Associations between childhood to adulthood socio-economic mobility and adult diet quality

2021 ◽  
pp. 1-11
Author(s):  
Johanna E. Wilson ◽  
Dipti Sugumar ◽  
Sarah A. McNaughton ◽  
Seana L. Gall ◽  
Terence Dwyer ◽  
...  

Abstract The impact of change in socio-economic status (SES) from childhood to adulthood (SES mobility) on adult diet is not well understood. This study examined associations between three SES mobility variables (area disadvantage, education, occupation) and adult diet quality. 1482 Australian participants reported childhood area-level SES in 1985 (aged 10–15 years) and retrospectively reported highest parental education and main occupation (until participant age 12) and own area-level SES, education, occupation and dietary intake in 2004–2006 (aged 26–36 years). A Dietary Guidelines Index (DGI) was calculated from food frequency and habit questionnaires. A higher score (range 0–100) indicated better diet quality. Sex-stratified linear regression models adjusted for confounders. Area-level SES mobility was not associated with diet quality. Compared with stable high (university) education, stable low (school only) was associated with lower DGI scores (males: β = –5·5, 95 % CI: −8·9, –2·1; females: β = –6·3, 95 % CI: −9·3, –3·4), as was downward educational mobility (participant’s education lower than their parents) (males: β = –5·3, 95 % CI: −8·5, –2·0; females: β = –4·5, 95 % CI: −7·2, –1·7) and stable intermediate (vocational) education among males (β = –3·9, 95 % CI: −7·0, −0·7). Compared with stable high (professional/managerial) occupation, stable low (manual/out of workforce) males (β = –4·9, 95 % CI: −7·6, –2·2), and participants with downward occupation mobility (males: β = –3·2, 95 % CI: −5·3, –1·1; females: β = –2·8, 95 % CI: −4·8, –0·8) had lower DGI scores. In this cohort, intergenerational low education and occupation, and downward educational and occupational mobility, were associated with poor adult diet quality.

2007 ◽  
Vol 10 (11) ◽  
pp. 1223-1233 ◽  
Author(s):  
CG Russell ◽  
A Worsley

AbstractObjectivesTo examine how Australian children's reported everyday food preferences reflect dietary recommendations, and the impact of sociodemographic factors on these associations.DesignCross-sectional survey.Setting/subjectsThree hundred and seventy-one parents of children aged 2–5 years, recruited from three socio-economic groups in two Australian cities, completed a survey on their child's liking for 176 foods and drinks on a 5-point Likert scale in addition to demographic descriptors. Preferences were compared with the recommendations of theDietary Guidelines for Children and Adolescents in Australiaand theAustralian Guide to Healthy Eating.ResultsFoods in the Extra Foods (non-nutritious foods) and Cereals groups of theAustralian Guide to Healthy Eatingwere highly liked (mean: 4.02 and 4.01, respectively), whilst foods in the Vegetables group were liked least (mean: 3.01). A large percentage of foods in the Cereals and Extra Foods groups were liked (64% and 56%, respectively) in contrast to the other food groups, especially Vegetables (7%). Children liked foods that were higher in sugar (r = 0.29,P < 0.0001) and more energy-dense (r = 0.34,P < 0.0001) but not those higher in saturated fat (r = 0.16,P = 0.03), total fat (r = 0.12,P = 0.12) or sodium (r = 0.10,P = 0.18). Sociodemographic variables (e.g. socio-economic status, parental education, children's age and sex) explained little of the variation in children's food preferences.ConclusionsAustralian pre-school children's food preferences align with dietary guidelines in some respects, but not others. Interventions are needed to shift children's preferences away from non-nutritious foods that are high in energy density and sugar, and towards vegetables and fruits.


Nutrients ◽  
2018 ◽  
Vol 10 (10) ◽  
pp. 1350 ◽  
Author(s):  
Marika Dello Russo ◽  
Wolfgang Ahrens ◽  
Stefaan De Henauw ◽  
Gabriele Eiben ◽  
Antje Hebestreit ◽  
...  

Sugar, particularly as free sugars or sugar-sweetened beverages, significantly contributes to total energy intake, and, possibly, to increased body weight. Excessive consumption may be considered as a proxy of poor diet quality. However, no previous studies evaluated the association between the habit of adding sugars to “healthy” foods, such as plain milk and fresh fruit, and indicators of adiposity and/or dietary quality in children. To answer to these research questions, we Panalysed the European cohort of children participating in the IDEFICS study. Anthropometric variables, frequency of consumption of sugars added to milk and fruit (SAMF), and scores of adherence to healthy dietary pattern (HDAS) were assessed at baseline in 9829 children stratified according to age and sex. From this cohort, 6929 children were investigated again after two years follow-up. At baseline, a direct association between SAMF categories and adiposity indexes was observed only in children aged 6–<10 years, while the lower frequency of SAMF consumption was significantly associated with a higher HDAS. At the two year follow-up, children with higher baseline SAMF consumption showed significantly higher increases in all the anthropometric variables measured, with the exception of girls 6–<10 years old. The inverse association between SAMF categories and HDAS was still present at the two years follow-up in all age and sex groups. Our results suggest that the habit to adding sugars to foods that are commonly perceived as healthy may impact the adherence to healthy dietary guidelines and increase in adiposity risk as well.


Author(s):  
Mingshu Li ◽  
Jingcheng Shi ◽  
Jing Luo ◽  
Qing Long ◽  
Qiping Yang ◽  
...  

Diet quality is critical for postpartum type 2 diabetes mellitus (T2DM) progression among women with a history of gestational diabetes mellitus (GDM). The Chinese Healthy Eating Index (CHEI) is a dietary index developed according to the latest Chinese Dietary Guidelines (CDG-2016). Our study aimed to assess the diet quality of women with previous GDM in rural areas of Hunan Province by applying the CHEI. Women with previous GDM in two counties of Hunan were enrolled. Their food intake data, which were used to calculate their CHEI scores, were collected by a 24-h dietary recall. The association of CHEI with sociodemographic and anthropometric variables was evaluated via linear regression models. 404 women were included in the final analysis. The mean score of the total CHEI was 54.9 (SD 7.9). The components of whole grains and mixed beans, seeds and nuts, tubers, dairy, and poultry scored extremely low. Ethnic minority groups and women younger than 30 years had lower CHEI scores. Our study observed an unsatisfactory diet quality among women with previous GDM in rural areas of Hunan Province. Future dietary education focusing on the CDG is needed to improve their diet quality and help in T2DM prevention among this population, especially young and ethnic minority women.


Nutrients ◽  
2020 ◽  
Vol 12 (7) ◽  
pp. 2120
Author(s):  
Sally Campbell ◽  
John J. Chen ◽  
Carol J. Boushey ◽  
Heather Eicher-Miller ◽  
Fengqing Zhu ◽  
...  

Food insecurity and other nutritional risks in infancy pose a lifelong risk to wellbeing; however, their effect on diet quality in Native Hawaiian, Pacific Islander, and Filipino (NHPIF) infants in Hawai‘i is unknown. In this cross-sectional analysis, the association between various indicators of food security and NHPIF infant diet quality were investigated in 70 NHPIF infants aged 3–12 months residing on O‘ahu, Hawai‘i. The dietary assessments of the infants were collected using a mobile food recordTM. Foods consumed across four days were categorized into seven food groups. Indicators for food security were examined through an adapted infant food security index and other indicators. Data were analyzed using chi-square tests, independent sample t-tests, multinomial logistic regression, and linear regression models. In models adjusting for age and sex, infants defined as food insecure by the adapted index were found to consume foods from more food groups and consume flesh foods on a greater proportion of days. Of the indicators examined, the adapted index was shown to be the best indicator for food group consumption. Further work is needed on a more representative sample of NHPIF infants to determine the impact that food security has on nutritional status and other indicators of health.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1495-1495
Author(s):  
Thanasis Tektonidis ◽  
Shelly Coe ◽  
Patrick Esser ◽  
Jane Maddock ◽  
Sarah Buchanan ◽  
...  

Abstract Objectives A healthy diet has been linked to better physical function in older adults but evidence on the role of cumulative dietary exposure is scarce. Sex differences in the relationship are also underexplored. The objective was to explore the longitudinal association of diet quality in adulthood (from 36–64 y), in line with dietary guidelines, and walking speed as an objective measure of later life physical function. Methods Study sample was derived from the Insight 46 (n = 502), a neuroscience sub-study of the longitudinal National Survey of Health and Development, UK. Diet was assessed four times, at age 36 y, 43 y, 53 y and 60–64 y using five-day food diaries, from which the Healthy Eating Index-2015 (HEI) was calculated (0 - low quality, 100 - high quality). Walking speed was estimated in a 10-meter walk test at self-selected pace, using an inertial measurement unit at age 69–71 y. Linear mixed models with random effects and group-based trajectory modeling were used to assess individual and group changes in HEI in adulthood. Multivariable linear regression models with sex as modifier, controlling for multiple characteristics assessed the association between adulthood HEI trajectories and walking speed at 71 y. The final sample was 226 women and 230 men. Results Men and women improved diet quality linearly in adulthood (β: 0.6 HEI/y, 95% CI: 0.5, 0.7). Three linear HEI trajectories were identified (21% “Low” βo: 33, β: 3.6; 59% “Medium” βο: 38, β: 6.1; 20% “High” βο: 52, β: 5.5, P &lt; 0.001). Women had faster increase rates, higher HEI at each age (β: 4 HEI points, 95% CI: 3, 6) and were more likely to belong to the “High” HEI trajectory than men (β: 1.97, P &lt; 0.001). There was no overall association but in women a 10 point increase in predicted HEI trajectory and membership in the “High” vs “Medium”-“Low” HEI trajectories were associated with faster walking speed (β: 0.04 m/s, 95% CI: 0.01, 0.08, β: 0.06 m/s, 95% CI: 0.01, 0.11, respectively). Association was attenuated in multivariable models. No association was observed in men. Conclusions In women, higher diet quality in adulthood was associated with faster walking speed in later life. Achieving and maintaining high diet quality in adulthood is likely of importance to yield benefits in physical function. Funding Sources Medical Research Council UK Alzheimer's Research UK Dementias Platform UK Wolfson Foundation UK CLOSER UK.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Diane Mitchell ◽  
Jeff Rumney ◽  
Jessie Campbell ◽  
David Cai ◽  
Julianne Curran ◽  
...  

Abstract Objectives Pulses (dry beans, peas, chickpeas and lentils) are significant sources of important nutrients and other bioactive components providing health benefits including improved weight status and gastrointestinal health and reduced risk of cancers and cardiovascular disease. However, recent data suggests the intake of pulses remains quite low. To support dietary guidance encouraging healthier diet patterns with higher intakes of plant-based foods, an updated perspective on pulse consumption and their impact on diet quality is needed. Therefore, we analyzed data from National Health and Nutrition Examination Survey, 2013–2014 for adults to compare intakes of pulse consumers and non-consumers and to explore the impact of increasing pulse consumption on diet quality in the US population. Methods Pulse consumers were identified as those respondents who consumed pulses on one or both days of intake from 272 pulse containing food codes. Consumers were divided into quartiles of consumption based on grams of pulses consumed. Differences in energy adjusted nutrient intakes between non-consumers and consumers were assessed. The diets of respondents were modeled to increase plant-based food intake by replacing 57 g of meat and 28 g of refined grain with 100 g of pulses. The nutrient composition of the 100 g of pulses added to the modified diets was based on a weighted average of all pulses consumed. Nutrient intakes of the modified diet were analyzed to compare nutrient intakes between the modeling scenario and reported intakes. Results Approximately 27% of adults consumed pulses with a mean intake of 72 g/d just slightly < 0.5 cup equivalents/d. Consumers at all levels of intake had higher (P < .05) energy adjusted intakes of fiber, folate, magnesium, potassium, and zinc with lower intakes of fat than non-consumers. Consumers at the highest levels (≥69.8 (±1.01) g/d) had significantly higher intakes of choline, iron, folate and fiber. Substituting pulses for 2 oz meat and 1 oz of refined grain resulted in significantly (P < 0.05) higher energy adjusted intakes of carbohydrates, fiber, choline, folate, iron, magnesium, phosphorus, potassium, and zinc. Conclusions Increasing pulses in the diets of the US population supports healthier dietary patterns consistent with dietary guidelines. Funding Sources This research was funded by the American Pulse Association and PepsiCo, Inc.


Author(s):  
Jessica Erin Todd ◽  
Lisa Mancino ◽  
Biing-Hwan Lin

2011 ◽  
Vol 15 (10) ◽  
pp. 1861-1870 ◽  
Author(s):  
Jianghong Li ◽  
Therese O'Sullivan ◽  
Sarah Johnson ◽  
Fiona Stanley ◽  
Wendy Oddy

AbstractObjectivePrevious studies on maternal work hours and child diet quality have reported conflicting findings possibly due to differences in study design, lack of a comprehensive measure of diet quality and differing ages of the children under investigation. The present study aimed to prospectively examine the impact of parental work hours from age 1 year to age 14 years on adolescent diet quality.DesignMultivariate linear regression models were used to examine independent associations between parents’ work hours at each follow-up and across 14 years and adolescent diet quality at age 14 years. A diet quality index was based on the international literature and Australian recommendations, consisting of six food groups and nine nutrients.SettingPerth, Western Australia.SubjectsChildren (n 1629) participating in the Western Australian Pregnancy Cohort (Raine) Study.ResultsCompared with children of mothers in full-time employment, children of mothers who were not employed in early childhood up to age 5 years had a higher average diet quality score at age 14 years, independent of maternal and family socio-economic status. Across 14 years the number of years the mother worked full time and increasing average weekly hours were associated with lower diet quality. Father's work hours had little association with adolescent diet quality.ConclusionsHaving a mother stay at home in early to middle childhood is associated with better diet quality in adolescence. Support may be beneficial for families where the mother returns to full-time employment before the child reaches 8 years of age.


2021 ◽  
pp. 1-41
Author(s):  
A. Suryawan ◽  
M.Y. Jalaludin ◽  
B.K. Poh ◽  
R. Sanusi ◽  
V.M.H. Tan ◽  
...  

Abstract The negative impact of stunting and severe underweight on cognitive neurodevelopment of children is well-documented; however, the effect of overweight/obesity is still unclear. The 2018 Global Nutrition Report reported that stunting and overweight concurrently affect 189 million children worldwide. As existing reviews separately discuss undernutrition from overweight/obesity, this scoping review aims to document the impact of mild/moderate and severe underweight, stunting, and overweight/obesity among children aged 0-60 months on their cognitive neurodevelopmental trajectories. Twenty-six articles were analysed to extract significant information from literature retrieved from PubMed and Cochrane databases published from 1 January 2009 to 31 October 2019. Length gain is associated with cognitive neurodevelopment in normo-nourished and stunted children aged under 24 months. Among stunted children, it seems that cognitive and neurodevelopmental deficits can potentially be recovered before 8 years old, particularly in those whose nutritional status has improved. The impact of overweight/obesity on cognitive neurodevelopment appears to be limited to attention, gross motor skills and executive control. Parental education level, birth weight/length, breastfeeding duration, and sanitation level are some identifiable factors that modify the impact of undernutrition and overweight/obesity on cognitive and neurodevelopment. In conclusion, underweight, stunting and overweight/obesity have a significant impact on cognitive neurodevelopment. Multidimensional approaches with various stakeholders should address all issues simultaneously, such as improving sanitation levels, assuring parental job security and adequate social welfare, providing access to adequate nutrients for catch-up growth among underweight or stunted children and to affordable healthy foods for those who are overweight/obese and from low socio-economic status.


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