---
_id: '28015'
abstract:
- lang: eng
text: "Background\r\nUnderstanding changes in dietary intake during puberty could
aid the mapping of dietary interventions for primary prevention. The present study
describes dietary changes from childhood to adolescence, and their associations
with parental education, family income, child education, body mass index (BMI),
pubertal onset and screen-time sedentary behaviour.\r\nMethods\r\nDietary data
(n = 1232) were obtained from food frequency questionnaires at the 10- and 15-year
follow-ups of the GINIplus birth cohort study. Intakes of 17 food groups, macronutrients
and antioxidant vitamins, were described by a) paired Wilcoxon rank sum tests,
comparing average intakes at each time-point, and b) Cohen’s kappa “tracking”
coefficients, measuring stability of intakes (maintenance of relative tertile
positions across time). Further, associations of changes (tertile position increase
or decrease vs. tracking) with parental education, family income, child education,
pubertal onset, BMI, and screen-time, were assessed by logistic regression and
multinomial logistic regression models stratified by baseline intake tertile.\r\nResults\r\nBoth
sexes increased average intakes of water and decreased starchy vegetables, margarine
and dairy. Females decreased meat and retinol intakes and increased vegetables,
grains, oils and tea. Males decreased fruit and carbohydrates and increased average
intakes of meat, caloric drinks, water, protein, fat, polyunsaturated fatty acids
(PUFAs), vitamin C and alpha-tocopherol. Both sexes presented mainly “fair” tracking
levels [κw = 0.21–0.40]. Females with high (vs. low) parental education were more
likely to increase their nut intake [OR = 3.8; 95 % CI = (1.7;8.8)], and less
likely to decrease vitamin C intakes [0.2 (0.1;0.5)], while males were less likely
to increase egg consumption [0.2 (0.1;0.5)] and n3 PUFAs [0.2 (0.1;0.5)]. Females
with a higher (vs. low) family income were more likely to maintain medium wholegrain
intakes [0.2 (0.1;0.7) for decrease vs. tracking, and 0.1 (0.0;0.5) for increase
vs. tracking], and were less likely to decrease vitamin C intakes [0.2 (0.1;0.6)].
Males with high education were less likely to increase sugar-sweetened foods [0.1
(0.1;0.4)]. Finally, BMI in females was negatively associated with decreasing
protein intakes [0.7 (0.6;0.9)]. In males BMI was positively associated with increasing
margarine [1.4 (1.1;1.6)] and vitamin C intakes [1.4 (1.1;1.6)], and negatively
associated with increasing n3 PUFA.\r\nConclusions\r\nAverage dietary intakes
changed significantly, despite fair tracking levels, suggesting the presence of
trends in dietary behaviour during puberty. Family income and parental education
predominantly influenced intake changes. Our results support the rationale for
dietary interventions targeting children, and suggest that sex-specific subpopulations,
e.g. low socio-economic status, should be considered for added impact."
article_type: original
author:
- first_name: 'Carla '
full_name: 'Harris, Carla '
last_name: Harris
- first_name: Claudia
full_name: Flexeder, Claudia
last_name: Flexeder
- first_name: Elisabeth
full_name: Thiering, Elisabeth
last_name: Thiering
- first_name: Anette
full_name: Buyken, Anette
id: '65985'
last_name: Buyken
- first_name: Dietrich
full_name: Berdel, Dietrich
last_name: Berdel
- first_name: Sibylle
full_name: Koletzko, Sibylle
last_name: Koletzko
- first_name: Carl-Peter
full_name: Bauer, Carl-Peter
last_name: Bauer
- first_name: Irene
full_name: Brüske, Irene
last_name: Brüske
- first_name: Berthold
full_name: Koletzko, Berthold
last_name: Koletzko
- first_name: Marie
full_name: Standl, Marie
last_name: Standl
citation:
ama: 'Harris C, Flexeder C, Thiering E, et al. Changes in dietary intake during
puberty and their determinants: results from the GINIplus birth cohort study.
BMC Public Health. 2015;15:841.'
apa: 'Harris, C., Flexeder, C., Thiering, E., Buyken, A., Berdel, D., Koletzko,
S., Bauer, C.-P., Brüske, I., Koletzko, B., & Standl, M. (2015). Changes in
dietary intake during puberty and their determinants: results from the GINIplus
birth cohort study. BMC Public Health, 15, 841.'
bibtex: '@article{Harris_Flexeder_Thiering_Buyken_Berdel_Koletzko_Bauer_Brüske_Koletzko_Standl_2015,
title={Changes in dietary intake during puberty and their determinants: results
from the GINIplus birth cohort study}, volume={15}, journal={BMC Public Health},
author={Harris, Carla and Flexeder, Claudia and Thiering, Elisabeth and Buyken,
Anette and Berdel, Dietrich and Koletzko, Sibylle and Bauer, Carl-Peter and Brüske,
Irene and Koletzko, Berthold and Standl, Marie}, year={2015}, pages={841} }'
chicago: 'Harris, Carla , Claudia Flexeder, Elisabeth Thiering, Anette Buyken, Dietrich
Berdel, Sibylle Koletzko, Carl-Peter Bauer, Irene Brüske, Berthold Koletzko, and
Marie Standl. “Changes in Dietary Intake during Puberty and Their Determinants:
Results from the GINIplus Birth Cohort Study.” BMC Public Health 15 (2015):
841.'
ieee: 'C. Harris et al., “Changes in dietary intake during puberty and their
determinants: results from the GINIplus birth cohort study,” BMC Public Health,
vol. 15, p. 841, 2015.'
mla: 'Harris, Carla, et al. “Changes in Dietary Intake during Puberty and Their
Determinants: Results from the GINIplus Birth Cohort Study.” BMC Public Health,
vol. 15, 2015, p. 841.'
short: C. Harris, C. Flexeder, E. Thiering, A. Buyken, D. Berdel, S. Koletzko, C.-P.
Bauer, I. Brüske, B. Koletzko, M. Standl, BMC Public Health 15 (2015) 841.
date_created: 2021-11-27T13:26:27Z
date_updated: 2022-01-06T06:57:50Z
department:
- _id: '35'
- _id: '22'
- _id: '571'
intvolume: ' 15'
keyword:
- Puberty
- Dietary intake
- Dietary changes
- Tracking
- Determinants
- Epidemiology
language:
- iso: eng
page: '841'
publication: BMC Public Health
publication_status: published
status: public
title: 'Changes in dietary intake during puberty and their determinants: results from
the GINIplus birth cohort study'
type: journal_article
user_id: '49428'
volume: 15
year: '2015'
...