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Effects of the Healthy Start randomized intervention on dietary intake among obesity-prone normal-weight children.

Abstract：

OBJECTIVE:The study aimed to evaluate the impact of a 15-month intervention on dietary intake conducted among obesity-prone normal-weight pre-school children. DESIGN:Information on dietary intake was obtained using a 4 d diet record. A diet quality index was adapted to assess how well children's diet complied with the Danish national guidelines. Linear regression per protocol and intention-to-treat analyses of differences in intakes of energy, macronutrients, fruit, vegetables, fish, sugar-sweetened beverages and diet quality index between the two groups were conducted. SETTING:The Healthy Start study was conducted during 2009-2011, focusing on changing diet, physical activity, sleep and stress management to prevent excessive weight gain among Danish children. SUBJECTS:From a population of 635 Danish pre-school children, who had a high birth weight (≥4000 g), high maternal pre-pregnancy BMI (≥28·0 kg/m2) or low maternal educational level (<10 years of schooling), 285 children completed the intervention and had complete information on dietary intake. RESULTS:Children in the intervention group had a lower energy intake after the 15-month intervention (group means: 5·29 v. 5·59 MJ, P=0·02) compared with the control group. We observed lower intakes of carbohydrates and added sugar in the intervention group compared with the control group after the intervention (P=0·002, P=0·01). CONCLUSIONS:The intervention resulted in a lower energy intake, particularly from carbohydrates and added sugar after 15 months of intervention, suggesting that dietary intake can be changed in a healthier direction in children predisposed to obesity.

journal_name

Public Health Nutr

journal_title

Public health nutrition

authors

Rohde JF,Larsen SC,Ängquist L,Olsen NJ,Stougaard M,Mortensen EL,Heitmann BL

doi

10.1017/S1368980017002026

subject

Has Abstract

pub_date

2017-11-01 00:00:00

pages

2988-2997

issue

16

eissn

1368-9800

issn

1475-2727

pii

S1368980017002026

journal_volume

20

pub_type

杂志文章,随机对照试验

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