Multidimensionality of the relationship between social status and dietary patterns in early childhood: longitudinal results from the French EDEN mother-child cohort
2015
Camara, Soumaïla | de Lauzon-Guillain, Blandine | Heude, Barbara | Charles, Marie-Aline | Botton, Jérémie | Plancoulaine, Sabine | Forhan, Anne | Saurel-Cubizolles, Marie-Josèphe | Dargent-Molina, Patricia | Lioret, Sandrine | Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité (CRESS (U1153 / UMR_A_1125 / UMR_S_1153)) ; Institut National de la Recherche Agronomique (INRA)-Université Paris Diderot - Paris 7 (UPD7)-Université Paris Descartes - Paris 5 (UPD5)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM) | Ecologie Systématique et Evolution (ESE) ; Université Paris-Sud - Paris 11 (UP11)-AgroParisTech-Centre National de la Recherche Scientifique (CNRS) | Support for the EDEN mother-child cohort (Étude des Déterminants pré- etpostnatals précoces du développement et de la santé de l’ENfant) was providedby the following organizations: Fondation pour la Recherche Médicale, FrenchMinistry of Research Institut Fédératif de Recherche and Cohort Program,INSERM Nutrition Research Program, French Ministry of Health PerinatalProgram, French Agency for Environment Security (AFFSET), French NationalInstitute for Population Health Surveillance (INVS), Paris-Sud University, FrenchNational Institute for Health Education (INPES), Nestlé, Mutuelle Générale del’Éducation Nationale, French Speaking Association for the Study of Diabetesand Metabolism (Alfediam), National Agency for Research (ANR nonthematicprogram), and National Institute for Research in Public Health (IRESP TGIRCohorte Santé 2008 Program). The study sponsors were not involved in thestudy design, data collection, or data analyses. The present study was supportedby the National Agency for Research (ANR Social determinants of health pro-gram) under the grant agreement n°ANR-12-DSSA-0001 (SOFI project). | EDEN mother-child cohort study group | ANR-12-DSSA-0001,SOFI,Déterminants socio-culturel des pratiques alimentaires dans l'enfance(2012)
International audience
Show more [+] Less [-]English. AbstractBackgroundThe association between socioeconomic position and diet in early childhood has mainly been addressed based on maternal education and household income. We aimed to assess the influence of a variety of social factors from different socio-ecological levels (parents, household and child-care) on multi-time point dietary patterns identified from 2 to 5 y.MethodThis study included 974 children from the French EDEN mother-child cohort. Two multi-time point dietary patterns were derived in a previous study: they correspond to consistent exposures to either core- or non-core foods across 2, 3 and 5 y and were labelled “Guidelines” and “Processed, fast-foods”. The associations of various social factors collected during pregnancy (age, education level) or at 2-y follow-up (mother’s single status, occupation, work commitments, household financial disadvantage, presence of older siblings and child-care arrangements) with each of the two dietary patterns, were assessed by multivariable linear regression analysis.ResultsThe adherence to a diet close to “Guidelines” was positively and independently associated with both maternal and paternal education levels. The adherence to a diet consistently composed of processed and fast-foods was essentially linked with maternal variables (younger age and lower education level), household financial disadvantage, the presence of older sibling (s) and being cared for at home by someone other than the mother.ConclusionsMultiple social factors operating at different levels (parents, household, and child-care) were found to be associated with the diet of young children. Different independent predictors were found for each of the two longitudinal dietary patterns, suggesting distinct pathways of influence. Our findings further suggest that interventions promoting healthier dietary choices for young children should involve both parents and take into account not only household financial disadvantage but also maternal age, family size and options for child-care.
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