Clinical trial NCT05649527: Nutri-Bébé 2022 A French National Survey on Feeding Practice and Nutrient Intakes of Children Under 3 Years of Age
Official title: Nutri-Bébé 2022 A French National Survey on Feeding Practice and Nutrient Intakes of Children Under 3 Years of Age
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Feeding Behavior
Nutrients Intakes
Keywords: Nutrition survey
Feeding practice
Nutrients intake
Infant
Toddler
Lead sponsor: Secteur Français des Aliments de l'Enfance
Sponsor class: INDUSTRY
Collaborators: name: IPSOS
name: Centre de Recherche pour l'Etude et l'Observation des Conditions de Vie
First posted: 2022-12-14
Enrollment: 1224
Sex: ALL
Minimum age (years): 15
Maximum age (years): 35
Standard ages: CHILD
Observational model: COHORT
Time perspective: CROSS_SECTIONAL
Sampling method: PROBABILITY_SAMPLE
Study population: Children from 0.5 to 35 months old, residing in metropolitan France.

Brief summary: The Nutri-Bébé 2022 survey is an observational cross-sectional study aiming to update food consumption, practices and nutrient intakes in children under 3 years of age in metropolitan France.

Detailed description: Infant's and young children's diet is a determining factor in their growth and development and may impact the occurrence of non-communicable diseases in the medium and long term. In this context, knowledge regarding the feeding practice and nutrients intake in children under 3 years of age is valuable, whether for the entire scientific and medical community or for the public authorities.

Aiming to help achieving this objective, the SFAE has carried out a national observational survey every 8 years since 1981. The analysis of these data over time makes it possible to evaluate the intakes of different nutrients, to note possible nutritional insufficiencies or excesses, potentially linked to bad eating habits. On these bases, this repeatable survey can alert health professionals and help refine public health nutrition policy in France. A new edition was launched between March 2022 and July 2022 by an official polling institute, IPSOS. The sample includes more than 1,200 children aged from 0.5 to 35 months, distributed in 11 age-groups of equal importance, and living in metropolitan France (excluding Corsica).

This is a cross-sectional observational survey.

IPSOS fulfills the following standards and industry requirements (ESOMAR professional code of conduct and standards, ISO 20252:2012 international standard for market, opinion and social research, French data protection act (loi "informatique et libertés "). IPSOS ensures to conduct the surveys in accordance with the regulation on personal data protection and that respondents' personal identity is withheld. The SFAE has undertaken with the "Commission Nationale de l'Informatique et des Libertés" (CNIL), the French data protection authority) to respect the MR-003 reference methodology and is authorized to set up the processing of data without prior authorization from the CNIL (declaration n° 2220501 of 2020/12/18).

Information on the children will be collected directly from the responding parents (primarily responsible for their child's diet). The collection of information will be carried out according to the following successive stages:

* recruitment of families according to the quota method, provided they are fluent in French language and can use a computer.
* To be included children should be born at term with a birth weight ≥ 2500 g and should have no intercurrent acute or chronic disease.
* Face-to-face interview at home by an investigator to collect informed consent of the parents, sociodemographic data, child weight and height as well as information on children's eating habits.
* Completion by the parent of an online consumption diary for a period of 3 non-consecutive days (2 weekdays and 1 weekend day, with at least one day of separation between each collection day).
* Self-questionnaire to be completed by the responding parent on the child's diet, context and physical activities.

The study conducted in 2022 is the sixth edition of the Nutri-Bébé survey.

Eligibility criteria: Inclusion Criteria:

* Child aged 0.5 to 35 months
* Child whose responding parent, mainly responsible for his diet, agrees to complete the three stages of the survey (informed consent).
* Child whose responding parent accepts the collection of birth weight, and the most recent weight and height in the health booklet. If the weight measurement has not been performed recently, the responding parent agrees to measure the weight of their child during the first interview. In this case, the presence of the child will be necessary. A recent weight corresponds to a measurement in the 15 days preceding inclusion for children aged 0-6 months, in the month preceding inclusion for children aged 6-12 months and in the two months preceding inclusion for those over one year old.
* Child whose parents have been informed of the study orally and in writing, and have not objected to the participation of the child before its inclusion and to the collection of information concerning them.
* In the case of the spouse of the responding parent, different from the second parent and living in the same household, no opposition to the collection of data concerning him

Exclusion Criteria:

* Child with a chronic or intercurrent pathology (including food allergies)
* Child with a birth weight of less than 2.5 kg
* Child whose last weight measurement in the health record is not recent enough AND whose parent refuses to measure his weight
* Child having to take at least one meal at school during the 3 days of filling in the consumption diary
* Child cared for by the crèche or by a third party and whose person responsible for meals refuses to send all the information (qualitative and quantitative) to the responding parent so that he can complete the consumption diary
* Child whose sponsoring parent is under the age of 18, or is placed under guardianship or curatorship, or under legal protection

Primary outcomes:
measure: Age at inclusion
timeFrame: March to July 2022
measure: Weight
timeFrame: March to July 2022
measure: Height
timeFrame: March to July 2022
measure: Prevalence of children breastfed
timeFrame: March to July 2022
measure: Prevalence of children formula-fed
timeFrame: March to July 2022
measure: introduced complementary food specific baby food and adult type food
timeFrame: March to July 2022
measure: Age at introduced complementary food
timeFrame: March to July 2022
measure: Mean over 3 days of Food quantities
timeFrame: March to July 2022
measure: Mean over 3 days of macronutrient intake (protein, lipid, carbohydrate, fiber)
timeFrame: March to July 2022
measure: Mean over 3 days of Intakes of Linoleic-, alpha linolenic-acids, DHA, ARA, minerals (sodium, calcium, phosphorus, magnesium, iron, zinc), Vitamin B1,B2, B3, B6, C, E
timeFrame: March to July 2022
measure: Mean over 3 days of intakes of Vitamin B9, B12, Retinol, Beta-caroten
timeFrame: March to July 2022
measure: Vitamin A intake
timeFrame: March to July 2022
Secondary outcomes:
measure: Influence of parents professional activity data on practice
timeFrame: March to July 2022
measure: Influence of economic status on practice
timeFrame: March to July 2022
measure: Influence of level of education on practice
timeFrame: March to July 2022
measure: Duration of previous breastfeeding
timeFrame: March to July 2022
Other outcomes:
measure: Previous feeding
timeFrame: March to July 2022
measure: Screen exposure
timeFrame: March to July 2022
measure: Screen exposure
timeFrame: March to July 2022
measure: Physical activity
timeFrame: March to July 2022
Locations:
city: Paris
country: France
facility: IPSOS
Study officials:
affiliation: Pediatric depart. Gastroenterology and Nutrition division University Hospital Grenoble-Alpes France
name: Jean-Pierre CHOURAQUI, MD, MSc
role: PRINCIPAL_INVESTIGATOR
affiliation: UTM Department of Sociology and Anthropology. University Toulouse - Jean Jaurès ;
name: Amandine ROCHEDY, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: Medical practice, Brignon
name: Sandra BRANCATO, MD
role: PRINCIPAL_INVESTIGATOR
affiliation: IPSOS
name: Domitille HERMITE, MSc
role: PRINCIPAL_INVESTIGATOR
affiliation: CREDOC
name: Mathilde GRESSIER, MSc
role: PRINCIPAL_INVESTIGATOR
affiliation: Secteur Français des Aliments de l'Enfance
name: Virginie SOMON, Engineer,MSc
role: STUDY_DIRECTOR
References:
citation: Chouraqui JP, Tavoularis G, Emery Y, Francou A, Hebel P, Bocquet M, Hankard R, Turck D. The French national survey on food consumption of children under 3 years of age - Nutri-Bebe 2013: design, methodology, population sampling and feeding practices. Public Health Nutr. 2018 Feb;21(3):502-514. doi: 10.1017/S1368980017002518. Epub 2017 Nov 2.
citation: Chouraqui JP, Tavoularis G, Simeoni U, Ferry C, Turck D. Food, water, energy, and macronutrient intake of non-breastfed infants and young children (0-3 years). Eur J Nutr. 2020 Feb;59(1):67-80. doi: 10.1007/s00394-018-1883-y. Epub 2019 Jan 16.
citation: Chouraqui JP, Tavoularis G, Turck D, Ferry C, Feillet F. Mineral and vitamin intake of infants and young children: the Nutri-Bebe 2013 survey. Eur J Nutr. 2020 Sep;59(6):2463-2480. doi: 10.1007/s00394-019-02093-3. Epub 2019 Sep 25.
citation: Chouraqui JP, Turck D, Tavoularis G, Ferry C, Dupont C. The Role of Young Child Formula in Ensuring a Balanced Diet in Young Children (1-3 Years Old). Nutrients. 2019 Sep 13;11(9):2213. doi: 10.3390/nu11092213.
citation: Chouraqui JP, Darmaun D, Salmon-Legagneur A, Shamir R. Protein intake pattern in non-breastfed infants and toddlers: A survey in a nationally representative sample of French children. Clin Nutr. 2022 Feb;41(2):269-278. doi: 10.1016/j.clnu.2021.12.006. Epub 2021 Dec 8.
citation: Chouraqui JP, Thornton SN, Seconda L, Kavouras SA. Total water intake and its contributors in infants and young children. Br J Nutr. 2022 Aug 14;128(3):531-541. doi: 10.1017/S0007114521003469. Epub 2021 Sep 9.