Country-Specific Dietary Patterns and Associations with Socioeconomic Status in European Children: The IDEFICS Study

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

    Research output: Contribution to journalJournal articleResearchpeer-review

    Abstract

    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
    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
    LanguageEnglish
    JournalEuropean Journal of Clinical Nutrition
    Volume68
    Issue number7
    Pages811-821
    Number of pages11
    ISSN0954-3007
    DOIs
    StatePublished - 2014

    Cite this

    Fernandez-Alvira, J. M., Bammann, K., Pala, V., Krogh, V., Barba, G., Eiben, G., ... Moreno, L. A. (2014). Country-Specific Dietary Patterns and Associations with Socioeconomic Status in European Children: The IDEFICS Study. European Journal of Clinical Nutrition, 68(7), 811-821 . DOI: 10.1038/ejcn.2014.78
    Fernandez-Alvira, Juan M. ; Bammann, Karin ; Pala, Valeria ; Krogh, Vittorio ; Barba, Gianvincenzo ; Eiben, Gabriele ; Hebestreit, Antje ; Veidebaum, Toomas ; Reisch, Lucia ; Tornaritis, Michalis ; Kovacs, Eva ; Huybrechts, Inge ; Moreno, Luis A./ Country-Specific Dietary Patterns and Associations with Socioeconomic Status in European Children : The IDEFICS Study. In: European Journal of Clinical Nutrition. 2014 ; Vol. 68, No. 7. pp. 811-821
    @article{04f59d7406f1441bb9cc05e9e1aa6506,
    title = "Country-Specific Dietary Patterns and Associations with Socioeconomic Status in European Children: The IDEFICS Study",
    abstract = "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",
    author = "Fernandez-Alvira, {Juan M.} and Karin Bammann and Valeria Pala and Vittorio Krogh and Gianvincenzo Barba and Gabriele Eiben and Antje Hebestreit and Toomas Veidebaum and Lucia Reisch and Michalis Tornaritis and Eva Kovacs and Inge Huybrechts and Moreno, {Luis A.}",
    year = "2014",
    doi = "10.1038/ejcn.2014.78",
    language = "English",
    volume = "68",
    pages = "811--821",
    journal = "European Journal of Clinical Nutrition",
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    Fernandez-Alvira, JM, Bammann, K, Pala, V, Krogh, V, Barba, G, Eiben, G, Hebestreit, A, Veidebaum, T, Reisch, L, Tornaritis, M, Kovacs, E, Huybrechts, I & Moreno, LA 2014, 'Country-Specific Dietary Patterns and Associations with Socioeconomic Status in European Children: The IDEFICS Study' European Journal of Clinical Nutrition, vol. 68, no. 7, pp. 811-821 . DOI: 10.1038/ejcn.2014.78

    Country-Specific Dietary Patterns and Associations with Socioeconomic Status in European Children : The IDEFICS Study. / Fernandez-Alvira, Juan M.; Bammann, Karin; Pala, Valeria; Krogh, Vittorio; Barba, Gianvincenzo; Eiben, Gabriele; Hebestreit, Antje; Veidebaum, Toomas; Reisch, Lucia; Tornaritis, Michalis; Kovacs, Eva; Huybrechts, Inge; Moreno, Luis A.

    In: European Journal of Clinical Nutrition, Vol. 68, No. 7, 2014, p. 811-821 .

    Research output: Contribution to journalJournal articleResearchpeer-review

    TY - JOUR

    T1 - Country-Specific Dietary Patterns and Associations with Socioeconomic Status in European Children

    T2 - European Journal of Clinical Nutrition

    AU - Fernandez-Alvira,Juan M.

    AU - Bammann,Karin

    AU - Pala,Valeria

    AU - Krogh,Vittorio

    AU - Barba,Gianvincenzo

    AU - Eiben,Gabriele

    AU - Hebestreit,Antje

    AU - Veidebaum,Toomas

    AU - Reisch,Lucia

    AU - Tornaritis,Michalis

    AU - Kovacs,Eva

    AU - Huybrechts,Inge

    AU - Moreno,Luis A.

    PY - 2014

    Y1 - 2014

    N2 - 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

    AB - 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

    U2 - 10.1038/ejcn.2014.78

    DO - 10.1038/ejcn.2014.78

    M3 - Journal article

    VL - 68

    SP - 811

    EP - 821

    JO - European Journal of Clinical Nutrition

    JF - European Journal of Clinical Nutrition

    SN - 0954-3007

    IS - 7

    ER -

    Fernandez-Alvira JM, Bammann K, Pala V, Krogh V, Barba G, Eiben G et al. Country-Specific Dietary Patterns and Associations with Socioeconomic Status in European Children: The IDEFICS Study. European Journal of Clinical Nutrition. 2014;68(7):811-821 . Available from, DOI: 10.1038/ejcn.2014.78