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Dietary patterns and respiratory symptoms in pre-school children: the Generation R Study
Ilse I M Tromp1, Jessica C Kiefte-de Jong, Jeanne H de Vries
1Department of Paediatrics, Erasmus Medical Center, P.O. Box 2060, 3000 CB Rotterdam, The Netherlands.
Insights
A Western diet in early childhood is linked to increased respiratory symptoms like wheezing and infections in preschoolers. This association was partly explained by higher energy intake from the diet.
Area of Science:
- Pediatric Nutrition
- Respiratory Health
- Epidemiology
Background:
- Early childhood diet is a potential factor influencing respiratory symptom development.
- Understanding the link between specific dietary patterns and respiratory health in preschoolers is crucial for public health.
Purpose of the Study:
- To investigate the association between childhood dietary patterns and respiratory symptoms in Dutch preschoolers.
- To determine if energy intake mediates the relationship between dietary patterns and respiratory symptoms.
Main Methods:
- Prospective cohort study of 2,173 children aged ≤ 4 years.
- Dietary patterns identified using principal component analysis at 14 months of age.
- Respiratory symptoms and infections assessed via validated questionnaires.
Main Results:
- High adherence to a "Western" dietary pattern was associated with increased frequent wheeze at 3 years (RR 1.39) and shortness of breath and respiratory tract infections at 4 years (RR 1.44, 1.54).
- The association between the "Western" diet and respiratory symptoms was partially explained by energy intake.
- A "Western" diet pattern showed a significant link to adverse respiratory outcomes.
Conclusions:
- A "Western" dietary pattern in early childhood may elevate the risk of frequent respiratory symptoms and infections in preschool children.
- Energy intake plays a partial role in mediating the observed association between diet and respiratory health.
- Dietary interventions focusing on reducing "Western" diet components could potentially benefit respiratory health in young children.
Abstract:
Overall diet in early childhood may affect the development of respiratory symptoms. This study examined whether childhood dietary patterns are associated with respiratory symptoms in Dutch pre-school children, and whether this association could be explained by energy intake. A prospective cohort study was performed in 2,173 children aged ≤ 4 yrs. Data on asthma-related symptoms were obtained by questions from the age-adapted version of the "International Study of Asthma and Allergies in Childhood" questionnaires. Data on respiratory tract infections, defined as episodes of physician attended fever with respiratory symptoms, was obtained by questionnaire. Principal components analysis was used to develop dietary patterns at 14 months of age. Compared with low adherence, high adherence to the "Western" dietary pattern was significantly associated with frequent wheeze at 3 yrs of age (relative risk (RR) 1.39, 95% CI 1.02-1.89) and frequent shortness of breath (RR 1.44, 95% CI 1.03-2.01) and respiratory tract infections (RR 1.54, 95% CI 1.08-2.19) at 4 yrs of age. However, this association was partially explained by energy intake. A "Western" diet may increase the risk of frequent respiratory symptoms at 3 and 4 yrs of age. In some measure, this association was explained by energy intake.
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