Sources and determinants of discretionary food intake in a cohort of Australian children aged 12–14 months

Despite recommendations to the contrary, consumption of discretionary (energy-dense, nutrient-poor) foods begins for some children early in the weaning period, and the proportion of children consuming discretionary foods increases markedly in the second year of life. The purpose of this study was to...

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Main Authors: Coxon, Claire, Devenish, Gemma, Ha, D., Do, L., Scott, Jane
Format: Journal Article
Language:English
Published: MDPI 2020
Subjects:
Online Access:http://purl.org/au-research/grants/nhmrc/1046219
http://hdl.handle.net/20.500.11937/83254
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author Coxon, Claire
Devenish, Gemma
Ha, D.
Do, L.
Scott, Jane
author_facet Coxon, Claire
Devenish, Gemma
Ha, D.
Do, L.
Scott, Jane
author_sort Coxon, Claire
building Curtin Institutional Repository
collection Online Access
description Despite recommendations to the contrary, consumption of discretionary (energy-dense, nutrient-poor) foods begins for some children early in the weaning period, and the proportion of children consuming discretionary foods increases markedly in the second year of life. The purpose of this study was to determine intake and sources of discretionary foods in a cohort of 828 Australian toddlers (mean age: 13.1mo), and to identify determinants of discretionary food intake. At approximately 12 months of age, 3 non-consecutive days of dietary intake data were collected using a 24-h recall and 2-day food record, and the percentage total energy derived from discretionary foods was estimated. Linear regression was used to identify associations between discretionary food intake and socio-demographic determinants (mother’s age, level of education, country of birth, pre-pregnancy body mass index, socioeconomic position, parity, age of child when mother returned to work, and child’s sex) and age at which complementary foods were introduced. The average energy intake of children in this cohort was 4040 (±954.7 SD) kJ with discretionary foods contributing an average of 11.2% of total energy. Sweet biscuits, and cakes, muffins, scones and cake-type desserts contributed 10.8% and 10.2% of energy intake from discretionary foods, respectively. Other key contributors to energy intake from discretionary foods included sausages, frankfurters and saveloys (8.3%), vegetable products and dishes where frying was the main cooking technique (8.6%), butter (7.3%), and finally manufactured infant sweet or savory snack foods (9.3%). Higher intakes of discretionary food were associated with children having two or more siblings (p = 0.002), and being born to younger mothers (<25 years) (p = 0.008) and mothers born in Australia or the United Kingdom (p < 0.001). Parents, in particular young mothers and those with larger families, need practical guidance on how much of, and how often, these foods should be eaten by their children.
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spelling curtin-20.500.11937-832542021-05-07T04:15:19Z Sources and determinants of discretionary food intake in a cohort of Australian children aged 12–14 months Coxon, Claire Devenish, Gemma Ha, D. Do, L. Scott, Jane Science & Technology Life Sciences & Biomedicine Environmental Sciences Public, Environmental & Occupational Health Environmental Sciences & Ecology discretionary foods determinants food sources toddlers SUGAR-SWEETENED BEVERAGES DIETARY PATTERNS FEEDING PRACTICES ENERGY-DENSE CONSUMPTION ASSOCIATIONS CHILDHOOD INFANTS OBESITY BIRTH Despite recommendations to the contrary, consumption of discretionary (energy-dense, nutrient-poor) foods begins for some children early in the weaning period, and the proportion of children consuming discretionary foods increases markedly in the second year of life. The purpose of this study was to determine intake and sources of discretionary foods in a cohort of 828 Australian toddlers (mean age: 13.1mo), and to identify determinants of discretionary food intake. At approximately 12 months of age, 3 non-consecutive days of dietary intake data were collected using a 24-h recall and 2-day food record, and the percentage total energy derived from discretionary foods was estimated. Linear regression was used to identify associations between discretionary food intake and socio-demographic determinants (mother’s age, level of education, country of birth, pre-pregnancy body mass index, socioeconomic position, parity, age of child when mother returned to work, and child’s sex) and age at which complementary foods were introduced. The average energy intake of children in this cohort was 4040 (±954.7 SD) kJ with discretionary foods contributing an average of 11.2% of total energy. Sweet biscuits, and cakes, muffins, scones and cake-type desserts contributed 10.8% and 10.2% of energy intake from discretionary foods, respectively. Other key contributors to energy intake from discretionary foods included sausages, frankfurters and saveloys (8.3%), vegetable products and dishes where frying was the main cooking technique (8.6%), butter (7.3%), and finally manufactured infant sweet or savory snack foods (9.3%). Higher intakes of discretionary food were associated with children having two or more siblings (p = 0.002), and being born to younger mothers (<25 years) (p = 0.008) and mothers born in Australia or the United Kingdom (p < 0.001). Parents, in particular young mothers and those with larger families, need practical guidance on how much of, and how often, these foods should be eaten by their children. 2020 Journal Article http://hdl.handle.net/20.500.11937/83254 10.3390/ijerph17010080 English http://purl.org/au-research/grants/nhmrc/1046219 http://purl.org/au-research/grants/nhmrc/1144595 http://creativecommons.org/licenses/by/4.0/ MDPI fulltext
spellingShingle Science & Technology
Life Sciences & Biomedicine
Environmental Sciences
Public, Environmental & Occupational Health
Environmental Sciences & Ecology
discretionary foods
determinants
food sources
toddlers
SUGAR-SWEETENED BEVERAGES
DIETARY PATTERNS
FEEDING PRACTICES
ENERGY-DENSE
CONSUMPTION
ASSOCIATIONS
CHILDHOOD
INFANTS
OBESITY
BIRTH
Coxon, Claire
Devenish, Gemma
Ha, D.
Do, L.
Scott, Jane
Sources and determinants of discretionary food intake in a cohort of Australian children aged 12–14 months
title Sources and determinants of discretionary food intake in a cohort of Australian children aged 12–14 months
title_full Sources and determinants of discretionary food intake in a cohort of Australian children aged 12–14 months
title_fullStr Sources and determinants of discretionary food intake in a cohort of Australian children aged 12–14 months
title_full_unstemmed Sources and determinants of discretionary food intake in a cohort of Australian children aged 12–14 months
title_short Sources and determinants of discretionary food intake in a cohort of Australian children aged 12–14 months
title_sort sources and determinants of discretionary food intake in a cohort of australian children aged 12–14 months
topic Science & Technology
Life Sciences & Biomedicine
Environmental Sciences
Public, Environmental & Occupational Health
Environmental Sciences & Ecology
discretionary foods
determinants
food sources
toddlers
SUGAR-SWEETENED BEVERAGES
DIETARY PATTERNS
FEEDING PRACTICES
ENERGY-DENSE
CONSUMPTION
ASSOCIATIONS
CHILDHOOD
INFANTS
OBESITY
BIRTH
url http://purl.org/au-research/grants/nhmrc/1046219
http://purl.org/au-research/grants/nhmrc/1046219
http://hdl.handle.net/20.500.11937/83254