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Regional and socio-economic differences in food, nutrient and supplement intake in school-age children in Germany: results from the GINIplus and the LISAplus studies

  • Stefanie Sausenthaler (a1), Marie Standl (a1), Anette Buyken (a2), Peter Rzehak (a1) (a3), Sibylle Koletzko (a4), Carl Peter Bauer (a5), Beate Schaaf (a6), Andrea von Berg (a7), Dietrich Berdel (a7), Michael Borte (a8) (a9), Olf Herbarth (a10), Irina Lehmann (a11), Ursula Krämer (a12), H-Erich Wichmann (a1) (a2) and Joachim Heinrich (a1)...

Abstract

Objective

To describe regional differences between eastern and western Germany with regard to food, nutrient and supplement intake in 9–12-year-old children, and analyse its association with parental education and equivalent income.

Design

Data were obtained from the 10-year follow-up of the two prospective birth cohort studies – GINIplus and LISAplus. Data on food consumption and supplement intake were collected using an FFQ, which had been designed for the specific study population. Information on parental educational level and equivalent income was derived from questionnaires. Logistic regression modelling was used to analyse the effect of parental education, equivalent income and region on food intake, after adjusting for potential confounders.

Setting

Germany.

Subjects

A total of 3435 children aged 9–12 years.

Results

Substantial regional differences in food intake were observed between eastern and western Germany. Intakes of bread, butter, eggs, pasta, vegetables/salad and fruit showed a significant direct relationship with the level of parental education after adjusting for potential confounders, whereas intakes of margarine, meat products, pizza, desserts and soft drinks were inversely associated with parental education. Equivalent income had a weaker influence on the child's food intake.

Conclusions

Nutritional education programmes for school-age children should therefore account for regional differences and parental education.

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Copyright

COPYRIGHT: © The Authors 2011

Corresponding author

*Corresponding author: Email s.sausenthaler@helmholtz-muenchen.de

Footnotes

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†

Both authors have contributed equally to the manuscript.

‡

Members of and institutions affiliated with the LISAplus and the GINIplus study groups are listed in the Appendix.

Footnotes

References

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1. Winkler, G, Brasche, S & Heinrich, J (1997) Trends in food intake in adults from the city of Erfurt before and after the German reunification. Ann Nutr Metab 41, 283–290.
2. Mensink, GB & Beitz, R (2004) Food and nutrient intake in East and West Germany, 8 years after the reunification – The German Nutrition Survey 1998. Eur J Clin Nutr 58, 1000–1010.
3. Giskes, K, Turrell, G, van Lenthe, FJ et al. (2006) A multilevel study of socio-economic inequalities in food choice behaviour and dietary intake among the Dutch population: the GLOBE study. Public Health Nutr 9, 75–83.
4. Giskes, K, Avendano, M, Brug, J et al. (2010) A systematic review of studies on socioeconomic inequalities in dietary intakes associated with weight gain and overweight/obesity conducted among European adults. Obes Rev 11, 413–419.
5. Irala-Estevez, JD, Groth, M, Johansson, L et al. (2000) A systematic review of socio-economic differences in food habits in Europe: consumption of fruit and vegetables. Eur J Clin Nutr 54, 706–714.
6. Lopez-Azpiazu, I, Sanchez-Villegas, A, Johansson, L et al. (2003) Disparities in food habits in Europe: systematic review of educational and occupational differences in the intake of fat. J Hum Nutr Diet 16, 349–364.
7. Darmon, N & Drewnowski, A (2008) Does social class predict diet quality? Am J Clin Nutr 87, 1107–1117.
8. Sichert-Hellert, W & Kersting, M (2004) Vitamin and mineral supplements use in German children and adolescents between 1986 and 2003: results of the DONALD Study. Ann Nutr Metab 48, 414–419.
9. Six, J, Richter, A, Rabenberg, M et al. (2008) Dietary supplement use among adolescents in Germany. Results of EsKiMo. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 51, 1202–1209.
10. von Berg, A, Koletzko, S, Grubl, A et al. (2003) The effect of hydrolyzed cow's milk formula for allergy prevention in the first year of life: the German Infant Nutritional Intervention Study, a randomized double-blind trial. J Allergy Clin Immunol 111, 533–540.
11. von Berg, A, Filipiak-Pittroff, B, Kramer, U et al. (2008) Preventive effect of hydrolyzed infant formulas persists until age 6 years: long-term results from the German Infant Nutritional Intervention Study (GINI). J Allergy Clin Immunol 121, 1442–1447.
12. Heinrich, J, Bolte, G, Holscher, B et al. (2002) Allergens and endotoxin on mothers’ mattresses and total immunoglobulin E in cord blood of neonates. Eur Respir J 20, 617–623.
13. Zutavern, A, Brockow, I, Schaaf, B et al. (2006) Timing of solid food introduction in relation to atopic dermatitis and atopic sensitization: results from a prospective birth cohort study. Pediatrics 117, 401–411.
14. Stiegler, P, Sausenthaler, S, Buyken, AE et al. (2010) A new FFQ designed to measure the intake of fatty acids and antioxidants in children. Public Health Nutr 13, 38–46.
15. Bohlscheid-Thomas, S, Hoting, I, Boeing, H et al. (1997) Reproducibility and relative validity of food group intake in a food frequency questionnaire developed for the German part of the EPIC project. European Prospective Investigation into Cancer and Nutrition. Int J Epidemiol 26, Suppl. 1, S59–S70.
16. Hartmann, BM, Bell, S, Vásquez-Caiquedo, AL et al. (2005) Der Bundeslebensmittelschlüssel. German Nutrient Data Base. Karlsruhe: Federal Research Centre for Nutrition and Food (BfEL).
17. Kroke, A, Manz, F, Kersting, M et al. (2004) The DONALD Study. History, current status and future perspectives. Eur J Nutr 43, 45–54.
18. Block, G, Woods, M, Potosky, A et al. (1990) Validation of a self-administered diet history questionnaire using multiple diet records. J Clin Epidemiol 43, 1327–1335.
19. Haraldsdottir, J (1993) Minimizing error in the field: quality control in dietary surveys. Eur J Clin Nutr 47, Suppl. 2, S19–S24.
20. Hauser, R (1998) Adequacy and poverty among the retired. In Maintaining Prosperity in an Ageing Society. Ageing Working Paper no. 3.2. Paris: OECD.
21. Sausenthaler, S, Kompauer, I, Mielck, A et al. (2007) Impact of parental education and income inequality on children's food intake. Public Health Nutr 10, 24–33.
22. R Development Core Team (2009) R: A Language and Environment for Statistical Computing. Vienna, Austria: R Foundation for Statistical Computing.
23. Mensink, GB, Heseker, H, Richter, A et al. (2007) Ernährungsstudie als KiGGS-Modul (EsKiMo) – Forschungsbericht. Berlin, Paderborn: Robert-Koch Institut, Universität Paderborn.
24. Stahl, A, Vohmann, C, Richter, A et al. (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.
25. Turrell, G, Hewitt, B, Patterson, C et al. (2003) Measuring socio-economic position in dietary research: is choice of socio-economic indicator important? Public Health Nutr 6, 191–200.
26. Klocke, A (1997) The impact of poverty on nutrition behaviour in young Europeans. In Poverty and Food in Welfare Societies, pp. 224–237 [B Kohler, E Feichtinger, E Barlosius, et al., editors]. Berlin: Sigma.
27. Laitinen, S, Rasanen, L, Viikari, J et al. (1995) Diet of Finnish children in relation to the family's socio-economic status. Scand J Soc Med 23, 88–94.
28. Cooke, LJ, Wardle, J, Gibson, EL et al. (2004) Demographic, familial and trait predictors of fruit and vegetable consumption by pre-school children. Public Health Nutr 7, 295–302.
29. Rogers, I & Emmett, P (2003) The effect of maternal smoking status, educational level and age on food and nutrient intakes in preschool children: results from the Avon Longitudinal Study of Parents and Children. Eur J Clin Nutr 57, 854–864.
30. Flynn, A, Hirvonen, T, Mensink, GB et al. (2009) Intake of selected nutrients from foods, from fortification and from supplements in various European countries. Food Nutr Res Suppl. 1, 53.
31. Robinson, S, Godfrey, K, Osmond, C et al. (1996) Evaluation of a food frequency questionnaire used to assess nutrient intakes in pregnant women. Eur J Clin Nutr 50, 302–308.

Keywords

  • Cited by 14

  • Access

Regional and socio-economic differences in food, nutrient and supplement intake in school-age children in Germany: results from the GINIplus and the LISAplus studies

  • Stefanie Sausenthaler (a1), Marie Standl (a1), Anette Buyken (a2), Peter Rzehak (a1) (a3), Sibylle Koletzko (a4), Carl Peter Bauer (a5), Beate Schaaf (a6), Andrea von Berg (a7), Dietrich Berdel (a7), Michael Borte (a8) (a9), Olf Herbarth (a10), Irina Lehmann (a11), Ursula Krämer (a12), H-Erich Wichmann (a1) (a2) and Joachim Heinrich (a1)...

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