Acceptance of a Nordic, Protein-Reduced Diet for Young Children during Complementary Feeding—A Randomized Controlled Trial

Early life is critical for developing healthy eating patterns. This study aimed to investigate the effects of a Nordic, protein-reduced complementary diet (ND) compared to a diet following the current Swedish dietary guidelines on eating patterns and food acceptance. At 4–6 months (mo) of age infant...

Full description

Bibliographic Details
Main Authors: Ulrica Johansson, Lene Lindberg, Inger Öhlund, Olle Hernell, Bo Lönnerdal, Saara Lundén, Mari Sandell, Torbjörn Lind
Format: Article
Language:English
Published: MDPI AG 2021-01-01
Series:Foods
Subjects:
Online Access:https://www.mdpi.com/2304-8158/10/2/275
_version_ 1797405833536995328
author Ulrica Johansson
Lene Lindberg
Inger Öhlund
Olle Hernell
Bo Lönnerdal
Saara Lundén
Mari Sandell
Torbjörn Lind
author_facet Ulrica Johansson
Lene Lindberg
Inger Öhlund
Olle Hernell
Bo Lönnerdal
Saara Lundén
Mari Sandell
Torbjörn Lind
author_sort Ulrica Johansson
collection DOAJ
description Early life is critical for developing healthy eating patterns. This study aimed to investigate the effects of a Nordic, protein-reduced complementary diet (ND) compared to a diet following the current Swedish dietary guidelines on eating patterns and food acceptance. At 4–6 months (mo) of age infants were randomized to a Nordic group (NG, <i>n</i> = 41) or a Conventional group (CG, <i>n</i> = 40), and followed until 18 mo of age. Daily intake of fruits and vegetables (mean ± sd) at 12 mo was significantly higher in the NG compared to the CG: 341 ± 108 g/day vs. 220 ± 76 g/day (<i>p</i> < 0.001), respectively. From 12 to 18 mo, fruit and vegetable intake decreased, but the NG still consumed 32% more compared to the CG: 254 ± 99 g/day vs. 193 ± 67 g/day (<i>p</i> = 0.004). To assess food acceptance, both groups were tested with home exposure meals at 12 and 18 mo. No group differences in acceptance were found. We find that a ND with parental education initiates healthy eating patterns during infancy, but that the exposure meal used in the present study was insufficient to detect major differences in food acceptance. This is most likely explained by the preparation of the meal. Nordic produce offers high environmental sustainability and favorable taste composition to establish healthy food preferences during this sensitive period of early life.
first_indexed 2024-03-09T03:16:56Z
format Article
id doaj.art-61178690468044c7b6b39bd17593ed83
institution Directory Open Access Journal
issn 2304-8158
language English
last_indexed 2024-03-09T03:16:56Z
publishDate 2021-01-01
publisher MDPI AG
record_format Article
series Foods
spelling doaj.art-61178690468044c7b6b39bd17593ed832023-12-03T15:18:13ZengMDPI AGFoods2304-81582021-01-0110227510.3390/foods10020275Acceptance of a Nordic, Protein-Reduced Diet for Young Children during Complementary Feeding—A Randomized Controlled TrialUlrica Johansson0Lene Lindberg1Inger Öhlund2Olle Hernell3Bo Lönnerdal4Saara Lundén5Mari Sandell6Torbjörn Lind7Department of Clinical Sciences, Pediatrics, Umeå University, SE 901 85 Umeå, SwedenDepartment of Public Health Sciences, Karolinska Institutet and Centre for Epidemiology and Community Medicine, Stockholm County Council, SE 104 31 Stockholm, SwedenDepartment of Clinical Sciences, Pediatrics, Umeå University, SE 901 85 Umeå, SwedenDepartment of Clinical Sciences, Pediatrics, Umeå University, SE 901 85 Umeå, SwedenDepartment of Nutrition, University of California, Davis, CA 95616, USAFunctional Foods Forum, University of Turku, FI-20014 Turku, FinlandFunctional Foods Forum, University of Turku, FI-20014 Turku, FinlandDepartment of Clinical Sciences, Pediatrics, Umeå University, SE 901 85 Umeå, SwedenEarly life is critical for developing healthy eating patterns. This study aimed to investigate the effects of a Nordic, protein-reduced complementary diet (ND) compared to a diet following the current Swedish dietary guidelines on eating patterns and food acceptance. At 4–6 months (mo) of age infants were randomized to a Nordic group (NG, <i>n</i> = 41) or a Conventional group (CG, <i>n</i> = 40), and followed until 18 mo of age. Daily intake of fruits and vegetables (mean ± sd) at 12 mo was significantly higher in the NG compared to the CG: 341 ± 108 g/day vs. 220 ± 76 g/day (<i>p</i> < 0.001), respectively. From 12 to 18 mo, fruit and vegetable intake decreased, but the NG still consumed 32% more compared to the CG: 254 ± 99 g/day vs. 193 ± 67 g/day (<i>p</i> = 0.004). To assess food acceptance, both groups were tested with home exposure meals at 12 and 18 mo. No group differences in acceptance were found. We find that a ND with parental education initiates healthy eating patterns during infancy, but that the exposure meal used in the present study was insufficient to detect major differences in food acceptance. This is most likely explained by the preparation of the meal. Nordic produce offers high environmental sustainability and favorable taste composition to establish healthy food preferences during this sensitive period of early life.https://www.mdpi.com/2304-8158/10/2/275infant feedinghealthy eatingfood preferenceeating behaviorrepeated exposurevegetables
spellingShingle Ulrica Johansson
Lene Lindberg
Inger Öhlund
Olle Hernell
Bo Lönnerdal
Saara Lundén
Mari Sandell
Torbjörn Lind
Acceptance of a Nordic, Protein-Reduced Diet for Young Children during Complementary Feeding—A Randomized Controlled Trial
Foods
infant feeding
healthy eating
food preference
eating behavior
repeated exposure
vegetables
title Acceptance of a Nordic, Protein-Reduced Diet for Young Children during Complementary Feeding—A Randomized Controlled Trial
title_full Acceptance of a Nordic, Protein-Reduced Diet for Young Children during Complementary Feeding—A Randomized Controlled Trial
title_fullStr Acceptance of a Nordic, Protein-Reduced Diet for Young Children during Complementary Feeding—A Randomized Controlled Trial
title_full_unstemmed Acceptance of a Nordic, Protein-Reduced Diet for Young Children during Complementary Feeding—A Randomized Controlled Trial
title_short Acceptance of a Nordic, Protein-Reduced Diet for Young Children during Complementary Feeding—A Randomized Controlled Trial
title_sort acceptance of a nordic protein reduced diet for young children during complementary feeding a randomized controlled trial
topic infant feeding
healthy eating
food preference
eating behavior
repeated exposure
vegetables
url https://www.mdpi.com/2304-8158/10/2/275
work_keys_str_mv AT ulricajohansson acceptanceofanordicproteinreduceddietforyoungchildrenduringcomplementaryfeedingarandomizedcontrolledtrial
AT lenelindberg acceptanceofanordicproteinreduceddietforyoungchildrenduringcomplementaryfeedingarandomizedcontrolledtrial
AT ingerohlund acceptanceofanordicproteinreduceddietforyoungchildrenduringcomplementaryfeedingarandomizedcontrolledtrial
AT ollehernell acceptanceofanordicproteinreduceddietforyoungchildrenduringcomplementaryfeedingarandomizedcontrolledtrial
AT bolonnerdal acceptanceofanordicproteinreduceddietforyoungchildrenduringcomplementaryfeedingarandomizedcontrolledtrial
AT saaralunden acceptanceofanordicproteinreduceddietforyoungchildrenduringcomplementaryfeedingarandomizedcontrolledtrial
AT marisandell acceptanceofanordicproteinreduceddietforyoungchildrenduringcomplementaryfeedingarandomizedcontrolledtrial
AT torbjornlind acceptanceofanordicproteinreduceddietforyoungchildrenduringcomplementaryfeedingarandomizedcontrolledtrial