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Diet quality of young children who received nutrition education promoting lower dietary fat†

Published online by Cambridge University Press:  02 January 2007

Lori Beth Dixon ,
Andrew M Tershakovec ,
Jeannie McKenzie  and
Barbara Shannon
Lori Beth Dixon*
Affiliation:
Division of Cancer Prevention, National Cancer Institute, Bethesda, MD 20892, USA
Andrew M Tershakovec
Affiliation:
Division of Gastroenterology and Nutrition, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA
Jeannie McKenzie
Affiliation:
Department of Nutrition, Pennsylvania State University, University Park PA 16802, USA
Barbara Shannon
Affiliation:
Department of Nutrition, Pennsylvania State University, University Park PA 16802, USA
*
*Corresponding author: Email ld120i@nih.gov
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Abstract

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Objective

To evaluate the impact of nutrition education promoting lower dietary fat on the overall diet quality in children using a multidimensional index that measures nutrient and food intakes in relation to US dietary recommendations.

Design

Prospective cohort study with two intervention and two control groups. Children with elevated low density lipoprotein (LDL) cholesterol were randomized to one of two intervention groups or an at-risk control group. The intervention children received either the parent–child autotutorial (PCAT) programme, a 10-week home-based self-instruction nutrition education programme, or nutrition counselling from a registered dietitian. Children with non-elevated plasma cholesterol formed the not-at-risk control group. Dietary and blood data were collected at baseline and at 3 months.

Setting

Paediatric practices in suburbs north of Philadelphia, PA.

Subjects

Two hundred and twenty-seven 4–10-year-old children with elevated LDL cholesterol between the 80th and 98th percentiles, and 76 age- and gender-matched children with non-elevated plasma cholesterol, were studied.

Results

Children who received PCAT or counselling significantly improved their overall diet quality (−0.6 and −0.4 change in diet quality index (DQI) scores) compared with at-risk control children. Children who received either form of nutrition education were more likely to meet the recommendations for three components of the DQI (total fat, saturated fat, sodium) (OR <1.7), but did not improve their intakes of three components of the DQI (vegetables and fruits, complex carbohydrates, calcium) at 3 months.

Conclusions

Nutrition education promoting lower dietary fat improved children's overall diet quality. However, several dietary behaviours important for long-term health remained unchanged.

Keywords

Cardiovascular diseaseChildrenDietary recommendationsDiet qualityDiet quality indexInterventionNutrition education
Type
Research Article
Information
Public Health Nutrition , Volume 3 , Issue 4 , December 2000 , pp. 411 - 416
Copyright
Copyright © CABI Publishing 2000

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