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Accepted manuscript

Unfavourable food consumption is exacerbated by low socioeconomic status among children aged 1–5 years in the German nutrition survey KiESEL

Published online by Cambridge University Press:  22 July 2025

Leonie Burgard
Affiliation:
Max Rubner–Institut (MRI) – Federal Research Institute of Nutrition and Food, Department of Nutritional Behaviour, Haid-und-Neu-Straße 9, 76131 Karlsruhe, Germany
Clarissa Spiegler
Affiliation:
Max Rubner–Institut (MRI) – Federal Research Institute of Nutrition and Food, Department of Nutritional Behaviour, Haid-und-Neu-Straße 9, 76131 Karlsruhe, Germany
Maik Döring
Affiliation:
Max Rubner–Institut (MRI) – Federal Research Institute of Nutrition and Food, National Reference Centre for Authentic Food, E.-C.-Baumann-Straße 20, 95326 Kulmbach, Germany
Andrea Straßburg
Affiliation:
Max Rubner–Institut (MRI) – Federal Research Institute of Nutrition and Food, Department of Nutritional Behaviour, Haid-und-Neu-Straße 9, 76131 Karlsruhe, Germany
Thorsten Heuer
Affiliation:
Max Rubner–Institut (MRI) – Federal Research Institute of Nutrition and Food, Department of Nutritional Behaviour, Haid-und-Neu-Straße 9, 76131 Karlsruhe, Germany
Sara Jansen
Affiliation:
Max Rubner–Institut (MRI) – Federal Research Institute of Nutrition and Food, Department of Child Nutrition, Haid-und-Neu-Straße 9, 76131 Karlsruhe, Germany
Anna–Kristin Brettschneider
Affiliation:
Max Rubner–Institut (MRI) – Federal Research Institute of Nutrition and Food, Department of Child Nutrition, Haid-und-Neu-Straße 9, 76131 Karlsruhe, Germany
Regina Ensenauer
Affiliation:
Max Rubner–Institut (MRI) – Federal Research Institute of Nutrition and Food, Department of Child Nutrition, Haid-und-Neu-Straße 9, 76131 Karlsruhe, Germany
Stefan Storcksdieck genannt Bonsmann*
Affiliation:
Max Rubner–Institut (MRI) – Federal Research Institute of Nutrition and Food, Department of Nutritional Behaviour, Haid-und-Neu-Straße 9, 76131 Karlsruhe, Germany
*
Corresponding author: Stefan Storcksdieck genannt Bonsmann; Haid–und–Neu–Straße 9, 76131 Karlsruhe, Germany; stefan.storcksdieck@mri.bund.de; +49 721 6625 – 246
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Abstract

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Diet in the first years of life is a key determinant of lifelong disease risk and is highly affected by socioeconomic status (SES). However, the specific relation between SES and food consumption in toddlers and preschoolers is poorly understood. This study assesses SES-related differences in food consumption in 1–5-year-olds in Germany using weighed food records (3+1 days) of a subsample of 887 children from the cross-sectional Children’s Nutrition Survey to Record Food Consumption (KiESEL) undertaken 2014–2017. Children were categorized as having a low, medium, or high SES depending on parental income, education, and occupation. A two-step generalized linear model corrected for age and sex was applied to assess differences in food consumption, using bootstrapping to address unequal group sizes. Differences between SES groups were found for unfavourable foods (and the subgroups sugar-sweetened beverages and confectionary/desserts), fruit, bread/cereals, and fats/oils (pBoot < 0.05). Mean daily consumption in the low SES-group as compared to the high-SES group was 84 g lower for total fruit, 22 g lower for bread/cereals, and 3 g lower for fats/oils, while being 123 g higher for sugar-sweetened beverages and 158 g higher for unfavourable foods in total (based on bootstrap 95 % confidence intervals). In conclusion, this study suggests a social gradient in the diet of German toddlers and preschoolers, with lower SES linked to lower diet quality. To prevent adverse health trajectories, public health measures to improve early life nutrition should address all children, prioritizing those of lower SES.

Information

Type
Research Article
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of The Nutrition Society