Effects of the Healthy Start randomized intervention on dietary intake among obesity-prone normal-weight children. Issue 16 (7th September 2017)

• Record Type: Journal Article
• Authors: Rohde, Jeanett F; Larsen, Sofus C; Ängquist, Lars; Olsen, Nanna J; Stougaard, Maria; Mortensen, Erik L; Heitmann, Berit L
• Is Part Of: Public health nutrition. Volume 20:Issue 16(2017)
• Page Start: 2988
• Page End: 2997
• Publication Date: 2017-09-07
• Subjects: Dietary intake, -- Diet quality index, -- Intervention, -- Obesity prevention, -- Pre-school children; Nutrition -- Periodicals; Nutrition policy -- Periodicals; Public health -- Periodicals; 613.2
• DOI: 10.1017/S1368980017002026
• Languages: English
• ISSNs: 1368-9800

Abstract

Abstract: Objective: The study aimed to evaluate the impact of a 15-month intervention on dietary intake conducted among obesity-prone normal-weight pre-school children. Design: Information on dietary intake was obtained using a 4 d diet record. A diet quality index was adapted to assess how well children's diet complied with the Danish national guidelines. Linear regression per protocol and intention-to-treat analyses of differences in intakes of energy, macronutrients, fruit, vegetables, fish, sugar-sweetened beverages and diet quality index between the two groups were conducted. Setting: The Healthy Start study was conducted during 2009–2011, focusing on changing diet, physical activity, sleep and stress management to prevent excessive weight gain among Danish children. Subjects: From a population of 635 Danish pre-school children, who had a high birth weight (≥4000 g), high maternal pre-pregnancy BMI (≥28·0 kg/m 2 ) or low maternal educational level (<10 years of schooling), 285 children completed the intervention and had complete information on dietary intake. Results: Children in the intervention group had a lower energy intake after the 15-month intervention (group means: 5·29 v . 5·59 MJ, P =0·02) compared with the control group. We observed lower intakes of carbohydrates and added sugar in the intervention group compared with the control group after the intervention ( P =0·002, P =0·01). Conclusions: The intervention resulted in a lower energy intake, particularly from carbohydrates and added sugar after 15 months of intervention, suggesting that dietary intake can be changed in a healthier direction in children predisposed to obesity.