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Socio-economic determinants of selected dietary indicators in British pre-school children

Published online by Cambridge University Press:  02 January 2007

Richard G Watt*
Affiliation:
Department of Epidemiology and Public Health, Royal Free Hospital and University College London Medical School, University College London, London WC1E 6BT, UK
Joanna Dykes
Affiliation:
Department of Epidemiology and Public Health, Royal Free Hospital and University College London Medical School, University College London, London WC1E 6BT, UK
Aubrey Sheiham
Affiliation:
Department of Epidemiology and Public Health, Royal Free Hospital and University College London Medical School, University College London, London WC1E 6BT, UK
*
*Corresponding author: Email [email protected]
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Abstract

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Objectives:

To assess the proportion of pre-school children meeting reference nutrient intakes (RNIs) and recommendations for daily intakes of iron, zinc, vitamins C and A, and energy from non-milk extrinsic sugars. To assess whether meeting these five dietary requirements was related to a series of socio-economic variables.

Design:

Secondary analysis of data on daily consumption of foods and drinks from the National Diet and Nutrition Survey (NDNS) of children aged 1.5–4.5 years based on 4-day weighed intakes.

Subjects:

One thousand six hundred and seventy-five British pre-school children aged 1.5–4.5 years in 1993.

Results:

Only 1% of children met all five RNIs/recommendations examined; 76% met only two or fewer. Very few children met the recommendations for intakes of zinc (aged over four years) and non-milk extrinsic sugars (all ages). The number of RNIs/recommendations met was related to measures of socio-economic class. Children from families in Scotland and the North of England, who had a manual head of household and whose mothers had fewest qualifications, met the least number of RNIs/recommendations.

Conclusions:

Very few pre-school children have diets that meet all the RNIs and recommendations for iron, zinc, vitamins C and A, and energy from non-milk extrinsic sugars. Dietary adequacy with respect to these five parameters is related to socio-economic factors. The findings emphasise the need for a range of public health policies that focus upon the social and economic determinants of food choice within families.

Type
Research Article
Copyright
Copyright © CABI Publishing 2001

References

1Sherriff, A, Emond, A, Hawkins, N, Golding, J. Haemoglobin and ferritin concentrations in children aged 12 and 18 months. Arch. Dis. Child 1999; 80, 153–7.CrossRefGoogle ScholarPubMed
2Duggan, MB, Harbottle, L, Noble, C. The weaning diet of healthy Asian children living in Sheffield. 1. The level and composition of the diet in children from 4–40 months of age. J. Hum. Nutr. Diet. 1992; 5: 189200.CrossRefGoogle Scholar
3Gregory, JR, Collins, DL, Davies, PSW, Hughes, JM,Clarke, PC. National Diet and Nutrition Survey: Children aged 15 to 45 years. Volume 1. Report of the Diet and Nutrition Survey. Children aged 15 to 45 years. Volume 1. Report of the Diet and Nutrition Survey. London: HMSO, 1995.Google Scholar
4Caroline Walker Trust. Eating Well for the Under-5s in Childcare. London: Caroline Walker Trust, 1998.Google Scholar
5Department of Health. Dietary Sugars and Human Disease. COMA Report on Health and Social Subjects No. 37. London: HMSO, 1989.Google Scholar
6Independent Inquiry into Inequalities in Health Report. London: Stationery Office, 1998.Google Scholar
7Leather, S. The Making of Modern Malnutrition: An Overview of Food Poverty in the UK. The Caroline Walker Lecture. London: Caroline Walker Trust, 1996.Google Scholar
8Leather, S. Fruit and vegetables: consumption patterns and health consequences. Br. Food J. 1995; 97: 7.CrossRefGoogle Scholar
9Lobstein, T. The Nutrition of Women on Low Incomes. London: The Food Commission, 1991.Google Scholar
10Doyle, W, et al. Nutritional survey of schoolchildren in an inner city area. Arch. Dis. Child. 1994; 70: 376–81.CrossRefGoogle Scholar
11Philip, W, James, T, Nelson, M, Ralph, A, Leather, S. The contribution of nutrition to inequalities in health. BMJ 1997; 314: 1545–9.Google Scholar
12Lang, T, Caraher, M. Access to healthy foods: part II. Food poverty and shopping deserts: what are the implications for health promotion policy and practice. Health. Educ. J. 1998; 57: 202–11.CrossRefGoogle Scholar
13Watt, RG, Dykes, J, Sheiham, A. Pre-school children's consumption of drinks: implications for dental health. Community Dent. Health 2001; 17: 813.Google Scholar
14Department of Health. Dietary Reference Values for Food Energy and Nutrients for the United Kingdom. COMA Report on Health and Social Subjects No. 41. London: HMSO, 1991.Google Scholar
15Stockley, L. Summary of the Promotion of Healthier Eating: A Basis for Action. London: Health Education Authority, 1993.Google Scholar