Dietary patterns in middle childhood and behavior problems in adolescence
Background/objectives Adherence to a “Western” style dietary pattern has been related to behavior problems in children in high-income countries; however, dietary patterns may differ in countries undergoing the nutrition transition. Associations of dietary patterns with behavior problems in a Latin A...
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| Veröffentlicht in: | European journal of clinical nutrition 2021-12, Vol.75 (12), p.1809-1818 |
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| container_title | European journal of clinical nutrition |
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| creator | Robinson, Sonia L. Mora-Plazas, Mercedes Oliveros, Henry Marin, Constanza Lozoff, Betsy Villamor, Eduardo |
| description | Background/objectives
Adherence to a “Western” style dietary pattern has been related to behavior problems in children in high-income countries; however, dietary patterns may differ in countries undergoing the nutrition transition. Associations of dietary patterns with behavior problems in a Latin American context have not been evaluated.
Subjects/Methods
Mothers of 385 children 5 to 12 y old completed a food frequency questionnaire (FFQ) on the children’s usual intake at enrollment into a cohort study. Four dietary patterns were identified through principal component analysis of the FFQ: animal protein, snacking, cheaper protein, and traditional/starch. After a median 6 y follow-up, adolescents reported behavior problems via the Youth Self Report, a standardized questionnaire. We compared the continuous distributions of externalizing and internalizing behavior problems and their subscales across quartiles of adherence to the four dietary patterns using multivariable linear regression.
Results
Boys in the highest quartile of adherence to the animal protein pattern in middle childhood had an adjusted 5.5 units lower (95% CI −9.5, −1.5) mean total externalizing problems score compared with boys in the lowest quartile (
P
trend
=
0.008). Adherence to the animal protein pattern was also inversely related to the aggressive behavior externalizing subscale in a dose–response manner among boys (
P
trend = 0.009). There were no associations between adherence to other dietary patterns and externalizing problems in boys or girls. There were no associations with internalizing problems.
Conclusion
Adherence to an animal protein dietary pattern in middle childhood was associated with less externalizing behavior problems in adolescent boys. |
| doi_str_mv | 10.1038/s41430-021-00888-4 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2498483786</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A684564486</galeid><sourcerecordid>A684564486</sourcerecordid><originalsourceid>FETCH-LOGICAL-c511t-96fd914b6bb185ee4cb54e3b4d759a3c527a8a81241f49cc876d53672e29d52d3</originalsourceid><addsrcrecordid>eNp9kk1rFTEYhYMo9lr9Ay5kQChupuZ7MstSqxYKbnQdMsk7d1IyyTWZEfz3pvfWauUiWSQkz3k5nByEXhN8TjBT7wsnnOEWU9JirJRq-RO0IbyTrZAcP0Ub3AveMoy7E_SilFuM62NHn6MTxmRXj2KDrj94WEz-2ezMskCOpfGxmb1zARo7-eCmlFxjomsGmMwPn3Kzy2kIMO9J41KAYiFaeImejSYUeHW_n6JvH6--Xn5ub758ur68uGmtIGRpezm6nvBBDgNRAoDbQXBgA3ed6A2zgnZGGUUoJyPvrVWddKLapUB7J6hjp-jdYW718X2FsujZVwchmAhpLZryXnHFOiUr-vYf9DatOVZ3mkpcOdnVIB-orQmgfRzTko29G6ovpOI1S76f1R6hthAhm5AijL5eP-LPj_B1OZi9PSo4-0swgQnLVFJYF59ieQzSA2hzKiXDqHfZz_UPNcH6rhj6UAxdi6H3xdC8it7cR7EOM7gHye8mVIAdgFKf4hbyn6z-M_YXb6i_fQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2604986710</pqid></control><display><type>article</type><title>Dietary patterns in middle childhood and behavior problems in adolescence</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Robinson, Sonia L. ; Mora-Plazas, Mercedes ; Oliveros, Henry ; Marin, Constanza ; Lozoff, Betsy ; Villamor, Eduardo</creator><creatorcontrib>Robinson, Sonia L. ; Mora-Plazas, Mercedes ; Oliveros, Henry ; Marin, Constanza ; Lozoff, Betsy ; Villamor, Eduardo</creatorcontrib><description>Background/objectives
Adherence to a “Western” style dietary pattern has been related to behavior problems in children in high-income countries; however, dietary patterns may differ in countries undergoing the nutrition transition. Associations of dietary patterns with behavior problems in a Latin American context have not been evaluated.
Subjects/Methods
Mothers of 385 children 5 to 12 y old completed a food frequency questionnaire (FFQ) on the children’s usual intake at enrollment into a cohort study. Four dietary patterns were identified through principal component analysis of the FFQ: animal protein, snacking, cheaper protein, and traditional/starch. After a median 6 y follow-up, adolescents reported behavior problems via the Youth Self Report, a standardized questionnaire. We compared the continuous distributions of externalizing and internalizing behavior problems and their subscales across quartiles of adherence to the four dietary patterns using multivariable linear regression.
Results
Boys in the highest quartile of adherence to the animal protein pattern in middle childhood had an adjusted 5.5 units lower (95% CI −9.5, −1.5) mean total externalizing problems score compared with boys in the lowest quartile (
P
trend
=
0.008). Adherence to the animal protein pattern was also inversely related to the aggressive behavior externalizing subscale in a dose–response manner among boys (
P
trend = 0.009). There were no associations between adherence to other dietary patterns and externalizing problems in boys or girls. There were no associations with internalizing problems.
Conclusion
Adherence to an animal protein dietary pattern in middle childhood was associated with less externalizing behavior problems in adolescent boys.</description><identifier>ISSN: 0954-3007</identifier><identifier>EISSN: 1476-5640</identifier><identifier>DOI: 10.1038/s41430-021-00888-4</identifier><identifier>PMID: 33674775</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/308 ; 692/499 ; Adolescent ; Adolescent psychology ; Adolescents ; Aggressive behavior ; Animal protein ; Child ; Child development ; Child psychopathology ; Children ; Children & youth ; Clinical Nutrition ; Cohort Studies ; Diet ; Diet, Western ; Epidemiology ; Food sources ; Health aspects ; Hispanic or Latino ; Humans ; Internal Medicine ; Medicine ; Medicine & Public Health ; Metabolic Diseases ; Nutrition ; Nutritional Status ; Pediatric research ; Principal components analysis ; Proteins ; Psychological aspects ; Public Health ; Quartiles ; Questionnaires ; Risk factors ; Snacks ; Teenagers ; Youth</subject><ispartof>European journal of clinical nutrition, 2021-12, Vol.75 (12), p.1809-1818</ispartof><rights>The Author(s), under exclusive licence to Springer Nature Limited part of Springer Nature 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer Nature Limited part of Springer Nature.</rights><rights>COPYRIGHT 2021 Nature Publishing Group</rights><rights>The Author(s), under exclusive licence to Springer Nature Limited part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c511t-96fd914b6bb185ee4cb54e3b4d759a3c527a8a81241f49cc876d53672e29d52d3</citedby><cites>FETCH-LOGICAL-c511t-96fd914b6bb185ee4cb54e3b4d759a3c527a8a81241f49cc876d53672e29d52d3</cites><orcidid>0000-0002-7707-9728 ; 0000-0003-3937-5574</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27926,27927</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33674775$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Robinson, Sonia L.</creatorcontrib><creatorcontrib>Mora-Plazas, Mercedes</creatorcontrib><creatorcontrib>Oliveros, Henry</creatorcontrib><creatorcontrib>Marin, Constanza</creatorcontrib><creatorcontrib>Lozoff, Betsy</creatorcontrib><creatorcontrib>Villamor, Eduardo</creatorcontrib><title>Dietary patterns in middle childhood and behavior problems in adolescence</title><title>European journal of clinical nutrition</title><addtitle>Eur J Clin Nutr</addtitle><addtitle>Eur J Clin Nutr</addtitle><description>Background/objectives
Adherence to a “Western” style dietary pattern has been related to behavior problems in children in high-income countries; however, dietary patterns may differ in countries undergoing the nutrition transition. Associations of dietary patterns with behavior problems in a Latin American context have not been evaluated.
Subjects/Methods
Mothers of 385 children 5 to 12 y old completed a food frequency questionnaire (FFQ) on the children’s usual intake at enrollment into a cohort study. Four dietary patterns were identified through principal component analysis of the FFQ: animal protein, snacking, cheaper protein, and traditional/starch. After a median 6 y follow-up, adolescents reported behavior problems via the Youth Self Report, a standardized questionnaire. We compared the continuous distributions of externalizing and internalizing behavior problems and their subscales across quartiles of adherence to the four dietary patterns using multivariable linear regression.
Results
Boys in the highest quartile of adherence to the animal protein pattern in middle childhood had an adjusted 5.5 units lower (95% CI −9.5, −1.5) mean total externalizing problems score compared with boys in the lowest quartile (
P
trend
=
0.008). Adherence to the animal protein pattern was also inversely related to the aggressive behavior externalizing subscale in a dose–response manner among boys (
P
trend = 0.009). There were no associations between adherence to other dietary patterns and externalizing problems in boys or girls. There were no associations with internalizing problems.
Conclusion
Adherence to an animal protein dietary pattern in middle childhood was associated with less externalizing behavior problems in adolescent boys.</description><subject>692/308</subject><subject>692/499</subject><subject>Adolescent</subject><subject>Adolescent psychology</subject><subject>Adolescents</subject><subject>Aggressive behavior</subject><subject>Animal protein</subject><subject>Child</subject><subject>Child development</subject><subject>Child psychopathology</subject><subject>Children</subject><subject>Children & youth</subject><subject>Clinical Nutrition</subject><subject>Cohort Studies</subject><subject>Diet</subject><subject>Diet, Western</subject><subject>Epidemiology</subject><subject>Food sources</subject><subject>Health aspects</subject><subject>Hispanic or Latino</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolic Diseases</subject><subject>Nutrition</subject><subject>Nutritional Status</subject><subject>Pediatric research</subject><subject>Principal components analysis</subject><subject>Proteins</subject><subject>Psychological aspects</subject><subject>Public Health</subject><subject>Quartiles</subject><subject>Questionnaires</subject><subject>Risk factors</subject><subject>Snacks</subject><subject>Teenagers</subject><subject>Youth</subject><issn>0954-3007</issn><issn>1476-5640</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kk1rFTEYhYMo9lr9Ay5kQChupuZ7MstSqxYKbnQdMsk7d1IyyTWZEfz3pvfWauUiWSQkz3k5nByEXhN8TjBT7wsnnOEWU9JirJRq-RO0IbyTrZAcP0Ub3AveMoy7E_SilFuM62NHn6MTxmRXj2KDrj94WEz-2ezMskCOpfGxmb1zARo7-eCmlFxjomsGmMwPn3Kzy2kIMO9J41KAYiFaeImejSYUeHW_n6JvH6--Xn5ub758ur68uGmtIGRpezm6nvBBDgNRAoDbQXBgA3ed6A2zgnZGGUUoJyPvrVWddKLapUB7J6hjp-jdYW718X2FsujZVwchmAhpLZryXnHFOiUr-vYf9DatOVZ3mkpcOdnVIB-orQmgfRzTko29G6ovpOI1S76f1R6hthAhm5AijL5eP-LPj_B1OZi9PSo4-0swgQnLVFJYF59ieQzSA2hzKiXDqHfZz_UPNcH6rhj6UAxdi6H3xdC8it7cR7EOM7gHye8mVIAdgFKf4hbyn6z-M_YXb6i_fQ</recordid><startdate>20211201</startdate><enddate>20211201</enddate><creator>Robinson, Sonia L.</creator><creator>Mora-Plazas, Mercedes</creator><creator>Oliveros, Henry</creator><creator>Marin, Constanza</creator><creator>Lozoff, Betsy</creator><creator>Villamor, Eduardo</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7TK</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7707-9728</orcidid><orcidid>https://orcid.org/0000-0003-3937-5574</orcidid></search><sort><creationdate>20211201</creationdate><title>Dietary patterns in middle childhood and behavior problems in adolescence</title><author>Robinson, Sonia L. ; Mora-Plazas, Mercedes ; Oliveros, Henry ; Marin, Constanza ; Lozoff, Betsy ; Villamor, Eduardo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c511t-96fd914b6bb185ee4cb54e3b4d759a3c527a8a81241f49cc876d53672e29d52d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>692/308</topic><topic>692/499</topic><topic>Adolescent</topic><topic>Adolescent psychology</topic><topic>Adolescents</topic><topic>Aggressive behavior</topic><topic>Animal protein</topic><topic>Child</topic><topic>Child development</topic><topic>Child psychopathology</topic><topic>Children</topic><topic>Children & youth</topic><topic>Clinical Nutrition</topic><topic>Cohort Studies</topic><topic>Diet</topic><topic>Diet, Western</topic><topic>Epidemiology</topic><topic>Food sources</topic><topic>Health aspects</topic><topic>Hispanic or Latino</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolic Diseases</topic><topic>Nutrition</topic><topic>Nutritional Status</topic><topic>Pediatric research</topic><topic>Principal components analysis</topic><topic>Proteins</topic><topic>Psychological aspects</topic><topic>Public Health</topic><topic>Quartiles</topic><topic>Questionnaires</topic><topic>Risk factors</topic><topic>Snacks</topic><topic>Teenagers</topic><topic>Youth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Robinson, Sonia L.</creatorcontrib><creatorcontrib>Mora-Plazas, Mercedes</creatorcontrib><creatorcontrib>Oliveros, Henry</creatorcontrib><creatorcontrib>Marin, Constanza</creatorcontrib><creatorcontrib>Lozoff, Betsy</creatorcontrib><creatorcontrib>Villamor, 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Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Robinson, Sonia L.</au><au>Mora-Plazas, Mercedes</au><au>Oliveros, Henry</au><au>Marin, Constanza</au><au>Lozoff, Betsy</au><au>Villamor, Eduardo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dietary patterns in middle childhood and behavior problems in adolescence</atitle><jtitle>European journal of clinical nutrition</jtitle><stitle>Eur J Clin Nutr</stitle><addtitle>Eur J Clin Nutr</addtitle><date>2021-12-01</date><risdate>2021</risdate><volume>75</volume><issue>12</issue><spage>1809</spage><epage>1818</epage><pages>1809-1818</pages><issn>0954-3007</issn><eissn>1476-5640</eissn><abstract>Background/objectives
Adherence to a “Western” style dietary pattern has been related to behavior problems in children in high-income countries; however, dietary patterns may differ in countries undergoing the nutrition transition. Associations of dietary patterns with behavior problems in a Latin American context have not been evaluated.
Subjects/Methods
Mothers of 385 children 5 to 12 y old completed a food frequency questionnaire (FFQ) on the children’s usual intake at enrollment into a cohort study. Four dietary patterns were identified through principal component analysis of the FFQ: animal protein, snacking, cheaper protein, and traditional/starch. After a median 6 y follow-up, adolescents reported behavior problems via the Youth Self Report, a standardized questionnaire. We compared the continuous distributions of externalizing and internalizing behavior problems and their subscales across quartiles of adherence to the four dietary patterns using multivariable linear regression.
Results
Boys in the highest quartile of adherence to the animal protein pattern in middle childhood had an adjusted 5.5 units lower (95% CI −9.5, −1.5) mean total externalizing problems score compared with boys in the lowest quartile (
P
trend
=
0.008). Adherence to the animal protein pattern was also inversely related to the aggressive behavior externalizing subscale in a dose–response manner among boys (
P
trend = 0.009). There were no associations between adherence to other dietary patterns and externalizing problems in boys or girls. There were no associations with internalizing problems.
Conclusion
Adherence to an animal protein dietary pattern in middle childhood was associated with less externalizing behavior problems in adolescent boys.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>33674775</pmid><doi>10.1038/s41430-021-00888-4</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-7707-9728</orcidid><orcidid>https://orcid.org/0000-0003-3937-5574</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0954-3007 |
| ispartof | European journal of clinical nutrition, 2021-12, Vol.75 (12), p.1809-1818 |
| issn | 0954-3007 1476-5640 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2498483786 |
| source | MEDLINE; Alma/SFX Local Collection |
| subjects | 692/308 692/499 Adolescent Adolescent psychology Adolescents Aggressive behavior Animal protein Child Child development Child psychopathology Children Children & youth Clinical Nutrition Cohort Studies Diet Diet, Western Epidemiology Food sources Health aspects Hispanic or Latino Humans Internal Medicine Medicine Medicine & Public Health Metabolic Diseases Nutrition Nutritional Status Pediatric research Principal components analysis Proteins Psychological aspects Public Health Quartiles Questionnaires Risk factors Snacks Teenagers Youth |
| title | Dietary patterns in middle childhood and behavior problems in adolescence |
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