• Juan M. Fernandez-Alvira
  • Karin Bammann
  • Valeria Pala
  • Vittorio Krogh
  • Gianvincenzo Barba
  • Gabriele Eiben
  • Antje Hebestreit
  • Toomas Veidebaum
  • Lucia Reisch
  • Michalis Tornaritis
  • Eva Kovacs
  • Inge Huybrechts
  • Luis A. Moreno
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

Publication information

Original languageEnglish
JournalEuropean Journal of Clinical Nutrition
Issue number7
Pages (from-to)811-821
Number of pages11
StatePublished - 2014

ID: 39992675