EUCCONET meeting – HabEat WP1 results– 18 th October 2011 – Bristol, United Kingdom Early...

EUCCONET meeting – HabEat WP1 results– 18th October 2011 – Bristol, United Kingdom

Early parental feeding practices and later fruit and vegetable intake

in 4 European birth cohorts

Cohorts involved: ALSPAC, EDEN, EUROPREVALL-Greece, GENERATION XXI


Context

• Fruit and vegetables in children– Lower than recommendations (5 servings/day) in France and in the UK– even in early life

• Hypothesis of a sensitive period for the introduction of tastes– between 4 and 6 months of age?

• Few studies on influence of early parental feeding practices on subsequent fruit and vegetable intake

Age at weaning and later fruit or vegetable intake


Methods

• Analyses based on 4 cohorts:– ALSPAC: 9000 children followed from birth to 17y (all data available)– EDEN: 2000 children followed from birth to 5y (data available until 3y)– EUROPREVALL: 1000 children followed from birth to 3y (3y on going)– GENERATION XXI: 8600 children followed from birth to 4y (900 with data on

weaning)

• Similar analysis plan across the 4 cohorts– Fruit and vegetables intake in young children

• ALSPAC: 2y 3y 4y• EDEN: 2y 3y• EUROPREVALL: 2y• GENERATION XXI: 4y


Methods

• Fruit and vegetable intake assessment:– Fruit intake from FFQ: exclusive of jams/jellies, fruit juice– Vegetables intake from FFQ: exclusive of legumes and potatoes

• Common cut-off:– Fruit: >1/d (vs ≤ 1/d)– Vegetables: >1/d (vs ≤ 1/d) in ALSPAC, EDEN, EUROPREVALL >3/d (vs ≤ 3/d) in GENERATION XXI

Fruit Vegetables

Model Any breastfeeding Age at intro. of fruitAge at intro. any other foodsChild's age (mo)Maternal ageEducation levelMaternal smoking

Any breastfeeding Age at intro. of vegAge at intro. any other foodsChild's age (mo)Maternal ageEducation levelMaternal smoking


Descriptive statistics


Multivariate results

p<0.0001 p=0.09 p=0.05 p=0.04 p<0.0001 p=0.2p<0.0001



p=0.01 p=0.9 p=0.2 p=0.1 p=0.1 p=0.5p=0.7



p=0.7 p=0.04 p=0.9 p=0.2 p=0.2 p=0.1p=0.07


Summary

• Great differences across countries in early feeding practices– Breastfeeding duration– Age at weaning

• Associations between age at weaning and later F&V intake not consistent across cohorts– probably due not to the age at weaning itself but to another cultural

confounder not evaluated

• Other factors consistently related to F&V intake (not shown)– Longer breastfeeding -> higher F&V intake in childhood– Higher maternal education level -> higher F&V intake in childhood– Higher F&V during pregnancy -> higher F&V intake in childhood

EUCCONET meeting – HabEat WP1 results– 18 th October 2011 – Bristol, United Kingdom Early...

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