British Journal of Nutrition
Volume 116, Issue 7, 2016, Pages 1288-1297

Associations between social vulnerabilities and dietary patterns in European children: The Identification and prevention of Dietary- and lifestyle-induced health EFfects in Children and infantS (IDEFICS) study (Article) (Open Access)

Iguacel I.* , Fernández-Alvira J.M. , Bammann K. , De Clercq B. , Eiben G. , Gwozdz W. , Molnar D. , Pala V. , Papoutsou S. , Russo P. , Veidebaum T. , Wolters M. , Börnhorst C. , Moreno L.A.
  • a GENUD (Growth, Exercise, NUtrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Edificio del SAI, C/Pedro Cerbuna s/n, Zaragoza, 50009, Spain, Instituto Agroalimentario de Aragón (IA2), C/ Miguel Servet, 177, Zaragoza, 50013, Spain, Instituto de Investigación Sanitaria Aragón (IIS Aragón), Avda. San Juan Bosco, 13, Zaragoza, 50009, Spain
  • b GENUD (Growth, Exercise, NUtrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Edificio del SAI, C/Pedro Cerbuna s/n, Zaragoza, 50009, Spain, Fundación Centro Nacional de Investigaciones Cardiovasculares Carlos III (CNIC), C/ Melchor Fernández Almagro, 3, Madrid, 28029, Spain
  • c Institute for Public Health and Nursing Sciences (IPP), University of Bremen, Grazer Strasse 2, Bremen, 28359, Germany, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Achterstraße 30, Bremen, D-28359, Germany
  • d Department of Public Health, Ghent University, University Hospital, Block 4K3, De Pintelaan 185, Ghent, B 9000, Belgium
  • e Public Health Epidemiology Unit (EPI), Department of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Medicinaregatan 16a, Vån 2, Gothenburg, 41390, Sweden
  • f Copenhagen Business School, Solbjerg Pl. 3, Frederiksberg, Copenhagen, 2000, Denmark
  • g Department of Paediatrics, University of Pécs, Szigeti str 12, Pécs, H-7624, Hungary
  • h Department of Preventive and Predictive Medicine, Fondazione IRCCS Istituto Nazionale Dei Tumori, via Venezian 1, Milan, 20133, Italy
  • i Research and Education Institute of Child Health, 138 Limassol Avenue, Strovolos, 2015, Cyprus
  • j Unit of Epidemiology and Population Genetics, Institute of Food Sciences, National Research Council, Avellino, 83100, Italy
  • k Department of Chronic Diseases, National Institute for Health Development, Hiiu 42, Tallinn, 11619, Estonia
  • l Leibniz Institute for Prevention Research and Epidemiology - BIPS, Achterstraße 30, Bremen, D-28359, Germany
  • m Leibniz Institute for Prevention Research and Epidemiology - BIPS, Achterstraße 30, Bremen, D-28359, Germany
  • n GENUD (Growth, Exercise, NUtrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Edificio del SAI, C/Pedro Cerbuna s/n, Zaragoza, 50009, Spain, Instituto Agroalimentario de Aragón (IA2), C/ Miguel Servet, 177, Zaragoza, 50013, Spain, Instituto de Investigación Sanitaria Aragón (IIS Aragón), Avda. San Juan Bosco, 13, Zaragoza, 50009, Spain, Centro de Investigacion Biomedica en Red de Fisiopatologia de la Obesidad y Nutricion, C/ Sinesio Delgado 4, Madrid, 28029, Spain

Abstract

Socio-economic inequalities in childhood can determine dietary patterns, and therefore future health. This study aimed to explore associations between social vulnerabilities and dietary patterns assessed at two time points, and to investigate the association between accumulation of vulnerabilities and dietary patterns. A total of 9301 children aged 2-9 years participated at baseline and 2-year follow-up examinations of the Identification and prevention of Dietary- and lifestyle-induced health EFfects In Children and infantS study. In all, three dietary patterns were identified at baseline and follow-up by applying the K-means clustering algorithm based on a higher frequency of consumption of snacks and fast food (processed), sweet foods and drinks (sweet), and fruits and vegetables (healthy). Vulnerable groups were defined at baseline as follows: children whose parents lacked a social network, children from single-parent families, children of migrant origin and children with unemployed parents. Multinomial mixed models were used to assess the associations between social vulnerabilities and children's dietary patterns at baseline and follow-up. Children whose parents lacked a social network (OR 1·31; 99 % CI 1·01, 1·70) and migrants (OR 1·45; 99 % CI 1·15, 1·83) were more likely to be in the processed cluster at baseline and follow-up. Children whose parents were homemakers (OR 0·74; 99 % CI 0·60, 0·92) were less likely to be in the processed cluster at baseline. A higher number of vulnerabilities was associated with a higher probability of children being in the processed cluster (OR 1·78; 99 % CI 1·21, 2·62). Therefore, special attention should be paid to children of vulnerable groups as they present unhealthier dietary patterns. Copyright © The Authors 2016.

Author Keywords

Socio-economic status inequalities Children Dietary Patterns Vulnerable groups

Index Keywords

Vulnerable Populations vulnerable population unemployment prospective study lifestyle Life Style multicenter study clinical trial Europe Vegetables fruit vegetable European follow up Prospective Studies human Cohort Studies Odds Ratio controlled study probability feeding behavior diet social network social support social status migrant fast food Humans single-parent family Fast Foods model male preschool child Socioeconomic Factors Infant risk factor Risk Factors Child, Preschool socioeconomics female major clinical study migration single parent cohort analysis Transients and Migrants attention Snacks Child
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84988737023&doi=10.1017%2fS0007114516003330&partnerID=40&md5=e73dde6bcd233f349e410dbdc5c7e57b
DOI: 10.1017/S0007114516003330
ISSN: 00071145
Cited by: 9
Original Language: English