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Consistent dietary patterns identified from childhood to adulthood: The Cardiovascular Risk in Young Finns Study

  • V. Mikkilä (a1), L. Räsänen (a1), O.T. Raitakari (a2), P. Pietinen (a3) and J. Viikari (a4)...

Abstract

Dietary patterns are useful in nutritional epidemiology, providing a comprehensive alternative to the traditional approach based on single nutrients. The Cardiovascular Risk in Young Finns Study is a prospective cohort study with a 21-year follow-up. At baseline, detailed quantitative information on subjects' food consumption was obtained using a 48 h dietary recall method (n 1768, aged 3–18 years). The interviews were repeated after 6 and 21 years (n 1200 and n 1037, respectively). We conducted a principal component analysis to identify major dietary patterns at each study point. A set of two similar patterns was recognised throughout the study. Pattern 1 was positively correlated with consumption of traditional Finnish foods, such as rye, potatoes, milk, butter, sausages and coffee, and negatively correlated with fruit, berries and dairy products other than milk. Pattern 1 type of diet was more common among male subjects, smokers and those living in rural areas. Pattern 2, predominant among female subjects, non-smokers and in urban areas, was characterised by more health-conscious food choices such as vegetables, legumes and nuts, tea, rye, cheese and other dairy products, and also by consumption of alcoholic beverages. Tracking of the pattern scores was observed, particularly among subjects who were adolescents at baseline. Of those originally belonging to the uppermost quintile of pattern 1 and 2 scores, 41 and 38 % respectively, persisted in the same quintile 21 years later. Our results suggest that food behaviour and concrete food choices are established already in childhood or adolescence and may significantly track into adulthood.

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Corresponding author

*Corresponding author: Dr V. Mikkilä, fax +358 9 191 58 269, email vera.mikkila@helsinki.fi

References

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Åkerblom, HK, Viikari, J, Raitakari, OT & Uhari, M (1999) Cardiovascular Risk in Young Finns Study: general outline and recent developments. Ann Med 31, S45S54.
Bertheke, Post G, de Wente, W, Kemper, HC & Twisk, JW (2001) Longitudinal trends in and tracking of energy and nutrient intake over 20 years in a Dutch cohort of men and women between 13 and 33 years of age: the Amsterdam growth and health longitudinal study. Br J Nutr 85, 375385.
Cusatis, DC, Chinchilli, VM, Johnson-Rollings, N, Kieselhorst, K, Stallings, VA & Lloyd, T (2000) Longitudinal nutrient intake patterns of US adolescent women: the Penn State Young Women's Health Study. J Adolesc Health 26, 194204.
Fagerli, RA & Wandel, M (1999) Gender differences in opinions and practices with regard to a ‘healthy diet’. Appetite 32, 171190.
Hoffmann, K, Boeing, H, Dufour, A, Volatier, JL, Telman, J, Virtanen, M, Becker, W, De Henauw, S & EFCOSUM Group (2002) Estimating the distribution of usual dietary intake by short-term measurements. Eur J Clin Nutr 56, S53S62.
Hu, FB (2002) Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol 13, 39.
Hu, FB, Rimm, E, Smith-Warner, S, Feskarich, D, Stampfer, MJ, Ascherio, A & Sampson, Willett WC (1999) Reproducibility and validity of dietary patterns assessed with a food frequency questionnaire. Am J Clin Nutr 69, 243249.
Hu, FB, Rimm, EB, Stampfer, MJ, Ascherio, A, Spiegelman, D & Willett, WC (2000) Prospective study of major dietary patterns and risk of coronary heart disease in men. Am J Clin Nutr 72, 912921.
Jacobs, DR Jr & Steffen, LM (2003) Nutrients, foods, and dietary patterns as exposures in research: a framework for food synergy. Am J Clin Nutr 78, S508S513.
Jacques, PF & Tucker, KL (2001) Are dietary patterns useful for understanding the role of diet in chronic disease? Am J Clin Nutr 73, 12.
Kelder, SH, Perry, CL, Klepp, KI & Lytle, LL (1994) Longitudinal tracking of adolescent smoking, physical activity, and food choice behaviors. Am J Public Health 84, 11211126.
Lien, N, Lytle, LA & Klepp, KI (2001) Stability in consumption of fruit, vegetables, and sugary foods in a cohort from age 14 to age 21. Prev Med 33, 217226.
McNaughton, SA, Mishra, GD, Bramwell, G, Paul, AA & Wadsworth, MEJ (2005) Comparability of dietary patterns assessed by multiple dietary assessment methods: results from the 1946 British Cohort. Eur J Clin Nutr 341352.
Mikkilä, V, Räsänen, L, Raitakari, OT, Pietinen, P & Viikari, J (2004) Longitudinal changes in the diet from childhood to adulthood with respect to cardiovascular diseases–The Cardiovascular Risk in Young Finns. Eur J Clin Nutr 58, 10381045.
National Nutrition Council (1999) Finnish Nutrition Recommendations. Helsinki: Ministry of Agriculture and Forestry.
National Public Health Institute (2003) Food Composition Databank Fineli, version FND2. http://www.ktl.fi/fineli.
Newby, PK, Muller, D, Hallfrisch, J, Qiao, N, Andres, R & Tucker, KL (2003) Dietary patterns and changes in body mass index and waist circumference in adults. Am J Clin Nutr 77, 14171425.
O'doherty, Jensen K & Holm, L (1999) Preferences, quantities and concerns: socio-cultural perspectives on the gendered consumption of foods. Eur J Clin Nutr 53, 351359.
Osler, M, Heitmann, BL, Gerdes, LU, Jörgensen, LM & Schroll, M (2001) Dietary patterns and mortality in Danish men and women: a prospective observational study. Br J Nutr 85, 219225.
Pietinen, P, Lahti-Koski, M, Vartiainen, E & Puska, P (2001) Nutrition and cardiovascular disease in Finland since the early 1970s: a success story. J Nutr Health Aging 5, 150154.
Prättälä, R, Karisto, A & Berg, MA (1994) Consistency and variation in unhealthy behaviour among Finnish men, 1982–1990. Soc Sci Med 39, 115122.
Puska, P (2000) Nutrition and mortality: the Finnish experience. Acta Cardiol 55, 213220.
Quatromoni, PA, Copenhafer, DL, Demissie, S, D'Agosbino, RB, O'Horo, CE, Nan, BH & Millen, BE (2002) The internal validity of a dietary pattern analysis. The Framingham Nutrition Studies. J Epidemiol Community Health 56, 381388.
Raitakari, OT, Juonala, M, Kähönen, M (2003) Cardiovascular risk factors in childhood and carotid artery intima-media thickness in adulthood: the Cardiovascular Risk in Young Finns Study. JAMA 290, 22772283.
Raitakari, OT, Leino, MRäikkönen, KPorkka, KV, Tamela, SRäsänen, LViikari, VS (1995) Clustering of risk habits in young adults. The Cardiovascular Risk in Young Finns Study. Am J Epidemiol 142, 3644.
Raitakari, OT, Porkka, KV, Taimela, S, Telama, R, Räsänen, LViikari, JS (1994) Effects of persistent physical activity and inactivity on coronary risk factors in children and young adults. The Cardiovascular Risk in Young Finns Study. Am J Epidemiol 140, 195205.
Räsänen, L, Ahola, M, Kara, R & Uhari, M (1985) Atherosclerosis precursors in Finnish children and adolescents. VIII. Food consumption and nutrient intakes. Acta Paediatr Scand 318, S135S153.
Räsänen, L, Laitinen, S, Stirkkinen, R, Kimppa, S, Viikari, J, Uhari, M, Pesonen, E, Salo, MÅkerblom, HK (1991) Composition of the diet of young Finns in 1986. Ann Med 23, 7380.
Robson, PJ, Gallagher, AM, Livingstone, MB, Cran, GW, Strain, JJ, Sauage, JM & Borehan, CA (2000) Tracking of nutrient intakes in adolescence: the experiences of the Young Hearts Project, Northern Ireland. Br J Nutr 84, 541548.
Roos, E, Lahelma, E, Virtanen, M, Prättälä, R & Pietinen, P (1998) Gender, socioeconomic status and family status as determinants of food behaviour. Soc Sci Med 46, 15191529.
Singer, MR, Moore, LL, Garrahie, EJ & Ellison, RC (1995) The tracking of nutrient intake in young children: the Framingham Children's Study. Am J Public Health 85, 16731677.
Slattery, ML, Boucher, KM, Caan, BJ, Potter, JD & Ma, KN (1998) Eating patterns and risk of colon cancer. Am J Epidemiol 148, 416.
Terry, P, Hu, FB, Hansen, H & Wolk, A (2001) Prospective study of major dietary patterns and colorectal cancer risk in women. Am J Epidemiol 154, 11431149.
Togo, P, Togo, P, Heitmann, BL, Sorensen, TI & Osler, M (2003) Consistency of food intake factors by different dietary assessment methods and population groups. Br J Nutr 90, 667678.
Von Post-Skagegard, M, Samuelson, G, Karlström, B, Mohsen, R, Berglund, L & Bratteby, LE (2002) Changes in food habits in healthy Swedish adolescents during the transition from adolescence to adulthood. Eur J Clin Nutr 56, 532538.
Wang, Y, Bentley, ME, Zhai, F & Popkin, BM (2002) Tracking of dietary intake patterns of Chinese from childhood to adolescence over a six-year follow-up period. J Nutr 132, 430438.
Welten, DC, Kemper, HC, Post, GB, Van Staveren, WA & Twisk, JW (1997) Longitudinal development and tracking of calcium and dairy intake from teenager to adult. Eur J Clin Nutr 51, 612618.
Willett, WC (1998) Nutritional Epidemiology. 2nd ed. New York: Oxford University Press.
Zive, MM, Berry, CC, Sallis, JF, Frank, GC & Nader, PR (2002) Tracking dietary intake in white and Mexican-American children from age 4 to 12 years. J Am Diet Assoc 102, 683689.

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