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Whole grain in children's diet: intake, food sources and trends

Abstract

Objective:

To quantify the intake of grain and whole grain, and their food sources, as well as to investigate the age and time trends over the last decade in a sample of German children and adolescents.

Methods:

Dietary records from the Dortmund Nutritional and Anthropometric Longitudinally Designed (DONALD) Study were used for conducting this work. A total of 5067 3-day weighed dietary records of 821 2- to 18-year-old children and adolescents collected between 1997 and 2008 were analysed using linear mixed-effect models, in which the means of the data and the covariance structure (children of the family, repeated measurements) were modelled.

Results:

Mean whole-grain intake was between 20 and 33 g/day in the sample and highest in 13–18 year olds. No whole grain intake was recorded in 19% of all dietary records. Total grain intake increased significantly with age (P<0.0001), even after adjustment for energy intake. Whole-grain intake (g/day) increased significantly with age in the unadjusted model (P<0.0001). This increase disappeared after adjustment for energy intake (P>0.05) and became a negative trend after adjustment for grain intake (P<0.01). There were no significant time trends during the study period. Bread had the highest effect on grain intake in the total sample (50%), followed by rice/pasta (21%), cake (13%), grain (9%), RTECs (5%) and muesli (2%).

Conclusions:

The whole-grain intake in this sample of German children and adolescents was far below the FBDG. The decreasing percentage of whole grain per grain intake with age contradicts the common concept of stable dietary habits during childhood and adolescents.

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References

  • Alexy U, Sichert-Hellert W, Kersting M (2002). Fifteen-year time trends in energy and macronutrient intake in German children and adolescents: results of the DONALD study. Br J Nutr 87, 595–604.

    Article  CAS  PubMed  Google Scholar 

  • Alexy U, Wicher M, Kersting M (2010). Breakfast trends in children and adolescents: frequency and quality. J Public Health (Oxf) 18, 1–8.

    Article  Google Scholar 

  • Benton D (2004). Role of parents in the determination of the food preferences of children and the development of obesity. Int J Obes Relat Metab Disord 28, 858–869.

    Article  CAS  PubMed  Google Scholar 

  • Birch L, Savage JS, Ventura A (2007). Influences on the development of children's eating behaviours: from infancy to adolescence. Can J Diet Pract Res 68, s1–s56.

    PubMed  PubMed Central  Google Scholar 

  • Boulton TJ, Magarey AM, Cockington RA (1995). Tracking of serum lipids and dietary energy, fat and calcium intake from 1 to 15 years. Acta Paediatr 84, 1050–1055.

    Article  CAS  PubMed  Google Scholar 

  • Brady LM, Lindquist CH, Herd SL, Goran MI (2000). Comparison of children's dietary intake patterns with US dietary guidelines. Br J Nutr 84, 361–367.

    CAS  PubMed  Google Scholar 

  • British Nutrition Foundation (BNF) (2008). Healthy Eating: a Whole Diet Approach available at http://britishnutrition.org.uk/; cited November 2009.

  • Cleveland LE, Moshfegh AJ, Albertson AM, Goldman JD (2000). Dietary intake of whole grains. J Am Coll Nutr 19, 331S–338S.

    Article  CAS  PubMed  Google Scholar 

  • Fletcher ES, Rugg-Gunn AJ, Matthews JN, Hackett A, Moynihan PJ, Mathers JC et al. (2004). Changes over 20 years in macronutrient intake and body mass index in 11- to 12-year-old adolescents living in Northumberland. Br J Nutr 92, 321–333.

    Article  CAS  PubMed  Google Scholar 

  • Food Labeling and Standards Staff (2006). Whole Grain Label Statements—Guidance for Industry and FDA Staff. available at www.fda.gov; cited September 2009.

  • Kaline K, Bornstein SR, Bergmann A, Hauner H, Schwarz PE (2007). The importance and effect of dietary fiber in diabetes prevention with particular consideration of whole grain products. Horm Metab Res 39, 687–693.

    Article  CAS  PubMed  Google Scholar 

  • Kersting M, Alexy U, Clausen K (2005). Using the concept of Food Based Dietary Guidelines to Develop an Optimized Mixed Diet (OMD) for German children and adolescents. J Pediatr Gastroenterol Nutr 40, 301–308.

    Article  PubMed  Google Scholar 

  • Kersting M, Sichert-Hellert W, Lausen B, Alexy U, Manz F, Schoch G (1998). Energy intake of 1 to 18 year old German children and adolescents. Z Ernahrungswiss 37, 47–55.

    Article  CAS  PubMed  Google Scholar 

  • Kranz S, Siega-Riz AM, Herring AH (2004). Changes in diet quality of American preschoolers between 1977 and 1998. Am J Public Health 94, 1525–1530.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kroke A, Manz F, Kersting M, Remer T, Sichert-Hellert W, Alexy U et al. (2004). The DONALD Study. History, current status and future perspectives. Eur J Nutr 43, 45–54.

    Article  PubMed  Google Scholar 

  • Lake AA, Mathers JC, Rugg-Gunn AJ, Adamson AJ (2006). Longitudinal change in food habits between adolescence (11–12 years) and adulthood (32–33 years): the ASH30 Study. J Public Health (Oxf) 28, 10–16.

    Article  Google Scholar 

  • Lang R, Jebb SA (2003). Who consumes whole grains, and how much? Proc Nutr Soc 62, 123–127.

    Article  PubMed  Google Scholar 

  • Liu S, Willett WC, Manson JE, Hu FB, Rosner B, Colditz G (2003). Relation between changes in intakes of dietary fiber and grain products and changes in weight and development of obesity among middle-aged women. Am J Clin Nutr 78, 920–927.

    Article  CAS  PubMed  Google Scholar 

  • Livingstone B (2000). Epidemiology of childhood obesity in Europe. Eur J Pediatr 159 (Suppl 1), S14–S34.

    Article  PubMed  Google Scholar 

  • Marlett JA, McBurney MI, Slavin JL (2002). Position of the American Dietetic Association: health implications of dietary fiber. J Am Diet Assoc 102, 993–1000.

    Article  PubMed  Google Scholar 

  • Mellen PB, Walsh TF, Herrington DM (2008). Whole grain intake and cardiovascular disease: a meta-analysis. Nutr Metab Cardiovasc Dis 18, 283–290.

    Article  PubMed  Google Scholar 

  • Nicklas TA, Webber LS, Berenson GS (1991). Studies of consistency of dietary intake during the first four years of life in a prospective analysis: Bogalusa Heart Study. J Am Coll Nutr 10, 234–241.

    Article  CAS  PubMed  Google Scholar 

  • Pudel V (2000). Essverhalten und Ernährungszustand von Kindern und Jugendlichen. In: Ernährungsbericht (Society): Deutsche Gesellschaft für Ernährung (German Nutrition Society): Frankfurt, Umschau.

  • Schatzkin A, Park Y, Leitzmann MF, Hollenbeck AR, Cross AJ (2008). Prospective study of dietary fiber, whole grain foods, and small intestinal cancer. Gastroenterology 135, 1163–1167.

    Article  CAS  PubMed  Google Scholar 

  • Sichert-Hellert W, Kersting M, Chahda C, Schaefer R, Kroke A (2007). Commercial food products in a food composition database for dietary evaluation in pediatric age groups. J Food Compos Analy 20, 63–70.

    Article  Google Scholar 

  • Stahl A, Vohmann C, Richter A, Heseker H, Mensink GB (2009). Changes in food and nutrient intake of 6- to 17-year-old Germans between the 1980s and 2006. Public Health Nutr 12, 1912–1923.

    Article  PubMed  Google Scholar 

  • Thane CW, Jones AR, Stephen AM, Seal CJ, Jebb SA (2005). Whole-grain intake of British young people aged 4–18 years. Br J Nutr 94, 825–831.

    Article  CAS  PubMed  Google Scholar 

  • Thane CW, Jones AR, Stephen AM, Seal CJ, Jebb SA (2007). Comparative whole-grain intake of British adults in 1986–7 and 2000–1. Br J Nutr 97, 987–992.

    Article  CAS  PubMed  Google Scholar 

  • U.S. Department of Health and Human Services (2005) Dietary Guidelines for Americans available at www.health.gov/DietaryGuidelines; cited November 2009.

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Acknowledgements

The DONALD Study is supported by the ‘Ministerium für Innovation, Wissenschaft, Forschung und Technologie des Landes Nordrhein-Westfalen’, Germany. The present evaluation was funded by a research grant Nestle Cereal Partners Deutschland GmbH & Co. OHG. The participation of all children and their families in the study is gratefully acknowledged. We also thank the DONALD Study.

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Correspondence to U Alexy.

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The authors declare no conflict of interest.

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Contributors: UA and MK designed and conducted the research; UA wrote the paper and had primary responsibility for the final content; and UA and CZ performed the statistical analyses. All authors contributed to interpretation of the data and read and approved the final manuscript.

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Alexy, U., Zorn, C. & Kersting, M. Whole grain in children's diet: intake, food sources and trends. Eur J Clin Nutr 64, 745–751 (2010). https://doi.org/10.1038/ejcn.2010.94

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