scholarly journals The Intervention Nurses Start Infants Growing on Healthy Trajectories (INSIGHT) Responsive Parenting Intervention for Firstborns Affects Dietary Intake of Secondborn Infants

2020 ◽  
Vol 150 (8) ◽  
pp. 2139-2146
Author(s):  
Emily E Hohman ◽  
Jennifer S Savage ◽  
Leann L Birch ◽  
Ian M Paul
Keyword(s):  
Dietary Intake ◽  
Birth Order ◽  
Vegetable Intake ◽  
Order Effects ◽  
Food Groups ◽  
Second Child ◽  
Sibling Pairs ◽  
Responsive Parenting ◽  
First Time Mothers ◽  
First Time

ABSTRACT Background Although previous work has shown that children with older siblings tend to have poorer diet quality, no study has directly compared diets of infant siblings. Objective The goals of this analysis were to examine birth-order differences in dietary intake between firstborn (FB) and secondborn (SB) siblings, and to determine whether a responsive parenting (RP) intervention modified birth-order effects on diet. Methods The Intervention Nurses Start Infants Growing on Healthy Trajectories (INSIGHT) study randomly assigned first-time mothers to an RP intervention, which included guidance on feeding, sleep, soothing, and interactive play, or control. INSIGHT mothers who delivered a second child enrolled in an observation-only study of their SB infant (SIBSIGHT). Mothers completed FFQs for both children at ages 6 (n = 97 sibling pairs) and 12 (n = 100) mo. FB compared with SB intake of food groups of interest were compared, and the moderating effect of the RP intervention on birth-order differences was tested using generalized linear mixed models. Results Though FBs and SBs had similar diets, more FBs than SBs consumed 100% fruit juice at both 6 (13.8 compared with 3.2%, P = 0.006) and 12 mo (46.0 compared with 32.0%, P = 0.01). SBs consumed fruit more frequently (FB 2.8 compared with SB 3.2 times/d, P = 0.01), and were more likely to consume fried potatoes (FB 38.4 compared with SB 57.6%, P = 0.0009) and processed meats (FB 43.0 compared with SB 58.0%, P = 0.02) than FBs at 12 mo. There were no differences by birth order in intake of sweets, snacks, or sugar-sweetened beverages at 12 mo. At 12 mo, RP-group SBs ate vegetables more times per day (3.2) than control SBs (2.2, P = 0.01). RP-SBs also consumed a greater variety of vegetables (10.2) than control-SBs (7.9, P = 0.01). Conclusions Birth order is not consistently associated with healthy or unhealthy infant dietary intake. However, an RP intervention delivered to first-time mothers may benefit subsequent infants’ vegetable intake. This trial was registered at clinicaltrials.gov as NCT01167270.

scholarly journals Impact of a nutrition award scheme on the food and nutrient intakes of 2- to 4-year-olds attending long day care

2015 ◽  
Vol 18 (14) ◽  
pp. 2634-2642 ◽  
Author(s):  
Lucinda K Bell ◽  
Gilly A Hendrie ◽  
Jo Hartley ◽  
Rebecca K Golley
Keyword(s):  
Dietary Intake ◽  
Day Care ◽  
Dietary Habits ◽  
Vegetable Intake ◽  
Critical Time ◽  
Food Groups ◽  
Nutrient Intakes ◽  
Long Day ◽  
Award Scheme

AbstractObjectiveEarly childhood settings are promising avenues to intervene to improve children’s nutrition. Previous research has shown that a nutrition award scheme, Start Right – Eat Right (SRER), improves long day care centre policies, menus and eating environments. Whether this translates into improvements in children’s dietary intake is unknown. The present study aimed to determine whether SRER improves children’s food and nutrient intakes.DesignPre–post cohort study.SettingTwenty long day care centres in metropolitan Adelaide, South Australia, Australia.SubjectsChildren aged 2–4 years (n 236 at baseline, n 232 at follow-up).MethodsDietary intake (morning tea, lunch, afternoon tea) was assessed pre- and post-SRER implementation using the plate wastage method. Centre nutrition policies, menus and environments were evaluated as measures of intervention fidelity. Comparisons between baseline and follow-up were made using t tests.ResultsAt follow-up, 80 % of centres were fully compliant with the SRER award criteria, indicating high scheme implementation and adoption. Intake increased for all core food groups (range: 0·2–0·4 servings/d, P<0·001) except for vegetable intake. Energy intake increased and improvements in intakes of eleven out of the nineteen nutrients evaluated were observed.ConclusionsSRER is effective in improving children’s food and nutrient intakes at a critical time point when dietary habits and preferences are established and can inform future public health nutrition interventions in this setting.

scholarly journals Associations between dietary intake, diet quality and depressive symptoms in first-time mothers

2016 ◽  
Vol 4 ◽  
pp. 17
Author(s):  
R. Huddy ◽  
S.J. Torres ◽  
C. Milte ◽  
S.A. McNaughton ◽  
M. Teychenne ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Dietary Intake ◽  
Diet Quality ◽  
First Time Mothers ◽  
First Time

scholarly journals Longitudinal trajectories and prevalence of meeting dietary guidelines during the transition from adolescence to young adulthood

2019 ◽  
Vol 109 (3) ◽  
pp. 656-664 ◽  
Author(s):  
Mary J Christoph ◽  
Nicole I Larson ◽  
Megan R Winkler ◽  
Melanie M Wall ◽  
Dianne Neumark-Sztainer
Keyword(s):  
Young Adults ◽  
Public Schools ◽  
Dietary Intake ◽  
Young Adulthood ◽  
Dietary Habits ◽  
Vegetable Intake ◽  
Whole Grains ◽  
Dietary Guidelines ◽  
Food Groups ◽  
Adjusted Least Squares

ABSTRACT Background Establishing healthy dietary habits during adolescence and young adulthood is critical for long-term health. Objectives This study assessed the prevalence of meeting US Dietary Guidelines and trajectories in dietary intake for 4 MyPlate food groups during the transition from adolescence to young adulthood. Methods Three waves of surveys and food frequency questionnaires were collected as part of Project EAT (Eating and Activity in Teens and Young Adults), a 15-y longitudinal study. Adolescents (n = 1177, 57% female, mean ± SD age 15.0 ± 1.5 y) were recruited in 1998–1999 in Minneapolis-St Paul, Minnesota public schools and were resurveyed twice in young adulthood at mean ± SD ages 25.3 ± 1.5 and 31.1 ± 1.5 y. The prevalence of meeting guidelines for each MyPlate food group was calculated at each time point. Mean daily servings were compared over 5 y in young adulthood through the use of paired t tests. Adjusted least-squares means were calculated to compare dietary intake in young adulthood across quartiles of adolescent intake. Results Adolescents had the highest prevalence of meeting dietary guidelines for fruit (37% for females and 30% for males) and dairy (53% for females and 61% for males); young adults >30 y had the highest prevalence of meeting dietary guidelines for vegetables (19% for females and 8% for males) and whole grains (23% for females and 17% for males). From the mid-twenties to early thirties, vegetable intake increased, whereas dairy intake decreased. Dietary intake generally tracked over time with individuals in the lower quartiles of intake at adolescence generally continuing to have low intake in young adulthood. Conclusions Although the prevalence of meeting dietary guidelines for whole grains and vegetables, and daily servings of vegetables increased with age, improving intake of whole fruit, whole grains, dairy, and vegetables remains key during the transition from adolescence to young adulthood.

scholarly journals Mothers Use More Structure-Based Feeding in Firstborns Than Secondborn Siblings (P11-117-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Cara Ruggiero ◽  
Leann Birch ◽  
Ian Paul ◽  
Jennifer Savage
Keyword(s):  
At Risk ◽  
Birth Order ◽  
Weight Status ◽  
Feeding Practices ◽  
Normal Weight ◽  
Second Child ◽  
Sibling Pairs ◽  
Funding Sources ◽  
Maternal Feeding Practices ◽  
And Control

Abstract Objectives To explore the discordance of maternal feeding practices by birth order and weight status between FBs participating in the Intervention Nurses Start Infants Growing on Health Trajectories (INSIGHT) trial and their secondborn (SB) siblings. Methods Structure and control–based parent feeding practices were assessed at 1 year in FBs and SBs (subscales: limiting exposure to unhealthy foods, consistent meal routines, restriction and pressure to eat). Paired t-tests examined difference scores and correlations were compared between siblings. Subgroup analyses identified siblings that were discordant and concordant on weight status at 1 year (normal weight vs. at risk for overweight defined as weight for length ≥ 85th percentile, WHO growth charts). Results 117 sibling dyads participated with SBs (57% female) born 2.5 ± 0.8 years after FBs (53% female). When each assessed at age 1 year, 22% of FBs and 27% of SBs were at risk for overweight. 63% of sibling dyads were both normal weight, 13% were both at risk for overweight, and 24% of siblings were weight status discordant. FB and SB feeding practices were correlated (range r = 0.34-0.64, all P < 0.01). Overall, mothers reported greater use of structure-based practices in FBs compared to SBs: limiting exposures to unhealthy foods (4.05 vs. 3.95, P < 0.01) and consistent meal routines (4.10 vs. 3.98, P < 0.01). Control-based feeding practices (restriction and pressure to eat) did not differ significantly by birth order. No differences existed by weight status (normal vs. at risk for overweight) between discordant pairs. Within sibling pairs that were both normal weight, mothers reported greater use of restriction in SBs compared to FBs (2.23 vs. 2.02, P = 0.01), but not pressure or structure-based practices. No differences in feeding were found in sibling pairs at risk for overweight. Conclusions SBs may be exposed to more unhealthy foods and have less consistent meal routines due to increased responsibilities of parents with the addition of a second child. Responsive parenting guidance should consider evolving family dynamics, foods provided and feeding practices with increasing family size. Funding Sources National Institutes of Health.

Mother's MILK Messaging: A PILOT Study of an APP to Support Breastfeeding in First Time Mothers

PEDIATRICS ◽  
2016 ◽  
Vol 137 (Supplement 3) ◽  
pp. 218A-218A ◽  
Author(s):  
Maya Bunik ◽  
Jennifer Leifermann ◽  
Jessica R. Ryan ◽  
Anna Furniss ◽  
Sheana Bull
Keyword(s):  
Pilot Study ◽  
First Time Mothers ◽  
Mother's Milk ◽  
Mother’S Milk ◽  
First Time

scholarly journals Evaluation of Nutrient Intake and Food Consumption among Dutch Toddlers

Nutrients ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 1531
Author(s):  
Elly Steenbergen ◽  
Anne Krijger ◽  
Janneke Verkaik-Kloosterman ◽  
Liset E. M. Elstgeest ◽  
Sovianne ter Borg ◽  
...  
Keyword(s):  
Fatty Acids ◽  
Dietary Intake ◽  
Food Consumption ◽  
Dietary Habits ◽  
Saturated Fatty Acids ◽  
Dietary Guidelines ◽  
Food Groups ◽  
Milk Products ◽  
Health Council ◽  
Dutch Health

Improving dietary habits at a young age could prevent adverse health outcomes. The aim was to gain insight into the adequacy of the dietary intake of Dutch toddlers, which may provide valuable information for preventive measures. Data obtained from the Dutch National Food Consumption Survey 2012–2016 were used, which included 672 children aged one to three years. Habitual intakes of nutrients were evaluated according to recommendations set by the Dutch Health Council. Specific food groups were evaluated according to the Dutch food-based dietary guidelines. For most nutrients, intakes were estimated to be adequate. High intakes were found for saturated fatty acids, retinol, iodine, copper, zinc, and sodium. No statement could be provided on the adequacy of intakes of alpha-linoleic acids, N-3 fish fatty acids, fiber, and iron. 74% of the toddlers used dietary supplements, and 59% used vitamin D supplements specifically. Total median intakes of vegetables, bread, and milk products were sufficient. Consumption of bread, potatoes and cereals, milk products, fats, and drinks consisted largely of unhealthy products. Consumption of unfavorable products may have been the cause of the observed high and low intakes of several nutrients. Shifting towards a healthier diet that is more in line with the guidelines may positively affect the dietary intake of Dutch toddlers and prevent negative health impacts, also later in life.

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