Skip to main content Accessibility help
×
Home

Diet quality from pre-school to school age in Brazilian children: a 4-year follow-up in a randomised control study

  • Fernanda Rauber (a1), Daniel J. Hoffman (a2) and Márcia Regina Vitolo (a3)

Abstract

A previous study demonstrated that dietary counselling for mothers during the first year of life improved overall diet quality of children at pre-school age in a low-income population. Thus, the objective of the present study was to assess the long-term effect of this intervention on diet quality of children at school age and examine the tracking of dietary intake throughout childhood. The present study was a follow-up of a randomised controlled trial with children who were assessed at 3–4 years (n 345) and 7–8 years (n 307) of age. We collected two 24 h dietary recalls and assessed diet quality using the Healthy Eating Index (HEI). Analyses were performed by group using a paired t test and a Student's t test for independent samples. Diet quality did not differ between the intervention and control groups at 7–8 years of age (HEI score 65·2 (sd 9·5) v. 64·9 (sd 8·5)). Regarding changes in diet quality from pre-school to school age, we observed the tracking of diet quality in the control group and the loss of the intervention effect in the intervention group. In both groups, the score for fruit and milk intake decreased, while that for saturated fat and dietary variety intake increased. The score for the intakes of grains, meat and legumes, and total fat remained constant for all children. The present data provide evidence that diet quality tracks during childhood since the total HEI score did not differ over time in the control group. The decrease in score for some HEI components did not affect the overall diet quality due to the increase in score for other HEI components.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Diet quality from pre-school to school age in Brazilian children: a 4-year follow-up in a randomised control study
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Diet quality from pre-school to school age in Brazilian children: a 4-year follow-up in a randomised control study
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Diet quality from pre-school to school age in Brazilian children: a 4-year follow-up in a randomised control study
      Available formats
      ×

Copyright

Corresponding author

* Corresponding author: F. Rauber, fax +55 51 33038798, email rauber.fernanda@gmail.com

References

Hide All
1 Levy-Costa, RB, Sichieri, R, Pontes Ndos, S, et al. (2005) [Household food availability in Brazil: distribution and trends (1974–2003)]. Rev Saude Publica 39, 530540.
2 Guenther, PM, Dodd, KW, Reedy, J, et al. (2006) Most Americans eat much less than recommended amounts of fruits and vegetables. J Am Diet Assoc 106, 13711379.
3 Bachman, JL, Reedy, J, Subar, AF, et al. (2008) Sources of food group intakes among the US population, 2001–2002. J Am Diet Assoc 108, 804814.
4 Piernas, C & Popkin, BM (2010) Snacking increased among U.S. adults between 1977 and 2006. J Nutr 140, 325332.
5 Monteiro, CA, Levy, RB, Claro, RM, et al. (2011) Increasing consumption of ultra-processed foods and likely impact on human health: evidence from Brazil. Public Health Nutr 14, 513.
6 Levy, RB, Claro, RM, Mondini, L, et al. (2012) Regional and socioeconomic distribution of household food availability in Brazil, in 2008–2009. Rev Saude Publica 46, 615.
7 Heo, M, Kim, RS, Wylie-Rosett, J, et al. (2011) Inverse association between fruit and vegetable intake and BMI even after controlling for demographic, socioeconomic and lifestyle factors. Obes Facts 4, 449455.
8 World Health Organization (2013) Obesity and Overweight. Fact Sheet no. 311. Geneva: WHO. http://www.who.int/mediacentre/factsheets/fs311/en/# (accessed August 2012).
9 Astrup, A, Dyerberg, J, Selleck, M, et al. (2008) Nutrition transition and its relationship to the development of obesity and related chronic diseases. Obes Rev 9, Suppl. 1, 4852.
10 Batista Filho, M, Souza, AI, Miglioli, TC, et al. (2008) [Anemia and obesity: a paradox of the nutritional transition in Brazil]. Cad Saude Publica 24, Suppl. 2, S247S257.
11 Popkin, BM (2011) Contemporary nutritional transition: determinants of diet and its impact on body composition. Proc Nutr Soc 70, 8291.
12 Rolls, BJ (2009) The relationship between dietary energy density and energy intake. Physiol Behav 97, 609615.
13 Vernarelli, JA, Mitchell, DC, Hartman, TJ, et al. (2011) Dietary energy density is associated with body weight status and vegetable intake in U.S. children. J Nutr 141, 22042210.
14 Corvalan, C, Kain, J, Weisstaub, G, et al. (2009) Impact of growth patterns and early diet on obesity and cardiovascular risk factors in young children from developing countries. Proc Nutr Soc 68, 327337.
15 Singh, AS, Mulder, C, Twisk, JW, et al. (2008) Tracking of childhood overweight into adulthood: a systematic review of the literature. Obes Rev 9, 474488.
16 Gardner, DS, Hosking, J, Metcalf, BS, et al. (2009) Contribution of early weight gain to childhood overweight and metabolic health: a longitudinal study (EarlyBird 36). Pediatrics 123, e67e73.
17 Fox, MK, Condon, E, Briefel, RR, et al. (2010) Food consumption patterns of young preschoolers: are they starting off on the right path? J Am Diet Assoc 110, S52S59.
18 Johnson-Down, L & Egeland, GM (2010) Adequate nutrient intakes are associated with traditional food consumption in nunavut inuit children aged 3–5 years. J Nutr 140, 13111316.
19 Golley, RK, Hendrie, GA & McNaughton, SA (2011) Scores on the dietary guideline index for children and adolescents are associated with nutrient intake and socio-economic position but not adiposity. J Nutr 141, 13401347.
20 Molina Mdel, C, Lopez, PM, Faria, CP, et al. (2010) Socioeconomic predictors of child diet quality. Rev Saude Publica 44, 785–732.
21 Craigie, AM, Lake, AA, Kelly, SA, et al. (2011) Tracking of obesity-related behaviours from childhood to adulthood: a systematic review. Maturitas 70, 266284.
22 Mikkila, V, Rasanen, L, Raitakari, OT, et al. (2005) Consistent dietary patterns identified from childhood to adulthood: the cardiovascular risk in Young Finns Study. Br J Nutr 93, 923931.
23 Skinner, JD, Carruth, BR, Wendy, B, et al. (2002) Children's food preferences: a longitudinal analysis. J Am Diet Assoc 102, 16381647.
24 Coulthard, H, Harris, G & Emmett, P (2009) Delayed introduction of lumpy foods to children during the complementary feeding period affects child's food acceptance and feeding at 7 years of age. Matern Child Nutr 5, 7585.
25 Mennella, JA & Trabulsi, JC (2012) Complementary foods and flavor experiences: setting the foundation. Ann Nutr Metab 60, Suppl. 2, 4050.
26 Birch, LL (1999) Development of food preferences. Annu Rev Nutr 19, 4162.
27 Fisk, CM, Crozier, SR, Inskip, HM, et al. (2011) Influences on the quality of young children's diets: the importance of maternal food choices. Br J Nutr 105, 287296.
28 Rauber, F, da Costa Louzada, ML, Feldens, CA, et al. (2013) Maternal and family characteristics associated with the Healthy Eating Index. J Hum Nutr Diet 26, 369379.
29 Birch, L, Savage, JS & Ventura, A (2007) Influences on the development of children's eating behaviours: from infancy to adolescence. Can J Diet Pract Res 68, s1s56.
30 Story, MK & Karen, M (2009) Creating healthy food and eating environments: policy and environmental approaches. Ann Rev Public Health 29, 253272.
31 Vitolo, MR, Bortolini, GA, Feldens, CA, et al. (2005) [Impact of the 10 steps to healthy feeding in infants: a randomized field trial]. Cad Saude Publica 21, 14481457.
32 Vitolo, MR, Rauber, F, Campagnolo, PD, et al. (2010) Maternal dietary counseling in the first year of life is associated with a higher healthy eating index in childhood. J Nutr 140, 20022007.
33 Kennedy, ET, Ohls, J, Carlson, S, et al. (1995) The Healthy Eating Index: design and applications. J Am Diet Assoc 95, 11031108.
34 Brazil Ministry of Health (2005) [Dietary Guidelines for the Brazilian Population]. Brasília: Ministry of Health (Secretaria de Atenção à Saúde, Coordenação-Geral da Política de Alimentação e Nutrição).
35 Philippi, ST, Latterza, AR, Cruz, ATR, et al. (1999) [Adapted food pyramid: a guide for a right food choice]. Revista de Nutrição 12, 6580.
36 Basiotis PP, Carlson A, Gerrior SA, et al. (2002). The Healthy Eating Index: 1999–2000. Washington, DC: US Department of Agriculture, Center for Nutrition Policy and Promotion (CNPP-12). http://www.cnpp.usda.gov/publications/HEI/HEI99-00report.pdf (accessed July 2008).
37 Assis, MA, Calvo, MC, Kupek, E, et al. (2010) Qualitative analysis of the diet of a probabilistic sample of schoolchildren from Florianópolis, Santa Catarina State, Brazil, using the Previous Day Food Questionnaire. Cad Saude Publica 26, 13551365.
38 Kranz, S, Findeis, JL & Shrestha, SS (2008) Use of the Revised Children's Diet Quality Index to assess preschooler's diet quality, its sociodemographic predictors, and its association with body weight status. J Pediatr (Rio J) 84, 2634.
39 Angelopoulos, P, Kourlaba, G, Kondaki, K, et al. (2009) Assessing children's diet quality in Crete based on Healthy Eating Index: the Children Study. Eur J Clin Nutr 63, 964969.
40 Manios, Y, Kourlaba, G, Kondaki, K, et al. (2009) Diet quality of preschoolers in Greece based on the Healthy Eating Index: the GENESIS study. J Am Diet Assoc 109, 616623.
41 Briefel, RR, Crepinsek, MK, Cabili, C, et al. (2009) School food environments and practices affect dietary behaviors of US public school children. J Am Diet Assoc 109, Suppl. 2, S91S107.
42 Birch, LL & Ventura, AK (2009) Preventing childhood obesity: what works? Int J Obes (Lond) 33, Suppl. 1, S74S81.
43 Victora, CG, de Onis, M, Hallal, PC, et al. (2010) Worldwide timing of growth faltering: revisiting implications for interventions. Pediatrics 125, e473e480.
44 Singer, MR, Moore, LL, Garrahie, EJ, et al. (1995) The tracking of nutrient intake in young children: the Framingham Children's Study. Am J Public Health 85, 16731677.
45 Stein, AD, Shea, S, Basch, CE, et al. (1991) Variability and tracking of nutrient intakes of preschool children based on multiple administrations of the 24-hour dietary recall. Am J Epidemiol 134, 14271437.
46 Zive, MM, Berry, CC, Sallis, JF, et al. (2002) Tracking dietary intake in white and Mexican-American children from age 4 to 12 years. J Am Diet Assoc 102, 683689.
47 Northstone, K & Emmett, PM (2008) Are dietary patterns stable throughout early and mid-childhood? A birth cohort study. Br J Nutr 100, 10691076.
48 Fremeaux, AE, Hosking, J, Metcalf, BS, et al. (2011) Consistency of children's dietary choices: annual repeat measures from 5 to 13. Br J Nutr 106, 725731.
49 Mannino, ML, Lee, Y, Mitchell, DC, et al. (2004) The quality of girls' diets declines and tracks across middle childhood. Int J Behav Nutr Phys Act 1, 5.
50 Feferbaum, R, de Abreu, LC & Leone, C (2012) Fluid intake patterns: an epidemiological study among children and adolescents in Brazil. BMC Public Health 12, 1005.
51 Leite, FH, Oliveira, MA, Cremm, EC, et al. (2012) Availability of processed foods in the perimeter of public schools in urban. J Pediatr (Rio J) 88, 328334.
52 Sarno, F, Claro, RM, Levy, RB, et al. (2009) Estimated sodium intake by the Brazilian population, 2002–2003. Rev Saude Publica 43, 219225.
53 He, FJ & MacGregor, GA (2006) Importance of salt in determining blood pressure in children: meta-analysis of controlled trials. Hypertension 48, 861869.
54 Magriplis, E, Farajian, P, Pounis, GD, et al. (2011) High sodium intake of children through ‘hidden’ food sources and its association with the Mediterranean diet: the GRECO study. J Hypertens 29, 10691076.
55 Weinstein, SJ, Vogt, TM & Gerrior, SA (2004) Healthy Eating Index scores are associated with blood nutrient concentrations in the third National Health and Nutrition Examination Survey. J Am Diet Assoc 104, 576584.
56 Hann, CS, Rock, CL, King, I, et al. (2001) Validation of the Healthy Eating Index with use of plasma biomarkers in a clinical sample of women. Am J Clin Nutr 74, 479486.

Keywords

Diet quality from pre-school to school age in Brazilian children: a 4-year follow-up in a randomised control study

  • Fernanda Rauber (a1), Daniel J. Hoffman (a2) and Márcia Regina Vitolo (a3)

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed