spence-healthpromotion-2013.pdf (544 kB)
A health promotion intervention can affect diet quality in early childhood
journal contribution
posted on 2013-10-01, 00:00 authored by Alison SpenceAlison Spence, Sarah McNaughtonSarah McNaughton, S Lioret, Kylie HeskethKylie Hesketh, David CrawfordDavid Crawford, Karen CampbellKaren CampbellInitiatives to promote children’s nutrition and prevent childhood obesity are vital. Dietary patterns are a useful way to characterize whole diets, though no previous early childhood health promotion trial has assessed intervention impact using this approach. This research aimed to assess the effect on young children’s dietary patterns of a healthy eating and physical activity intervention. The Melbourne Infant Feeding Activity and Nutrition Trial (InFANT) Program was a health promotion cluster-randomized controlled trial involving 542 families. Child diets were assessed by multiple 24-hour recalls post-intervention, at approximately 18 months of age. An Obesity Protective Dietary Index was created, and dietary patterns were also assessed by principal components analysis. These outcomes were used to compare intervention and control participants to test the effectiveness of the intervention. Children in the intervention arm scored significantly higher (15.6 ± 5.9) than those in the control arm (14.5 ± 6.7) for the Obesity Protective Dietary Index (scores out of 30, p=0.01). Three dietary patterns were identified by principal components analysis, however, scores were not significantly different between intervention and control arms. In conclusion, this paper presents novel results in both the evaluation of an early childhood health promotion intervention and in the assessment of child dietary patterns. The results highlight the capacity for such an initiative to improve child diets, and the need for further research in this area.
History
Journal
Journal of nutritionVolume
143Issue
10Pagination
1672 - 1678Publisher
American Society for NutritionLocation
Bethesda, MarylandPublisher DOI
ISSN
1541-6100eISSN
0022-3166Language
engPublication classification
C1 Refereed article in a scholarly journalCopyright notice
2013, American Society for NutritionUsage metrics
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No categories selectedKeywords
diet qualitydiet standardshealth promotion interventionearly childhoodobesity prevention and controlexercisefood habitsAustraliaScience & TechnologyLife Sciences & BiomedicineNutrition & DieteticsRANDOMIZED CONTROLLED-TRIALFOOD-CONSUMPTION PATTERNSOBESITY RISK BEHAVIORSATHEROSCLEROSIS PREVENTION18-MONTH-OLD CHILDRENINFANT PROGRAMYOUNG-CHILDRENINDEXPRESCHOOLERSPROJECT
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