198Non-sugar containing beverages56Composite dishes102
10Results: Western-like dietary pattern Maternal indicators of a Western-like dietary patternDifference in western-like dietary pattern score
11Results: Western-like dietary pattern Child indicators of a Western-like dietary patternIntroduction of solids after the age of 6 monthsDifference in western-like dietary pattern score
12Results: Health conscious dietary pattern Mother and child indicators of a Health conscious dietary patternDifference in Health conscious dietary pattern score
13ConclusionA 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
14Future perspectives (1) Dietary variety in toddlersTracking dietary patterns?Consequences for later health?