@article{52713, abstract = {{ABSTRACT OBJECTIVE: The aim of this analysis was to investigate whether habitual intake of total dairy (TD) or different dairy types (liquid, solid, fermented, not-fermented, low-fat, high-fat, low-sugar and high-sugar dairy) during adolescence is associated with biomarkers of low-grade inflammation as well as risk factors of type 2 diabetes in young adulthood. DESIGN: Multivariable linear regression analyses were used to investigate prospective associations between estimated TD intake as well as intake of different types of dairy and a pro-inflammatory score, based on hsCRP, IL-6, IL-18, leptin and adiponectin, and insulin resistance assessed as HOMA2-IR in an open cohort study. SETTING: Dortmund, Germany PARTICIPANTS: Data from participants (n=375) of the DOrtmund Nutritional and Anthropometric Longitudinally Designed (DONALD) study were included, for whom at least two 3-day weighed dietary records during adolescence (median age: 11 years) and one blood sample in young adulthood (>18 years) were available. RESULTS: There was no statistically significant association between TD intake or intake of any dairy type and the pro-inflammatory score (all p>0.05). TD intake as well as each dairy type intake and insulin resistance also showed no association (all p>0.05). CONCLUSIONS: The habitual intake of dairy or individual types of dairy during adolescence does not seem to have a major impact on low-grade systemic inflammation and insulin resistance in the long term. There was no indication regarding a restriction of dairy intake for healthy children and adolescents in terms of diabetes risk reduction. }}, author = {{Hohoff, E and Jankovic, N and Perrar, I and Schnermann, ME and Herder, C and Nöthlings, U and Libuda, Lars and Alexy, U}}, issn = {{1368-9800}}, journal = {{Public Health Nutrition}}, keywords = {{Public Health, Environmental and Occupational Health, Nutrition and Dietetics, Medicine (miscellaneous)}}, pages = {{1--26}}, publisher = {{Cambridge University Press (CUP)}}, title = {{{The association between dairy intake in adolescents with inflammation and risk markers of type 2 diabetes during young adulthood – results of the DONALD study}}}, doi = {{10.1017/s1368980024000624}}, year = {{2024}}, } @article{53786, abstract = {{Abstract Objective: The aim of this analysis was to investigate whether habitual intake of total dairy (TD) or different dairy types (liquid, solid, fermented, non-fermented, low-fat, high-fat, low-sugar and high-sugar dairy) during adolescence is associated with biomarkers of low-grade inflammation as well as risk factors of type 2 diabetes in young adulthood. Design: Multivariable linear regression analyses were used to investigate prospective associations between estimated TD intake as well as intake of different types of dairy and a pro-inflammatory score, based on high-sensitivity C-reactive protein, IL-6, IL-18, leptin and adiponectin, and insulin resistance assessed as Homeostasis Model Assessment Insulin Resistance in an open-cohort study. Setting: Dortmund, Germany. Participants: Data from participants (n 375) of the DOrtmund Nutritional and Anthropometric Longitudinally Designed (DONALD) study were included, for whom at least two 3-d weighed dietary records during adolescence (median age: 11 years) and one blood sample in young adulthood (>18 years) were available. Results: There was no statistically significant association between TD intake or intake of any dairy type and the pro-inflammatory score (all P > 0·05). TD intake as well as each dairy type intake and insulin resistance also showed no association (all P > 0·05). Conclusions: The habitual intake of dairy or individual types of dairy during adolescence does not seem to have a major impact on low-grade systemic inflammation and insulin resistance in the long term. There was no indication regarding a restriction of dairy intake for healthy children and adolescents in terms of diabetes risk reduction. }}, author = {{Hohoff, Eva and Jankovic, Nicole and Perrar, Ines and Schnermann, Maike and Herder, Christian and Nöthlings, Ute and Libuda, Lars and Alexy, Ute}}, issn = {{1368-9800}}, journal = {{Public Health Nutrition}}, number = {{1}}, publisher = {{Cambridge University Press (CUP)}}, title = {{{The association between dairy intake in adolescents on inflammation and risk markers of type 2 diabetes during young adulthood: results of the DONALD study}}}, doi = {{10.1017/s1368980024000624}}, volume = {{27}}, year = {{2024}}, } @article{45806, abstract = {{Abstract Objective: To systematically review the impact of choice architecture interventions (CAI) on the food choice of healthy adolescents in a secondary school setting. Factors potentially contributing to the effectiveness of CAI types and numbers implemented and its long-term success were examined. Design: PUBMED and Web of Science were systematically searched in October 2021. Publications were included following predefined inclusion criteria and grouped according to number and duration of implemented interventions. Intervention impact was determined by systematic description of the reported quantitative changes in food choice and/or consumption. Intervention types were compared with regards to food selection and sustained effects either during or following the intervention. Setting: CAI on food choice of healthy adolescents in secondary schools. Participants: Not applicable Results: Fourteen studies were included; four randomized controlled trials and five each of controlled or uncontrolled pre-post design, respectively. Four studies implemented a single CAI type, with ten implementing > 1. Three studies investigated CAI effects over the course of a school year either by continuous or repeated data collection, while ten studies’ schools were visited on selected days during intervention. Twelve studies reported desired changes in overall food selection, yet effects were not always significant, and appeared less conclusive for longer term studies. Conclusions: This review found promising evidence that CAI can be effective in encouraging favorable food choices in healthy adolescents in a secondary school setting. However, further studies designed to evaluate complex interventions are needed. }}, author = {{Schulte, Eva A. and Winkler, Gertrud and Brombach, Christine and Buyken, Anette}}, issn = {{1368-9800}}, journal = {{Public Health Nutrition}}, keywords = {{Public Health, Environmental and Occupational Health, Nutrition and Dietetics, Medicine (miscellaneous)}}, pages = {{1--23}}, publisher = {{Cambridge University Press (CUP)}}, title = {{{Choice architecture interventions promoting sustained healthier food choice and consumption by students in a secondary school setting: A systematic review of intervention studies}}}, doi = {{10.1017/s1368980023001118}}, year = {{2023}}, } @article{26906, abstract = {{AbstractObjectiveNutrition-related health problems such as obesity are frequent among children and adolescents of Turkish descent living in Germany, yet data on their dietary habits are scarce. One reason might be the lack of validated assessment tools for this target group. We therefore aimed to validate protein and K intakes from one 24 h recall against levels estimated from one 24 h urine sample in children and adolescents of Turkish descent living in Germany.DesignCross-sectional analyses comprised estimation of mean differences, Pearson correlation coefficients, cross-classifications and Bland–Altman plots to assess the agreement between the nutritional intake estimated from a single 24 h recall and a single 24 h urine sample collected on the previous day.SettingDortmund, Germany.SubjectsData from forty-three study participants (aged 5–18 years; 26 % overweight) with a traditional Turkish background were included.ResultsThe 24 h recall significantly overestimated mean protein and K intake by 10·7 g/d (95 % CI of mean difference: 0·6, 20·7 g/d) and 344 mg/d (95 % CI 8, 680 mg/d), respectively. Correlations between intake estimates were r = 0·25 (P = 0·1) and 0·31 (P = 0·05). Both methods classified 70 % and 69 % of the participants into the same/adjacent quartile of protein and K intake and misclassified 7 % and 7 %, respectively, into the opposite quartile. Bland–Altman plots indicated a wide scattering of differences in both protein and K intake.ConclusionsAmong children and adolescents of traditional Turkish descent living in Germany, one 24 h recall may only be valid for categorizing subjects into high, medium or low consumers.}}, author = {{Bokhof, Beate and Buyken, Anette and Doğan, Canan and Karaboğa, Arzu and Kaiser, Josa and Sonntag, Antje and Kroke, Anja}}, issn = {{1368-9800}}, journal = {{Public Health Nutrition}}, pages = {{640--647}}, title = {{{Validation of protein and potassium intakes assessed from 24 h recalls against levels estimated from 24 h urine samples in children and adolescents of Turkish descent living in Germany: results from the EVET! Study}}}, doi = {{10.1017/s1368980011002734}}, year = {{2011}}, } @article{27068, abstract = {{AbstractObjectiveHighly processed foods such as convenience foods usually have a high salt content and therefore might indirectly act as adipogenic due to an increasing consumption of sugar-containing beverages (SCB). We examined the association between dietary salt and body weight status.DesignWe used data on urinary Na excretion as an indicator of dietary salt and BMI standard deviation score (BMI-SDS) and percentage body fat (%BF) of children and adolescents participating in the DONALD (Dortmund Nutritional and Anthropometric Longitudinally Designed) Study.SettingDortmund, Germany.SubjectsChildren and adolescents (n 364) who had at least two 24 h urine samples and two dietary records in the observational period between 2003 and 2009 were considered in our data analysis.ResultsRepeated-measures regression models revealed that urinary Na was positively associated with BMI-SDS (+0·202 SDS/g Na excretion at baseline; P < 0·001) and %BF (+1·303 %BF/g Na excretion at baseline; P < 0·01) at baseline in boys and girls. These associations remained significant after adjustment for SCB consumption and total energy intake. Furthermore, there was a positive trend between baseline Na excretion and the individual change in %BF in the study period (+0·364 increase in %BF/g Na excretion at baseline), which was confirmed after inclusion of SCB consumption or total energy intake. There was no significant association between the change in Na excretion and the concurrent change of either BMI-SDS or %BF in any model.ConclusionsOur results suggest that a high intake of processed salty foods could have a negative impact on body weight status in children and adolescents independently from their consumption of SCB.}}, author = {{Libuda, Lars and Kersting, Mathilde and Alexy, Ute}}, issn = {{1368-9800}}, journal = {{Public Health Nutrition}}, pages = {{433--441}}, title = {{{Consumption of dietary salt measured by urinary sodium excretion and its association with body weight status in healthy children and adolescents}}}, doi = {{10.1017/s1368980011002138}}, year = {{2011}}, } @article{27752, abstract = {{AbstractObjectiveTo describe regional differences between eastern and western Germany with regard to food, nutrient and supplement intake in 9–12-year-old children, and analyse its association with parental education and equivalent income.DesignData were obtained from the 10-year follow-up of the two prospective birth cohort studies – GINIplus and LISAplus. Data on food consumption and supplement intake were collected using an FFQ, which had been designed for the specific study population. Information on parental educational level and equivalent income was derived from questionnaires. Logistic regression modelling was used to analyse the effect of parental education, equivalent income and region on food intake, after adjusting for potential confounders.SettingGermany.SubjectsA total of 3435 children aged 9–12 years.ResultsSubstantial regional differences in food intake were observed between eastern and western Germany. Intakes of bread, butter, eggs, pasta, vegetables/salad and fruit showed a significant direct relationship with the level of parental education after adjusting for potential confounders, whereas intakes of margarine, meat products, pizza, desserts and soft drinks were inversely associated with parental education. Equivalent income had a weaker influence on the child's food intake.ConclusionsNutritional education programmes for school-age children should therefore account for regional differences and parental education.}}, author = {{Sausenthaler, Stefanie and Standl, Marie and Buyken, Anette and Rzehak, Peter and Koletzko, Sibylle and Bauer, Carl Peter and Schaaf, Beate and von Berg, Andrea and Berdel, Dietrich and Borte, Michael and Herbarth, Olf and Lehmann, Irina and Krämer, Ursula and Wichmann, H-Erich and Heinrich, Joachim}}, issn = {{1368-9800}}, journal = {{Public Health Nutrition}}, pages = {{1724--1735}}, title = {{{Regional and socio-economic differences in food, nutrient and supplement intake in school-age children in Germany: results from the GINIplus and the LISAplus studies}}}, doi = {{10.1017/s1368980010003575}}, year = {{2011}}, } @article{53762, abstract = {{AbstractObjectiveSince inadequate food consumption patterns during adolescence are not only linked with the occurrence of obesity in youth but also with the subsequent risk of developing diseases in adulthood, the establishment and maintenance of a healthy diet early in life is of great public health importance. Therefore, the aim of the present study was to describe and evaluate the food consumption of a well-characterized sample of European adolescents against food-based dietary guidelines for the first time.DesignThe HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study is a cross-sectional study, whose main objective was to obtain comparable data on a variety of nutritional and health-related parameters in adolescents aged 12·5–17·5 years.SettingTen cities in Europe.SubjectsThe initial sample consisted of more than 3000 European adolescents. Among these, 1593 adolescents (54 % female) had sufficient and plausible dietary data on energy and food intakes from two 24 h recalls using the HELENA-DIAT software.ResultsFood intake of adolescents in Europe is not optimal compared with the two food-based dietary guidelines, Optimized Mixed Diet and Food Guide Pyramid, examined in this study. Adolescents eat half of the recommended amount of fruit and vegetables and less than two-thirds of the recommended amount of milk (and milk products), but consume much more meat (and meat products), fats and sweets than recommended. However, median total energy intake may be estimated to be nearly in line with the recommendations.ConclusionThe results urge the need to improve the dietary habits of adolescents in order to maintain health in later life.}}, author = {{Diethelm, Katharina and Jankovic, Nicole and Moreno, Luis A and Huybrechts, Inge and De Henauw, Stefaan and De Vriendt, Tineke and González-Gross, Marcela and Leclercq, Catherine and Gottrand, Frédéric and Gilbert, Chantal C and Dallongeville, Jean and Cuenca-Garcia, Magdalena and Manios, Yannis and Kafatos, Anthony and Plada, María and Kersting, Mathilde}}, issn = {{1368-9800}}, journal = {{Public Health Nutrition}}, number = {{3}}, pages = {{386--398}}, publisher = {{Cambridge University Press (CUP)}}, title = {{{Food intake of European adolescents in the light of different food-based dietary guidelines: results of the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study}}}, doi = {{10.1017/s1368980011001935}}, volume = {{15}}, year = {{2011}}, } @article{26897, author = {{Bokhof, Beate and Günther, Anke LB and Berg-Beckhoff, Gabriele and Kroke, Anja and Buyken, Anette}}, issn = {{1368-9800}}, journal = {{Public Health Nutrition}}, pages = {{826--834}}, title = {{{Validation of protein intake assessed from weighed dietary records against protein estimated from 24 h urine samples in children, adolescents and young adults participating in the Dortmund Nutritional and Longitudinally Designed (DONALD) Study}}}, doi = {{10.1017/s136898000999317x}}, year = {{2010}}, } @article{27132, abstract = {{AbstractObjectiveDrinking habits in children are associated with diet quality, but validated assessment tools for large-scale studies in young children are lacking. Therefore, we validated a self-completion 24 h recall questionnaire (RQ) focusing on beverage consumption with a 24 h weighed record (WR).DesignThirty-five voluntary participants from the DONALD (Dortmund Nutritional and Anthropometric Longitudinally Designed) Study cohort aged 7–9 years completed the RQ. The illustrated RQ required ticking the number of glasses of seven beverage categories consumed in five time intervals in the previous 24 h. As a reference, parents completed weighed records of their child’s diet. Agreement between the RQ and WR was tested by classification into consumers and non-consumers (kappa coefficients, κ), by the children’s ability to estimate the exact beverage and total volume consumed (Wilcoxon signed-rank test, Spearman rank correlation), and by ranking children according to reported beverage volumes.ResultsThe RQ and WR showed a good level of agreement for classifying participants into consumers and non-consumers of the single beverage categories (κ values between 0·78 and 0·94). Correlation coefficients for the volume of the single categories ranged between 0·81 and 0·91. The total beverage volume was overestimated in the RQ, on average, by 114 ml (P = 0·015). Agreement in ranking into tertiles by beverage volume was moderate to good for juice/soft drinks (κ = 0·44), milk (κ = 0·57) and water (κ = 0·70), but fair for the total beverage volume (κ = 0·23).ConclusionsOur self-completion 24 h RQ could estimate the consumption of several beverage categories among young children at the group level, but quantification of total beverage volume was flawed.}}, author = {{Muckelbauer, Rebecca and Libuda, Lars and Kersting, Mathilde}}, issn = {{1368-9800}}, journal = {{Public Health Nutrition}}, pages = {{187--195}}, title = {{{Relative validity of a self-completion 24 h recall questionnaire to assess beverage consumption among schoolchildren aged 7 to 9 years}}}, doi = {{10.1017/s1368980009990759}}, year = {{2009}}, } @article{27716, abstract = {{AbstractObjectiveThe present paper describes the systematic development of an FFQ to assess the intake of fatty acids and antioxidants in school-aged children. In addition, a validation study applying 24 h dietary recalls was performed.DesignUsing the variance-based Max_r method, a list of eighty-two foods was compiled from data obtained by 3 d weighed dietary records. The foods were used to design an FFQ, the comprehensibility of which was evaluated in a feasibility study. In addition, the FFQ was validated in a subset of 101 children from the German Infant Nutritional Intervention Study (GINI PLUS) against one 24 h dietary recall.ResultsThe feasibility study attested a good acceptance of the FFQ. Mean intake of foods compared well between the FFQ and the 24 h dietary recall, although intake data generated from the FFQ tended to be higher. This difference became less apparent at the nutrient level, although the estimated average consumption of arachidonic acid and EPA using the FFQ still exceeded values recorded with the 24 h recall method by 45 % and 29 %, respectively.ConclusionsOn the basis of the systematic selection process of the food list, the established practicability of the FFQ and the overall plausibility of the results, the use of this FFQ is justified in future epidemiological studies.}}, author = {{Stiegler, Petra and Sausenthaler, Stefanie and Buyken, Anette and Rzehak, Peter and Czech, Daniel and Linseisen, Jakob and Kroke, Anja and Gedrich, Kurt and Robertson, Claire and Heinrich, Joachim}}, issn = {{1368-9800}}, journal = {{Public Health Nutrition}}, pages = {{38--46}}, title = {{{A new FFQ designed to measure the intake of fatty acids and antioxidants in children}}}, doi = {{10.1017/s1368980009005813}}, year = {{2009}}, }