Ernährung und Bewegung im Kleinkindalter

Abou-Dakn, Michael; Alexy, Ute; Beyer, Kirsten; Cremer, Monika; Ensenauer, Regina; Flothkötter, Maria; Geene, Raimund; Hellmers, Claudia; Joisten, Christine; Koletzko, Berthold; Mata, Jutta; Schiffner, Ulrich; Somm, Irene; Speck, Melanie; Weißenborn, Anke; Wöckel, Achim

doi:10.1007/s00112-022-01519-3

Cited by 3 publications

(2 citation statements)

References 156 publications

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“…The World Health Organization has developed recommendations for antenatal care in the English language, including some aspects related to LRRFs, such as nutrition [ 50 ]. Moreover, the Germany-wide Healthy Start—Young Family Network established national consensus recommendations on lifestyle before and during pregnancy as well as in the first years of life [ 51 , 52 , 53 ]. These recommendations contain detailed counseling content on lifestyle and are supported by the professional associations of gynecologists, pediatricians, and midwives.…”

Section: Discussionmentioning

confidence: 99%

Health Education about Lifestyle-Related Risk Factors in Gynecological and Obstetric Care: A Qualitative Study of Healthcare Providers’ Views in Germany

Bombana

Wensing

Wittenborn

et al. 2022

IJERPH

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Objective: Lifestyle-related risk factors (LRRFs) during pregnancy and lactation are associated with a range of health problems. However, previous studies have shown a large knowledge gap among pregnant women regarding the effects of LRRFs. This study aimed to investigate the role of health education about LRRFs during pregnancy and lactation in gynecological and obstetric care from healthcare providers’ (HCPs) point of view. Methods: To explore the views of healthcare providers, a qualitative study was performed. In 2019, 22 in-depth interviews were conducted with a purposive sample of 9 gynecologists and 13 midwives. Participants came from different inpatient and outpatient care settings and from rural, urban, and socially deprived areas in southern Germany. All the interviews were tape-recorded and transcribed verbatim. A combined inductive and deductive approach was applied for data analysis. Results: Interviews with HCPs showed that they were aware of the possible impacts of LRRFs during pregnancy and lactation. They noted the importance of action, specifically among women with low socioeconomic status (SES), migrants, and women with a concerning medical history or other specific needs. However, the interviews showed that, at present, there is no standardized practice of educating patients on LRRFs in routine care. This was attributed to a lack of guidelines and time, unfavorable regulations, and undefined responsibilities. The priority of health education is lower in inpatient healthcare settings as compared to outpatient healthcare settings. HCPs apply a demand-driven healthcare approach, focusing on a woman’s medical history, needs, and personal circumstances. HCPs voiced the importance of implementing pre-conception education across different healthcare settings, garnering support from other health organizations, and setting out clearly defined responsibilities among HCPs. Conclusions: This qualitative study explored HCPs’ perspectives on health education about LRRFs during pregnancy and lactation. The results from this study emphasize the need for a central strategy for health education about LRRFs during pregnancy and lactation in gynecological and obstetric care.

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Section: Discussionmentioning

confidence: 99%

Health Education about Lifestyle-Related Risk Factors in Gynecological and Obstetric Care: A Qualitative Study of Healthcare Providers’ Views in Germany

Bombana

Wensing

Wittenborn

et al. 2022

IJERPH

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“…In the OMD recommendations, plain nuts and seeds are not listed as a separate food group ( 9 ). To quantify the consumption of plain nuts and seeds as a valuable and recommended source of nutrients ( 20 ), they are presented separately in the current analysis ( Supplementary Table S2 ), while salted nuts were considered as unfavorable foods. The two groups of “bread and cereals” and “starchy side dishes” serve as mutual substitutes and therefore were combined into the group of “carbohydrate foods.” Since the OMD recommendations for fish and eggs are given as weekly instead of daily amounts, these figures were divided by 7 to facilitate comparison with the daily recommendations for the other food groups.…”

Section: Methodsmentioning

confidence: 99%

Unfavorable food consumption in children up to school entry age: results from the nationwide German KiESEL study

Spiegler,

Jansen,

Burgard

et al. 2024

Front. Nutr.

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IntroductionEvidence points toward the early life being crucial for preventing nutrition-related diseases. As promotion of healthier food preferences in toddlerhood and preschool age might still modulate the trajectories of disease risk, understanding diet in these age groups is necessary. The objective was to analyze food consumption and diet quality of 1–5-year-old children living in Germany in relation to age and sex.MethodsData from 890 children, a subsample of the representative, cross-sectional Children’s Nutrition Survey to Record Food Consumption (KiESEL) conducted by the German Federal Institute for Risk Assessment in 2014–2017, were analyzed. Dietary data were collected using food records (3 consecutive plus 1 independent day). Diet quality was evaluated against the German food-based dietary guidelines (FBDG).ResultsConsumption of unfavorable foods (e.g., sweets, soft drinks) exceeded the recommended maximum of 10% of energy intake (E%) by a multiple in all age and sex groups (medians: 24.8–35.8 E%). Preschoolers consumed more unfavorable foods than toddlers and boys more than girls. More than half of the children exceeded the recommendation for meat intake (medians: 2.3–3.2% of the total food consumption (%TFC) vs. 2 %TFC), especially preschoolers. In nearly all children, vegetable consumption was too low (medians: 4.2–4.5 %TFC vs. 12 %TFC). Also, milk/milk product consumption was below recommendations, more so in preschoolers (median: 12.0 %TFC ♂, 11.9 %TFC ♀ vs. 18 %TFC) than in toddlers (median: 16.1 %TFC ♂, 19.6 %TFC ♀). In toddlers and preschoolers with overweight or obesity, adherence to dietary recommendations of these food groups was largely similar to that of the total sample. Overall, 5-year-olds showed an unhealthier dietary pattern than 1-year-olds, which already emerged at age 2 years and became more evident at age 3 years.DiscussionAn adverse dietary pattern arises and even deteriorates at a very young age, showing sex-specific aspects. High attention from public health and research needs to be given to toddlerhood and even earlier life phases, e.g., to develop more age-specific FBDGs, aiming at reducing unhealthy food consumption.

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Commercial Complementary Food in Germany: A 2020 Market Survey

2022

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As consumption of commercial complementary food (CCF) during infancy and toddlerhood is common, the aim of the present study was to describe the current (2020) German market of CCF products targeted at infants and toddlers with a special focus on ingredients, macronutrients, and the practice of nutrient fortification. Information on age declarations, ingredients, energy and nutrient contents, and nutrient fortification was obtained in a market survey by contacting the producers and searching manufacturers’ websites. Each product was assigned to 1 of 13 product categories (menus, milk–cereal–meal, fruit–cereal–meal, oil, vegetables, meat, fish, fruits, cereals, snack foods, pouches, desserts, beverages). Descriptive statistics were used. We identified 1057 CF products on the German market (infants’ CCF (<12 months): n = 829; toddlers’ CCF (>12 months): n = 228)). The highest protein content (% of energy content, %E) was found in meat products. In pouches, beverages, cereal fruit meals, and fruits, more than 50% of energy came from total sugar. The highest median salt content was found in toddlers’ menus and desserts. Around one-third of infants’ CCF products and one quarter of toddlers’ products were fortified with nutrients. Vitamin B1 (thiamin) was the most frequently fortified nutrient, followed by vitamin C, iron, calcium, and vitamin D. Apple was the type of fruit listed most often in products with fruits, whereas carrot was the most frequent vegetable among CCF with vegetables. In particular, the high total sugar content of most CCFs currently available on the German market may promote unhealthy dietary habits. Parents need to be advised about the optimal selection of products.

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Ernährung und Bewegung im Kleinkindalter

Cited by 3 publications

References 156 publications

Health Education about Lifestyle-Related Risk Factors in Gynecological and Obstetric Care: A Qualitative Study of Healthcare Providers’ Views in Germany

Health Education about Lifestyle-Related Risk Factors in Gynecological and Obstetric Care: A Qualitative Study of Healthcare Providers’ Views in Germany

Unfavorable food consumption in children up to school entry age: results from the nationwide German KiESEL study

Commercial Complementary Food in Germany: A 2020 Market Survey

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