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Consumption of bakery products, sweetened soft drinks and yogurt among children aged 6–7 years: association with nutrient intake and overall diet quality

Published online by Cambridge University Press:  09 March 2007

Fernando Rodríguez-Artalejo ,
Esther López García ,
Lydia Gorgojo ,
Carmen Garcés ,
Miguel Ángel Royo ,
José María Martín Moreno ,
Mercedes Benavente ,
Alfonso Macías  and
Manuel de Oya
Fernando Rodríguez-Artalejo*
Affiliation:
Department of Preventive Medicine and Public Health, Universidad Autónoma de Madrid, Madrid, Spain
Esther López García
Affiliation:
Department of Preventive Medicine and Public Health, Universidad Autónoma de Madrid, Madrid, Spain
Lydia Gorgojo
Affiliation:
Escuela Nacional de Sanidad, Instituto de Salud Carlos III, Ministerio de Sanidad y Consumo, Madrid, Spain
Carmen Garcés
Affiliation:
Laboratorio de Lípidos, Fundación Jiménez Díaz, Universidad Autónoma de Madrid, Madrid, Spain
Miguel Ángel Royo
Affiliation:
Escuela Nacional de Sanidad, Instituto de Salud Carlos III, Ministerio de Sanidad y Consumo, Madrid, Spain
José María Martín Moreno
Affiliation:
Agencia de Evaluación de Tecnologías Sanitarias, Instituto de Salud Carlos III, Ministerio de Sanidad y Consumo, Madrid, Spain
Mercedes Benavente
Affiliation:
Laboratorio de Lípidos, Fundación Jiménez Díaz, Universidad Autónoma de Madrid, Madrid, Spain
Alfonso Macías
Affiliation:
Department of Medicine, Universidad de Cádiz, Cádiz, Spain
Manuel de Oya
Affiliation:
Laboratorio de Lípidos, Fundación Jiménez Díaz, Universidad Autónoma de Madrid, Madrid, Spain
*
*Corresponding author: Dr Fernando Rodríguez-Artalejo, fax +34 91 397 5353, email [email protected]
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Abstract

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The present study tests the hypothesis that higher consumption of bakery products, sweetened soft drinks and yogurt is associated with higher intake of energy, saturated fats, sugars and worse overall diet quality among Spanish children. This is a cross-sectional study covering 1112 children aged 6.0–7.0 years in four Spanish cities. Nutrient and food intake were obtained through a food-frequency questionnaire, and overall diet quality calculated using the healthy-eating index (HEI) developed by <bibr rid="b20">Kennedy et al. (1995)</bibr>. Standardized methods were used to measure anthropometric variables. Associations of interest were summarized as the difference in nutrient and food consumption between the value of the fifth and the first quintile of consumption (dq) of bakery products, sweetened soft drinks or yogurt, adjusted for energy intake and BMI. Bakery products, sweetened soft drinks and yogurt supplied 15·5, 1·0 and 5·6 % energy intake respectively. Higher consumption of these three foods was associated with greater energy intake (P<0·001), but not with higher BMI. Consumption of bakery products was associated with the proportion of energy derived from intake of total carbohydrates (dq 4·5 %, P<0·001) and sugars (dq 2 %, P<0·001), but did not show association with the HEI. Consumption of sweetened soft drinks was associated with a lower consumption of milk (dq −88 ml, P<0·001) and Ca (dq −175 m/, P<0·001), and worse HEI (dq −2, P<0·01). Consumption of yogurt, while associated with higher energy intake from saturated fats (dq 1·77 %, P<0·001) and sugars (dq 2·02 %, P<0·001), showed no association with the HEI. Differences in the intake of nutrients and foods across quintiles of consumption of bakery products, sweetened soft drinks and yogurt were usually very small. We conclude that the impact of the consumption of bakery products, sweetened soft drinks and yogurt on the quality of the diet of Spanish children is only modest, although it may contribute to aggravating certain unhealthy characteristics of their diet, particularly excess energy, saturated fats and sugars. Therefore, consumption of bakery products and sweetened soft drinks should be moderated, and priority given to consumption of low-fat, low-sugar yogurt.

Keywords

Bakery productsSoft drinksYogurtDiet qualityChildren
Type
Research Article
Information
British Journal of Nutrition , Volume 89 , Issue 3 , March 2003 , pp. 419 - 428
Copyright
Copyright © The Nutrition Society 2003

References

Aranceta, J (1995) Objetivos nutricionales y guías dietéticas. Propuesta de la SENC para la población española (Nutritional objectives and dietary guidelines. A proposal by SENC for the Spanish population). In Documento de Consenso. Guías Alimentarias para la Población Española (Consensus Document. Dietary Guidelines for the Spanish Population), pp. 127 –162 [Serra Majem, LI, Aranceta Bartrina, J and Mataix Verdú, J, editors]. Barcelona: SG editores – Sociedad Española de Nutrición Comunitaria.Google Scholar
Ballew, C, Kuester, S & Gillespie, C (2000) Beverage choices affect adequacy of children's nutrient intakes. Archives of Pediatrics and Adolescent Medicine 154, 1148–1152.Google Scholar
Ballew, C, Kuester, S, Serdula, M, Bowman, B & Dietz, W (2000) Nutrient intakes and dietary patterns of young children by dietary fat intakes. Journal of Pediatrics 136, 181–187.CrossRefGoogle ScholarPubMed
Bowman, SA, Kino, M, Gerrior, SA & Basiotis, PP (1998) The Healthy Eating Index: 1994 –1996. Washington, DC: US Department of Agriculture, Center for Nutrition Policy and Promotion.Google Scholar
Cole, TJ, Bellizzi, MC, Flegal, KM & Dietz, WH (2000) Establishing a standard definition for child overweight and obesity worldwide: international survey. British Medical Journal 320, 1–6.CrossRefGoogle ScholarPubMed
Departamento de nutrición de la Universidad Complutense de Madrid (1985) Tabla de ingestas recomendadas en energía y nutrientes para la población española (Tables of recommended intakes of energy and nutrients for the Spanish population). In Encuesta de Presupuestos Familiares (Household Budget Survey) 1980 –81, vol 2, part 2, pp. 1161 –1162 [Instituto Nacional de Estadística, editors]. Madrid: INE.Google Scholar
Departamento de nutrición de la Universidad Complutense de Madrid (1994) Tabla de Ingestas Recomendadas en Energía y Nutrientes para la Población Española (Tables of Recommended Intakes of Energy and Nutrients for the Spanish population). Madrid: Universidad Complutense de Madrid.Google Scholar
Dixon, LB, McKenzie, J, Shannon, BM, Mitchell, DC, Smiciklas-Wright, H & Tershakovec, AM (1997) The effect of changes in dietary fat on the food group and nutrient intake of 4- to 10-year-old children. Pediatrics 100, 863–872.CrossRefGoogle Scholar
Estudio 4 Provincias (2001a) Base de Datos Nutricionales (Nutritional Database). Madrid: Fundación Jiménez Díaz, Escuela Nacional de Sanidad, Universidad Autónoma de Madrid.Google Scholar
Estudio 4 Provincias (2001b) La dieta de los niños en Espa ña: Adherencìa a las guìas nutricionales y alimentarias (The Diet of Children in Spain: Adherence to Nutrient and Food Intake Guidelines). Madrid: Fundación Jiménez Díaz, Escuela Nacional de Sanidad, Universidad Autónoma de Madrid.Google Scholar
Gibson, RS (1990) Principles of Nutritional Assessment. New York: Oxford University Press.Google Scholar
Gorgojo, L, Guallar, E, Martín-Moreno, JM, López-Nomdedeu, C, Vázquez, C, Martí-Henneberg, C & Serrano Ríos, M (1999) Encuestas alimentarias en los niños españoles de edad escolar: análisis del periodo 1984–1994 (Nutrition surveys of Spanish school-age children: analysis of the period 1984–1994). Medicina Clínica 112, 368–374.Google Scholar
Guthrie, JF & Morton, JF (2000) Food sources of added sweeteners in the diets of Americans. Journal of American Dietetic Association 100, 43–51.Google Scholar
Hammond, J, Nelson, M, Chinn, S & Rona, RJ (1993) Validation of a food frequency questionnaire for assessing dietary intake in a study of coronary heart disease risk factors in children. European Journal of Clinical Nutrition 47, 242–250.Google Scholar
Harnack, L, Stang, J & Story, M (1999) Soft drink consumption among US children and adolescents: nutritional consequences. Journal of American Dietetic Association 99, 436–441.CrossRefGoogle ScholarPubMed
Kant, AK (1996) Indexes of overall diet quality: a review. Journal of American Dietetic Association 96, 785–791.CrossRefGoogle ScholarPubMed
Kant, AK (2000) Consumption of energy-dense, nutrient-poor foods by adult Americans: nutritional and health implications. The third National Health and Nutrition Examination Survey, 1988–1994. American Journal of Clinical Nutrition 72, 929–936.CrossRefGoogle ScholarPubMed
Kant, AK, Schatzkin, A, Graubard, BI & Schairer, C (2000) A prospective study of diet quality and mortality in women. Journal of the American Medical Association 283, 2109–2115.CrossRefGoogle ScholarPubMed
Kennedy, E & Powell, R (1997) Changing eating patterns of American children: a view from 1996. Journal of the American College of Nutrition 16, 524–529.Google ScholarPubMed
Kennedy, ET, Ohls, J, Carlson, S & Fleming, K (1995) The Healthy Eating Index: Design and applications. Journal of American Dietetic Association 95, 1103–1108.Google Scholar
Klesges, RC, Klesges, LM, Brown, G & Frank, GC (1987) Validation of the 24-hour dietary recall in preschool children. Journal of American Dietetic Association 87, 1383–1385.Google Scholar
Kris-Etherton, PM, (1999) Monounsaturated fatty acids and risk of cardiovascular disease. Circulation 1000, 1253–1258.Google Scholar
Martín-Moreno, JM, Boyle, P, Gorgojo, L, Maisonneuve, P, Fernández-Rodríguez, JC, Salvini, S & Willett, WC (1993) Development and validation of a food frequency questionnaire in Spain. International Journal of Epidemiology 22, 512–519.CrossRefGoogle ScholarPubMed
Mataix, J, Mañas, M, Llopis, J, Martínez, E, Sánchez, J & Borregón, A (1998) Tabla de Composición de Alimentos Españoles (Table of Composition of Spanish Foods). Granada: Universidad de Granada.Google Scholar
McCullough, ML, Feskanich, D, Rimm, EB, Giovannucci, EL, Ascherio, A, Variyam, JM, Spiegelman, D, Stampfer, MJ & Willett, WC (2000 a) Adherence to the dietary guidelines for Americans and risk of major chronic disease in men. American Journal of Clinical Nutrition 72, 1223–1231.CrossRefGoogle Scholar
McCullough, ML, Feskanich, D, Stampfer, M, Rosner, BA, Hu, FB, Hunter, DJ, Variyam, JM, Colditz, GA & Willett, WC (2000 b) Adherence to the dietary guidelines for Americans and risk of major chronic disease in women. American Journal of Clinical Nutrition 72, 1214–1222.CrossRefGoogle Scholar
McPherson, S, Hoelscher, D, Alexander, M, Scanlon, KS & Serdula, MK (2000) Dietary assessment methods among school-children: validity and reliability. Preventive Medicine 31, S11–S33.CrossRefGoogle Scholar
Ministerio de Agricultura, Pesca y Alimentación (1999) La Alimentación en España, 1998 (Diet in Spain, 1998). Madrid: Ministerio de Agricultura, Pesca y Alimentación.Google Scholar
Moreiras, O, Carbajal, A & Cabrera, ML (1996) Tablas de Composición de Alimentos (Table of Composition of Foods). Madrid: Pir´mide.Google Scholar
Moreno, LA, Sarría, A, Fleta, J, Rodríguez, G & Bueno, M (2000) Trends in body mass index and overweight prevalence among children and adolescents in the region of Aragón (Spain) from 1985 to 1995. International Journal of Obesity and Related Metabolic Disorders 24, 925–931.CrossRefGoogle ScholarPubMed
Ríos, M, Fluiters, E, Pérez-Méndez, LF, García-Mayor, EG & García-Mayor, RV (1999) Prevalence of overweight childhood in north-western Spain: a comparative study of two periods with a ten year interval. International Journal of Obesity and Related Metabolic Disorders 23, 1095–1098.Google Scholar
Rodríguez Artalejo, F, Garcés, C, Gorgojo, L, López García, E, Martín Moreno, JM, Benavente, M, del Barrio, M, Rubio, R, Ortega, H, Fernández, O & de Oya, M (2002) Dietary patterns among children aged 6–7 years in four Spanish cities with widely differing cardiovascular mortality. European Journal of Clinical Nutrition 56, 141–148.CrossRefGoogle Scholar
Royo-Bordonada, MA, Gorgojo, L, Martín Moreno, JM, Garcés, C, Rodríguez Artalejo, F, Benavente, M, Mangas, A & De Oya, M (2002). Spanish children's diet: compliance with nutrient and food intake guidelines. European Journal of Clinical Nutrition (in press).Google Scholar
Serra Majem, L & Aranceta Bartrina, J (2002) Alimentación infantil y juvenil. Estudio enkid (Diet of children and adolescents. enKid study). Barcelona: Masson.Google Scholar
Stein, AD, Shea, S, Basch, CE, Contento, IR & Zybert, P (1992) Consistency of the Willett semiquantitative food questionnaire and 24-hour dietary recalls in estimating nutrient intakes of preschool children. American Journal of Epidemiology 135, 667–677.Google Scholar
Treiber, FA, Leonard, SB, Frank, G, Musant, L, Davis, H, Strong, WB & Levy, M (1990) Dietary assessment instruments for preschool children: reliability of parental responses to the 24-hour dietary recall and a food frequency questionnaire. Journal of American Dietetic Association 90, 814–820.CrossRefGoogle Scholar
Troiano, RP, Briefel, RR, Carroll, MD & Bialostosky, K (2000) Energy and fat intakes of children and adolescents in the United States: data from the National Health and Nutrition Examination Surveys. American Journal of Clinical Nutrition 72, 1343S–1353S.CrossRefGoogle ScholarPubMed
US Department of Agriculture, Human Nutrition Information Service (2000) Dietary guidelines for Americans 2000, 5th ed. http://www.usda.gov/cnpp/Pubs/DG2000/Index.htm.Google Scholar
Willett, W (1998) Reproducibility and validity of food-frequency questionnaires. In Nutritional Epidemiology, 2nd ed., pp. 101 –147 [Willett, W, editor]. New York: Oxford University Press.CrossRefGoogle Scholar