scholarly journals What happens to food choices when a gluten-free diet is required? A prospective longitudinal population-based study among Swedish adolescent with coeliac disease and their peers

2014 ◽  
Vol 3 ◽  
Author(s):  
E. Kautto ◽  
P. J. Rydén ◽  
A. Ivarsson ◽  
C. Olsson ◽  
F. Norström ◽  
...  

AbstractA dietary survey was performed during a large screening study in Sweden among 13-year-old adolescents. The aim was to study how the intake of food groups was affected by a screening-detected diagnosis of coeliac disease (CD) and its gluten-free (GF) treatment. Food intake was reported using a FFQ, and intake reported by the adolescents who were diagnosed with CD was compared with the intake of two same-aged referent groups: (i) adolescents diagnosed with CD prior to screening; and (ii) adolescents without CD. The food intake groups were measured at baseline before the screening-detected cases were aware of their CD, and 12–18 months later. The results showed that food intakes were affected by screen-detected CD and its dietary treatment. Many flour-based foods were reduced such as pizza, fish fingers and pastries. The results also indicated that bread intake was lower before the screened diagnosis compared with the other studied groups, but increased afterwards. Specially manufactured GF products (for example, pasta and bread) were frequently used in the screened CD group after changing to a GF diet. The present results suggest that changing to a GF diet reduces the intake of some popular foods, and the ingredients on the plate are altered, but this do not necessarily include a change of food groups. The availability of manufactured GF replacement products makes it possible for adolescents to keep many of their old food habits when diagnosed with CD in Sweden.

2012 ◽  
Vol 17 (1) ◽  
pp. 156-161 ◽  
Author(s):  
Gabriela dos Santos Barroso ◽  
Rosely Sichieri ◽  
Rosana Salles-Costa

AbstractObjectiveTo evaluate the association of sociodemographic factors and parental food consumption with children's food intake.DesignA cross-sectional survey.SettingA population-based study with a representative sample in a metropolitan region of Rio de Janeiro, Brazil. Parents’ socio-economic variables, age and education level and children's age were obtained by face-to-face interviews. The parental food intake was assessed using an FFQ and the children's food intake was assessed using two 24 h recalls.SubjectsChildren (n 366) aged 6–30 months and their parents.ResultsThe hierarchical regression analysis indicated that parents’ age was positively associated with the intake of vegetables among children (β = 0·73, 95 % CI 0·11, 1·34), while parents’ educational level was positively associated with the intake of fats (β = 3·52, 95 % CI 0·04, 7·01) and negatively associated with the intake of beans (β = −13·98, 95 % CI −27·94, −0·03). The age of the children was positively associated with the intakes of meats and eggs (β = 2·88, 95 % CI 1·55, 4·22), sugars (β = 5·08, 95 % CI 1·85, 8·30) and coffee (β = 1·77, 95 % CI 0·71, 2·84), and negatively associated with the intake of vegetables (β = −2·12, 95 % CI −3·20, −1·05). The influence of parental food intake was observed for the food groups of breads, cereals and tubers (β = 0·06, 95 % CI 0·003, 0·12), beans (β = 0·11, 95 % CI −0·003, 0·22) and fruits (β = 0·10, 95 % CI 0·03, 0·16). Unfavourable socio-economic variables were associated with intakes of breads, cereals and tubers, vegetables, fruits, meats, sugars and coffee by children.ConclusionsParental food intake is associated with children's intake of cereals, beans and fruits independent of socio-economic status.


2018 ◽  
Vol 48 (10) ◽  
pp. 1091-1098 ◽  
Author(s):  
Jonas F. Ludvigsson ◽  
Benjamin Lebwohl ◽  
Qi Chen ◽  
Gabriella Bröms ◽  
Randi L. Wolf ◽  
...  

2019 ◽  
Vol 32 (11-12) ◽  
pp. 283-97
Author(s):  
Sri Kardjati ◽  
Jane A. Kusin ◽  
Wilm Van Steenbergen ◽  
W. N. Schofield

The relation between common illnesses, growth and breast milk and food intake was assessed in a-longitudinal population based study, covering 300 children, age 0-36 months. Morbidity was quite prevalent with a peak at age 4-24 months. It did, however, not affect the intake of breast milk and the consumption of additional foods in infancy. On the other hand, the daily intake of energy and protein was significantly reduced in older and particularly non-breastfed children. Morbidity explained about 28% of the variance in weight- and height-for-age in children, age 6-18 months. One can conclude that growth faltering early in infancy is primarily of nutritional origin, while at older age it is due to a synergistic effect of inadequate nutrition and morbidity. Anorexia rather than bad feeding habits is the main cause of poor dietary intake during and after illness.


2017 ◽  
Vol 6 ◽  
Author(s):  
Niina E. Kaartinen ◽  
Minna E. Similä ◽  
Noora Kanerva ◽  
Liisa M. Valsta ◽  
Kennet Harald ◽  
...  

AbstractAssociations between sugar intake and the remaining diet are poorly described in modern food environments. We aimed at exploring associations of high naturally occurring and added sugar intakes with sociodemographic characteristics, intake of macronutrients, fibre and selected food groups. Our data comprised 4842 Finnish adults aged 25–74 years, who participated in the population-based DIetary, Lifestyle and Genetic determinants of Obesity and Metabolic syndrome (DILGOM) study. Diet was assessed by a validated 131-item FFQ. The food item disaggregation approach was used to estimate sucrose and fructose intakes from natural sources (naturally occurring sugar) and all other sources (added sugar). Sex-specific trends in macronutrient, fibre and food group intakes across sugar type quartiles were determined with general linear modelling adjusting for age, energy intake, leisure-time physical activity, smoking, education and BMI. Overall, results were similar across sexes. Young age was found to be a determinant of higher added sugar and lower naturally occurring sugar intakes (P < 0·0001). High added sugar intake was associated with low fibre intake (P < 0·0001) accompanied with lower fruit (P < 0·0001 women; P = 0·022 men) and vegetable consumption (P < 0·0001) and higher wheat consumption (P = 0·0003 women; P < 0·0001 men). Opposite results were found for naturally occurring sugar. Butter consumption increased by 28–32 % (P < 0·0001) when shifting from the lowest to the highest added sugar intake quartile, while a decrease of 26–38 % (P < 0·0001) was found for naturally occurring sugar. Therefore, the associations of sugar types with dietary carbohydrate and fat quality seem opposing. Proper adjustments with dietary variables are needed when studying independent relationships between sugar and health.


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 756-756
Author(s):  
Holly Harris ◽  
Yuchan Mou ◽  
Trudy Voortman ◽  
Pauline Jansen

Abstract Objectives Children with Autism Spectrum Disorders (ASD) tend to have sensory disturbances and behavioral rigidity which may predispose them to be selective in their food intake, potentially compromising their nutritional status. While ASD captures severe levels of impairment, autistic traits vary on a continuum throughout the general population. Yet, little is known about how subclinical autistic traits relate to dietary intake. Therefore, this study study examines how autistic traits throughout early childhood are associated with diet quality (DQ) in mid-childhood and explores the mediating role of food selectivity. Methods Participants were children (n = 4061) from the population-based birth cohort, Generation R (the Netherlands). Parents completed assessments on their child's autistic traits at 1.5, 3 and 6 years, food selectivity at 4 years and food intake at 8 years (via a Food Frequency Questionnaire), from which a DQ score (comprising of 10 food groups, scale 0 to 10) was derived based on adherence to age-specific dietary guidelines. Multiple linear regression models examined the association between autistic trait SD score at each assessment wave and DQ. A mediation analysis was performed using structural equation modeling to examine the indirect effect of autistic traits at 3 years and DQ at 8 years through food selectivity at 4 years. Models adjusted for child sex, age, energy intake, ethnicity, birth weight, BMIz score, and maternal age and education. Results Autistic trait SD score at each wave was associated with decreased DQ score (e.g., 3 years: β = −0.06; 95% CI: −0.10, −0.03). Post-hoc analyses showed that associations between autistic traits and DQ were consistently driven by lower consumption of fruit, vegetable and whole grain food groups at each wave. The indirect effect of food selectivity (β = −0.03, 95% CI: −0.03, −0.02) explained 60% of the total association between autistic traits and DQ. Conclusions Expression of autistic traits across childhood is associated with poorer DQ in mid-childhood, and food selectivity may be one key behavioral mechanism explaining this association. Dietary interventions intended to optimize nutrition in children with elevated autistic traits may integrate behavioral strategies to support parents’ appropriately responding to and managing food selectivity. Funding Sources European Union's Horizon 2020 programme.


2002 ◽  
Vol 176 (6) ◽  
pp. 298-298
Author(s):  
John K Olynyk ◽  
Digby J E Cullen ◽  
Guy Vautier ◽  
Judith A Collett ◽  
Dominic F Mallon ◽  
...  

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