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Prospective associations between dietary patterns and body composition changes in European children: the IDEFICS study
GENUD (Growth, Exercise, NUtrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Edificio del SAI,C/Pedro Cerbuna s/n, Zaragoza, Spain / Fundación Centro Nacional de Investigaciones Cardiovasculares Carlos III, Madrid, Spain.
Institute for Public Health and Nursing Sciences (IPP),University of Bremen,Bremen,Germany.
Department of Public Health and Community Medicine, Public Health Epidemiology Unit (EPI), Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID iD: 0000-0002-4397-3721
Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.
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2017 (English)In: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 20, no 18, p. 3257-3265Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To describe dietary patterns by applying cluster analysis and to describe the cluster memberships of European children over time and their association with body composition changes.

DESIGN: The analyses included k-means clustering based on the similarities between the relative frequencies of consumption of forty-three food items and regression models were fitted to assess the association between dietary patterns and body composition changes.

SETTING: Primary schools and pre-schools of selected regions in Italy, Estonia, Cyprus, Belgium, Sweden, Hungary, Germany and Spain.

SUBJECTS: Participants (n 8341) in the baseline (2-9 years old) and follow-up (4-11 years old) surveys of the IDEFICS (Identification and prevention of Dietary- and lifestyle-induced health EFfects In Children and infantS) study.

RESULTS: Three persistent clusters were obtained at baseline and follow-up. Children consistently allocated to the 'processed' cluster presented increased BMI (β=0·050; 95 % CI 0·006, 0·093), increased waist circumference (β=0·071; 95 % CI 0·001, 0·141) and increased fat mass gain (β=0·052; 95 % CI 0·014, 0·090) over time v. children allocated to the 'healthy' cluster. Being in the 'processed'-'sweet' cluster combination was also linked to increased BMI (β=0·079; 95 % CI 0·015, 0·143), increased waist circumference (β=0·172; 95 % CI 0·069, 0·275) and increased fat mass gain (β=0·076; 95 % CI 0·019, 0·133) over time v. the 'healthy' cluster.

CONCLUSIONS: Children consistently showing a processed dietary pattern or changing from a processed pattern to a sweet pattern presented the most unfavourable changes in fat mass and abdominal fat. These findings support the need to promote overall healthy dietary habits in obesity prevention and health promotion programmes targeting children.

Place, publisher, year, edition, pages
2017. Vol. 20, no 18, p. 3257-3265
Keywords [en]
Body composition, Children, Cluster analysis, Dietary patterns, IDEFICS, Prospective analysis
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:his:diva-14491DOI: 10.1017/S1368980017002361ISI: 000423197700007PubMedID: 28879834Scopus ID: 2-s2.0-85041336175OAI: oai:DiVA.org:his-14491DiVA, id: diva2:1157982
Available from: 2017-11-17 Created: 2017-11-17 Last updated: 2018-03-07Bibliographically approved

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Eiben, Gabriele

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