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Eur J Prev Cardiol. 2017 Nov;24(16):1779-1787. doi: 10.1177/2047487317720286. Epub 2017 Jul 20.

Longitudinal child-oriented dietary intervention: Association with parental diet and cardio-metabolic risk factors. The Special Turku Coronary Risk Factor Intervention Project.

Author information

1
1 Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Finland.
2
2 Paavo Nurmi Centre, Sports and Exercise Medicine Unit, Department of Health and Physical Activity, University of Turku, Finland.
3
3 Department of Medicine, University of Turku, Finland.
4
4 Division of Medicine, Turku University Hospital, Finland.
5
5 Department of Pediatrics, Turku University Hospital, Finland.
6
6 Hospital for Children and Adolescents, University of Helsinki, Helsinki, Finland.
7
7 Department of Public Health, University of Turku, Finland.
8
8 Department of Chronic Disease Prevention, Institute for Health and Welfare, Turku, Finland.
9
9 Department of Clinical Physiology and Nuclear Medicine, Turku University Hospital, Finland.

Abstract

Background The child-oriented dietary intervention given in the prospective Special Turku Coronary Risk Factor Intervention Project (STRIP) has decreased the intake of saturated fat and lowered serum cholesterol concentration in children from infancy until early adulthood. In this study, we investigated whether the uniquely long-term child-oriented intervention has affected also secondarily parental diet and cardio-metabolic risk factors. Methods The STRIP study is a longitudinal, randomized infancy-onset atherosclerosis prevention trial continued from the child's age of 8 months to 20 years. The main aim was to modify the child's diet towards reduced intake of saturated fat. Parental dietary intake assessed by a one-day food record and cardio-metabolic risk factors were analysed between the child's ages of 9-19 years. Results Saturated fat intake of parents in the intervention group was lower [mothers: 12.0 versus 13.9 daily energy (E%), p < 0.0001; fathers: 12.5 versus 13.9 E%, p < 0.0001] and polyunsaturated fat intake was higher (mothers: 6.1 versus 5.4 E%, p < 0.0001; fathers: 6.3 versus 5.9 E%, p = 0.0003) compared with the control parents. Maternal total and low-density lipoprotein cholesterol concentrations were lower in the intervention compared with the control group (mean ± SE 5.02 ± 0.04 versus 5.14 ± 0.04 mmol/l, p = 0.04 and 3.19 ± 0.04 versus 3.30 ± 0.03 mmol/l, p = 0.03, respectively). Paternal cholesterol values did not differ between the intervention and control groups. Other cardio-metabolic risk factors were similar in the study groups. Conclusions Child-oriented dietary intervention shifted the dietary fat intakes of parents closer to the recommendations and tended to decrease total and low-density lipoprotein cholesterol in the intervention mothers. Dietary intervention directed to children benefits also parents.

TRIAL REGISTRATION:

ClinicalTrials.gov NCT00223600.

KEYWORDS:

Dietary counselling; cardio-metabolic risk factors; diet; parental

PMID:
28727955
DOI:
10.1177/2047487317720286
[Indexed for MEDLINE]

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