Children's Diets Research Articles

Results from the Strong Families Start at Home/Familias Fuertes Comienzan en Casa: feasibility randomised control trial to improve the diet quality of low-income, predominantly Hispanic/Latinx children.

To describe the feasibility, acceptability and results of Strong Families Start at Home, a 6-month pilot trial of a home-based food parenting/nutrition intervention. Pilot randomised controlled trial. Participants received six visits with a community health worker trained in motivational interviewing (three home visits, three phone calls); an in-home cooking or reading activity; personalised feedback on a recorded family meal or reading activity; text messages and tailored printed materials. Parents and their 2-5-year-old child were randomised into intervention (responsive food parenting practices/nutrition) or control (reading readiness) groups. Parents (n 63) were mostly mothers (90 %), Hispanic/Latinx (87 %), born outside the USA (62 %), with household incomes <$25 k (54 %). Despite delivery during COVID-19, 63 % of dyads were retained at 6 months. The intervention was delivered with high fidelity. All parents in the intervention group (n 24) expressed high levels of satisfaction with the intervention, which produced positive treatment effects for whole and total fruit component Healthy Eating Index-2015 scores (point estimate (PE) = 2·14, 95 % CI (0·17, 1·48); PE = 1·71, 95 % CI (0·16, 1·47), respectively) and negative treatment effects for sodium (PE = -2·09, 95 % CI (-1·35, -0·04)). Positive treatment effects also resulted for the following food parenting practices: regular timing of meals and snacks (PE = 1·08, 95 % CI (0·61, 2·00)), reducing distractions during mealtimes (PE = -0·79, 95 % CI (-1·52, -0·19)), using food as a reward (PE = -0·54, 95 % CI (-1·35, -0·04)) and providing a supportive meal environment (PE = 0·73, 95 % CI (0·18, 1·51)). Given the continued disparities in diet quality among low-income and diverse families, continued efforts to improve child diet quality in fully powered intervention trials are needed.

Dietary Habits of Children 0 - 23 Months in Rural Kansas: Early Life Diets of Rural Children.

Children in rural areas face increased rates of obesity compared to their urban counterparts, and diet in early childhood may influence the development of diseases related to food intake. This study sought to determine current diet of children 0-23 months of age in rural Kansas. Medical students participating in 6-week, summer, rural clinical experiences offered the survey to caregivers of children 0-23 months, born at term as singletons without a specialized diet. The survey asked respondents to answer with the child's diet over the last seven days. The survey was in the style of a validated Food Frequency Questionnaire for infants with an image for estimating portion sizes. Diets were compared to guidelines set by the Dietary Guidelines for Americans, 2020-2025. Of 44 responses, 21 children were aged 0-5 months, 7 aged 6-11 months, and 16 aged 12-23 months. Breastfeeding rates were nearly double reported national averages. All children aged 0-5 months met guidelines. None of the children 6-11 months or 12-23 months met guidelines. In the 6-11 month group, four consumed food in addition to breastmilk or formula (complementary foods). In the 12-23 month group, protein and dairy foods were lower than, and whole grains and vegetables were higher than, reported national averages, respectively. Children may fall short of meeting dietary recommendations due to foods consumed in addition to breastmilk. There is a need for improved survey methods to capture the diets of young children in the rural United States.

Interlinkages between Climate Change and Food Systems: The Impact on Child Malnutrition-Narrative Review.

The pandemics of obesity, undernutrition, and climate change represent severe threats to child health. They co-occur; interact with each other to produce sequelae at biological, psychological, or social levels; and share common underlying drivers. In this paper, we review the key issues concerning child diet and nutritional status, focusing on the interactions with climate and food systems. Inadequate infant and young child feeding practices, food insecurity, poverty, and limited access to health services are the leading causes of malnutrition across generations. Food system industrialization and globalization lead to a double burden of malnutrition, whereby undernutrition (i.e., stunting, wasting, and deficiencies in micronutrients) coexists with overweight and obesity, as well as to harmful effects on climate. Climate change and the COVID-19 pandemic are worsening child malnutrition, impacting the main underlying causes (i.e., household food security, dietary diversity, nutrient quality, and access to maternal and child health), as well as the social, economic, and political factors determining food security and nutrition (livelihoods, income, infrastructure resources, and political context). Existing interventions have the potential to be further scaled-up to concurrently address undernutrition, overnutrition, and climate change by cross-cutting education, agriculture, food systems, and social safety nets. Several stakeholders must work co-operatively to improve global sustainable nutrition.

Analysis of the actual nutrition in primary school students of the Republic of Bashkortostan

Introduction. A comprehensive hygienic research was aimed at studying the actual nutrition in primary school children living in the city of Ufa and the large village of Iglino. Materials and methods. The nature and structure of the actual diet of the students was studied by the method of 24-hour reproduction of the diet, one day prior to the survey. The findings were compared with measures of norms of physiological energy and food requirements for children and adolescents. The study involved seven hundred 7-11 year students of grades 1-4 from nine schools in Ufa (460 cases) and village of Iglino (240 children). Results. The diet in children of the studied group is adequate in energy value and consumption of proteins and fats. The amount of carbohydrate consumption is reduced relative to the norms of physiological needs (NPN) by 25%, but at the same time the share of admission with the diet of simple carbohydrates exceeds the norm. Increased intake of added salt 1.4-fold revealed. The average daily diet is provided with vitamins, but is deficient in calcium, the intake of which is 68% of the NPN. The actual nutrition of younger schoolchildren living in the city of Ufa is characterized by the excess intake of sodium is almost 4 times. The Ca : Mg to Ca : P ratio is broken. The distribution of calories in individual meals made it possible to identify a reduced share of calories in breakfast (19% instead of 25%) and dinner (22% instead of 35-40%). Limitations. The study analyzed only the actual nutrition of children aged 7-11 years. In the future, it is planned to study the nutrition of schoolchildren of other age groups. Conclusion. The main nutritional disorders in primary school children are expressed in increased consumption of saturated fatty acids, simple carbohydrates and added salt. In combination with calcium deficiency and excess sodium, such an imbalance can further cause the risk of developing alimental-dependent diseases.

Sustainability and scalability of egg consumption in Burkina Faso for infant and young child feeding.

Malnutrition is a significant challenge to the health of women and children in Burkina Faso. Given the critical role of animal source food on the health of infants and young children (IYC), interventions continue to explore the potential for eggs to prevent malnutrition. Using data from the Un Oeuf intervention, which significantly increased IYC egg consumption, combined with quantitative and qualitative data from endline and 3-month follow-up, we explore the barriers and facilitating factors to IYC egg consumption and the sustainability and scalability of the intervention. Child egg consumption was high at follow-up in the Control, Partial, and Full Intervention arms (83.3, 88.2%, and 100, respectively). The Full Intervention arm had the highest mean number of eggs consumed (2.9, 2.6, and 5.7), which reflected a slight reduction from endline (6.2). All participants owned chickens at follow-up (100%), however, flock size varied. The Full Intervention arm had more chickens (mean 8.8) than the Control (5.1) or Partial Intervention (6.2) arms, which was a 50% reduction in below endline (18.5 chickens). Qualitative results indicate that chicken ownership, education about the nutritional value of eggs, and spousal support facilitated IYC egg consumption. Barriers included egg production, cultural taboos, and animal health. Motivational factors reported included the observed improvement in child health, increased availability of mothers' time, and mothers' financial independence. Knowledge sharing within the Full and Partial Intervention groups was widely reported, and the sustainability of IYC egg consumption was reinforced by accountability among mothers and to community leaders, flipbooks distributed during the project, and high motivation. Main findings indicate that mothers who received the full Un Oeuf intervention were able to overcome barriers to feeding their child an egg daily, were able to improve their livelihood, were motivated to continue feeding their child eggs, and saw the addition of eggs into the child's diet as sustainable. Future nutrition sensitive agriculture interventions should consider tailoring this approach for other LMIC contexts. Future research is needed to explore a possible threshold in the number of household chickens necessary to continuously feed a child an egg a day.

Hubungan Riwayat Makanan Pendamping ASI dan Perilaku Makan Orang Tua dengan Status Gizi Anak Picky Eater

Introduction: Picky eater is a picky eating behavior in children. Picky eaters are a common problem with children's eating patterns. The factors that cause picky eaters are a history of complementary foods and parental eating behavior. A good child's diet will affect the nutritional status of children to be good. Objective: To determine the relationship between the history of complementary feeding and the eating behavior of parents with the nutritional status of picky eater children Methods: This research design uses correlation with a cross-sectional approach. A sample of 52 respondents was taken using purposive sampling. Data were collected by questionnaire and analyzed using Chi-square. Result: Statistical test using Chi-Square test with a significance level of a = 0.05 or 95%. The results of the research found that the value of p = 0.012 &lt; a = 0.05 and p = 0.043 &lt; a = 0.05. Conclusion: There is a significant relationship between the history of complementary feeding and parents’ eating behavior with the nutritional status of picky eater children.

Total Usual Nutrient Intakes and Nutritional Status of United Arab Emirates Children (4 Years-12.9 Years): Findings from the Kids Nutrition and Health Survey (KNHS) 2021.

This study aims at investigating the anthropometric status and food consumption patterns of children in the United Arab Emirates (UAE) and assessing their adherence to nutrient and dietary recommendations. It is a population-based cross-sectional survey of 690 children (4-12.9 years), from 3 major Emirates. Socio-demographic and anthropometric characteristics were collected. Dietary intakes were assessed using the 24-hour recall approach. Of the total sample, 4% were stunted, 8% were wasted and 28% were overweight/obese. A third of participating children consumed above the Estimated Energy Requirement, while the majority's intakes carbohydrate, total fat, and protein were within the recommendations; whereas over 70% and 90% of participants consumed above the WHO daily limits of free sugars and saturated fats, respectively. Inadequate intakes of linoleic acid (36% of children), alpha-linolenic acid (91%) and dietary fiber (100%) were observed. All children failed to meet the recommendation for vitamin D and considerable proportions had inadequate intakes of vitamin A, calcium, zinc, folate, and magnesium. Compared with the American Heart Association/American Academy of Pediatrics recommendations, low dietary adherence was noted for fruits (9%), vegetables (4%), and milk/dairy (14%). These findings may be used in the development of nutritional policies aimed at improving the diets of children in the UAE.

Сахар и подсластители в детском питании

Obesity is one of the most significant non-communicable diseases of our time. Among the key causes of its development is the stereotype of modern human diet with its inherent excessive intake of “critical” nutrients, in particular simple carbohydrates. The possibility of reducing the consumption of added sugars by replacing them with non-nutritive sweeteners is discussed, including in the organization of child nutrition. The interest in non-nutritive sweeteners stems from their lack of energy value and glycemic index while being able to provide a sweet taste. This article presents a review of the literature on the use of sweeteners in the diet of children and adolescents. The current classification of sweeteners, their physical and chemical properties, data of clinical studies on the effectiveness of using non-nutritive sweeteners in the diet of children and adolescents, including their influence on eating behavior, metabolism, and body weight dynamics, are presented. Nowadays most authors consider it inappropriate to include non-nutritive sweeteners in the diet of healthy children, which is reflected in domestic and international recommendations. The efficacy and safety of using non-nutritive sweeteners in children’s diets require further controlled scientific studies involving large groups of children Key words: obesity, sweeteners, children, body weight

Children's Diet and Nutrition in the Aftermath of the Torrential Rain Disaster in Western Japan: An Evaluation of Support Activities by Dietitians to Alleviate Mothers' Anxieties.

The purpose of this study was to clarify whether the support activities of dietitians during disasters were able to address the problems faced by mothers about their children's diet and nutrition. Dietitians (7 in total) and mothers (8) were selected by the snowball sampling method. Semi-structured interviews were used to conduct focus group interviews about children's diet and nutrition. Verbatim data were generated, and an inductively qualitative descriptive analysis was conducted. Six categories were generated for each group. Dietitians responded to problems that mothers had regarding their children's diet and nutrition via 2 activities: [dealing with allergy food shortages] and [school lunch support]. It is important for dietitians to recommend stockpiling allergy-friendly foods to accommodate children with allergies and achieve early resumption of school lunches to meet children's nutritional needs.

Adherence to mediterranean diet in children and adolescents at psychosis risk and transition to psychosis: the capris study

Adherence to mediterranean diet in children and adolescents at psychosis risk and transition to psychosis: the capris study

Dysregulated phosphate metabolism in autism spectrum disorder: associations and insights for future research.

Studies of autism spectrum disorder (ASD) related to exposure to toxic levels of dietary phosphate are lacking. Phosphate toxicity from dysregulated phosphate metabolism can negatively impact almost every major organ system of the body, including the central nervous system. The present paper used a grounded theory-literature review method to synthesise associations of dysregulated phosphate metabolism with the aetiology of ASD. Cell signalling in autism has been linked to an altered balance between phosphoinositide kinases, which phosphorylate proteins, and the counteracting effect of phosphatases in neuronal membranes. Glial cell overgrowth in the developing ASD brain can lead to disturbances in neuro-circuitry, neuroinflammation and immune responses which are potentially related to excessive inorganic phosphate. The rise in ASD prevalence has been suggested to originate in changes to the gut microbiome from increasing consumption of additives in processed food, including phosphate additives. Ketogenic diets and dietary patterns that eliminate casein also reduce phosphate intake, which may account for many of the suggested benefits of these diets in children with ASD. Dysregulated phosphate metabolism is causatively linked to comorbid conditions associated with ASD such as cancer, tuberous sclerosis, mitochondrial dysfunction, diabetes, epilepsy, obesity, chronic kidney disease, tauopathy, cardiovascular disease and bone mineral disorders. Associations and proposals presented in this paper offer novel insights and directions for future research linking the aetiology of ASD with dysregulated phosphate metabolism and phosphate toxicity from excessive dietary phosphorus intake.

Improvement in adherence to Mediterranean diet in children attending preschool centers

Background: the Mediterranean diet has been associated with a lower prevalence of obesity and metabolic syndrome, and with healthier lifestyles in adults and children, but data is scarce in younger ages. The Mediterranean-type ecosystem of the central region of Chile as well as its traditional gastronomy would facilitate the adoption of this dietary pattern. Objectives: to assess the adherence to Mediterranean diet in preschoolers and their parents, and to evaluate the impact of a nutrition education intervention and diet implementation. Methods: prospective cohort study. The KidMed index was applied to children older than 18 months, and the Mediterranean Dietary Index in Chile (Chilean-MDI) to their parents, before and after a remote educational intervention. Results: one hundred and thirty-nine families participated, with 95 preschoolers; 56 % were girls, aged 26.2 ± 8.7 months. The basal mean KidMed score was 7.4 ± 1.9 and increased to 7.9 ± 1.9 after the intervention (p = 0.1). The Chilean-MDI score was 6.9 ± 1.8 and 7.1 ± 1.7, respectively (p = 0.09). When separated by categories, there was improvement from low and moderate adherence to optimal adherence in both children and their parents (Chi2, p = 0.009 y p = 0.04). In 58 dyads, there was a positive correlation between the KidMed and the Chilean-MDI index, pre- and post-intervention (Pearson R = 0.3 y 0.34; p = 0.004 y 0.003, respectively). Conclusions: most of these sample of preschoolers and their parents had a moderate adherence to Mediterranean diet, with an improvement after an educational intervention.

Proposal for a school health education program: healthy eating at school

Introduction: Childhood obesity is one of the most prevalent noncommunicable diseases in our country, and according to the 2019 ALADINO study, it affects 17.3% of Spanish children. The World Health Organization establishes that this problem is fundamentally due to a lifestyle based on a sedentary lifestyle and poor eating habits, which are in turn related to an increase in the consumption of ultra-processed foods. It is affirmed that interventions on nutrition and physical activity in the school environment imply improvements in the change of these habits in the child population, in addition to interventions on their closest environment, such as their relatives. Objective: To develop an educational program that allows establishing a healthy and balanced diet in children in the 6th grade of primary school, through basic knowledge about nutrition. Methodology: The target population will include both students enrolled in the 6th grade of primary school and their families and teaching staff of the center. A total of 6 training sessions, theoretical and practical, will be held on healthy eating and physical activity for students, and 1 session for families and teaching staff of the center. Conclusions: With the application of the program, positive changes are expected to be achieved both in the improvement of health-related habits and in the acquisition of knowledge about healthy eating.

Adherence to the Mediterranean diet and eating behaviour in Spanish schoolchildren

Introduction: eating behaviors may modulate or influence diet quality and the degree of adherence to the Mediterranean diet in children and adolescents. Aims: to investigate the association between diet quality and eating behavior in a group of Spanish schoolchildren. Methods: descriptive cross-sectional study of 283 Spain schoolchildren aged six to 16. Each subject was assessed using the KIDMED questionnaire for adherence to the Mediterranean diet and the Children's Eating Behaviour Questionnaire (CEBQ) questionnaire to assess eating behavior. Results: of the sample, 12.80 % had low adherence to the Mediterranean diet, 59.80 % had poor adherence, 59.80 % could be improved, and 27.40 % had high adherence. When relating eating behavior to dietary quality, it was found that, generally, schoolchildren with greater enjoyment of food and less demand for food have double the adherence to the Mediterranean diet due to almost twice the consumption of vegetables, nuts, and fish, and a lower intake of low-quality processed foods (sweets). The response to satiety and the speed of ingestion also played an important role in food choices. Conclusions: eating behaviors may play an essential role in the quality of school children's diets highlighting the enjoyment and acceptance or rejection of food. Given the bidirectional nature of the effects between eating behaviors and diet quality, the joint analysis may be the basis for future research with the aim of a better nutritional approach from the earliest ages.

Особенности пищевого поведения у детей с расстройством аутистического спектра

Objective. To study the effect of nutrition and psychopathological traits on the development of eating behavior in children with autism spectrum disorder (ASD). Patients and methods. A comparative analysis of the features of nutrition and eating behavior in 40 children with ASD and 40 neurotypical controls was performed. Two patient groups were comparable in age (3–8 years). The methods used to assess nutrition included retrospective dietary recall, analysis of the frequency of consumption of specific foods or meals, and a 24-hour dietary recall survey. For retrospective analysis of children’s nutrition, we developed a questionnaire for parents, considering the characteristics of eating behavior in both children with ASD and neurotypical controls. Results. The introduction of first complementary foods in children with ASD did not differ significantly from neurotypical controls. The first peculiarities of eating behavior in children with ASD began to manifest themselves when trying to expand the variety of complementary foods. In 57.5% of children with ASD, clear disorders of eating behavior coincided with the onset of regression in neuropsychological development. There appeared food selectivity (in 72.5% of children with ASD), picky eating (in 22.5%), gagging at the sight, consistency, and color of food (in 42.5%) and a limited range of foods (in 70%), which was practically impossible to expand. The nutrition of children in the control group was diverse. They were interested in new tastes and consistency of foods, and food selectivity was noticed only in 16.7% of cases and was not so categorical. An attempt to influence the health status of children with ASD, primarily to reduce psychomotor agitation, was manifested in the use of elimination diets (gluten-free and/or casein-free) in 37.5% of children with ASD, which demonstrated a positive effect in most children. However, the indications for their use and duration were commonly not coordinated with a physician, which created a risk of deterioration in children’s health. Conclusion. Eating disorders are not always noticed by specialists in time and require special attention, as they can be both symptoms of ASD and contribute to disease aggravation. Refusal of children with ASD from previously consumed foods, selectivity, and picky eating commonly coincide with regression in neuropsychological development. The use of gluten-free and/or casein-free elimination diets in children with ASD should be justified. Restricted and unbalanced diets prescribed by parents without medical supervision may exacerbate the nutritional and health problems in children with ASD. Key words: autism spectrum disorder, children, eating behavior, nutrition, gluten-free diet, casein-free diet

Covid-19 Pandemisinde Sosyal İzolasyonun Çocuklarda Beslenme Alışkanlıkları, Diyet Kalitesi, Yaşam Tarzı Değişiklikleri ve Obezite Üzerine Etkisi

Aim: This cross-sectional study aimed to evaluate the effects of social isolation on children's nutritional habits, diet quality, lifestyle changes, and obesity during the Covid-19 pandemic. Material and methods: This study was conducted on 222 (110 boys and 112 girls) children and adolescents aged 6-18 years who were forced to quarantine themselves at home. A web-based survey was used to obtain study data. Children and adolescents were asked about their demographic characteristics, eating habits, the Mediterranean Diet Quality Index (KIDMED), sleep duration, screen time, physical activity status and anthropometric measurements (body weight and height). Results: It was found that children's screen time and sleep duration increased in both gender and percentage of doing physical activity decreased during the pandemic. Body weight and body mass index of children increased mean 1.5±2.21 kg and 0.6±0.91 kg/m2 respectively. The mean KIDMED score of children was 6.4±2.37 and more than half of children complianced with Mediterranean diet moderately during the pandemi period. It was determined that children consumed more snacks (sweet and salty), dessert and pastry products than before the pandemic period, but some healthy eating habits such as vegetables, fruits, nuts, and oilseed consumption increased during the pandemic. Conclusion: Children’s increased weight gain, changed eating habits and physical activity may be associated with increased the time spent at home due to social isolation during the pandemic period. For this reason, frequent monitoring and evaluation of the nutritional status of children during the Covid-19 lockdown is very important for public health authorities to make future policies on children’s nutritional recommendations when new pandemics arrive and lockdown policies are implemented.

Kvalitet ishrane u sistemu državnih predškolskih ustanova u Srbiji iz perspektive roditelja i zaposlenih

Introduction. Preschool children are a particularly sensitive group in need of special care concerning health, safety, food, and nutrition. Furthermore, habits formed at an early age tend to be retained even in adulthood. Therefore, parents as the first educators of their children are responsible for the development of healthy eating habits and the quality of nutrition of preschool children. Also, as children start to attend a preschool institution, the employees in that institution have an equally important role and responsibility in that regard. Aims. The aims of the research were as follows: to ascertain whether parents are satisfied with the quality of children's diet in preschool institutions; to identify the attitudes of preschool teachers and nurses-preschool teachers toward children's nutrition in preschool institutions, the balance between the quality of food in family homes and kindergartens, and to establish various forms of cooperation between families and preschool institutions regarding the development of healthy eating habits in preschool children. Material and Methods. The sample comprised 933 respondents, including 763 parents, 59 nurses, and 111 preschool teachers. The required data were collected by applying an assessment scale in the case of parents, and interviews in the case of nurses and preschool teachers. Results. The majority of respondents are satisfied with the quality of nutrition in kindergartens. Various forms of cooperation between preschool institutions and parents exist to inform parents about the proper nutrition and development of healthy eating habits in children. Conclusion. According to the perceptions of parents and kindergarten employees, the quality of children's nutrition in the system of institutional preschool education is at an enviable level, although there is certainly room for further improvement and work on the development of proper and healthy eating habits in children in kindergarten and at home.

ВИКОРИСТАННЯ ГАРБУЗА ПРИ ВИРОБНИЦТВІ КОТЛЕТ РИБНИХ ДИТЯЧИХ

Modern baby food is characterized by a marked deterioration in children's eating habits. Unhealthy foods (snacks and sweets) are increasingly appearing in children's diets, and the amount of nutritionally valuable foods (vegetables, fish, etc.) is significantly decreasing. That is why it is important to introduce dishes with a balanced nutritional composition into children's diets.An analysis of research and publications in the field of baby food technology has shown that little attention has been paid to the development of recipes for multicomponent fish dishes for the children's menu of hotel and restaurant business estab-lishments in the scientific literature today.The aim of the article is to substantiate the recipe for children's fish cutlets "Pumpkin" with enrichment with functional ingredients to increase the biological value and improve the organoleptic properties of the finished dish.The recipe of children's fish cutlets "Pumpkin" was developed by completely replacing the main fish raw material in the traditional recipe of amateur fish cakes with cod fillets with the addition of pumpkin purée and completely replacing the aux-iliary raw materials with rye bread, quail eggs, almond milk, olive oil. Samples of the new dish were made, its organoleptic and physicochemical quality indicators were studied, and its biological value was calculated. A comprehensive assessment of the quality of children's fish cutlets "Pumpkin" was carried out using the Harrington method.Fish cutlets for children "Pumpkin" have a simple technological process of preparation and can be included in the children's menu of hotel and restaurant business establishments

Medical and social assessment of the quality of life of a family with a child suffering from food allergy

Food allergy (FA) is a health problem that adversely affect the quality of life of children and their family members. The purpose of the study was to assess the quality of life in families with children affected FA. Material and methods. A cross-sectional study was conducted in a group of 75 children with a confirmed FA (at the age of Me 4.9 years [1.3; 7.1]). One of the caregivers of the child was asked to complete the Russian version of a specialized questionnaire «The Food hypersensitivity famiLy ImPact, FLIP» for assessing the life quality of families with children affected FA. Results. Diet organization is the main concern affecting quality of life, while the daily life of the family and the emotional sphere are less impacted. Age, type of food allergens and clinical manifestations do not significantly contribute the life quality indicators. Hypersensitivity to several food is statistically associated with changes in everyday life and emotions. Non-compliance with the diet is associated with a lower impact of FA on quality of life. 56% of respondents worried about the nutritional value of child's diet and 49.3% of caregivers reported that a child's FA significantly impacted grocery shopping behaviors (reading labels, etc.). At the same time, 73.3% noted that child's FA does not affect the diet of other family members. Also, 33.3% of the parents experienced anxiety due to child's FA and 38.7% are worried that FA might stay persistent. 30.7% of respondents are afraid of accidental consuming of allergenic products. Conclusion. The acquired results indicate the importance of quality of life assessment for understanding the social aspects of FA. Strategies to improve the quality of life include the development of informational and educational programs both for parents and patients. In order to estimate impact of FA to life quality from the patient's perspective further development of questionnaires adapted for children and adolescents is necessary.

The relationship between parent's self-reported exposure to food marketing and child and parental purchasing and consumption outcomes in five countries: findings from the International Food Policy Study.

Food and beverage marketing influences children's food preferences and dietary intake. Children's diets are also heavily influenced by their family environment. The aim of this study was to assess the relationship between parent's self-reported exposure to unhealthy food marketing and a range of outcomes related to children's desire for and intake of unhealthy foods and beverages. The study also sought to examine whether these outcomes varied across different countries. The analysed data are from the International Food Policy Study and were collected in 2018 using an online survey. The sample included 5764 parents of children under 18, living in Australia, Canada, Mexico, the United Kingdom, or the United States. Binary logistic regressions assessed the link between the number of parental exposure locations and children's requests for and parental purchases of unhealthy foods. Generalized ordinal regression gauged the relationship between the number of exposure locations and children's consumption of such items. Interaction terms tested if these associations varied by country. Parental exposure to unhealthy food marketing was positively associated with parents reporting child purchase requests and purchase outcomes; and differed by country. Increased parental exposure to unhealthy food marketing was associated with slightly lower odds of children's weekly consumption of unhealthy foods, and this association varied by country. In conclusion, parental report of a greater range of food marketing exposure was associated with a range of outcomes that would increase children's exposure to unhealthy food products or their marketing. Governments should consider developing more comprehensive restrictions on the marketing of unhealthy foods.