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Title: Longitudinal analysis between maternal feeding practices and body mass index (BMI) : a study in Asian Singaporean preschoolers
Authors: Quah, Phaik Ling
Ng, Jing Chun
Fries, Lisa R.
Chan, Mei Jun
Lee, Yung Seng
Yap, Fabian
Godfrey, Keith M.
Chong, Yap-Seng
Shek, Lynette P.
Tan, Kok Hian
Forde, Ciaran G.
Chong, Mary F. F.
Izzuddin M. Aris
Keywords: Science::Medicine
Maternal Feeding Practices
Comprehensive Feeding Practices Questionnaire
Issue Date: 2019
Source: Quah, P. L., Ng, J. C., Fries, L. R., Chan, M. J., Izzuddin M. Aris., Lee, Y. S., . . . Chong, M. F. F. (2019). Longitudinal analysis between maternal feeding practices and body mass index (BMI) : a study in Asian Singaporean preschoolers. Frontiers in Nutrition, 6, 32-. doi:10.3389/fnut.2019.00032
Series/Report no.: Frontiers in Nutrition
Abstract: Bidirectional studies between maternal feeding practices with subsequent child weight are limited, with no studies in Asian populations. In longitudinal analyses, we assessed the directionality of the associations between maternal feeding practices and body mass index (BMI) in preschoolers. Participants were 428 mother child dyads from the GUSTO (Growing Up in Singapore Toward healthy Outcomes) cohort. Feeding practices were assessed using the Comprehensive Feeding Practices Questionnaire (CFPQ) at age 5 y. Child BMI was measured at ages 4 and 6 y. BMI and maternal feeding practices subscales were transformed to SD scores and both directions of their associations examined with multivariable linear regression and pathway modeling. Higher BMI at age 4 was associated with lower encouragement of balance and variety (β = −0.33; 95%CI: −0.53, −0.13), lower pressure to eat (β = −0.49; −0.68, −0.29) and higher restriction (β = 1.10; 0.67, 1.52) at age 5, adjusting for confounders and baseline feeding practices at 3 years. In the reverse direction, only pressure and restriction at age 5 were associated with lower and higher child BMI at age 6 years, respectively. After the adjustment for baseline BMI at age 5, the association with pressure was attenuated to non-significance (β = 0.01 (−0.01, 0.03), while the association with restriction remained significant (β = 0.02; 0.002, 0.03). Overall, associations from child BMI to maternal restriction for weight control and pressure feeding practices was stronger than the association from these maternal feeding practices to child BMI (Wald's statistics = 24.3 and 19.5, respectively; p < 0.001). The strength and directionality suggests that the mothers in the Asian population were likely to adopt these feeding practices in response to their child's BMI, rather than the converse.
DOI: 10.3389/fnut.2019.00032
Rights: © 2019 Quah, Ng, Fries, Chan, Aris, Lee, Yap, Godfrey, Chong, Shek, Tan, Forde and Chong. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
Fulltext Permission: open
Fulltext Availability: With Fulltext
Appears in Collections:LKCMedicine Journal Articles

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