You are seeing this message because your Web browser does not support basic Web standards. Find out more about why this message is appearing and what you can do to make your experience on this site better.


Advertisement

ABOUT ARCHIVES
Advanced Search

Welcome   | My Account | E-mail Alerts | RSS | Access Rights | Sign In


  Vol. 151 No. 2, February 1997 TABLE OF CONTENTS
  Online Only
 •  Online First Table of
Contents
  NUTRITION
 •Online Features
 This Article
 •References
 •Full text PDF
 • Reply to article
 •Send to a friend
 • Save in My Folder
 •Save to citation manager
 •Permissions
 Citing Articles
 •Citation map
 •Citing articles on HighWire
 •Citing articles on Web of Science (52)
 •Contact me when this article is cited
 Related Content
 •Similar articles in this journal
 Social Bookmarking
  Add to CiteULike Add to Connotea Add to Delicious Add to Digg Add to Facebook Add to Reddit Add to Technorati Add to Twitter What's this?

Nutrient Intakes by Young Children in a Prospective Randomized Trial of a Low—Saturated Fat, Low-Cholesterol Diet

The STRIP Baby Project

Hanna Lagström, MSc; Eero Jokinen, MD; Ritva Seppänen, DSc; Tapani Rönnemaa, MD; Jorma Viikari, MD; Ilkka Välimäki, MD; Jaana Venetoklis, MSc; Asta Myyrinmaa, MS; Harri Niinikoski, MD; Helena Lapinleimu, MD; Olli Simell, MD

Arch Pediatr Adolesc Med. 1997;151(2):181-188.


Abstract



Objective
To evaluate the impact of individualized and repeatedly given dietary counseling on fat intake and nutrient intake of children aged 8 months to 4 years.

Design
Prospective randomized clinical trial.

Participants
Children (N= 1062) from 1054 families were randomized to an intervention (n=540) or a control (n=522) group when each child participant was 6 months old.

Interventions
The children in the intervention group were counseled to reduce their intake of saturated fat and cholesterol but to ensure their adequate energy intake. Dietary issues were discussed with the families of the children in the control group only briefly according to the current practice of well-baby clinics.

Main Outcome Measures
Food consumption was evaluated by using 3- and 4-day food records that were kept at 5- to 12-month intervals, and nutrient intakes were analyzed with a Micro Nutrica computer program (Social Insurance Institution, Turku, Finland).

Results
The intake of fat (29% of the energy intake) and cholesterol (70 mg) showed no differences between the groups of children at 8 months of age. The fat intake in the children in the intervention group was then continuously 2% of the energy intake below that of the children in the control group (P<.001). After the age of 13 months, the cholesterol intake of the children in the control group exceeded that of the children in the intervention group by 20 mg (P<.001). The children in the intervention group consumed 3% (of the energy intake) less saturated (P<.001) and 1% (of the energy intake) more polyunsaturated fats (P<.001) than did the children in the control group at age 13 months and older. The carbohydrate intake was slightly higher in the children in the intervention group than in the children in the control group. Intakes of vitamins, minerals, and trace elements showed no differences between the 2 groups.

Conclusions
The intakes of fat by the children in the intervention and control groups were markedly below values that were recommended for the first 2 years of life. Despite the low intake of fat, the intake of other nutrients fulfilled current recommendations, except for vitamin D and iron. Individualized dietary counseling that led to clear changes in the type of fat intake had a minimal effect on vitamin or mineral intakes.

Arch Pediatr Adolesc Med. 1997;151:181-188



Author Affiliations



From the Cardiorespiratory Research Unit (Mss Lagström, Venetoklis, and Myyrinmaa and Dr Niinikoski) and the Departments of Pediatrics (Drs Jokinen, Välimäki, Lapinleimu, and Simell) and Medicine (Drs Rönnemaa and Viikari), University of Turku, and the Research and Development Unit, Social Insurance Institution (Dr Seppänen), Turku, Finland.



Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Delicious Delicious   Add to Digg Digg   Add to Facebook Facebook   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Changing from regular-fat to low-fat dairy foods reduces saturated fat intake but not energy intake in 4-13-y-old children
Hendrie and Golley
Am J Clin Nutr 2011;93:1117-1127.
ABSTRACT | FULL TEXT  

Interventions Aimed at Decreasing Obesity in Children Younger Than 2 Years: A Systematic Review
Ciampa et al.
Arch Pediatr Adolesc Med 2010;164:1098-1104.
ABSTRACT | FULL TEXT  

High Sucrose Intake Is Associated With Poor Quality of Diet and Growth Between 13 Months and 9 Years of Age: The Special Turku Coronary Risk Factor Intervention Project
Ruottinen et al.
Pediatrics 2008;121:e1676-e1685.
ABSTRACT | FULL TEXT  

Dietary Recommendations for Children and Adolescents: A Guide for Practitioners
American Heart Association et al.
Pediatrics 2006;117:544-559.
ABSTRACT | FULL TEXT  

Dietary Recommendations for Children and Adolescents: A Guide for Practitioners: Consensus Statement From the American Heart Association
Endorsed by the American Academy of Pediatrics et al.
Circulation 2005;112:2061-2075.
ABSTRACT | FULL TEXT  

A Randomized Intervention Since Infancy to Reduce Intake of Saturated Fat: Calorie (Energy) and Nutrient Intakes Up to the Age of 10 Years in the Special Turku Coronary Risk Factor Intervention Project
Talvia et al.
Arch Pediatr Adolesc Med 2004;158:41-47.
ABSTRACT | FULL TEXT  

Body Satisfaction in 8-Year-Old Children After Long-term Dietary Counseling in a Prospective Randomized Atherosclerosis Prevention Trial
Saarilehto et al.
Arch Pediatr Adolesc Med 2003;157:753-758.
ABSTRACT | FULL TEXT  

Medical Management of Hyperlipidemia/Dyslipidemia
Kreisberg and Oberman
J. Clin. Endocrinol. Metab. 2003;88:2445-2461.
FULL TEXT  

Cholesterol precursors and plant sterols in children with food allergy
Joki et al.
Am J Clin Nutr 2003;77:51-55.
ABSTRACT | FULL TEXT  

Overrestriction of Dietary Fat Intake Before Formal Nutritional Counseling in Children With Hyperlipidemia
Kaistha et al.
Arch Pediatr Adolesc Med 2001;155:1225-1230.
ABSTRACT | FULL TEXT  

Dietary fat intakes in infants and primary school children in Germany
Koletzko et al.
Am J Clin Nutr 2000;72:1392S-1398S.
ABSTRACT | FULL TEXT  

Dietary fat intake and body mass index in Spanish children
Moreno et al.
Am J Clin Nutr 2000;72:1399S-1403S.
ABSTRACT | FULL TEXT  

Summary
Bier et al.
Am J Clin Nutr 2000;72:1410S-1413S.
FULL TEXT  

Lipids in Complementary Foods
Koletzko
Pediatrics 2000;106:1294-1294.
FULL TEXT  

Two year prospective dietary survey of newly diagnosed children with diabetes aged less than 6 years
Virtanen et al.
Arch. Dis. Child. 2000;82:21-26.
ABSTRACT | FULL TEXT  

The Role of Dietary Fat in Child Nutrition and Development: Summary of an ASNS Workshop
Milner and Allison
J. Nutr. 1999;129:2094-2105.
FULL TEXT  

Influence of dietary fat on the nutrient intake and growth of children from 1 to 5 y of age: the Special Turku Coronary Risk Factor Intervention Project
Lagstrom et al.
Am J Clin Nutr 1999;69:516-523.
ABSTRACT | FULL TEXT  

Modifying Coronary Heart Disease Risk Factors in Children: Is It Ever Too Early to Start?
Lagstrom et al.
JAMA 1998;279:1261-1262.
FULL TEXT  

Nutrient Intakes by Young Children in a Prospective Randomized Trial of a Low-Saturated Fat, Low-Cholesterol Diet-Reply
Lagstrom et al.
Arch Pediatr Adolesc Med 1997;151:961-962.
ABSTRACT  

Nutrient Intakes by Young Children in a Prospective Randomized Trial of a Low--Saturated Fat, Low-Cholesterol Diet
Zlotkin
Arch Pediatr Adolesc Med 1997;151:962-963.
ABSTRACT  

Nutrient Intakes by Young Children in a Prospective Randomized Trial of a Low--Saturated Fat, Low-Cholesterol Diet-Reply
Lagstrom et al.
Arch Pediatr Adolesc Med 1997;151:963-964.
ABSTRACT  

Nutrient Intakes by Young Children in a Prospective Randomized Trial of a Low-Saturated Fat, Low-Cholesterol Diet
Olson
Arch Pediatr Adolesc Med 1997;151:960-961.
ABSTRACT  





HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | PHYSICIAN JOBS | SUBMIT | SUBSCRIBE | HELP
CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP
 
© 1997 American Medical Association. All Rights Reserved.