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Country-specific dietary patterns and associations with socioeconomic status in European children: the IDEFICS study
Univ Zaragoza, Fac Hlth Sci, GENUD Growth Exercise Nutr & Dev Res Gr, E-50009 Zaragoza, Spain.
Univ Bremen, Inst Publ Hlth & Nursing Sci Ipp, D-28359 Bremen, Germany.;Leibniz Inst Prevent Res & Epidemiol BIPS GmbH, Bremen, Germany.
Fdn IRCCS, Ist Nazl Tumori, Dept Prevent & Predict Med, Nutr Epidemiol Unit, Milan, Italy.
Fdn IRCCS, Ist Nazl Tumori, Dept Prevent & Predict Med, Nutr Epidemiol Unit, Milan, Italy.
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2014 (English)In: European Journal of Clinical Nutrition, ISSN 0954-3007, E-ISSN 1476-5640, Vol. 68, no 7, p. 811-821Article in journal (Refereed) Published
Abstract [en]

BACKGROUND/OBJECTIVES: Children from lower socioeconomic status (SES) may be at higher risk of unhealthy eating. We described country-specific dietary patterns among children aged 2-9 years from eight European countries participating in the IDEFICS study and assessed the association of dietary patterns with an additive SES indicator. SUBJECTS/METHODS: Children aged 2-9 years from eight European countries were recruited in 2007-2008. Principal component analysis was applied to identify dietary country-specific patterns. Linear regression analyses were applied to assess their association with SES. RESULTS: Two to four dietary patterns were identified in the participating regions. The existence of a 'processed' pattern was found in the eight regions. Also, a 'healthy' pattern was identified in seven of the eight regions. In addition, region-specific patterns were identified, reflecting the existing gastronomic and cultural differences in Europe. The 'processed' pattern was significantly inversely associated with the SES additive indicator in all countries except Sweden, whereas the 'healthy' pattern was positively associated with SES in the Belgian, Estonian, German and Hungarian regions, but was not significant in the Italian, Spanish and Swedish regions. CONCLUSIONS: A 'processed' pattern and a 'healthy' pattern were found in most of the participating countries in the IDEFICS study, with comparable food item profiles. The results showed a strong inverse association of SES with the 'processed' pattern, suggesting that children of parents with lower SES may be at higher risk of unhealthy eating. Therefore, special focus should be given to parents and their children from lower SES levels when developing healthy eating promotion strategies.

Place, publisher, year, edition, pages
Nature Publishing Group, 2014. Vol. 68, no 7, p. 811-821
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:his:diva-14442DOI: 10.1038/ejcn.2014.78ISI: 000338598600010PubMedID: 24824009Scopus ID: 2-s2.0-84903776005OAI: oai:DiVA.org:his-14442DiVA, id: diva2:1157726
Available from: 2017-11-16 Created: 2017-11-16 Last updated: 2017-11-27Bibliographically approved

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Eiben, Gabriele

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