Healthy Diet In Children Research Articles

Effects of an elimination diet and a healthy diet in children with Attention‐Deficit/Hyperactivity Disorder: 1‐Year prospective follow‐up of a two‐arm randomized, controlled study (TRACE study)

AbstractBackgroundAn Elimination Diet (ED) or Healthy Diet (HD) may be effective in reducing symptoms of Attention‐Deficit/Hyperactivity Disorder (ADHD), but long‐term maintenance effects and feasibility have never been examined.MethodsOne‐year prospective follow‐up of a sample of 165 children (5–12 years) with ADHD randomized (unblinded; 1:1) to 5 weeks treatment with either ED (N = 84) or HD (N = 81) and a non‐randomized comparator arm including 58 children being treated with Care as Usual (CAU). Dietary participants were allowed to add or switch to CAU treatment after 5 weeks. The primary outcome was a 5‐point ordinal measure of improvement based on both parent and teacher ratings on ADHD and dysregulation problems, determined after 1 year prospective follow‐up. Ordinal regression analyses and linear mixed models analyses were conducted on an intention to treat basis. In addition, as‐treated analyses were performed. The trial is closed and registered in the Dutch trial registry, number NL5324.ResultsAt 1 year follow‐up, 24% of the participants still complied with the ED and 37% still complied with the HD. In the ED (+CAU) trajectory, fewer participants showed (partial) improvement after 1‐year prospective follow‐up compared to the HD (+CAU) trajectory (47% vs. 64%, χ2 (4, N = 152) = 11.97, p = 0.018). The HD (+CAU) ‐ but not ED (+CAU) ‐ trajectory had comparable 1‐year outcomes compared to the non‐randomized CAU‐trajectory. Results for secondary outcomes (e.g. health, parental stress) did not differ between the ED (+CAU) and HD (+CAU) trajectories. The prevalence of psychostimulant use was lower in the ED (+CAU) and HD (+CAU) trajectories compared to the non‐randomized CAU‐trajectory (38%, 45%, 78%, respectively). Predictors for long‐term benefit from dietary treatments included high initial severity of ADHD problems, low severity of emotional problems and sufficient parental mental resources.ConclusionsIn line with the short‐term effects, prospective 1‐year follow‐up outcomes are in favor of treatment with HD and not ED. Initial 5‐week treatment with HD and if needed/preferred followed by CAU may reduce psychostimulant use without negatively impacting 1‐year outcomes.

The Relationship Between Mothers’ Characteristics and Mothers’ Level of Knowledge About Children’s Diet in Overweight Children With A Risk of Diabetes Mellitus in An Elementary School in Tangerang

Diabetes Mellitus (DM) is a disease characterized by high blood sugar levels that could occur in school-age children. One of the risk factors of DM is being overweight, which is influenced by an unbalanced diet. Good knowledge of mothers in providing good nutritional intake to overweight children can reduce the risk of DM in children. This study aims to identify the relationship between mothers’ characteristics (age, occupation, education level, exposure to information from mass media, and family history of DM) and mothers’ level of knowledge about the diet of overweight children with the risk of DM in children aged 6-12 years in an elementary school in Tangerang. This study used a descriptive quantitative method with univariate and bivariate analysis. A purposive sampling of 31 mothers with overweight children was involved. The research instrument was a questionnaire measuring the mothers' level of knowledge about the diet of overweight children with a risk of DM. The results showed that only education level revealed a relationship with mothers’ level of knowledge (p-value <0.05), while other characteristics indicated no relationship (p-value > 0.05). Increasing mothers ‘knowledge about healthy diets for children can be obtained from formal education, but non-formal education also plays an important role. Schools can reach out to health units to provide health education about the diet of school-age children and provide a clean and healthy canteen. Further research should identify other factors influencing the mother's knowledge level.

5.O. Workshop: Best Practices against child obesity

Abstract European countries in the field of health promotion and prevention of non-communicable diseases, indicating best practices and specific risk factors from research results on child obesity that have already developed from previous research actions. The overall goal of the JA is to implement two best practices Grunau Moves established in Germany and Smart Family established in Finland in different MS. The implementation process will include the knowledge transfer between best practice owners (Smart Family and Grunau Moves) and partner organisations from the Member States through the implementation of actions, the cooperation and exchange of knowledge between member states, the organisation of meetings, and related technical support. Also important part of the project is to produce policy developments to foster public health investments at community level in each country member on Health Promotion, Disease Prevention and Management of Non-Communicable Diseases. Scope of the project will be to promote to participating member states healthy lifestyles in families with children to prevent childhood obesity, to increase physical activity and healthy diet in children,families and communities with a focus on social norms, recognition and self-esteem in deprived districts in member states. Also, to study the different prerequisites for member states to implement either Grunau Moves or Smart Family. Finally, to prepare the sustainability of these best practices and transfer to other member states based on the acquired knowledge and experience. The expected results focus on the identification of concrete challenges in the prevention of non-communicable diseases and policy solutions in the form of best practices and innovative solutions for collective action between the Member States and the Commission, to tackle the main public health challenges Key messages • To strengthen a cooperative approach in tackling childhood obesity. • To improve the planning and development of the policies to tackle childhood obesity.

‘Grunaus moves’ implementation as a best practice in tackling child obesity

Abstract Grunau moves targets children (4-12) and their environmental and living conditions and related actors, focus on deprived district (reduction of health inequalities). It aims at creating health promoting settings, environments to promote physical activity and healthy diet in children and families. This best practice confirmed differences in nutrition and opportunities for physical activity for children between advantaged and disadvantaged districts (health inequity).

Short-term effects of an elimination diet and healthy diet in children with attention-deficit/hyperactivity disorder: a randomized-controlled trial.

An Elimination Diet (ED) may be effective in reducing symptoms of Attention-Deficit/Hyperactivity Disorder (ADHD), but has never been compared to an active control condition [i.e., Healthy Diet (HD)]. In a two-armed RCT, a total of N = 165 children (5-12years) with ADHD were randomized by means of minimization (1:1) to either an ED (N = 84) or HD (N = 81) within two Dutch child and adolescent psychiatry centers. The design included a non-randomized comparator arm including N = 58 children being treated with Care as Usual (CAU). Treatment allocation was unblinded. The primary outcome was a 5-point ordinal measure of respondership based on a combination of parent and teacher ratings on ADHD and emotion regulation, determined after 5 weeks of treatment. Ordinal regression analyses were done on an intention-to-treat basis. Fewer ED (35%) than HD (51%) participants showed a partial to full response, despite overall good-to-excellent treatment adherence (> 88%) and comparable high parental prior believes. A younger age and higher problem severity predicted a better respondership. CAU-preferring participants responded more often favorably (56%) compared to ED-but not HD-participants. Small-to-medium improvements in physical health (blood pressure, heart rate, and somatic complaints) were found in response to ED/HD versus decrements in response to CAU (74% received psychostimulants). The lack of superiority of the ED versus HD suggests that for the majority of children, dietary treatment response is not rooted in food-allergies/-sensitivities. The comparable results for treatment with HD and CAU are remarkable given that CAU participants were probably 'easier to treat' than HD (and ED) participants with proportionally fewer with a (suboptimal/non-response to) prior treatment with medication (4% versus 20%). Further assessment of long-term effects is needed to evaluate the potential place of dietary treatment within clinical guidelines. The trial is closed and registered in the Dutch trial registry, numberNL5324 ( https://www.onderzoekmetmensen.nl/en/trial/25997 ).

Effectiveness of Obesity Prevention Program Developed for Secondary School Students

ABSTRACT Background Obesity may cause physiological, psychological, social, and economic problems. Therefore, it is of considerable importance to implement preventive interventions for the factors that may cause obesity. Purpose This study aimed to evaluate the effectiveness of the obesity prevention program developed for secondary school students. Methods This study was conducted on 116 students assigned to intervention (n = 58) and control groups (n = 58). Data were collected at baseline and on months 6, 12 and 15 after the intervention. Multivariate analysis of variance, t-test with Bonferroni correction and Multi-chi-square test were used for repeated measurements. Results No significant difference was found in proportions of body mass index classification of children in the intervention group (p = .991), while a significant difference was found between measurements on month one and 15 in the control group (p < .05). There was no significant difference between mean total scores in the eating behavior questionnaire (p > .05). Dicussion In this study, it was thought that it would be more effective to add obesity prevention education to the school curriculum and to keep its duration longer and to include families in this education. Translation to Health Education Practice Parents play an enormous role in the nutrition of children. Therefore, parents should be supported for a healthy diet in children. Moreover, parents should be included in healthy eating initiatives for children. A AJHE Self-Study quiz is online for this article via the SHAPE America Online Institute (SAOI) http://portal.shapeamerica.org/trn-Webinars

PENDIDIKAN DIET SEHAT DI ERA PANDEMI COVID-19 DENGAN MEDIA KOMIK DAN KARTU GIZI PADA ANAK DI WILAYAH KECAMATAN PANCENG, GRESIK

The government issued an online learning model policy as an effort to minimize the transmission of COVID-19 in children. However, the transmission of COVID-19 is still affecting children. To prevent the spread of the virus with the immune system through a balanced nutritional lifestyle. The purpose of this community service (PKM) is to provide education on a healthy diet for children in the era of the COVID-19 pandemic using comics and nutrition cards. Location of PKM activities at UPT SD Negeri 314 Gresik with due observance of strict health protocols. The PKM method uses a Community Based Research (CBR) approach through education and nutrition card games. Final evaluation of the PKM program by comparing the pre-test and post-test scores on knowledge about balanced nutrition. The results of PKM, there are 69 students (33 male students and 36 female students) where there is a difference in knowledge p = 0.000 (p &lt;0.05) before and after education. Empowerment of elementary school students through education about a healthy diet and balanced nutrition can be an effort to increase body resistance in the pandemic era.

The Impact of Psychoeducation on Healthy Diet in Children with ASD during the Covid-19 Pandemic

&#x0D; &#x0D; &#x0D; Covid-19 has created new habits in society, including for parents of children on the autistic spectrum. Parents become less confident in food that is processed outside the home, however Gluten Free Casein Free (GFCF) food ingredients which can be beneficial for children on the autistic spectrum, can be acquired and prepared at home. This research is an experimental study using One Group Pre-Test Post-Test and sample selection of purposive sampling technique. There were 3 people who consented to be the subject of this study. The instrument used was the comprehension instrument which consisted of 3 aspects: cognitive, affective, and psychomotor. There was also a control table for the application of the healthy diet to children to validate the consistency of parents in adopting a healthy diet after receiving psychoeducation. The analysis technique used the Mann-Whitney with the results showing a significance of 0.046 (p &lt;0.05), which means that there is a different in the score between the pre-test and post-test results in the subject group. The results show that a GFCF diet education improves parental understanding of the healthy diet of Children with ASD.&#x0D; Keywords: parents of children with autism spectrum disorder, psychoeducation, understanding healthy diet&#x0D; &#x0D; &#x0D;

Child-centered food systems: Reorienting food systems towards healthy diets for children

Current food systems are failing to guide children towards healthy diets. This paper presents a tool to identify the actions needed to reorient food systems to become more child-centred from a nutrition perspective. To connect the dots between children's lives, their food environments and food supply systems, the tool takes a child-centred, food systems approach. Comprising six methodological steps, the tool starts by measuring and understanding children's realities and then working back up into the system to identify how food environments and supply systems could make relevant foods more or less available, affordable, appealing and aspirational in the contexts of children's lives. The paper spells out the mix of methods needed to make this assessment, gives examples of the data and studies already available and type of insights they provide, and discusses the methodological challenges and gaps. It presents a worked example that shows how following these steps in sequence enables the identification of a package of actions that can act coherently to reorient food systems in the way most likely to have impact on child malnutrition.

A two arm randomized controlled trial comparing the short and long term effects of an elimination diet and a healthy diet in children with ADHD (TRACE study). Rationale, study design and methods

BackgroundFood may trigger Attention-Deficit/Hyperactivity Disorder (ADHD) symptoms. Therefore, an elimination diet (ED) might be an effective treatment for children with ADHD. However, earlier studies were criticized for the nature of the control group, potential confounders explaining the observed effects, unsatisfactory blinding, potential risks of nutritional deficiencies and unknown long term and cost-effectiveness. To address these issues, this paper describes the rationale, study design and methods of an ongoing two arm randomized controlled trial (RCT) comparing the short (5 week) and long term (1 year) effects of an elimination diet and a healthy diet compared with care as usual (CAU) in children with ADHD.MethodsA total of N = 162 children (5–12 years) with ADHD will be randomized to either an ED or a healthy diet. A comparator arm including N = 60 children being solely treated with CAU (e.g. medication) is used to compare the effects found in both dietary groups. The two armed RCT is performed in two youth psychiatry centers in the Netherlands, with randomization within each participating center. The primary outcome measure is response to treatment defined as a ≥ 30% reduction on an ADHD DSM-5 rating scale (SWAN) and/or on an emotion dysregulation rating scale (SDQ: dysregulation profile). This is assessed after 5 weeks of dietary treatment, after which participants continue the diet or not. Secondary outcome measures include the Disruptive Behavior Diagnostic Observational Schedule (DB-DOS), parent and teacher ratings of comorbid symptoms, cognitive assessment (e.g. executive functions), school functioning, physical measurements (e.g. weight), motor activity, sleep pattern, food consumption, nutritional quality of the diet, adherence, parental wellbeing, use of health care resources and cost-effectiveness. Assessments take place at the start of the study (T0), after five weeks (T1), four months (T2), eight months (T3) and 12 months of treatment (T4). T0, T1 and T4 assessments take place at one of the psychiatric centers. T2 and T3 assessments consist of filling out online questionnaires by the parents only.DiscussionThis RCT will likely contribute significantly to clinical practice for ADHD by offering insight into the feasibility, nutritional quality, (cost-)effectiveness and long term effects of dietary treatments for ADHD.Trial registrationwww.trialregister.nl, NTR5434. Registered at October 11th, 2015.

Investigating the relationship between parental weight stigma and feeding practices

Promoting a healthy diet in children remains a prominent public health priority. Parents have been shown to be a major influence on their children's eating behaviors, but limited research has been devoted to exploring the factors that lead parents to select certain feeding practices over others. Past research has demonstrated a link between weight stigma (i.e., prejudicial attitudes or discriminatory behavior targeted at individuals who carry excess weight) and an individual's own weight-related behaviors and outcomes, but no study has examined how parental levels of weight stigma maybe associated with a parent's preferred feeding practices. The primary objective of this study was to examine the cross-sectional associations between parental levels of weight-based stigmatization with parental feeding practices. Responses were collected on Amazon's Mechanical Turk website for n = 406 parents who 1) had at least one child aged 5–10 and 2) perceived themselves to be overweight or obese. After adjusting for relevant covariates, parental weight stigma was shown to be significantly associated with restrictive feeding practices, and verbal modeling of eating behaviors (all ps < .05). A priori exploratory mediation analysis identified concern about child weight as a significant mediator between weight stigma and parental feeding practices. A discussion of the potential limitations of this study, future directions of research, and implications of these findings are included.

The association of dietary patterns and adherence to WHO healthy diet with metabolic syndrome in children and adolescents: Tehran lipid and glucose study

BackgroundThe optimal dietary pattern for reducing the extent of metabolic syndrome (MetS) has not been well established yet. The aim of this study was to evaluate dietary patterns and adherence to WHO healthy diet in children and adolescents and their associations with MetS.MethodsSubjects of this cohort study were selected from among children and adolescents of the Tehran Lipid and Glucose Study participants, aged 6–18 years (n = 424). Dietary measurements were collected using a valid and reliable food frequency questionnaire. MetS was defined as the existence of at least 3 risk factors according to the Cook criteria. Diet was assessed based on dietary components of the WHO healthy diet. Dietary patterns were defined by principal component analysis.ResultsThe mean ± SD age of participants (42% boys and 57% girls) was 13.5 ± 3.7 years. The most consistency with the WHO healthy diet was observed for cholesterol, free sugar and protein consumption in both genders, and the least was for n-3 poly-unsaturated fatty acid, trans-fatty acid and salt. Intake of SFA up to 12% of energy intake (third quartile) reduced the risk of MetS, compared to the first quartile. Subjects in the third quartile of n-6 poly-unsaturated fatty acid intake (6.2% of energy) showed the lowest odds ratio of MetS compared to the first quartile (OR: 0.18, CI: 0.04–0.66). In the adjusted model, the risk of MetS reduced across quartiles of MUFA intake by 60% (OR: 1, 0.40, 0.40, 0.42; P trend = 0.05). No significant trends were observed in the risk of MetS components across quartiles of the WHO healthy diet components. Three major dietary patterns were identified, the healthy, unhealthy and cereal/meat. An increased risk of MetS was observed in the highest quartile of unhealthy dietary pattern score compared to the lowest quartile (OR: 1, 0.81, 0.93, 2.49; P trend = 0.03).ConclusionsOur results demonstrated that the majority of our population did not meet some components of WHO healthy diet recommendations. The quality and quantity of fatty acid intakes were associated with risk of MetS. Adherence to unhealthy dietary pattern was associated with two-fold increase in MetS risk.

Knowledge of parents and caregivers about the "Ten steps to a healthy diet for children under two years of age" in day care centers in Juiz de Fora, Minas Gerais

Knowledge of parents and caregivers about the "Ten steps to a healthy diet for children under two years of age" in day care centers in Juiz de Fora, Minas Gerais

The effect of an online video intervention \u2018Movie Models\u2019 on specific parenting practices and parental self-efficacy related to children\u2019s physical activity, screen-time and healthy diet: a quasi experimental study

BackgroundIn children, being sufficiently physically active, having low levels of screen-time and having a healthy diet are largely influenced by parenting practices. Children of parents applying positive parenting practices are at lower risk for overweight and obesity. Therefore, we investigated the effect of a health promoting online video intervention for parents (‘Movie Models’) on children’s physical activity (PA), screen-time and healthy diet, and on specific parenting practices and parental self-efficacy related to these parenting practices. The online videos are delivered to parents of primary schoolchildren, and were based on real-life scenarios.MethodsA two-armed, quasi experimental design was used. Parents of primary schoolchildren were recruited between November and December 2013 by spreading an appeal in social media, and by contacting primary schools. Participating parents were predominantly of high socio-economic status (SES) (83.1%), and only 6.8% of children were overweight/obese. Intervention group participants were invited to watch online videos for 4 weeks. Specific parenting practices, parental self-efficacy, PA, screen-time and healthy diet of the child were assessed at baseline (T0), at one (T1) and at four (T2) months post baseline. Repeated Measures (Multivariate) ANOVAs were used to examine intervention effects. The potential moderating effect of age and gender of the child and parental SES was also examined.ResultsBetween T0 and T2, no significant intervention effects were found on children’s PA, screen-time or healthy diet. Most significant intervention effects were found for more complex parenting practices (e.g., an increase in motivating the child to eat fruit). Subgroup analyses showed that the intervention had more effect on the actual parenting practices related to PA, screen-time and healthy diet in parents of older children (10–12 years old), whereas intervention effects on parental self-efficacy related to those behaviors were stronger in parents of younger children (6–9 years old).Conclusions‘Movie Models’ was effective in increasing some important parenting practices and parental self-efficacy related to PA, screen-time and healthy diet in children. Therefore, the current study is an important first step in promoting effective parenting-related factors, and possibly increasing children’s healthy diet and PA, and decreasing screen-time.Trial registrationNCT02278809 in ClinicalTrials.gov on October 28, 2014 (retrospectively registered).

Analysis of the content, colourants, fats, nitrate and nitrite in advertised foods and biological fluids of Egyptian children

Purpose The purpose of this paper is to analyse the content and some synthetic food colourants, total fats, nitrate and nitrite in both advertised foods (AF) and serum and urine samples of children (8 to 12 years) and their impact on childrens’ diet and health. Design/methodology/approach Analysis of the content of the AF was done by watching the three Egyptian children’s channels (ECC) for 38 hours. Amaranth, Indigo Carmine, Tartrazine, nitrate and nitrite were analysed in all AF and in serum and urine specimens of children. However, total fats were only analysed in the advertised processed meats and in the restaurant dishes. Lipid profile was also estimated in children. Findings The AF accounted for 46-54 per cent of the total advertisements presented. The advertised restaurant dishes were predominantly high in fats, 63 and 55 per cent in restaurant dishes and processed meats, respectively. Tartrazine was the only food colourant found in soft drinks and jelly powders measuring 0.2-15 µg/ml and 25-125 µg/g, respectively. The average levels of total nitrate and nitrite were higher than the acceptable daily intake of the Egyptian and WHO limits (125 mg/kg). Urinary Tartrazine and serum and urinary total nitrate and nitrite were significantly higher in the viewers’ children for the ECC and at borderline for lipid profile compared to non-viewers’ children. Research limitations/implications The most harmful effect of these advertisements is the cumulative effect of AF that undermines progress towards a healthy diet for children. AF may expose children to non-communicable disease in the future. Practical implications The local policy context requires action to set clear rules for children’s food advertising and monitor processed meat products to tackle exceeded levels of nitrate and nitrite. Originality/value This is one of the first studies to analyse colourants, fats, nitrate and nitrite in AF and in the serum and urine of children. This research shows a large number of AF (1,112) in the ECC for 38 hours with statistically significant increase of Tartrazine, nitrate and nitrite in AF (p&lt;0.0001) and in biological fluids (p&lt;0.05).

The Role of Avocados in Maternal Diets during the Periconceptional Period, Pregnancy, and Lactation.

Maternal nutrition plays a crucial role in influencing fertility, fetal development, birth outcomes, and breast milk composition. During the critical window of time from conception through the initiation of complementary feeding, the nutrition of the mother is the nutrition of the offspring—and a mother’s dietary choices can affect both the early health status and lifelong disease risk of the offspring. Most health expert recommendations and government-sponsored dietary guidelines agree that a healthy diet for children and adults (including those who are pregnant and/or lactating) should include an abundance of nutrient-rich foods such as fruits and vegetables. These foods should contain a variety of essential nutrients as well as other compounds that are associated with lower disease risk such as fiber and bioactives. However, the number and amounts of nutrients varies considerably among fruits and vegetables, and not all fruit and vegetable options are considered “nutrient-rich”. Avocados are unique among fruits and vegetables in that, by weight, they contain much higher amounts of the key nutrients folate and potassium, which are normally under-consumed in maternal diets. Avocados also contain higher amounts of several non-essential compounds, such as fiber, monounsaturated fats, and lipid-soluble antioxidants, which have all been linked to improvements in maternal health, birth outcomes and/or breast milk quality. The objective of this report is to review the evidence that avocados may be a unique nutrition source for pregnant and lactating women and, thus, should be considered for inclusion in future dietary recommendations for expecting and new mothers.

Strategies to improve the Willingness to Taste: The moderating role of children's Reward Sensitivity

The present study investigates the effectiveness of different strategies to improve Willingness to Taste disliked vegetables and the moderating role of Reward Sensitivity. Preschool children (N = 204; age: M = 4.48, SD = 1.01) were randomly allocated to one of four different Willingness to Taste strategies. The findings indicate that first, Willingness to Taste is higher in the modelling and reward strategies compared to neutral instructions. Second, there is a differential effect of Willingness to Taste strategies dependent upon individual differences: children high in Reward Sensitivity were more likely to taste immediately when rewarded, while children low in Reward Sensitivity were more willing to taste when verbally encouraged, but with hesitation. This article thus highlights the roles of both individual differences and behavioral techniques for promoting a healthy diet in children.

The influence of a school-based intervention programme regarding adherence to a healthy diet in children and adolescents from disadvantaged areas in Greece: the DIATROFI study

BackgroundTo evaluate the effects, via a cohort study, of a food aid and promotion of healthy nutrition programme, implemented in areas of low socioeconomic status (SES) in Greece, on students’...

Healthy Diet in Children: Facts and Keys

Consuming a healthy diet throughout the lifecourse helps prevent malnutrition in all its forms as well as a range of Non-communicable diseases (NCDs) and conditions. But the increased production of processed food, rapid urbanization and changing lifestyles have led to a shift in dietary patterns. People are now consuming more foods high in energy, fats, free sugars or salt/sodium, and many do not eat enough fruit, vegetables and dietary fibre such as whole grains. In the first 2 years of a child’s life, optimal nutrition fosters healthy growth and improves cognitive development. It also reduces the risk of becoming overweight or obese and developing NCDs later in life. Nutrition for kids is based on the same principles as nutrition for adults. Everyone needs the same types of nutrients; such as vitamins, minerals, carbohydrates, protein and fat. Children, however, need different amounts of specific nutrients at different ages

Do changes in objective and subjective family income predict change in children's diets over time? Unique insights using a longitudinal cohort study and fixed effects analysis

BackgroundWhile an association has been established between low income and poor diet using cross-sectional data, such analysis cannot account for confounding by unobserved characteristics correlated with income and diet, and...