학술논문
Regulation of growth of 7- to 36-month-old children by energy and fat intake in the prospective, randomized STRIP baby trial
Document Type
Academic Journal
Author
Source
Pediatrics. Nov, 1997, Vol. v100 Issue n5, p810, 7 p.
Subject
Language
ISSN
0031-4005
Abstract
A diet lower in fat than currently recommended for children 1 to 3 years of age may not adversely affect normal growth patterns as previously believed. Beginning at 7 months of age, 848 children were followed for more than two years. Some of the children were on diets controlling fat intake, but all children met daily caloric recommendations. Growth rates were compared to relative fat intakes, expressed as a percentage of total energy intake (E%). Fat intake levels (as E%) were not significantly connected to the growth patterns observed.
ABSTRACT. Objective. To study the fat and energy intakes of children between 7 and 36 months of age with different growth patterns. Methods. the Special Turku coronary Risk factor Intervention Project for Babies, children were randomized to intervention (n = 540) and control groups (n = 522) at age 7 months. The intervention was aimed at replacing part of the saturated fat intake with monounsaturated and polyunsaturated fat to reduce children's exposure to high serum cholesterol values. The control children consumed a free diet. Children followed for [is greater than] 2 years (n = 848) were included in the analysis. Five groups of children representing different extreme growth patterns during the first 3 years of life were formed, and their energy and fat intakes were analyzed. Relative weight was defined as deviation of weight in percentages from the mean weight of healthy children of same height and sex, and relative height as deviation of height in SD units from the mean height of healthy children of same age and sex. Results. Relative fat intakes (as percent of energy intake) were similar in children showing highly different height gain patterns. The thin (mean relative weight is less than or equal to 5%) children consumed more fat (mean, 30% energy [ E%] [SD 7] at 13 months and 33 [4] E% at 24 months) than children with normal growth (27 [5] E% at 13 months and 31 [51 E% at 24 months). The energy intake of the tall (mean relative height is greater than or equal to 95%) and the obese (mean relative weight is greater than or equal to 95%) were highest, but weight-based energy intake of the tall (at 2 years, 82 [13] kcal/kg) and the obese (79 [17] kcal/kg) were lower than that of children with normal growth (89 [16] kcal/kg). The thin children consumed relatively more energy than the children with normal growth (at 2 years, 94 [13] kcal/kg and 89 [16] kcal/kg, respectively). Parental height and body mass index and the child's absolute and relative energy intakes predicted the best children's growth patterns. Children with consistently low fat intake grew equally to the children with higher fat intake. Conclusions. Moderate supervised restriction of fat intake to values 25 to 30 E% is compatible with normal growth. Pediatrics 1997;100:810-816; child, diet, energy, fat, atherosclerosis prevention.
Optimal achievement of the somatic growth potential is a major goal of pediatric public health recommendations. Markedly deficient energy intake indisputably leads to subnormal growth and weight gain,[1, 2] whereas [...]
ABSTRACT. Objective. To study the fat and energy intakes of children between 7 and 36 months of age with different growth patterns. Methods. the Special Turku coronary Risk factor Intervention Project for Babies, children were randomized to intervention (n = 540) and control groups (n = 522) at age 7 months. The intervention was aimed at replacing part of the saturated fat intake with monounsaturated and polyunsaturated fat to reduce children's exposure to high serum cholesterol values. The control children consumed a free diet. Children followed for [is greater than] 2 years (n = 848) were included in the analysis. Five groups of children representing different extreme growth patterns during the first 3 years of life were formed, and their energy and fat intakes were analyzed. Relative weight was defined as deviation of weight in percentages from the mean weight of healthy children of same height and sex, and relative height as deviation of height in SD units from the mean height of healthy children of same age and sex. Results. Relative fat intakes (as percent of energy intake) were similar in children showing highly different height gain patterns. The thin (mean relative weight is less than or equal to 5%) children consumed more fat (mean, 30% energy [ E%] [SD 7] at 13 months and 33 [4] E% at 24 months) than children with normal growth (27 [5] E% at 13 months and 31 [51 E% at 24 months). The energy intake of the tall (mean relative height is greater than or equal to 95%) and the obese (mean relative weight is greater than or equal to 95%) were highest, but weight-based energy intake of the tall (at 2 years, 82 [13] kcal/kg) and the obese (79 [17] kcal/kg) were lower than that of children with normal growth (89 [16] kcal/kg). The thin children consumed relatively more energy than the children with normal growth (at 2 years, 94 [13] kcal/kg and 89 [16] kcal/kg, respectively). Parental height and body mass index and the child's absolute and relative energy intakes predicted the best children's growth patterns. Children with consistently low fat intake grew equally to the children with higher fat intake. Conclusions. Moderate supervised restriction of fat intake to values 25 to 30 E% is compatible with normal growth. Pediatrics 1997;100:810-816; child, diet, energy, fat, atherosclerosis prevention.
Optimal achievement of the somatic growth potential is a major goal of pediatric public health recommendations. Markedly deficient energy intake indisputably leads to subnormal growth and weight gain,[1, 2] whereas [...]