Abstract
Purpose
Fish and rapeseed oil are major sources of omega-3 polyunsaturated fatty acids (n-3 PUFA) in complementary food, but little is known about current consumption in Germany.
Methods
We conducted a nationwide consumer survey to assess the consumption habits of fish and rapeseed oil and their determining factors in 985 mother–child dyads in Germany.
Results
One-fourth of infants ate fish as often as recommended, i.e. at least once per week. Half of the mothers stated that they mainly used rapeseed oil for self-prepared and/or commercial vegetable–potato–meat meals. In contrast, mothers more frequently met recommendations for fish consumption (41 %), but used rapeseed oil (34 %) less often for their own nutrition. Maternal eating behaviour was the most important predictor for both of these n-3 PUFA rich foods in infants’ nutrition. In contrast to infants’ fish consumption, rapeseed oil intake in infancy was found to be influenced by some further factors, i.e. mothers’ social class and omega-3 knowledge, which were also key determinants of mothers’ own fish and rapeseed oil consumption.
Conclusion
To promote fish with complementary feeding, programs should focus on families whose mothers rarely eat fish. Nutritional campaigns to improve omega-3 knowledge—especially focusing on lower social classes—could be effective in increasing rapeseed oil consumption, although these programs should be combined with environmental improvements as it has been already started through the use of rapeseed oil in commercial baby jars.
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References
Agostoni C (2008) Role of long-chain polyunsaturated fatty acids in the first year of life. J Pediatr Gastroenterol Nutr 47(Suppl 2):S41–S44
Koletzko B, Uauy R, Palou A, Kok F, Hornstra G, Eilander A et al (2010) Dietary intake of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) in children—a workshop report. Br J Nutr 103:923–928
Makrides M, Collins CT, Gibson RA (2011) Impact of fatty acid status on growth and neurobehavioural development in humans. Matern Child Nutr 7(Suppl 2):80–88
Schwartz J, Dube K, Alexy U, Kalhoff H, Kersting M (2010) PUFA and LC-PUFA intake during the first year of life: can dietary practice achieve a guideline diet? Eur J Clin Nutr 64:124–130
EFSA Panel on Dietetic Products NaAN (2010) Scientific opinion on dietary reference values for fats, including saturated fatty acids, polyunsaturated fatty acids, monounsaturated fatty acids, trans fatty acids, and cholesterol. EFSA J 8:1461
Verbeke W, Vanhonacker F, Frewer LJ, Sioen I, De Henauw S, Van Camp J (2008) Communicating risks and benefits from fish consumption: impact on Belgian consumers’ perception and intention to eat fish. Risk Anal 28:951–967
Meyer BJ, Mann NJ, Lewis JL, Milligan GC, Sinclair AJ, Howe PR (2003) Dietary intakes and food sources of omega-6 and omega-3 polyunsaturated fatty acids. Lipids 38:391–398
Muche-Borowski C, Kopp M, Reese I, Sitter H, Werfel T, Schäfer T (2009) S3-Leitlinie Allergieprävention – Update 2009. Leitlinien der Gesellschaft für Pädiatrische Allergologie und Umweltmedizin e.V.
Forschungsinstitut für Kinderernährung Dortmund (2012) Empfehlungen für die Ernährung von Säuglingen
Mesch CM, Stimming M, Foterek K, Hilbig A, Alexy U, Kersting M et al (2014) Food variety in commercial and homemade complementary meals for infants in Germany. Market survey and dietary practice. Appetite 76:113–119
Burdge GC, Calder PC (2005) Conversion of alpha-linolenic acid to longer-chain polyunsaturated fatty acids in human adults. Reprod Nutr Dev 45:581–597
Makrides M, Neumann MA, Jeffrey B, Lien EL, Gibson RA (2000) A randomized trial of different ratios of linoleic to alpha-linolenic acid in the diet of term infants: effects on visual function and growth. Am J Clin Nutr 71:120–129
Lin YH, Llanos A, Mena P, Uauy R, Salem N Jr, Pawlosky RJ (2010) Compartmental analyses of 2H5-alpha-linolenic acid and C-U-eicosapentaenoic acid toward synthesis of plasma labeled 22:6n-3 in newborn term infants. Am J Clin Nutr 92:284–293
Max Rubner-Institut (MRI), Lebensmittel Bundesforschungsinstitut für Ernährung und Lebensmittel, Bundeslebensmittelschlüssel www.blsdb.de. Accessed 05 July 2014
Agrarmarkt Informations-gesellschaft mbH (2013) http://www.ami-informiert.de/ami-shop/ami-shop-startseite/produkt-ansicht/amiartikelnr/2013-e-329.html (Accessed)
Kersting M, Clausen K (2003) Ernährungsphysiologische Auswertung einer repräsentativen Verzehrsstudie bei Säuglingen und Kleinkindern VELS mit dem Instrumentarium der DONALD Studie - Schlussbericht. Forschungsinstitut für Kinderernährung, Dortmund
Alexy U, Clausen K, Kersting M (2008) Die Ernährunggesunder Kinder und Jugendlicher nach dem Konzept der optimierten Mischkost. Ernährungs-Umschau 55:168–175
Hilbig A, Alexy U, Drossard C, Kersting M (2011) GRETA: German Representative Study of Toddler Alimentation. Aktuelle Ernährungsmedizin 36:224–231
Robinson S, Marriott L, Poole J, Crozier S, Borland S, Lawrence W et al (2007) Dietary patterns in infancy: the importance of maternal and family influences on feeding practice. Br J Nutr 98:1029–1037
Lawrence W, Skinner C, Haslam C, Robinson S, Inskip H, Barker D et al (2009) Why women of lower educational attainment struggle to make healthier food choices: the importance of psychological and social factors. Psychol Health 24:1003–1020
Makrides M, Hawkes JS, Neumann MA, Gibson RA (2002) Nutritional effect of including egg yolk in the weaning diet of breast-fed and formula-fed infants: a randomized controlled trial. Am J Clin Nutr 75:1084–1092
Hoffman DR, Theuer RC, Castaneda YS, Wheaton DH, Bosworth RG, O’Connor AR et al (2004) Maturation of visual acuity is accelerated in breast-fed term infants fed baby food containing DHA-enriched egg yolk. J Nutr 134:2307–2313
Souci SW, Fachmann W, Kraut H (2008) Food composition and nutrition tables. MedPharm Scientific Publishers Taylor & Francis A CRC Press Book
Kull I, Bergstrom A, Lilja G, Pershagen G, Wickman M (2006) Fish consumption during the first year of life and development of allergic diseases during childhood. Allergy 61:1009–1015
Kiefte-de Jong JC, de Vries JH, Franco OH, Jaddoe VW, Hofman A, Raat H et al (2012) Fish consumption in infancy and asthma-like symptoms at preschool age. Pediatrics 130:1060–1068
Noble S, Emmett P (2001) Food and nutrient intake in a cohort of 8-month-old infants in the south-west of England in 1993. Eur J Clin Nutr 55:698–707
Friel JK, Hanning RM, Isaak CA, Prowse D, Miller AC (2010) Canadian infants’ nutrient intakes from complementary foods during the first year of life. BMC Pediatr 10:43
Wang Y, Beydoun MA, Li J, Liu Y, Moreno LA (2011) Do children and their parents eat a similar diet? Resemblance in child and parental dietary intake: systematic review and meta-analysis. J Epidemiol Commun Health 65:177–189
Maier A, Chabanet C, Schaal B, Leathwood P, Issanchou S (2007) Food-related sensory experience from birth through weaning: contrasted patterns in two nearby European regions. Appetite 49:429–440
Stehle P (2012) 12. Ernährungsbericht 2012. Deutschen Gesellschaft für Ernährung e. V. (DGE)
Max Rubner-Institut, (MRI) Bundesforschungsinstitut für Ernährung und Lebensmittel (2008) Ergebnisbericht Teil 2 Nationale Verzehrsstudie II. Karlsruhe
Welch AA, Lund E, Amiano P, Dorronsoro M (2002) Variability in fish consumption in 10 European countries. IARC Sci Publ 156:221–222
Mahaffey KR, Clickner RP, Jeffries RA (2009) Adult women’s blood mercury concentrations vary regionally in the United States: association with patterns of fish consumption (NHANES 1999-2004). Environ Health Perspect 117:47–53
Whitton C, Nicholson SK, Roberts C, Prynne CJ, Pot GK, Olson A et al (2011) National Diet and Nutrition Survey: UK food consumption and nutrient intakes from the first year of the rolling programme and comparisons with previous surveys. Br J Nutr 106:1899–1914
McLeod ER, Campbell KJ, Hesketh KD (2011) Nutrition knowledge: a mediator between socioeconomic position and diet quality in Australian first-time mothers. J Am Diet Assoc 111:696–704
De Vriendt T, Matthys C, Verbeke W, Pynaert I, De Henauw S (2009) Determinants of nutrition knowledge in young and middle-aged Belgian women and the association with their dietary behaviour. Appetite 52:788–792
Vereecken C, Maes L (2010) Young children’s dietary habits and associations with the mothers’ nutritional knowledge and attitudes. Appetite 54:44–51
Williams L, Campbell K, Abbott G, Crawford D, Ball K (2012) Is maternal nutrition knowledge more strongly associated with the diets of mothers or their school-aged children? Public Health Nutr 15:1396–1401
Variyam JN, Blaylock J, Lin B-H, Ralston K, Smallwood D (1999) Mother’s Nutrition Knowledge and Children’s Dietary Intake. Am J Agric Econ 81:373–384
EFSA Panel on Dietetic Products NaAN (2010) Scientific opinion on establishing food-based dietary guidelines. EFSA J 8:1460
EFSA Panel on Dietetic Products NaAN (2013) Scientific Opinion on nutrient requirements and dietary intakes of infants and young children in the European Union. EFSA J 11:3408
Salem N Jr, Wegher B, Mena P, Uauy R (1996) Arachidonic and docosahexaenoic acids are biosynthesized from their 18-carbon precursors in human infants. Proc Natl Acad Sci USA 93:49–54
Schwartz J, Dube K, Sichert-Hellert W, Kannenberg F, Kunz C, Kalhoff H et al (2009) Modification of dietary polyunsaturated fatty acids via complementary food enhances n-3 long-chain polyunsaturated fatty acid synthesis in healthy infants: a double blinded randomised controlled trial. Arch Dis Child 94:876–882
Koletzko B, Bauer C-P, Brönstrup A, Cremer M, Flothkötter M, Hellmers C et al (2013) Säuglingsernährung und Ernährung der stillenden Mutter. Aktualisierte Handlungsempfehlungen des Netzwerks Gesund ins Leben – Netzwerk Junge Familie, ein Projekt von IN FORM. Monatsschr Kinderheilkd 161:237–246
Oken E, Guthrie LB, Bloomingdale A, Platek DN, Price S, Haines J et al (2013) A pilot randomized controlled trial to promote healthful fish consumption during pregnancy: the Food for Thought Study. Nutr J 12:33
Olson CM (2005) Tracking of food choices across the transition to motherhood. J Nutr Educ Behav 37:129–136
Alexy U, Kersting M (1998) Empfehlungen für die Ernährung von allergiegefährdeten Säuglingen. Dortmund
Acknowledgments
We are very grateful to Prof. Dr. Walter Krämer, University of Dortmund, for his statistical expertise and to Dr. Constanze Cholmakow-Bodechtel, Kantar Health GmbH, for the organisation of the online survey. The PINGU project was financially supported by the German Federal Ministry of Education and Research (Förderkennzeichen 01EA1335).
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On behalf of all authors, the corresponding author states that there is no conflict of interest.
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Stimming, M., Mesch, C.M., Kersting, M. et al. Fish and rapeseed oil consumption in infants and mothers: dietary habits and determinants in a nationwide sample in Germany. Eur J Nutr 54, 1069–1080 (2015). https://doi.org/10.1007/s00394-014-0784-y
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DOI: https://doi.org/10.1007/s00394-014-0784-y