TY - JOUR
T1 - The impact of replacing regular- with reduced-fat dairy foods on childrens wider food intake
T2 - Secondary analysis of a cluster RCT
AU - Golley, R. K.
AU - Hendrie, G. A.
N1 - Funding Information:
We appreciate the efforts of the CSIRO Clinical Research Unit for managing the trial, and we thank the families for volunteering to participant in this research. This research was funded by Dairy Australia Ltd. RKG was supported by a National Health and Medical Research Council public health training award (478115).
Funding Information:
This randomized controlled trial was funded by Dairy Australia Ltd but was designed, implemented and analyzed and the manuscript was prepared without input from Dairy Australia Ltd. Dairy Australia Ltd approved the manuscript for publication. GH is employed by the Commonwealth Scientific Industrial Research Organisation.
PY - 2012/10
Y1 - 2012/10
N2 - BACKGROUND/OBJECTIVES: The effect of changing one aspect of diet needs to be considered within the context of total diet. The study aim was to evaluate the changes in childrens overall food intake following replacement of regular-fat with reduced-fat dairy foods.SUBJECTS/METHODS: Secondary analysis of a cluster Randomized Controlled Trial where families were received parental behavioral nutrition education to change to reduced-fat dairy foods (intervention) or reduce screen time (comparison control). Food intake was assessed via multiple 24-h recalls at baseline, week 12 (end of the intervention) and week 24. Participants were parents and their children (4-13 years, N145) who were regular-fat dairy food consumers. The intervention effect was based on mixed model analysis adjusted for covariates, and baseline food intake.RESULTS: At week 24, total dairy servings per day were similar between groups and servings of reduced-fat dairy foods were higher in the intervention group (0.8 servings per day 95% confidence interval (CI) 0.5-1.1, P0.0001). Fruit intake was higher in the intervention group (0.5 servings per day 95% CI 0.02-0.9, P0.040), with no other statistically significant differences in food intake. In the intervention group, the contribution of core food groups to saturated fat intake was 45% at baseline and 31% at week 24, with extra foods being the largest contributor to total energy (28%) and saturated fat (40%) intake at follow-up.CONCLUSIONS: Changing childrens dairy food choices to reduced-fat varieties did not adversely affect overall food intake. Replacing energy-dense foods with nutrient-rich foods should be the focus of interventions to lower in saturated fat.
AB - BACKGROUND/OBJECTIVES: The effect of changing one aspect of diet needs to be considered within the context of total diet. The study aim was to evaluate the changes in childrens overall food intake following replacement of regular-fat with reduced-fat dairy foods.SUBJECTS/METHODS: Secondary analysis of a cluster Randomized Controlled Trial where families were received parental behavioral nutrition education to change to reduced-fat dairy foods (intervention) or reduce screen time (comparison control). Food intake was assessed via multiple 24-h recalls at baseline, week 12 (end of the intervention) and week 24. Participants were parents and their children (4-13 years, N145) who were regular-fat dairy food consumers. The intervention effect was based on mixed model analysis adjusted for covariates, and baseline food intake.RESULTS: At week 24, total dairy servings per day were similar between groups and servings of reduced-fat dairy foods were higher in the intervention group (0.8 servings per day 95% confidence interval (CI) 0.5-1.1, P0.0001). Fruit intake was higher in the intervention group (0.5 servings per day 95% CI 0.02-0.9, P0.040), with no other statistically significant differences in food intake. In the intervention group, the contribution of core food groups to saturated fat intake was 45% at baseline and 31% at week 24, with extra foods being the largest contributor to total energy (28%) and saturated fat (40%) intake at follow-up.CONCLUSIONS: Changing childrens dairy food choices to reduced-fat varieties did not adversely affect overall food intake. Replacing energy-dense foods with nutrient-rich foods should be the focus of interventions to lower in saturated fat.
KW - child
KW - dairy
KW - food intake
UR - http://www.scopus.com/inward/record.url?scp=84867100741&partnerID=8YFLogxK
U2 - 10.1038/ejcn.2012.113
DO - 10.1038/ejcn.2012.113
M3 - Article
C2 - 22909579
AN - SCOPUS:84867100741
SN - 0954-3007
VL - 66
SP - 1130
EP - 1134
JO - European Journal of Clinical Nutrition
JF - European Journal of Clinical Nutrition
IS - 10
ER -