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Change in Growth and Diet Quality Among Preschool Children in Tokyo, Japan
Chisa Shinsugi1,2, Yukako Tani2, Kayo Kurotani1
1National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, 1-23-1 Toyama, Shinjuku-ku, Tokyo 162-8636, Japan.
Insights
This study found no significant link between diet quality and growth changes in preschool children over one year. Further research is needed to create a suitable diet quality index for healthy development in Japanese preschoolers.
Area of Science:
- Pediatric Nutrition
- Growth Monitoring
- Public Health
Background:
- Early life nutrition is critical for healthy growth and development.
- Assessing diet quality in preschool children is important for monitoring health outcomes.
- Understanding the relationship between diet and growth is key for public health interventions.
Purpose of the Study:
- To investigate the association between one-year changes in growth and diet quality in preschool children.
- To analyze the impact of diet quality on Body Mass Index for Age z-score (BAZ) and Height for Age z-score (HAZ).
- To evaluate the utility of the Japanese Food Guide Spinning Top (JFGST) score in assessing diet quality related to growth.
Main Methods:
- A cohort of 110 preschool children (4-5 years old) in Adachi City, Tokyo, Japan, was studied.
- Dietary intake was assessed using the brief-type self-administered diet history questionnaire for children (BDHQ3y).
- Growth parameters (BAZ, HAZ) and diet quality (JFGST score) were analyzed using regression models.
Main Results:
- No statistically significant association was found between one-year changes in growth (BAZ and HAZ) and diet quality scores (JFGST).
- Regression analyses indicated no clear trend linking higher diet quality scores to improved growth outcomes.
- The current diet quality index may not be sufficiently sensitive to detect growth associations in this population.
Conclusions:
- The study did not establish a significant link between diet quality and growth changes in Japanese preschool children over one year.
- Further research is recommended to develop and validate a more appropriate diet quality index for assessing healthy growth in this demographic.
- Future studies should explore other dietary and non-dietary factors influencing preschooler growth in Japan.
Abstract:
Dietary intake of adequate quality and quantity in early life is essential for healthy growth and development. This study aimed to examine the association between one-year change in growth and diet quality in preschool children in Adachi City, Tokyo, Japan. A total of 110 participants (49% boys, four to five years old at baseline) were included in this analysis. Body mass index for age z-score (BAZ) and height for age z-score (HAZ) were calculated in accordance with WHO reference. Dietary intakes were assessed using the brief-type self-administered diet history questionnaire for children (BDHQ3y), and daily quality score was calculated based on the Japanese Food Guide Spinning Top (JFGST score). Regression analyses found no significant association between one-year change in growth and diet quality (compared to a low JFGST score, BAZ: β = 0.16, 95% CI: -0.29 to 0.60 for a middle JFGST score, β = -0.14, 95% CI: -0.61 to 0.33 for a high JFGST score, HAZ: β = -0.15, 95% CI: -0.50 to 0.21 for a middle JFGST score, β = -0.06, 95% CI: -0.43 to 0.30 for a high JFGST score). Further studies are needed to develop an appropriate diet quality index for healthy growth in Japanese preschool children.
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