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Title: Clustering of Dietary Patterns and Lifestyles Among Spanish Children in the EsNuPI Study †
Authors: Plaza-Díaz, Julio
Molina-Montes, Esther
Soto-Méndez, María José
Madrigal, Casandra
Hernández-Ruiz, Ángela
Valero, Teresa
Lara Villoslada, Federico
Leis, Rosaura
Martínez de Victoria, Emilio
Moreno, José Manuel
Ortega, Rosa M.
Ruiz-López, María Dolores
Varela-Moreiras, Gregorio
Gil, Ángel
metadata.dc.contributor.authoraffiliation: [Plaza-Díaz,J; Gil,Á] Department of Biochemistry and Molecular Biology II, School of Pharmacy, University of Granada, Granada, Spain. [Plaza-Díaz,J; Molina-Montes,E; Martínez de Victoria,E; Ruiz-López,MD; Gil,Á] Institute of Nutrition and Food Technology “José Mataix”, Center of Biomedical Research, University of Granada, Granada, Spain [Plaza-Díaz,J; Molina-Montes,E; Gil,Á] Instituto de Investigación Biosanitaria IBS.GRANADA, Complejo Hospitalario Universitario de Granada, Granada, Spain. [Molina-Montes,E; Madrigal,C; Ruiz-López,MD] Department of Nutrition and Food Sciences, Faculty of Pharmacy, University of Granada, Granada, Spain. [Soto-Méndez,MJ; Madrigal,C; Hernández-Ruiz,Á; Ruiz-López,MD; Gil,Á] Iberoamerican Nutrition Foundation (FINUT), Armilla, Granada, Spain. [Valero,T; Varela-Moreiras,G] Spanish Nutrition Foundation (FEN), Madrid, Spain. [Lara Villoslada,F] Instituto de Nutrición Puleva, Granada, Spain. [Leis,R] Department of Pediatrics, Unit of Pediatric Gastroenterology, Hepatology and Nutrition University Clinical Hospital of Santiago, Santiago de Compostela, Spain. [Leis,R] Instituto de Investigación Sanitaria de Santiago, IDIS, Santiago de Compostela, University Clinical Hospital of Santiago, Santiago de Compostela, Spain. [Leis,R; Gil,Á] CIBEROBN (Physiopathology of Obesity and Nutrition), Instituto de Salud Carlos III (ISCIII), Madrid, Spain. [Martínez de Victoria,E] Department of Physiology, University of Granada, Granada, Spain. [Moreno,JM] Department of Pediatrics, University of Navarra Clinic, Madrid, Spain. [Ortega,RM] Department of Nutrition and Food Sciences, Faculty of Pharmacy, Complutense University, Madrid, Spain. [Varela-Moreiras,G] Department of Pharmaceutical and Health Sciences, Faculty of Pharmacy, CEU San Pablo University, Madrid, Spain.
Keywords: Children;Cluster analysis;Dietary patterns;Physical activity;Sedentary behavior;Niño;Análisis por grupos;Conducta alimentaria;Physical activity;Conducta sedentaria
metadata.dc.subject.mesh: Medical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Quality of Health Care::Epidemiologic Factors::Age Factors
Medical Subject Headings::Organisms::Eukaryota::Animals
Medical Subject Headings::Persons::Persons::Age Groups::Child
Medical Subject Headings::Phenomena and Processes::Physiological Phenomena::Nutritional Physiological Phenomena::Child Nutritional Physiological Phenomena
Medical Subject Headings::Persons::Persons::Age Groups::Child::Child, Preschool
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cohort Studies
Medical Subject Headings::Phenomena and Processes::Digestive System and Oral Physiological Phenomena::Digestive System Physiological Phenomena::Digestive System Processes::Eating
Medical Subject Headings::Anthropology, Education, Sociology and Social Phenomena::Human Activities::Exercise
Medical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Feeding Behavior
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Psychology, Social::Life Style
Medical Subject Headings::Technology and Food and Beverages::Food and Beverages::Food::Dairy Products::Milk
Medical Subject Headings::Geographical Locations::Geographic Locations::Europe::Spain
Medical Subject Headings::Health Care::Population Characteristics::Population::Urban Population
Medical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Promotion
Issue Date: 21-Aug-2020
Publisher: MDPI
Citation: Plaza-Díaz J, Molina-Montes E, Soto-Méndez MJ, Madrigal C, Hernández-Ruiz Á, Valero T, et al. Clustering of Dietary Patterns and Lifestyles Among Spanish Children in the EsNuPI Study †. Nutrients. 2020 Aug 21;12(9):2536
Abstract: Dietary patterns (DPs) are known to be tied to lifestyle behaviors. Understanding DPs and their relationships with lifestyle factors can help to prevent children from engaging in unhealthy dietary practices. We aimed to describe DPs in Spanish children aged 1 to <10 years and to examine their associations with sociodemographic and lifestyle variables. The consumption of toddler and young children milk formulas, enriched and fortified milk within the Spanish pediatric population is increasing, and there is a lack of evidence whether the consumption of this type of milk is causing an impact on nutrient intakes and if they are helping to reach the nutrient recommendations. Within the Nutritional Study in the Spanish Pediatric Population (EsNuPI), we considered two study cohorts and three different age groups in three year-intervals in each of them. The study cohort included 740 children in a representative sample of the urban non-vegan Spanish population and 772 children in a convenience cohort of adapted milk consumers (AMS) (including follow-on formula, toddler's milk, growing up milk, and fortified and enriched milks) who provided information about sociodemographics, lifestyle, and dietary habits; a food frequency questionnaire was used for the latter. Principal component analysis was performed to identify DPs from 18 food groups. Food groups and sociodemographic/lifestyle variables were combined through a hierarchical cluster algorithm. Three DPs predominated in every age group and study sample: a palatable energy-dense food dietary pattern, and two Mediterranean-like DPs. However, children from the AMS showed a predominant dietary pattern markedly related to the Mediterranean diet, with high consumption of cereals, fruits and vegetables, as well as milk and dairy products. The age of children and certain lifestyle factors, namely level of physical activity, parental education, and household income, correlated closely with the dietary clusters. Thus, the findings provide insight into designing lifestyle interventions that could reverse the appearance of unhealthy DPs in the Spanish child population.
metadata.dc.identifier.doi: 10.3390/nu12092536
ISSN: 2072-6643 (Online)
Appears in Collections:01- Artículos - Complejo Hospitalario Universitario de Granada
01- Artículos - ibsGRANADA. Instituto de Investigación Biosanitaria de Granada

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