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Consumption of 'extra' foods (energy-dense, nutrient poor) among children aged 16-24 months from western Sydney, Australia

Webb, Karen L, Lahti-Koski, Marjaana, Rutsihauser, Ingrid, Hector, Debra J, Knezevic, Natalia, Gill, Tim, Peat, Jennifer K and Leeder, Stephen R 2006, Consumption of 'extra' foods (energy-dense, nutrient poor) among children aged 16-24 months from western Sydney, Australia, Public health nutrition, vol. 9, no. 8, pp. 1035-1044, doi: 10.1017/PHN2006970.

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Title Consumption of 'extra' foods (energy-dense, nutrient poor) among children aged 16-24 months from western Sydney, Australia
Author(s) Webb, Karen L
Lahti-Koski, Marjaana
Rutsihauser, Ingrid
Hector, Debra J
Knezevic, Natalia
Gill, Tim
Peat, Jennifer K
Leeder, Stephen R
Journal name Public health nutrition
Volume number 9
Issue number 8
Start page 1035
End page 1044
Publisher Cambridge University Press
Place of publication Cambridge, England
Publication date 2006
ISSN 1368-9800
Keyword(s) children
non-core foods
childhood obesity
Summary Objective: This study evaluates the contribution of energy-dense, nutrient-poor ‘extra’ foods to the diets of 16–24-month-old children from western Sydney, Australia.

Design:   An analysis of cross-sectional data collected on participants in the Childhood Asthma Prevention Study (CAPS), a randomised trial investigating the primary prevention of asthma from birth to 5 years. We collected 3-day weighed food records, calculated nutrient intakes, classified recorded foods into major food groups, and further classified foods as either ‘core’ or ‘extras’ according to the Australian Guide to Healthy Eating.

Setting:  Pregnant women, whose unborn child was at risk of developing asthma because of a family history, were recruited from all six hospitals in western Sydney, Australia. Data for this study were collected in clinic visits and at participants’ homes at the 18-month assessment.

Participants: Four hundred and twenty-nine children participating in the CAPS study; 80% of the total cohort.

Results:  The mean consumption of ‘extra’ foods was xs223C150 g day− 1 and contributed 25–30% of the total energy, fat, carbohydrate and sodium to the diets of the study children. ‘Extra’ foods also contributed around 20% of fibre, 10% of protein and zinc, and about 5% of calcium. Children in the highest quintile of ‘extra’ foods intake had a slightly higher but not significantly different intake of energy from those in the lowest quintile. However, significant differences were evident for the percentage of energy provided by carbohydrate and sugars (higher) and protein and saturated fat (lower). The intake of most micronutrients was also significantly lower among children in the highest quintile of consumption. The intake of ‘extra’ foods was inversely associated with the intake of core foods.

Conclusions:  The high percentage of energy contributed by ‘extra’ foods and their negative association with nutrient density emphasise the need for dietary guidance for parents of children aged 1–2 years. These preliminary data on commonly consumed ‘extra’ foods and portion sizes may inform age-specific dietary assessment methods.
Language eng
DOI 10.1017/PHN2006970
Field of Research 111199 Nutrition and Dietetics not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2006, The Authors
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Document type: Journal Article
Collection: School of Exercise and Nutrition Sciences
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