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Dietary patterns and their associations with home food availability among Finnish pre-school children: a cross-sectional study.

https://arctichealth.org/en/permalink/ahliterature299379
Source
Public Health Nutr. 2018 05; 21(7):1232-1242
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Date
05-2018
Author
Henna Vepsäläinen
Liisa Korkalo
Vera Mikkilä
Reetta Lehto
Carola Ray
Kaija Nissinen
Essi Skaffari
Mikael Fogelholm
Leena Koivusilta
Eva Roos
Maijaliisa Erkkola
Author Affiliation
1Department of Food and Environmental Sciences,University of Helsinki, PO Box 66,FI-00014 University of Helsinki,Helsinki,Finland.
Source
Public Health Nutr. 2018 05; 21(7):1232-1242
Date
05-2018
Language
English
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Keywords
Child
Child, Preschool
Cross-Sectional Studies
Diet - statistics & numerical data
Diet Surveys
Feeding Behavior - physiology
Finland - epidemiology
Food Supply - statistics & numerical data
Fruit
Humans
Vegetables
Abstract
To study the associations between home food availability and dietary patterns among pre-school children.
Cross-sectional study in which parents of the participating children filled in an FFQ and reported how often they had certain foods in their homes. We derived dietary pattern scores using principal component analysis, and composite scores describing the availability of fruits and vegetables as well as sugar-enriched foods in the home were created for each participant. We used multilevel models to investigate the associations between availability and dietary pattern scores.
The DAGIS study, Finland.
The participants were 864 Finnish 3-6-year-old children recruited from sixty-six pre-schools. The analyses included 711 children with sufficient data.
We identified three dietary patterns explaining 16·7 % of the variance. The patterns were named 'sweets-and-treats' (high loadings of e.g. sweet biscuits, chocolate, ice cream), 'health-conscious' (high loadings of e.g. nuts, natural yoghurt, berries) and 'vegetables-and-processed meats' (high loadings of e.g. vegetables, cold cuts, fruit). In multivariate models, the availability of fruits and vegetables was inversely associated with the sweets-and-treats pattern (ß=-0·05, P
PubMed ID
29331168 View in PubMed
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Increased Health and Wellbeing in Preschools (DAGIS) Study-Differences in Children's Energy Balance-Related Behaviors (EBRBs) and in Long-Term Stress by Parental Educational Level.

https://arctichealth.org/en/permalink/ahliterature297859
Source
Int J Environ Res Public Health. 2018 10 21; 15(10):
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Date
10-21-2018
Author
Elviira Lehto
Carola Ray
Henna Vepsäläinen
Liisa Korkalo
Reetta Lehto
Riikka Kaukonen
Eira Suhonen
Mari Nislin
Kaija Nissinen
Essi Skaffari
Leena Koivusilta
Nina Sajaniemi
Maijaliisa Erkkola
Eva Roos
Author Affiliation
Folkhälsan Research Center, Topeliuksenkatu 20, 00250 Helsinki, Finland. elviira.lehto@helsinki.fi.
Source
Int J Environ Res Public Health. 2018 10 21; 15(10):
Date
10-21-2018
Language
English
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Keywords
Child
Child Behavior
Child, Preschool
Cross-Sectional Studies
Diet
Educational Status
Exercise
Female
Finland - epidemiology
Health Status Disparities
Health Surveys
Humans
Male
Parents
Screen Time
Sedentary Behavior
Social Determinants of Health - statistics & numerical data
Stress, Psychological - epidemiology - etiology
Abstract
This paper describes the Increased Health and Wellbeing in Preschools (DAGIS) survey process and socioeconomic status (SES) differences in children's energy balance-related behaviors (EBRBs), meaning physical activity, sedentary and dietary behaviors, and long-term stress that serve as the basis for the intervention development. A cross-sectional survey was conducted during 2015?2016 in 66 Finnish preschools in eight municipalities involving 864 children (3?6 years old). Parents, preschool personnel, and principals assessed environmental factors at home and preschool with questionnaires. Measurement of children's EBRBs involved three-day food records, food frequency questionnaires (FFQ), seven-day accelerometer data, and seven-day sedentary behavior diaries. Children's long-term stress was measured by hair cortisol concentration. Parental educational level (PEL) served as an indicator of SES. Children with low PEL had more screen time, more frequent consumption of sugary beverages and lower consumption of vegetables, fruit, and berries (VFB) than those with high PEL. Children with middle PEL had a higher risk of consuming sugary everyday foods than children with high PEL. No PEL differences were found in children's physical activity, sedentary time, or long-term stress. The DAGIS intervention, aiming to diminish SES differences in preschool children's EBRBs, needs to have a special focus on screen time and consumption of sugary foods and beverages, and VFB.
PubMed ID
30347875 View in PubMed
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Neighborhood Socioeconomic Status and Feeding Practices in Finnish preschools.

https://arctichealth.org/en/permalink/ahliterature302145
Source
Scand J Public Health. 2019 Jul; 47(5):548-556
Publication Type
Journal Article
Observational Study
Date
Jul-2019
Author
Reetta Lehto
Elviira Lehto
Hanna Konttinen
Henna Vepsäläinen
Mari Nislin
Kaija Nissinen
Ciara Vepsäläinen
Leena Koivusilta
Maijaliisa Erkkola
Eva Roos
Carola Ray
Author Affiliation
1 Folkhälsan Research Center, Helsinki, Finland.
Source
Scand J Public Health. 2019 Jul; 47(5):548-556
Date
Jul-2019
Language
English
Publication Type
Journal Article
Observational Study
Keywords
Child, Preschool
Cities
Cross-Sectional Studies
Feeding Behavior
Finland
Food Services
Humans
Public Policy
Residence Characteristics - statistics & numerical data
Schools
Social Class
Surveys and Questionnaires
Abstract
Aims: Certain feeding practices, such as role modeling healthy eating and encouragement are recommended to be used in preschools. Little is known about whether preschool characteristics are associated with the use of these feeding practices. Our aim was to examine whether the socioeconomic status (SES) of the preschool neighborhood is associated with the feeding practices in preschools. Methods: This study was part of the cross-sectional DAGIS study. We studied 66 municipal preschools and 378 early childhood educators (ECEs). Preschool neighborhood SES was assessed with map grid data. Feeding practices were assessed by questionnaires and lunchtime observation. Associations between preschool neighborhood SES and feeding practices were tested with logistic regression analyses adjusted for ECEs' educational level and municipal policies on ECEs' lunch prices, and on birthday foods. Results: The crude model showed that in high-SES neighborhood preschools ECEs were more likely to eat the same lunch as the children (OR 2.46, 95% CI 1.42-4.24) and to reward children with other food for eating vegetables (OR 2.48, 95% CI 1.40-4.41). Furthermore, in high-SES preschools it was less likely that birthday foods outside of the normal menu were available on birthdays (OR 0.29, 95% CI 0.12-0.71). In the adjusted model, rewarding with other food remained associated with preschool neighborhood SES (OR 2.13, 95% CI 1.12-4.07). Conclusions: After adjustments, preschool neighborhood SES was mostly unassociated with the feeding practices in preschools. Municipal policies may have a significant impact on feeding practices and ultimately on young children's food intake in Finland where most children attend municipal preschools.
PubMed ID
30813851 View in PubMed
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