Prospective associations between socio-economic status and dietary patterns in European children: the Identification and Prevention of Dietary- and Lifestyle-induced Health Effects in Children and Infants (IDEFICS) Study.

Autor:	Fernández-Alvira JM; GENUD (Growth, Exercise, NUtrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Edificio del SAI, C/Pedro Cerbuna s/n,50009Zaragoza,Spain., Börnhorst C; Leibniz Institute for Prevention Research and Epidemiology - BIPS,Bremen,Germany., Bammann K; Institute for Public Health and Nursing Sciences (IPP), University of Bremen,Bremen,Germany., Gwozdz W; Copenhagen Business School,Copenhagen,Denmark., Krogh V; Epidemiology Unit, Department of Preventive and Predictive Medicine, Fondazione IRCCS Istituto Nazionale dei Tumori,Milan,Italy., Hebestreit A; Leibniz Institute for Prevention Research and Epidemiology - BIPS,Bremen,Germany., Barba G; Unit of Epidemiology and Population Genetics, Institute of Food Sciences, National Research Council,Avellino,Italy., Reisch L; Copenhagen Business School,Copenhagen,Denmark., Eiben G; Public Health Epidemiology Unit (EPI), Department of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg,Gothenburg,Sweden., Iglesia I; GENUD (Growth, Exercise, NUtrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Edificio del SAI, C/Pedro Cerbuna s/n,50009Zaragoza,Spain., Veidebaum T; Department of Chronic Diseases,National Institute for Health Development,Tallinn,Estonia., Kourides YA; Research and Education Institute of Child Health,Strovolos,Cyprus., Kovacs E; Department of Paediatrics,University of Pécs,Pécs,Hungary., Huybrechts I; Department of Public Health,Ghent University,Ghent,Belgium., Pigeot I; Leibniz Institute for Prevention Research and Epidemiology - BIPS,Bremen,Germany., Moreno LA; GENUD (Growth, Exercise, NUtrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Edificio del SAI, C/Pedro Cerbuna s/n,50009Zaragoza,Spain.
Jazyk:	angličtina
Zdroj:	The British journal of nutrition [Br J Nutr] 2015 Feb 14; Vol. 113 (3), pp. 517-25. Date of Electronic Publication: 2015 Jan 07.
DOI:	10.1017/S0007114514003663
Abstrakt:	Exploring changes in children's diet over time and the relationship between these changes and socio-economic status (SES) may help to understand the impact of social inequalities on dietary patterns. The aim of the present study was to describe dietary patterns by applying a cluster analysis to 9301 children participating in the baseline (2-9 years old) and follow-up (4-11 years old) surveys of the Identification and Prevention of Dietary- and Lifestyle-induced Health Effects in Children and Infants Study, and to describe the cluster memberships of these children over time and their association with SES. We applied the K-means clustering algorithm based on the similarities between the relative frequencies of consumption of forty-two food items. The following three consistent clusters were obtained at baseline and follow-up: processed (higher frequency of consumption of snacks and fast food); sweet (higher frequency of consumption of sweet foods and sweetened drinks); healthy (higher frequency of consumption of fruits, vegetables and wholemeal products). Children with higher-educated mothers and fathers and the highest household income were more likely to be allocated to the healthy cluster at baseline and follow-up and less likely to be allocated to the sweet cluster. Migrants were more likely to be allocated to the processed cluster at baseline and follow-up. Applying the cluster analysis to derive dietary patterns at the two time points allowed us to identify groups of children from a lower socio-economic background presenting persistently unhealthier dietary profiles. This finding reflects the need for healthy eating interventions specifically targeting children from lower socio-economic backgrounds.
Databáze:	MEDLINE
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