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Diet and blood lipids in 1-4 year-old children
U Hoppu1, E Isolauri, P Koskinen
1Functional Foods Forum, 20014 University of Turku, Turku, Finland.
Insights
Maternal dietary counseling did not impact children's blood lipids. However, children's dietary fatty acid intake was linked to blood apolipoproteins, highlighting nutrition's role in cardiovascular health.
Area of Science:
- Pediatric Nutrition
- Cardiovascular Health
- Lipid Metabolism
Background:
- Early nutrition significantly influences children's blood lipid levels, potentially programming long-term cardiovascular health.
- Maternal dietary habits during pregnancy and breastfeeding are critical factors in early childhood development.
- Understanding nutritional determinants of lipid profiles in young children is essential for preventative health strategies.
Purpose of the Study:
- To assess the impact of maternal dietary counseling during pregnancy and breastfeeding on children's dietary intake and blood lipid profiles up to age four.
- To identify specific nutritional factors in children's diets that correlate with their blood lipid and apolipoprotein levels.
- To evaluate the long-term effects of early nutritional interventions on children's cardiovascular risk markers.
Main Methods:
- A randomized controlled trial involving pregnant mothers receiving dietary counseling versus a control group.
- Clinical follow-ups of children at ages 1, 2, and 4 years, including three-day food records.
- Analysis of blood samples for total cholesterol, HDL cholesterol, apolipoproteins A-I and B, and lipoprotein (a).
Main Results:
- Maternal dietary counseling did not significantly alter children's blood lipid values.
- Children's diets generally exceeded recommended saturated fatty acid intake and were low in polyunsaturated fatty acids.
- Children's intake of monounsaturated fatty acids correlated positively with apolipoprotein A-I, and polyunsaturated fatty acids correlated negatively with apolipoprotein B.
Conclusions:
- Children's dietary fatty acid composition, rather than maternal dietary counseling, was associated with blood apolipoprotein levels.
- Specific fatty acid intakes in children's diets are linked to markers of cardiovascular health.
- Further research into targeted dietary interventions for children is warranted to optimize lipid profiles.
Background And Aim:
Early nutrition may programme blood lipid levels and thereby later cardiovascular health of children. The objective here was to evaluate the effects of maternal dietary counselling during pregnancy and breastfeeding on dietary intakes and blood lipid values in 1-4 year-old children. Further, the nutritional determinants of children's lipid profiles were assessed.
Methods And Results:
Mothers were randomised into dietary counselling or control groups at the first trimester of pregnancy. Their children were followed up clinically at 1, 2 and 4 years of age, by three-day food records and analyses of total cholesterol, HDL cholesterol and apolipoproteins A-I and B as well as lipoprotein (a). In general, the mean intake of saturated fatty acids as a proportion of total energy intake (E%) was higher than the recommended, while the mean intake of polyunsaturated fatty acids was low in children's diet. Over the first years, girls had higher concentration of non-HDL cholesterol than boys; 2.64 mmol/l (95% CI 2.54-2.74) vs. 2.49 (2.38-2.60); p = 0.038. Maternal dietary counselling was not reflected in the children's lipid values. Children's monounsaturated fatty acid intake (E%) correlated with apoA-I (p = 0.048) and, furthermore, there was a negative correlation between polyunsaturated fatty acid intake (E%) and apoB (p = 0.046).
Conclusion:
Children's dietary fatty acid intake, but not maternal dietary counselling was shown to be related to blood apolipoproteins in children.
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