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Effects of early intervention on dietary intake and its mediating role on cognitive functioning: a randomised
Aifric O'Sullivan1, Nick Fitzpatrick2, Orla Doyle2
11UCD Institute for Food and Health,University College Dublin,Dublin,Republic of Ireland.
Insights
An early intervention program improved children's protein food intake, which partially mediated its positive effect on cognitive functioning. This highlights the role of nutrition in early childhood development.
Area of Science:
- Child Development
- Nutritional Science
- Public Health Interventions
Background:
- Early childhood nutrition significantly impacts cognitive development.
- Socio-economically disadvantaged populations often face greater nutritional challenges.
- Community-based interventions show promise in addressing these disparities.
Purpose of the Study:
- To evaluate the "Preparing for Life" early intervention program's effect on children's dietary intake.
- To examine the mediating role of diet in the relationship between the intervention and cognitive functioning.
Main Methods:
- Randomized controlled trial with biweekly home visits and parent training.
- Dietary intake assessed via Food Frequency Questionnaire (FFQ) at 12, 18, 24, and 36 months.
- Cognitive functioning measured at 24 and 36 months; mediation analysis performed.
Main Results:
- Intervention increased adherence to dietary recommendations for protein foods and all food groups at 24 months.
- No significant effects observed for grain, dairy, fruit/vegetable, or fatty/sugary food recommendations.
- 13% of the intervention's impact on cognitive functioning was mediated by protein food consumption at 36 months.
Conclusions:
- Community-based early intervention programs can positively influence early childhood dietary patterns.
- Targeting protein food intake may be a key mechanism for improving cognitive outcomes.
- Further research is warranted to optimize nutritional components of early interventions.
Objective:
To investigate the impact of an early intervention programme, Preparing for Life, on dietary intake between 12 and 36 months of age, and the mediating role played by diet on cognitive functioning.
Design:
A randomised controlled trial evaluation of a community-based home visiting programme. The intervention involved biweekly visits from mentors from pregnancy until age 5 years and parent training at age 2 years. Dietary intake was assessed at 12, 18, 24 and 36 months using an FFQ to calculate the proportion meeting dietary recommendations. Cognitive functioning was measured at 24 and 36 months. Treatment effects were estimated using conventional χ 2 tests, permutation testing, inverse probability weighting and the stepdown procedure. Mediation analysis examined the indirect effect of the intervention on cognitive functioning via its effect on dietary intake.
Setting:
Socio-economically disadvantaged communities in Dublin, Republic of Ireland.
Subjects:
Pregnant women (n 233) were assigned to the intervention (n 115) or control (n 118) group using an unconditional probability randomisation strategy.
Results:
Positive treatment effects were observed for meeting dietary recommendations for protein foods at 24 (OR=2·52) and 36 (OR=2·42) months, and all food groups at 24 (OR=3·92) months. There were no effects on grain, dairy, fruit and vegetable, or fatty/sugary food recommendations in most models. The conventional and more novel methods yielded similar results. Mediation analysis indicated that 13 % of the intervention's effect on cognitive functioning was mediated by 36-month protein food consumption.
Conclusions:
The study demonstrates some potential to alter early childhood dietary patterns through community-based intervention programmes.
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