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Title: Maternal feeding practices in relation to dietary intakes and BMI in 5 year-olds in a multi-ethnic Asian population
Authors: Izzuddin M. Aris
Lee, Yung Seng
Yap, Fabian
Godfrey, Keith M.
Gluckman, Peter. D
Chong, Yap-Seng
Quah, Phaik Ling
Syuhada, Ginanjar
Fries, Lisa R.
Chan, Mei Jun
Lim, Hui Xian
Toh, Jia Ying
Sugianto, Ray
Shek, Lynette P.
Tan, Kok Hian
Forde, Ciaran G.
Chong, Mary F. F.
Keywords: Maternal Feeding Practices
Dietary Intakes
Issue Date: 2018
Source: Quah, P. L., Syuhada, G., Fries, L. R., Chan, M. J., Lim, H. X., Toh, J. Y., . . . Chong, M. F. F. (2018). Maternal feeding practices in relation to dietary intakes and BMI in 5 year-olds in a multi-ethnic Asian population. PLOS ONE, 13(9), e0203045-. doi:10.1371/journal.pone.0203045
Series/Report no.: PLOS ONE
Abstract: Background: In Asia, little is known about how maternal feeding practices are associated with dietary intakes and body mass index (BMI) in preschoolers. Objective: To assess the relationships between maternal feeding practices with dietary intakes and BMI in preschoolers in Asia using cross-sectional analysis in the GUSTO (Growing Up in Singapore Towards healthy Outcomes) cohort. Participant settings: Mothers (n = 511) who completed the Comprehensive Feeding Practices Questionnaire (CFPQ) and a semi-quantitative Food Frequency Questionnaire (FFQ) when children were 5 years old. Statistical analysis: Associations between 12 maternal feeding practices (mean scores divided into tertiles) and children’s dietary intakes of seven food groups and BMI z-scores were examined using the general linear regression model. Weight and height of the child were measured, and dietary intakes derived from the FFQ. Results: Compared to those in the low tertile, mothers in the high tertile of modelling healthy food intakes had children with higher intakes of vegetables[+20.0g/day (95%CI:11.6,29.5)] and wholegrains[+ 20.9g/day (9.67,31.1)] but lower intakes of sweet snacks[-10.1g/day (-16.3,-4.94)] and fast-foods[-5.84g/day (-10.2,-1.48)]. Conversely, children of mothers in the high tertile for allowing child control (lack of parental control) had lower intake of vegetables[-15.2g/day (-26.6,-5.21)] and wholegrains[-13.6g/day (-22.9,-5.27)], but higher intakes of sweet snacks[+13.7g/day (7.7, 19.8)] and fast-foods[+6.63g/day (3.55,9.72)]. In relation to BMI at 5 years, food restrictions for weight was associated with higher BMI z-scores [0.86SD (0.61,1.21)], while use of pressure was associated with lower BMI z-scores[-0.49SD(-0.78,-0.21)]. Conclusions and implications: Modelling healthy food intakes by mothers was the key feeding practice associated with higher intakes of healthy foods and lower intakes of discretionary foods. The converse was true for allowing child control. Only food restrictions for weight and use of pressure were associated with BMI z-scores.
DOI: 10.1371/journal.pone.0203045
Rights: © 2018 Quah et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Fulltext Permission: open
Fulltext Availability: With Fulltext
Appears in Collections:LKCMedicine Journal Articles

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