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.

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