Childhood dietary patterns and body composition at age 6 years: The Children of Screening for Pregnancy Endpoints (SCOPE) study
Childhood dietary patterns and body composition at age 6 years: The Children of Screening for Pregnancy Endpoints (SCOPE) study
Dietary patterns describe the combination of foods and beverages in a diet and the frequency of habitual consumption. Better understanding of childhood dietary patterns and antenatal influences could inform intervention strategies to prevent childhood obesity. We derived empirical dietary patterns in 1142 children (average age 6·0 (sd 0·2) years) in New Zealand, whose mothers had participated in the Screening for Pregnancy Endpoints (SCOPE) cohort study and explored associations with measures of body composition. Participants (Children of SCOPE) had their diet assessed by FFQ, and dietary patterns were extracted using factor analysis. Three distinct dietary patterns were identified: 'Healthy', 'Traditional' and 'Junk'. Associations between dietary patterns and measures of childhood body composition (waist, hip, arm circumferences, BMI, bioelectrical impedance analysis-derived body fat % and sum of skinfold thicknesses (SST)) were assessed by linear regression, with adjustment for maternal influences. Children who had higher 'Junk' dietary pattern scores had 0·24 (sd 0·08; 95 % CI 0·04, 0·13) cm greater arm and 0·44 (sd 0·05; 95 % CI 0·01, 0·10) cm greater hip circumferences and 1·13 (sd 0·07; 95 % CI 0·03, 0·12) cm greater SST and were more likely to be obese (OR 1·74; 95 % CI 1·07, 2·82); those with higher 'Healthy' pattern scores were less likely to be obese (OR 0·62; 95 % CI 0·39, 1·00). In a large mother-child cohort, a dietary pattern characterised by high-sugar and -fat foods was associated with greater adiposity and obesity risk in children aged 6 years, while a 'Healthy' dietary pattern offered some protection against obesity. Targeting unhealthy dietary patterns could inform public health strategies to reduce the prevalence of childhood obesity.
Body composition, Childhood obesity, Dietary patterns, Pregnancy
217-224
Flynn, Angela
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Thompson, John M.D.
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Dalrymple, Kathryn
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Wall, Clare R.
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Begum, Shahina
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Johny, Jaijus P.
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Cutfield, Wayne
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North, Robyn
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McCowan, Lesley M.E.
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Godfrey, Keith
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Mitchell, Edwin A.
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Poston, Lucilla
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28 July 2020
Flynn, Angela
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Thompson, John M.D.
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Dalrymple, Kathryn
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Wall, Clare R.
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Begum, Shahina
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Johny, Jaijus P.
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Cutfield, Wayne
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North, Robyn
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McCowan, Lesley M.E.
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Godfrey, Keith
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Mitchell, Edwin A.
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Poston, Lucilla
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Flynn, Angela, Thompson, John M.D., Dalrymple, Kathryn, Wall, Clare R., Begum, Shahina, Johny, Jaijus P., Cutfield, Wayne, North, Robyn, McCowan, Lesley M.E., Godfrey, Keith, Mitchell, Edwin A. and Poston, Lucilla
(2020)
Childhood dietary patterns and body composition at age 6 years: The Children of Screening for Pregnancy Endpoints (SCOPE) study.
British Journal of Nutrition, 124 (2), .
(doi:10.1017/S0007114520000628).
Abstract
Dietary patterns describe the combination of foods and beverages in a diet and the frequency of habitual consumption. Better understanding of childhood dietary patterns and antenatal influences could inform intervention strategies to prevent childhood obesity. We derived empirical dietary patterns in 1142 children (average age 6·0 (sd 0·2) years) in New Zealand, whose mothers had participated in the Screening for Pregnancy Endpoints (SCOPE) cohort study and explored associations with measures of body composition. Participants (Children of SCOPE) had their diet assessed by FFQ, and dietary patterns were extracted using factor analysis. Three distinct dietary patterns were identified: 'Healthy', 'Traditional' and 'Junk'. Associations between dietary patterns and measures of childhood body composition (waist, hip, arm circumferences, BMI, bioelectrical impedance analysis-derived body fat % and sum of skinfold thicknesses (SST)) were assessed by linear regression, with adjustment for maternal influences. Children who had higher 'Junk' dietary pattern scores had 0·24 (sd 0·08; 95 % CI 0·04, 0·13) cm greater arm and 0·44 (sd 0·05; 95 % CI 0·01, 0·10) cm greater hip circumferences and 1·13 (sd 0·07; 95 % CI 0·03, 0·12) cm greater SST and were more likely to be obese (OR 1·74; 95 % CI 1·07, 2·82); those with higher 'Healthy' pattern scores were less likely to be obese (OR 0·62; 95 % CI 0·39, 1·00). In a large mother-child cohort, a dietary pattern characterised by high-sugar and -fat foods was associated with greater adiposity and obesity risk in children aged 6 years, while a 'Healthy' dietary pattern offered some protection against obesity. Targeting unhealthy dietary patterns could inform public health strategies to reduce the prevalence of childhood obesity.
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Accepted/In Press date: 12 February 2020
e-pub ahead of print date: 26 February 2020
Published date: 28 July 2020
Additional Information:
Funding Information:
K. M. G. is supported by the UK Medical Research Council (MC_UU_12011/4), the National Institute for Health Research (NIHR Senior Investigator (NF-SI-0515-10042), NIHR Southampton 1000DaysPlus Global Nutrition Research Group) and NIHR Southampton Biomedical Research Centre), the European Union (Erasmus+Programme Early Nutrition eAcademy Southeast Asia-573651-EPP-1-2016-1-DE-EPPKA2-CBHE-JP), the US National Institute On Aging of the National Institutes of Health (grant no. U24AG047867) and the UK ESRC and BBSRC (grant no. ES/M00919X/1). L. P. is supported by the Biomedical Research Centre at Guy’s and St. Thomas’ NHS Foundation Trust and King’s College London and Tommy’s Charity. The funders had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript. SCOPE funding: University of Auckland, the New Enterprise Research Fund, Foundation for Research Science and Technology, Health Research Council of New Zealand, Evelyn Bond Fund, Auckland District Health Board Charitable Trust. Children of SCOPE funding: Health Research Council of New Zealand and Cure Kids. E. A. M. and J. M. D. T. were supported by Cure Kids.
Funding Information:
L. P. is part of an academic consortium that has received research funding from Abbott Nutrition and Danone. K. M. G. reports reimbursement from Nestle Nutrition Institute, has a patent Phenotype prediction issued, a patent Predictive use of CpG methylation issued, a patent Maternal Nutrition Composition pending, a patent Vitamin B6 in maternal administration for the prevention of overweight or obesity in the offspring issued and is part of an academic consortium that with W. S. C. has received research funding from Abbott Nutrition, Nestec and Danone. C. W. has received funding for an investigator initiated trial from Danone Nutricia. The other authors declare that there are no conflicts of interest.
Publisher Copyright:
© The Authors 2020.
Keywords:
Body composition, Childhood obesity, Dietary patterns, Pregnancy
Identifiers
Local EPrints ID: 437984
URI: http://eprints.soton.ac.uk/id/eprint/437984
ISSN: 0007-1145
PURE UUID: 464e32a3-7c34-4772-85a5-2a17d3a8bb46
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Date deposited: 25 Feb 2020 17:31
Last modified: 17 Mar 2024 05:20
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Contributors
Author:
Angela Flynn
Author:
John M.D. Thompson
Author:
Kathryn Dalrymple
Author:
Clare R. Wall
Author:
Shahina Begum
Author:
Jaijus P. Johny
Author:
Wayne Cutfield
Author:
Robyn North
Author:
Lesley M.E. McCowan
Author:
Edwin A. Mitchell
Author:
Lucilla Poston
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