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Consistent dietary patterns identified from childhood to adulthood: The Cardiovascular Risk in Young Finns Study

Published online by Cambridge University Press:  08 March 2007

V. Mikkilä ,
L. Räsänen ,
O.T. Raitakari ,
P. Pietinen  and
J. Viikari
V. Mikkilä*
Affiliation:
Division of Nutrition, PO Box 66, FIN-00 014 University of Helsinki, Helsinki, Finland
L. Räsänen
Affiliation:
Division of Nutrition, PO Box 66, FIN-00 014 University of Helsinki, Helsinki, Finland
O.T. Raitakari
Affiliation:
Department of Clinical Physiology, University of Turku, Turku, Finland
P. Pietinen
Affiliation:
Department of Epidemiology and Health Promotion, National Public Health Institute, Helsinki, Finland
J. Viikari
Affiliation:
Department of Medicine, University of Turku, Turku, Finland
*
*Corresponding author: Dr V. Mikkilä, fax +358 9 191 58 269, email [email protected]
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Abstract

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Dietary patterns are useful in nutritional epidemiology, providing a comprehensive alternative to the traditional approach based on single nutrients. The Cardiovascular Risk in Young Finns Study is a prospective cohort study with a 21-year follow-up. At baseline, detailed quantitative information on subjects' food consumption was obtained using a 48 h dietary recall method (n 1768, aged 3–18 years). The interviews were repeated after 6 and 21 years (n 1200 and n 1037, respectively). We conducted a principal component analysis to identify major dietary patterns at each study point. A set of two similar patterns was recognised throughout the study. Pattern 1 was positively correlated with consumption of traditional Finnish foods, such as rye, potatoes, milk, butter, sausages and coffee, and negatively correlated with fruit, berries and dairy products other than milk. Pattern 1 type of diet was more common among male subjects, smokers and those living in rural areas. Pattern 2, predominant among female subjects, non-smokers and in urban areas, was characterised by more health-conscious food choices such as vegetables, legumes and nuts, tea, rye, cheese and other dairy products, and also by consumption of alcoholic beverages. Tracking of the pattern scores was observed, particularly among subjects who were adolescents at baseline. Of those originally belonging to the uppermost quintile of pattern 1 and 2 scores, 41 and 38 % respectively, persisted in the same quintile 21 years later. Our results suggest that food behaviour and concrete food choices are established already in childhood or adolescence and may significantly track into adulthood.

Keywords

Dietary patternsTrackingFinland
Type
Research Article
Information
British Journal of Nutrition , Volume 93 , Issue 6 , June 2005 , pp. 923 - 931
Copyright
Copyright © The Nutrition Society 2005

References

Åkerblom, HK, Viikari, J, Raitakari, OT & Uhari, M (1999) Cardiovascular Risk in Young Finns Study: general outline and recent developments. Ann Med 31, S45–S54.CrossRefGoogle ScholarPubMed
Bertheke, Post G, de Wente, W, Kemper, HC & Twisk, JW (2001) Longitudinal trends in and tracking of energy and nutrient intake over 20 years in a Dutch cohort of men and women between 13 and 33 years of age: the Amsterdam growth and health longitudinal study. Br J Nutr 85, 375–385.Google Scholar
Cusatis, DC, Chinchilli, VM, Johnson-Rollings, N, Kieselhorst, K, Stallings, VA & Lloyd, T (2000) Longitudinal nutrient intake patterns of US adolescent women: the Penn State Young Women's Health Study. J Adolesc Health 26, 194–204.CrossRefGoogle ScholarPubMed
Fagerli, RA & Wandel, M (1999) Gender differences in opinions and practices with regard to a ‘healthy diet’. Appetite 32, 171–190.CrossRefGoogle ScholarPubMed
Hoffmann, K, Boeing, H, Dufour, A, Volatier, JL, Telman, J, Virtanen, M, Becker, W, De Henauw, S & EFCOSUM Group (2002) Estimating the distribution of usual dietary intake by short-term measurements. Eur J Clin Nutr 56, S53–S62.CrossRefGoogle ScholarPubMed
Hu, FB (2002) Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol 13, 3–9.CrossRefGoogle ScholarPubMed
Hu, FB, Rimm, E, Smith-Warner, S, Feskarich, D, Stampfer, MJ, Ascherio, A & Sampson, Willett WC (1999) Reproducibility and validity of dietary patterns assessed with a food frequency questionnaire. Am J Clin Nutr 69, 243–249.CrossRefGoogle ScholarPubMed
Hu, FB, Rimm, EB, Stampfer, MJ, Ascherio, A, Spiegelman, D & Willett, WC (2000) Prospective study of major dietary patterns and risk of coronary heart disease in men. Am J Clin Nutr 72, 912–921.CrossRefGoogle ScholarPubMed
Jacobs, DR Jr & Steffen, LM (2003) Nutrients, foods, and dietary patterns as exposures in research: a framework for food synergy. Am J Clin Nutr 78, S508–S513.CrossRefGoogle ScholarPubMed
Jacques, PF & Tucker, KL (2001) Are dietary patterns useful for understanding the role of diet in chronic disease? Am J Clin Nutr 73, 1–2.CrossRefGoogle ScholarPubMed
Kelder, SH, Perry, CL, Klepp, KI & Lytle, LL (1994) Longitudinal tracking of adolescent smoking, physical activity, and food choice behaviors. Am J Public Health 84, 1121–1126.CrossRefGoogle ScholarPubMed
Lien, N, Lytle, LA & Klepp, KI (2001) Stability in consumption of fruit, vegetables, and sugary foods in a cohort from age 14 to age 21. Prev Med 33, 217–226.CrossRefGoogle Scholar
McNaughton, SA, Mishra, GD, Bramwell, G, Paul, AA & Wadsworth, MEJ (2005) Comparability of dietary patterns assessed by multiple dietary assessment methods: results from the 1946 British Cohort. Eur J Clin Nutr 341–352.CrossRefGoogle Scholar
Mikkilä, V, Räsänen, L, Raitakari, OT, Pietinen, P & Viikari, J (2004) Longitudinal changes in the diet from childhood to adulthood with respect to cardiovascular diseases–The Cardiovascular Risk in Young Finns. Eur J Clin Nutr 58, 1038–1045.CrossRefGoogle ScholarPubMed
National Nutrition Council (1999) Finnish Nutrition Recommendations. Helsinki: Ministry of Agriculture and Forestry.Google Scholar
National Public Health Institute (2003) Food Composition Databank Fineli, version FND2. http://www.ktl.fi/fineli.Google Scholar
Newby, PK, Muller, D, Hallfrisch, J, Qiao, N, Andres, R & Tucker, KL (2003) Dietary patterns and changes in body mass index and waist circumference in adults. Am J Clin Nutr 77, 1417–1425.CrossRefGoogle ScholarPubMed
O'doherty, Jensen K & Holm, L (1999) Preferences, quantities and concerns: socio-cultural perspectives on the gendered consumption of foods. Eur J Clin Nutr 53, 351–359.CrossRefGoogle Scholar
Osler, M, Heitmann, BL, Gerdes, LU, Jörgensen, LM & Schroll, M (2001) Dietary patterns and mortality in Danish men and women: a prospective observational study. Br J Nutr 85, 219–225.CrossRefGoogle ScholarPubMed
Pietinen, P, Lahti-Koski, M, Vartiainen, E & Puska, P (2001) Nutrition and cardiovascular disease in Finland since the early 1970s: a success story. J Nutr Health Aging 5, 150–154.Google ScholarPubMed
Prättälä, R, Karisto, A & Berg, MA (1994) Consistency and variation in unhealthy behaviour among Finnish men, 1982–1990. Soc Sci Med 39, 115–122.CrossRefGoogle ScholarPubMed
Puska, P (2000) Nutrition and mortality: the Finnish experience. Acta Cardiol 55, 213–220.CrossRefGoogle ScholarPubMed
Quatromoni, PA, Copenhafer, DL, Demissie, S, D'Agosbino, RB, O'Horo, CE, Nan, BH & Millen, BE (2002) The internal validity of a dietary pattern analysis. The Framingham Nutrition Studies. J Epidemiol Community Health 56, 381–388.CrossRefGoogle ScholarPubMed
Raitakari, OT, Juonala, M, Kähönen, M (2003) Cardiovascular risk factors in childhood and carotid artery intima-media thickness in adulthood: the Cardiovascular Risk in Young Finns Study. JAMA 290, 2277–2283.CrossRefGoogle ScholarPubMed
Raitakari, OT, Leino, MRäikkönen, KPorkka, KV, Tamela, SRäsänen, LViikari, VS (1995) Clustering of risk habits in young adults. The Cardiovascular Risk in Young Finns Study. Am J Epidemiol 142, 36–44.CrossRefGoogle ScholarPubMed
Raitakari, OT, Porkka, KV, Taimela, S, Telama, R, Räsänen, LViikari, JS (1994) Effects of persistent physical activity and inactivity on coronary risk factors in children and young adults. The Cardiovascular Risk in Young Finns Study. Am J Epidemiol 140, 195–205.CrossRefGoogle Scholar
Räsänen, L, Ahola, M, Kara, R & Uhari, M (1985) Atherosclerosis precursors in Finnish children and adolescents. VIII. Food consumption and nutrient intakes. Acta Paediatr Scand 318, S135–S153.CrossRefGoogle ScholarPubMed
Räsänen, L, Laitinen, S, Stirkkinen, R, Kimppa, S, Viikari, J, Uhari, M, Pesonen, E, Salo, MÅkerblom, HK (1991) Composition of the diet of young Finns in 1986. Ann Med 23, 73–80.CrossRefGoogle ScholarPubMed
Robson, PJ, Gallagher, AM, Livingstone, MB, Cran, GW, Strain, JJ, Sauage, JM & Borehan, CA (2000) Tracking of nutrient intakes in adolescence: the experiences of the Young Hearts Project, Northern Ireland. Br J Nutr 84, 541–548.CrossRefGoogle Scholar
Roos, E, Lahelma, E, Virtanen, M, Prättälä, R & Pietinen, P (1998) Gender, socioeconomic status and family status as determinants of food behaviour. Soc Sci Med 46, 1519–1529.CrossRefGoogle ScholarPubMed
Singer, MR, Moore, LL, Garrahie, EJ & Ellison, RC (1995) The tracking of nutrient intake in young children: the Framingham Children's Study. Am J Public Health 85, 1673–1677.CrossRefGoogle ScholarPubMed
Slattery, ML, Boucher, KM, Caan, BJ, Potter, JD & Ma, KN (1998) Eating patterns and risk of colon cancer. Am J Epidemiol 148, 4–16.CrossRefGoogle ScholarPubMed
Terry, P, Hu, FB, Hansen, H & Wolk, A (2001) Prospective study of major dietary patterns and colorectal cancer risk in women. Am J Epidemiol 154, 1143–1149.CrossRefGoogle ScholarPubMed
Togo, P, Togo, P, Heitmann, BL, Sorensen, TI & Osler, M (2003) Consistency of food intake factors by different dietary assessment methods and population groups. Br J Nutr 90, 667–678.CrossRefGoogle ScholarPubMed
Von Post-Skagegard, M, Samuelson, G, Karlström, B, Mohsen, R, Berglund, L & Bratteby, LE (2002) Changes in food habits in healthy Swedish adolescents during the transition from adolescence to adulthood. Eur J Clin Nutr 56, 532–538.CrossRefGoogle ScholarPubMed
Wang, Y, Bentley, ME, Zhai, F & Popkin, BM (2002) Tracking of dietary intake patterns of Chinese from childhood to adolescence over a six-year follow-up period. J Nutr 132, 430–438.CrossRefGoogle Scholar
Welten, DC, Kemper, HC, Post, GB, Van Staveren, WA & Twisk, JW (1997) Longitudinal development and tracking of calcium and dairy intake from teenager to adult. Eur J Clin Nutr 51, 612–618.CrossRefGoogle ScholarPubMed
Willett, WC (1998) Nutritional Epidemiology. 2nd ed. New York: Oxford University Press.CrossRefGoogle Scholar
Zive, MM, Berry, CC, Sallis, JF, Frank, GC & Nader, PR (2002) Tracking dietary intake in white and Mexican-American children from age 4 to 12 years. J Am Diet Assoc 102, 683–689.CrossRefGoogle ScholarPubMed