 |
|
Dietary Composition and Weight Change Among Low-Income Preschool Children
P. K. Newby, ScD, MPH, MS;
Karen E. Peterson, ScD, RD;
Catherine S. Berkey, ScD;
Jill Leppert, BS;
Walter C. Willett, MD, DrPH;
Graham A. Colditz, MD, DrPH
Arch Pediatr Adolesc Med. 2003;157:759-764.
Objective To examine the relation between dietary composition and weight change among children. We tested several hypotheses considering intake of nutrients (total fat and fiber) and predefined food groups (breads and grains, "fat foods," fruits, and vegetables) used in the North Dakota Special Supplemental Nutrition Program for Women, Infants, and Children (WIC Program).
Design Prospective study.
Subjects We collected dietary, anthropometric, and sociodemographic data from 1379 children aged 2 to 5 years participating in the North Dakota WIC Program on 2 visits ranging from 6 to 12 months apart.
Main Outcome Measure Annual change in weight.
Results In multiple regression analyses, no significant relations were found between total intake of fat, fiber, fruits, or vegetables and weight change. There was a 0.16-kg lower weight change per year (95% confidence interval [CI], -0.20 to -0.12 kg; P<.01) with each additional daily serving of breads and grains, and a 0.05-kg greater weight change per year (95% CI, 0.1-0.09 kg; P<.05) for each additional serving of fat foods in a model adjusting for sex, age, baseline weight, change in height, and sociodemographic variables.
Conclusions Intake of North Dakota WIC Program–defined fat foods, but not dietary fat per se, significantly predicted weight gain, whereas intake of North Dakota WIC Program–defined breads and grains, but not fiber per se, significantly predicted weight loss in preschool children.
From the Departments of Nutrition (Drs Newby, Peterson, and Willett), Epidemiology (Drs Willett and Colditz), and Maternal and Child Health (Dr Peterson), Harvard School of Public Health, and the Department of Medicine, Channing Laboratory, Brigham and Women's Hospital and Harvard Medical School (Drs Berkey, Willett, and Colditz), Boston, Mass; and the North Dakota Special Supplemental Nutrition Program for Women, Infants, and Children, Division of Maternal and Child Health, North Dakota Department of Health, Bismarck (Ms Leppert). Dr Newby is now with the Jean Mayer US Department of Agriculture Human Nutrition Research Center on Aging at Tufts University, Boston.
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
Dietary and Physical Activity Patterns in French Children Are Related to Overweight and Socioeconomic Status
Lioret et al.
J. Nutr. 2008;138:101-107.
ABSTRACT
| FULL TEXT
Recommendations for Prevention of Childhood Obesity
Davis et al.
Pediatrics 2007;120:S229-S253.
ABSTRACT
| FULL TEXT
Low-Income, Overweight and Obese Mothers as Agents of Change to Improve Food Choices, Fat Habits, and Physical Activity in their 1-to-3-Year-Old Children
Klohe-Lehman et al.
J. Am. Coll. Nutr. 2007;26:196-208.
ABSTRACT
| FULL TEXT
Metabolic markers in relation to nutrition and growth in healthy 4-y-old children in Sweden.
Garemo et al.
Am. J. Clin. Nutr. 2006;84:1021-1026.
ABSTRACT
| FULL TEXT
Fruit Juice Intake Predicts Increased Adiposity Gain in Children From Low-Income Families: Weight Status-by-Environment Interaction
Faith et al.
Pediatrics 2006;118:2066-2075.
ABSTRACT
| FULL TEXT
Milk, Dairy Fat, Dietary Calcium, and Weight Gain: A Longitudinal Study of Adolescents
Berkey et al.
Arch Pediatr Adolesc Med 2005;159:543-550.
ABSTRACT
| FULL TEXT
Overweight Among Low-Income Preschool Children Associated With the Consumption of Sweet Drinks: Missouri, 1999-2002
Welsh et al.
Pediatrics 2005;115:e223-e229.
ABSTRACT
| FULL TEXT
|
