This study examined the association between energy density (ED, g/kJ) and diet costs (h/day) in a sample of 494 German children and adolescents aged 4-18 years using 1100 3-day-weighed dietary records from the Dortmund Nutritional and Anthropometric Longitudinally Designed (DONALD) Study (open cohort study) and retail food prices of 341 empirically selected recorded food items including special brands. ED was negatively associated with diet costs (b ¼ À 0.20 kJ/g, Po0.0007) with a non-linear term (b ¼ 0.01 kJ/g*kJ/g, P ¼ 0.0440). Diet costs increased with age (b ¼ 0.32 yr, Po0.0001) with a negative non-linear term (b ¼ À 0.01 yr*yr; Po0.0001). In conclusion, the inverse association between diet costs and ED was more pronounced in the older than in the younger age groups and in low-ED diets than in high-ED diets. Higher % diet costs of fruit/vegetables could be compensated by lower % diet costs of meat/sausage to lower ED without increasing diet costs. (2012) 66, 1362-1363 doi:10.1038/ejcn.2012 published online 19 September 2012 Keywords: diet costs; energy density; children; adolescents
European Journal of Clinical Nutrition
INTRODUCTIONThe adoption of a healthy diet may be hindered by high diet costs. 1 An important measure of a healthy diet is dietary energy density (ED, kJ/g). Dietary ED and energy costs were negatively associated in adulthood 2-4 and childhood 5 in industrialized countries. Owing to differences in expenses or food production or agricultural subsidies, and in consumption pattern, diet costs may be specific for countries and population subgroups. Therefore, the aim of this study was to examine the association between diet costs (h/day) and ED in a sample of German children and adolescents.
MATERIALS AND METHODSOur sample consists of those 1100 3-day-weighed food records yearly collected between 2006 and 2008 by 4-18-year-old participants (255 boys, 239 girls) from the on-going open cohort Dortmund Nutritional and Anthropometric Longitudinally Designed (DONALD) study (one (N ¼ 125) to four (N ¼ 7) records per participant). The study was approved by the Ethical Committee of the University of Bonn.All foods and beverages are weighed and recorded by the participants or their parents. For commercial food products the exact brand name is recorded.Retail food price collection was done in August 2009 in Dortmund for a sub-sample of recorded items. Hereto, each of the 3860 recorded food items was assigned to one food group (dairy, cheese, eggs, meat/sausage, fish, fats/oils, cereals, bread, cakes/cookies, pasta/rice/potatoes, vegetables, fruits, ice cream, beverages, confectionary and convenience/fast food). Food selection included (1) those food items with the highest consumption amount (g/day) per food group, which amounted together to at least 50% of total food group consumption (N ¼ 234) and (2) a random selection of food items with low consumption amounts to select 2% of all food items within a food group (N ¼ 122).Mean food prices per food group (h/100 g food group) were calculated and linked ...