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Longitudinal analysis between maternal feeding practices and body mass index (BMI): a study in Asian Singaporean pre-schoolers

Longitudinal analysis between maternal feeding practices and body mass index (BMI): a study in Asian Singaporean pre-schoolers
Longitudinal analysis between maternal feeding practices and body mass index (BMI): a study in Asian Singaporean pre-schoolers
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 Towards 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 modelling. 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 but were attenuated to non-significance after adjustment for baseline BMI at age 5 (β=0.01 (-0.01, 0.03); β=0.02 (0.002, 0.03), respectively). Associations of child BMI with maternal restriction and pressure feeding practices was stronger than the reverse association (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.
2296-861X
Quah, Phaik
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Ng, Jing Chun
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Fries, Lisa
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Chan, Mei Jun
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Aris, Izzuddin M.
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Lee, Yung Seng
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Yap, Fabian
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Godfrey, Keith
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Chong, Yap-Seng
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Shek, Lynette P.
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Tan, Kok Hian
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Forde, Ciaran G
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Chong, Mary F.F.
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Quah, Phaik
d5b7015b-b021-41f4-9d83-b8bcb8e3ad84
Ng, Jing Chun
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Fries, Lisa
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Chan, Mei Jun
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Aris, Izzuddin M.
28b7a24b-ea38-428a-9398-c275731002f2
Lee, Yung Seng
0e28a8d6-3085-4086-9fa1-ac0684783bcf
Yap, Fabian
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Godfrey, Keith
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Chong, Yap-Seng
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Shek, Lynette P.
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Tan, Kok Hian
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Forde, Ciaran G
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Chong, Mary F.F.
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Quah, Phaik, Ng, Jing Chun, Fries, Lisa, Chan, Mei Jun, Aris, Izzuddin M., Lee, Yung Seng, Yap, Fabian, Godfrey, Keith, Chong, Yap-Seng, Shek, Lynette P., Tan, Kok Hian, Forde, Ciaran G and Chong, Mary F.F. (2019) Longitudinal analysis between maternal feeding practices and body mass index (BMI): a study in Asian Singaporean pre-schoolers. Frontiers in Nutrition. (doi:10.3389/fnut.2019.00032). (In Press)

Record type: Article

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 Towards 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 modelling. 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 but were attenuated to non-significance after adjustment for baseline BMI at age 5 (β=0.01 (-0.01, 0.03); β=0.02 (0.002, 0.03), respectively). Associations of child BMI with maternal restriction and pressure feeding practices was stronger than the reverse association (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.

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Accepted/In Press date: 6 March 2019

Identifiers

Local EPrints ID: 429034
URI: http://eprints.soton.ac.uk/id/eprint/429034
ISSN: 2296-861X
PURE UUID: f57167d0-3ef6-4674-b4ff-c947b187ba6a
ORCID for Keith Godfrey: ORCID iD orcid.org/0000-0002-4643-0618

Catalogue record

Date deposited: 19 Mar 2019 17:30
Last modified: 26 Nov 2021 02:35

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Contributors

Author: Phaik Quah
Author: Jing Chun Ng
Author: Lisa Fries
Author: Mei Jun Chan
Author: Izzuddin M. Aris
Author: Yung Seng Lee
Author: Fabian Yap
Author: Keith Godfrey ORCID iD
Author: Yap-Seng Chong
Author: Lynette P. Shek
Author: Kok Hian Tan
Author: Ciaran G Forde
Author: Mary F.F. Chong

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