Longitudinal child-oriented dietary intervention: Association with parental diet and cardio-metabolic risk factors. The Special Turku Coronary Risk Factor Intervention Project

Abstract

Background

The child-oriented dietary intervention given in the prospective Special Turku Coronary Risk Factor Intervention Project (STRIP) has decreased the intake of saturated fat and lowered serum cholesterol concentration in children from infancy until early adulthood. In this study, we investigated whether the uniquely long-term child-oriented intervention has affected also secondarily parental diet and cardio-metabolic risk factors.

Methods

The STRIP study is a longitudinal, randomized infancy-onset atherosclerosis prevention trial continued from the child's age of 8 months to 20 years. The main aim was to modify the child's diet towards reduced intake of saturated fat. Parental dietary intake assessed by a one-day food record and cardio-metabolic risk factors were analysed between the child's ages of 9–19 years.

Results

Saturated fat intake of parents in the intervention group was lower [mothers: 12.0 versus 13.9 daily energy (E%), p < 0.0001; fathers: 12.5 versus 13.9 E%, p < 0.0001] and polyunsaturated fat intake was higher (mothers: 6.1 versus 5.4 E%, p < 0.0001; fathers: 6.3 versus 5.9 E%, p = 0.0003) compared with the control parents. Maternal total and low-density lipoprotein cholesterol concentrations were lower in the intervention compared with the control group (mean ± SE 5.02 ± 0.04 versus 5.14 ± 0.04 mmol/l, p = 0.04 and 3.19 ± 0.04 versus 3.30 ± 0.03 mmol/l, p = 0.03, respectively). Paternal cholesterol values did not differ between the intervention and control groups. Other cardio-metabolic risk factors were similar in the study groups.

Conclusions

Child-oriented dietary intervention shifted the dietary fat intakes of parents closer to the recommendations and tended to decrease total and low-density lipoprotein cholesterol in the intervention mothers. Dietary intervention directed to children benefits also parents.

Keywords

Dietary counselling parental diet cardio-metabolic risk factors

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References

Farvid

Ding

Pan

et al.

Dietary linoleic acid and risk of coronary heart disease: a systematic review and meta-analysis of prospective cohort studies. Circulation 2014; 130: 1568–1578.

Georgousopoulou

Panagiotakos

Pitsavos

et al.

Assessment of diet quality improves the classification ability of cardiovascular risk score in predicting future events: The 10-year follow-up of the ATTICA study (2002–2012). Eur J Prev Cardiol 2015; 22: 1488–1498.

Niinikoski

Pahkala

Ala-Korpela

et al.

Effect of repeated dietary counseling on serum lipoproteins from infancy to adulthood. Pediatrics 2012; 129: e704–e713.

Oranta

Pahkala

Ruottinen

et al.

Infancy-onset dietary counseling of low-saturated-fat diet improves insulin sensitivity in healthy adolescents 15–20 years of age: the Special Turku Coronary Risk Factor Intervention Project (STRIP) study. Diabetes Care 2013; 36: 2952–2959.

Niinikoski

Jula

Viikari

et al.

Blood pressure is lower in children and adolescents with a low-saturated-fat diet since infancy: The Special Turku Coronary Risk Factor Intervention Project. Hypertension 2009; 53: 918–924.

Pahkala

Hietalampi

Laitinen

et al.

Ideal cardiovascular health in adolescence: effect of lifestyle intervention and association with vascular intima-media thickness and elasticity (the Special Turku Coronary Risk Factor Intervention Project for children [STRIP] study). Circulation 2013; 127: 2088–2096.

Nader

Sellers

Johnson

et al.

The effect of adult participation in a school-based family intervention to improve children's diet and physical activity: the Child and Adolescent Trial for Cardiovascular Health. Prev Med 1996; 25: 455–464.

Obarzanek

Kimm

Barton

et al.

Long-term safety and efficacy of a cholesterol-lowering diet in children with elevated low-density lipoprotein cholesterol: seven-year results of the Dietary Intervention Study in Children (DISC). Pediatrics 2001; 107: 256–264.

Lagström

Seppänen

Jokinen

et al.

Nutrient intakes and cholesterol values of the parents in a prospective randomized child-targeted coronary heart disease risk factor intervention trial–the STRIP project. Eur J Clin Nutr 1999; 53: 654–661.

10.

Räsänen

Niinikoski

Keskinen

et al.

Parental nutrition knowledge and nutrient intake in an atherosclerosis prevention project: the impact of child-targeted nutrition counselling. Appetite 2003; 41: 69–77.

11.

Lapinleimu

Viikari

Jokinen

et al.

Prospective randomised trial in 1062 infants of diet low in saturated fat and cholesterol. Lancet 1995; 345: 471–476.

12.

Haire-Joshu

Elliott

Caito

et al.

High 5 for Kids: the impact of a home visiting program on fruit and vegetable intake of parents and their preschool children. Prev Med 2008; 47: 77–82.

13.

Lioret

Campbell

Crawford

et al.

A parent focused child obesity prevention intervention improves some mother obesity risk behaviors: the Melbourne inFANT program. Int J Behav Nutr Phys Act 2012; 9: 100, .

14.

Wyse

Campbell

Brennan

et al.

A cluster randomised controlled trial of a telephone-based intervention targeting the home food environment of preschoolers (The Healthy Habits Trial): the effect on parent fruit and vegetable consumption. Int J Behav Nutr Phys Act 2014; 11: 1.

15.

Simell

Niinikoski

Rönnemaa

et al.

Cohort Profile: the STRIP Study (Special Turku Coronary Risk Factor Intervention Project), an infancy-onset dietary and life-style intervention trial. Int J Epidemiol 2009; 38: 650–655.

16.

Talvia

Lagstrom

Rasanen

et al.

A randomized intervention since infancy to reduce intake of saturated fat: calorie (energy) and nutrient intakes up to the age of 10 years in the Special Turku Coronary Risk Factor Intervention Project. Arch Pediatr Adolesc Med 2004; 158: 41–47.

17.

Friedewald

Levy

Fredrickson

. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem 1972; 18: 499–502.

18.

Walsh

Lioret

Cameron

et al.

The effect of an early childhood obesity intervention on father's obesity risk behaviors: the Melbourne InFANT Program. Int J Behav Nutr Phys Act 2014; 11: 18.

19.

Stice

Palmrose

Burger

. Elevated BMI and male sex are associated with greater underreporting of caloric intake as assessed by doubly labeled water. J Nutr 2015; 145: 2412–2418.

20.

Bedard

Shatenstein

Nadon

. Underreporting of energy intake from a self-administered food-frequency questionnaire completed by adults in Montreal. Public Health Nutr 2004; 7: 675–681.

21.

Taber

Stevens

Murray

et al.

The effect of a physical activity intervention on bias in self-reported activity. Ann Epidemiol 2009; 19: 316–322.

22.

Keyes

Anderson

Grande

. Serum cholesterol response to changes in the diet: I. Iodine value of dietary fat versus 2S-P. Metabolism 1965; 14: 747–758.

23.

Lahti-Koski

Harald

Saarni

et al.

Changes in body mass index and measures of abdominal obesity in Finnish adults between 1992 and 2007, the National FINRISK Study. Clin Obes 2012; 2: 57–63.