Journal
PUBLIC HEALTH NUTRITION
Volume 18, Issue 10, Pages 1774-1784Publisher
CAMBRIDGE UNIV PRESS
DOI: 10.1017/S1368980014002390
Keywords
Diet variety; Variety score; Breast-feeding; Complementary feeding; Cohort studies; Pre-school child; ALSPAC; EDEN; Generation XXI; EuroPrevall
Funding
- European Community [FP7-245012-HabEat]
- UK Medical Research Council
- Wellcome Trust
- University of Bristol
- European Union [FP6-FOOD-CT-2005-514000]
- Fondation pour la Recherche Medicale (FRM)
- French Ministry of Research: Federative Research Institutes and Cohort Programme
- INSERM Human Nutrition National Research Programme
- Diabetes National Research Programme through a collaboration with the French Association of Diabetic Patients (AFD)
- French Ministry of Health
- French Agency for Environment Security (AFSSET)
- French National Institute for Population Health Surveillance (InVS)
- Paris-Sud University
- French National Institute for Health Education (INPES)
- Nestle
- Mutuelle Generale de l'Education Nationale (MGEN)
- French-speaking Association for the Study of Diabetes and Metabolism (ALFEDIAM)
- National Agency for Research (ANR non-thematic programme)
- National Institute for Research in Public Health (IRESP: TGIR cohorte sante programme)
- Programa Operacional de Saude - Saude XXI, Quadro Comunitario de Apoio III
- Administracao Regional de Saude do Norte
- Fundacao para a Ciencia e a Tecnologia
- Fundacao Calouste Gulbenkian
- FEDER through COMPETE
- Medical Research Council [MC_PC_15018] Funding Source: researchfish
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Objective: The present study examined whether maternal diet and early infant feeding experiences relating to being breast-fed and complementary feeding influence the range of healthy foods consumed in later childhood. Design: Data from four European birth cohorts were studied. Healthy Plate Variety Score (HPVS) was calculated using FFQ. HPVS assesses the variety of healthy foods consumed within and across the five main food groups. The weighted numbers of servings consumed of each food group were summed; the maximum score was 5. Associations between infant feeding experiences, maternal diet and the HPVS were tested using generalized linear models and adjusted for appropriate confounders. Setting: The British Avon Longitudinal Study of Parents and Children (ALSPAC), the French Etude des Determinants pre et postnatals de la sante et du developpement de L'Enfant study (EDEN), the Portuguese Generation XXI Birth Cohort and the Greek EuroPrevall cohort. Subjects: Pre-school children and their mothers. Results: The mean HPVS for each of the cohorts ranged from 2.3 to 3.8, indicating that the majority of children were not eating a full variety of healthy foods. Never being breast-fed or being breast-fed for a short duration was associated with lower HPVS at 2, 3 and 4 years of age in all cohorts. There was no consistent association between the timing of complementary feeding and HPVS. Mother's HPVS was strongly positively associated with child's HPVS but did not greatly attenuate the relationship with breast-feeding duration. Conclusions: Results suggest that being breast-fed for a short duration is associated with pre-school children eating a lower variety of healthy foods.
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