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Age at the introduction of solid foods during the first year and allergic sensitization at age 5 years.

https://arctichealth.org/en/permalink/ahliterature146877
Source
Pediatrics. 2010 Jan;125(1):50-9
Publication Type
Article
Date
Jan-2010
Author
Bright I Nwaru
Maijaliisa Erkkola
Suvi Ahonen
Minna Kaila
Anna-Maija Haapala
Carina Kronberg-Kippilä
Raili Salmelin
Riitta Veijola
Jorma Ilonen
Olli Simell
Mikael Knip
Suvi M Virtanen
Author Affiliation
Tampere School of Public Health, University of Tampere, Finland. bright.nwaru@uta.fi
Source
Pediatrics. 2010 Jan;125(1):50-9
Date
Jan-2010
Language
English
Publication Type
Article
Keywords
Age Factors
Breast Feeding
Cohort Studies
Confidence Intervals
Female
Finland
Follow-Up Studies
Food Hypersensitivity - immunology - prevention & control
Humans
Immunization
Immunoglobulin E - analysis - immunology
Infant
Infant Food
Infant, Newborn
Logistic Models
Male
Nutritional Requirements
Odds Ratio
Probability
Prospective Studies
Respiratory Hypersensitivity - immunology - prevention & control
Risk assessment
Time Factors
Abstract
The goal was to examine the relationship between age at the introduction of solid foods during the first year of life and allergic sensitization in 5-year-old children.
We analyzed data from the Finnish Type 1 Diabetes Prediction and Prevention nutrition study, a prospective, birth cohort study. We studied 994 children with HLA-conferred susceptibility to type 1 diabetes mellitus for whom information on breastfeeding, age at the introduction of solid foods, and allergen-specific immunoglobulin E levels at 5 years was available. The association between age at the introduction of solid foods and allergic sensitization was analyzed by using logistic regression.
The median duration of exclusive breastfeeding was 1.8 months (range: 0-10 months). After adjustment for potential confounders, late introduction of potatoes (>4 months), oats (>5 months), rye (>7 months), wheat (>6 months), meat (>5.5 months), fish (>8.2 months), and eggs (>10.5 months) was significantly directly associated with sensitization to food allergens. Late introduction of potatoes, rye, meat, and fish was significantly associated with sensitization to any inhalant allergen. In models that included all solid foods that were significantly related to the end points, eggs, oats, and wheat remained the most important foods related to sensitization to food allergens, whereas potatoes and fish were the most important foods associated with inhalant allergic sensitization. We found no evidence of reverse causality, taking into account parental allergic rhinitis and asthma.
Late introduction of solid foods was associated with increased risk of allergic sensitization to food and inhalant allergens.
PubMed ID
19969611 View in PubMed
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Determinants of breast-feeding in a Finnish birth cohort.

https://arctichealth.org/en/permalink/ahliterature147997
Source
Public Health Nutr. 2010 Apr;13(4):504-13
Publication Type
Article
Date
Apr-2010
Author
Maijaliisa Erkkola
Maija Salmenhaara
Carina Kronberg-Kippilä
Suvi Ahonen
Tuula Arkkola
Liisa Uusitalo
Pirjo Pietinen
Riitta Veijola
Mikael Knip
Suvi M Virtanen
Author Affiliation
Division of Nutrition, Department of Applied Chemistry and Microbiology, University of Helsinki, Helsinki, Finland. maijaliisa.erkkola@helsinki.fi
Source
Public Health Nutr. 2010 Apr;13(4):504-13
Date
Apr-2010
Language
English
Publication Type
Article
Keywords
Adult
Breast Feeding - epidemiology
Cohort Studies
Educational Status
Female
Finland - epidemiology
Follow-Up Studies
Humans
Infant
Infant Formula
Infant, Newborn
Male
Mothers - psychology - statistics & numerical data
Pregnancy
Questionnaires
Reproducibility of Results
Socioeconomic Factors
Abstract
To assess milk feeding on the maternity ward and during infancy, and their relationship to sociodemographic determinants. The validity of our 3-month questionnaire in measuring hospital feeding was assessed.
A prospective Finnish birth cohort with increased risk to type 1 diabetes recruited between 1996 and 2004. The families completed a follow-up form on the age at introduction of new foods and age-specific dietary questionnaires.
Type 1 Diabetes Prediction and Prevention (DIPP) project, Finland.
A cohort of 5993 children (77 % of those invited) participated in the main study, and 117 randomly selected infants in the validation study.
Breast milk was the predominant milk on the maternity ward given to 99 % of the infants. Altogether, 80 % of the women recalled their child being fed supplementary milk (donated breast milk or infant formula) on the maternity ward. The median duration of exclusive breast-feeding was 1.4 months (range 0-8) and that of total breast-feeding 7.0 months (0-25). Additional milk feeding on the maternity ward, short parental education, maternal smoking during pregnancy, small gestational age and having no siblings were associated with a risk of short duration of both exclusive and total breast-feeding. In the validation study, 78 % of the milk types given on the maternity ward fell into the same category, according to the questionnaire and hospital records.
The recommendations for infant feeding were not achieved. Infant feeding is strongly influenced by sociodemographic determinants and feeding practices on the maternity wards. Long-term breast-feeding may be supported by active promotion on the maternity ward.
PubMed ID
19825208 View in PubMed
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Development and validation of an interview-administered FFQ for assessment of vitamin D and calcium intakes in Finnish women.

https://arctichealth.org/en/permalink/ahliterature274593
Source
Br J Nutr. 2016 Mar 28;115(6):1100-7
Publication Type
Article
Date
Mar-28-2016
Author
Suvi T Itkonen
Maijaliisa Erkkola
Essi Skaffari
Pilvi Saaristo
Elisa M Saarnio
Heli T Viljakainen
Merja U M Kärkkäinen
Christel J E Lamberg-Allardt
Source
Br J Nutr. 2016 Mar 28;115(6):1100-7
Date
Mar-28-2016
Language
English
Publication Type
Article
Keywords
25-Hydroxyvitamin D 2 - blood
Adult
Biomarkers - blood
Calcifediol - blood
Calcium, Dietary - administration & dosage
Diet
Diet Records
Dietary Supplements
Female
Finland
Food, Fortified
Humans
Nutrition Assessment
Nutrition Surveys - methods
Reproducibility of Results
Vitamin D - administration & dosage
Young Adult
Abstract
Increased vitamin D fortification of dairy products has increased the supply of vitamin D-containing products with different vitamin D contents on the market in Finland. The authors developed a ninety-eight-item FFQ with eight food groups and with a question on supplementation to assess dietary and supplemental vitamin D and Ca intakes in Finnish women (60ºN). The FFQ was validated in subgroups with different habitual vitamin D supplement use (0-57·5 µg/d) against the biomarker serum 25-hydroxyvitamin D (S-25(OH)D) and against 3-d food records (FR) (n 29-67). Median total vitamin D intake among participants was 9·4 (range 1·6-30·5) µg/d. Spearman's correlations for vitamin D and Ca ranged from 0·28 (P 0·146, FFQ v. S-25(OH)D, persons not using supplements) to 0·75 (P
PubMed ID
26856375 View in PubMed
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Dietary fatty acid composition during pregnancy and the risk of asthma in the offspring.

https://arctichealth.org/en/permalink/ahliterature131184
Source
Pediatr Allergy Immunol. 2011 Dec;22(8):827-35
Publication Type
Article
Date
Dec-2011
Author
Mirka Lumia
Päivi Luukkainen
Heli Tapanainen
Minna Kaila
Maijaliisa Erkkola
Liisa Uusitalo
Sari Niinistö
Michael G Kenward
Jorma Ilonen
Olli Simell
Mikael Knip
Riitta Veijola
Suvi M Virtanen
Author Affiliation
Nutrition Unit, Department of Lifestyle and Participation, National Institute of Health and Welfare, Helsinki, Finland. mirka.lumia@fimnet.fi
Source
Pediatr Allergy Immunol. 2011 Dec;22(8):827-35
Date
Dec-2011
Language
English
Publication Type
Article
Keywords
Asthma - epidemiology - genetics
Child, Preschool
Cohort Studies
Diabetes Mellitus, Type 1 - epidemiology - genetics
Diet, High-Fat - statistics & numerical data
Dietary Fats - adverse effects
Female
Finland - epidemiology
Follow-Up Studies
Genetic Predisposition to Disease
HLA-DQ beta-Chains - genetics
Humans
Incidence
Male
Pregnancy
Prenatal Exposure Delayed Effects - epidemiology - genetics
Questionnaires
Risk
Abstract
Fatty acids (FA) modulate the immune system, and it has been proposed that they affect the incidence of IgE-mediated allergic diseases. We explored the association of maternal dietary FA composition during pregnancy with the risk of asthma in the offspring.
We analyzed data from the Finnish Type 1 Diabetes Prediction and Prevention (DIPP) Nutrition Study. Maternal dietary intake during pregnancy (8th month) was assessed by a validated 181-item food frequency questionnaire. The occurrence of asthma was assessed at the age of 5 yr with a questionnaire modified from the International Study of Asthma and Allergies in Childhood (ISAAC). Cox proportional hazards regression was used for the statistical analyses.
Low maternal intakes of a-linolenic acid (18:3n-3) [lowest quarter vs. mid-half HR 1.67 (95% CI 1.12-2.48)] and total n-3-polyunsaturated fatty acids (PUFA) [HR 1.66 (95% CI 1.11-2.48)] during pregnancy were associated with an increased risk of asthma in the offspring, while a low intake of arachidonic acid (20:4n-6) [HR 0.52 (95% CI 0.32-0.84)] and high intake of total saturated fatty acids [highest quarter vs. mid-half HR 0.55 (95% CI 0.34-0.90)] and palmitic acid (16:0) [HR 0.51 (95% CI 0.31-0.83)] were associated with a decreased risk of asthma. The ratios of n-6 to n-3-PUFA and 18:2n-6 to 18:3n-3, and the maternal intake of oils, fish and fish products, showed no association with the risk of asthma. The associations found were independent of several perinatal and clinical confounders.
Maternal intake of FA during pregnancy was associated with childhood asthma. Maternal a-linolenic acid, total n-3 PUFA and palmitic acid intake may decrease, while arachidonic acid intake may increase the risk of asthma in the offspring.
PubMed ID
21929596 View in PubMed
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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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Diet composition of pregnant Finnish women: changes over time and across seasons.

https://arctichealth.org/en/permalink/ahliterature143194
Source
Public Health Nutr. 2010 Jun;13(6A):939-46
Publication Type
Article
Date
Jun-2010
Author
Marianne Prasad
Mirka Lumia
Maijaliisa Erkkola
Heli Tapanainen
Carina Kronberg-Kippilä
Jetta Tuokkola
Ulla Uusitalo
Olli Simell
Riitta Veijola
Mikael Knip
Marja-Leena Ovaskainen
Suvi M Virtanen
Author Affiliation
Department of Lifestyle and Participation, National Institute for Health and Welfare, PO Box 27, FI-00271, Helsinki, Finland. marianne.prasad@thl.fi
Source
Public Health Nutr. 2010 Jun;13(6A):939-46
Date
Jun-2010
Language
English
Publication Type
Article
Keywords
Adult
Cohort Studies
Diabetes Mellitus, Type 1 - genetics
Diet - standards - trends
Diet Surveys
Energy intake
Female
Finland
Genetic Predisposition to Disease
Humans
Maternal Nutritional Physiological Phenomena
Micronutrients - administration & dosage
Pregnancy
Questionnaires
Retrospective Studies
Seasons
Vitamin D - administration & dosage
Abstract
To describe the diet of a population of pregnant Finnish women over a period of 7 years, with special attention paid to seasonal fluctuations in food consumption and nutrient intake.
A validated 181-item FFQ was applied retrospectively, after delivery, to assess the maternal diet during the 8th month of pregnancy.
Type 1 Diabetes Prediction and Prevention Nutrition Study Cohort.
The cohort comprised a total of 4880 women who had newly delivered during the years 1997-2004, with the offspring carrying increased genetic risk for type 1 diabetes mellitus.
Over the study period, the proportion of energy derived from fat decreased while the intake from protein and carbohydrate increased. The intake of vitamin D increased from food sources. Seasonal variation was observed in the mean daily consumption of vegetables, fruits and berries and cereals. Intake of dietary fibre, total fat, MUFA, vitamins A, D, E and C, folate and iron also showed seasonal fluctuation.
These results show an overall positive trend in the diet of pregnant Finnish women through the study years. However, there is still room for improvement, particularly in the types of dietary fats. Although food fortification with vitamin D since 2003 was reflected in the increased intake of vitamin D from foods, the mean intake levels still fell below the recommendations. Seasonal changes in food consumption were observed and related to corresponding fluctuations in nutrient intakes. The mean folate intake fell below the recommendation throughout the year.
PubMed ID
20513264 View in PubMed
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Effects of vitamin D2-fortified bread v. supplementation with vitamin D2 or D3 on serum 25-hydroxyvitamin D metabolites: an 8-week randomised-controlled trial in young adult Finnish women.

https://arctichealth.org/en/permalink/ahliterature274964
Source
Br J Nutr. 2016 Apr 14;115(7):1232-9
Publication Type
Article
Date
Apr-14-2016
Author
Suvi T Itkonen
Essi Skaffari
Pilvi Saaristo
Elisa M Saarnio
Maijaliisa Erkkola
Jette Jakobsen
Kevin D Cashman
Christel Lamberg-Allardt
Source
Br J Nutr. 2016 Apr 14;115(7):1232-9
Date
Apr-14-2016
Language
English
Publication Type
Article
Keywords
Adult
Biological Availability
Bread - analysis - microbiology
Calcium - blood
Cholecalciferol - administration & dosage - pharmacokinetics
Dietary Supplements
Ergocalciferols - administration & dosage - analysis - pharmacokinetics
Female
Finland
Food, Fortified - microbiology
Humans
Parathyroid Hormone - blood
Placebos
Saccharomyces cerevisiae - chemistry - radiation effects
Seasons
Ultraviolet Rays
Vitamin D - analogs & derivatives - blood
Young Adult
Abstract
There is a need for food-based solutions for preventing vitamin D deficiency. Vitamin D3 (D3) is mainly used in fortified food products, although the production of vitamin D2 (D2) is more cost-effective, and thus may hold opportunities. We investigated the bioavailability of D2 from UV-irradiated yeast present in bread in an 8-week randomised-controlled trial in healthy 20-37-year-old women (n 33) in Helsinki (60°N) during winter (February-April) 2014. Four study groups were given different study products (placebo pill and regular bread=0 µg D2 or D3/d; D2 supplement and regular bread=25 µg D2/d; D3 supplement and regular bread=25 µg D3/d; and placebo pill and D2-biofortified bread=25 µg D2/d). Serum 25-hydroxyvitamin D2 (S-25(OH)D2) and serum 25-hydroxyvitamin D3 (S-25(OH)D3) concentrations were measured at baseline, midpoint and end point. The mean baseline total serum 25-hydroxyvitamin D (S-25(OH)D=S-25(OH)D2+S-25(OH)D3) concentration was 65·1 nmol/l. In repeated-measures ANCOVA (adjusted for baseline S-25(OH)D as total/D2/D3), D2-bread did not affect total S-25(OH)D (P=0·707) or S-25(OH)D3 (P=0·490), but increased S-25(OH)D2 compared with placebo (P
PubMed ID
26864127 View in PubMed
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Finnish Children Healthy Eating Index (FCHEI) and its associations with family and child characteristics in pre-school children.

https://arctichealth.org/en/permalink/ahliterature268021
Source
Public Health Nutr. 2014 Nov;17(11):2519-27
Publication Type
Article
Date
Nov-2014
Author
Pipsa Kyttälä
Maijaliisa Erkkola
Susanna Lehtinen-Jacks
Marja-Leena Ovaskainen
Liisa Uusitalo
Riitta Veijola
Olli Simell
Mikael Knip
Suvi Mirjami Virtanen
Source
Public Health Nutr. 2014 Nov;17(11):2519-27
Date
Nov-2014
Language
English
Publication Type
Article
Keywords
Child
Child, Preschool
Cross-Sectional Studies
Diet Records
Dietary Fiber - analysis
Energy intake
European Continental Ancestry Group
Family Characteristics
Fatty Acids - analysis
Fatty Acids, Unsaturated - analysis
Female
Finland
Food Habits
Humans
Infant
Male
Questionnaires
Reproducibility of Results
Socioeconomic Factors
Vitamin D - analysis
Vitamin E - analysis
Abstract
The objective was to develop a Finnish Children Healthy Eating Index (FCHEI), to determine the relative validity of the index and to examine associations between the index and familial sociodemographic and lifestyle characteristics.
Cross-sectional samples of children participating in a population-based birth cohort study in Finland.
Type I Diabetes Prediction and Prevention (DIPP) Study cohort.
Three-day food records from 1-year-old (n 455), 3-year-old (n 471) and 6-year-old (n 713) children were completed between 2003 and 2005.
Validity of the FCHEI was assessed by studying the associations between the FCHEI and nutrient intakes of the children. Among all age groups, intakes of SFA and sugars decreased across increasing quartiles of the FCHEI while intakes of PUFA, dietary fibre, vitamin D and vitamin E increased. Among 3- and 6-year-olds, being cared for at home was associated with the lowest FCHEI quartile (diet that deviates most from the recommendations). The lowest FCHEI quartile was also associated with residence in a semi-urban area among the 3-year-olds and low maternal education and smoking during pregnancy among the 6-year-olds.
The FCHEI serves as a valid indicator of the quality of Finnish children's diet. Public health programmes aimed at improving the dietary behaviours of pre-school aged children should aim to improve the quality of food served at home. Families with history of lower parental education, maternal smoking during pregnancy or non-urban place of residence may require special attention.
PubMed ID
24152429 View in PubMed
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Food consumption and nutrient intake in day care and at home in 3-year-old Finnish children.

https://arctichealth.org/en/permalink/ahliterature143193
Source
Public Health Nutr. 2010 Jun;13(6A):957-64
Publication Type
Article
Date
Jun-2010
Author
Jenni Lehtisalo
Maijaliisa Erkkola
Heli Tapanainen
Carina Kronberg-Kippilä
Riitta Veijola
Mikael Knip
Suvi M Virtanen
Author Affiliation
Department of Lifestyle and Participation, Nutrition Unit, National Institute for Health and Welfare, PO Box 30, FI-00271, Helsinki, Finland. jenni.lehtisalo@thl.fi
Source
Public Health Nutr. 2010 Jun;13(6A):957-64
Date
Jun-2010
Language
English
Publication Type
Article
Keywords
Child Day Care Centers
Child, Preschool
Cross-Sectional Studies
Diabetes Mellitus, Type 1
Diet - standards - statistics & numerical data
Diet Records
Energy intake
Female
Finland
Humans
Male
Nutrition Policy
Abstract
To assess and compare the food consumption and nutrient intake between 3-year-old children cared for at home full-time and those attending day care outside the home. Nutrient intake on weekdays and weekends was also studied.
Cross-sectional sample of children invited to the nutrition study within the Type 1 Diabetes Prediction and Prevention (DIPP) birth cohort born in 2001. Families returned 3-d food record completed close to the child's third birthday.
A total of 471 pre-school children aged 3 years of whom 285 had only been cared for at home during the recording time and 186 had attended day care outside the home.
Among the children cared for outside the home, there were more consumers of recommendable foods as fresh vegetables, fruits, berries, rye bread, fish, skimmed milk and vegetable margarines, than among those cared for at home. The day-care group had higher intake of protein, dietary fibre, thiamine, potassium and magnesium, and lower intake of sucrose compared with the group cared for at home. Adjustment for sociodemographic factors did not change the results. In all children, food consumption was more varied on weekdays compared with weekends. On weekdays, children had higher intake of dietary fibre and protein and lower intake of sucrose compared to weekends.
The type of day care was associated with food consumption and nutrient intake among pre-school children and hence might have an impact on their nutrition and health. The diet of the children attending day care outside the home was more balanced and closer to the national recommendations.
PubMed ID
20513266 View in PubMed
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Food consumption and nutrient intake in Finnish 1-6-year-old children.

https://arctichealth.org/en/permalink/ahliterature96801
Source
Public Health Nutr. 2010 Jun;13(6A):947-56
Publication Type
Article
Date
Jun-2010
Author
Pipsa Kyttälä
Maijaliisa Erkkola
Carina Kronberg-Kippilä
Heli Tapanainen
Riitta Veijola
Olli Simell
Mikael Knip
Suvi M Virtanen
Author Affiliation
Tampere School of Public Health, University of Tampere, FI-33014, Tampere, Finland. pipsa.kyttala@uta.fi
Source
Public Health Nutr. 2010 Jun;13(6A):947-56
Date
Jun-2010
Language
English
Publication Type
Article
Abstract
OBJECTIVE: To study food consumption and nutrient intake in Finnish children aged 1-6 years and to assess the effect of age and sex on food consumption and nutrient intake. DESIGN: Cross-sectional samples of children participating in the Type 1 Diabetes Prediction and Prevention (DIPP) birth cohort study in Finland. SUBJECTS: The study population comprised healthy children recruited in the nutrition study within the DIPP study in 1998-2003. Three-day food records (2535 in total) from 1-, 2-, 3-, 4- and 6-year-old children were kept between the years 2003 and 2005. RESULTS: The energy-adjusted consumption of fruits and berries, cereal products, infant formulas and meat dishes was higher and the consumption of vegetables, salads, breads, dairy products, fat spreads, drinks, sweets and sugar was lower among 1-year-old children than older age groups (P for all
PubMed ID
20513265 View in PubMed
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27 records – page 1 of 3.