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Associations between social vulnerabilities and dietary patterns in European children: the Identification and prevention of Dietary- and lifestyle-induced health EFfects In Children and infantS (IDEFICS) study
Univ Zaragoza, Fac Hlth Sci, GENUD Growth Exercise Nutr & Dev Res Grp, Edificio SAI,C Pedro Cerbuna S-N, E-50009 Zaragoza, Spain / Inst Agroalimentario Aragon IA2, C Miguel Servet 177, Zaragoza 50013, Spain.;Inst Invest Sanitaria Aragon IIS Aragon, Avda San Juan Bosco 13, Zaragoza 50009, Spain.
Univ Zaragoza, Fac Hlth Sci, GENUD Growth Exercise Nutr & Dev Res Grp, Edificio SAI,C Pedro Cerbuna S-N, E-50009 Zaragoza, Spain / Fdn Ctr Nacl Invest Cardiovasc Carlos III CNIC, C Melchor Fernandez Almagro 3, Madrid 28029, Spain.
Univ Bremen, Inst Publ Hlth & Nursing Sci IPP, Grazer Str 2, D-28359 Bremen, Germany / Leibniz Inst Prevent Res & Epidemiol BIPS, Achterstr 30, D-28359 Bremen, Germany.ORCID iD: 0000-0002-5623-8160
Univ Ghent, Univ Hosp, Dept Publ Hlth, Block 4K3,De Pintelaan 185, B-9000 Ghent, Belgium.
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2016 (English)In: British Journal of Nutrition, ISSN 0007-1145, E-ISSN 1475-2662, Vol. 116, no 7, p. 1288-1297Article in journal (Refereed) Published
Abstract [en]

Socio-economic inequalities in childhood can determine dietary patterns, and therefore future health. This study aimed to explore associations between social vulnerabilities and dietary patterns assessed at two time points, and to investigate the association between accumulation of vulnerabilities and dietary patterns. A total of 9301 children aged 2-9 years participated at baseline and 2-year follow-up examinations of the Identification and prevention of Dietary-and lifestyle-induced health EFfects In Children and infantS study. In all, three dietary patterns were identified at baseline and follow-up by applying the K-means clustering algorithm based on a higher frequency of consumption of snacks and fast food (processed), sweet foods and drinks (sweet), and fruits and vegetables (healthy). Vulnerable groups were defined at baseline as follows: children whose parents lacked a social network, children from single-parent families, children of migrant origin and children with unemployed parents. Multinomial mixed models were used to assess the associations between social vulnerabilities and children's dietary patterns at baseline and follow-up. Children whose parents lacked a social network (OR 1.31; 99% CI 1.01, 1.70) and migrants (OR 1.45; 99% CI 1.15, 1.83) were more likely to be in the processed cluster at baseline and follow-up. Children whose parents were homemakers (OR 0.74; 99% CI 0.60, 0.92) were less likely to be in the processed cluster at baseline. A higher number of vulnerabilities was associated with a higher probability of children being in the processed cluster (OR 1.78; 99% CI 1.21, 2.62). Therefore, special attention should be paid to children of vulnerable groups as they present unhealthier dietary patterns.

Place, publisher, year, edition, pages
Cambridge University Press, 2016. Vol. 116, no 7, p. 1288-1297
Keywords [en]
Vulnerable groups, Dietary patterns, Inequalities, Socio-economic status, Children
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:his:diva-14411DOI: 10.1017/S0007114516003330ISI: 000386911000016PubMedID: 27666744Scopus ID: 2-s2.0-84988737023OAI: oai:DiVA.org:his-14411DiVA, id: diva2:1157465
Note

Group Author(s): IDEFICS Consortium

Available from: 2017-11-16 Created: 2017-11-16 Last updated: 2017-11-27Bibliographically approved

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Bammann, KarinEiben, GabrielePala, Valeria

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