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Is breastfeeding associated with later child eating behaviours?

Is breastfeeding associated with later child eating behaviours?
Is breastfeeding associated with later child eating behaviours?
Individual differences in children's eating behaviours emerge early. We examined the relationship between breastfeeding exposure and subsequent eating behaviours among children from the Growing Up in Singapore Towards healthy Outcomes (GUSTO) cohort. Children (n = 970) were grouped according to their breastfeeding exposure: high (full breastfeeding ≥ 4 months with continued breastfeeding ≥ 6 months), low (any breastfeeding < 3 months or no breastfeeding) and intermediate (between low and high breastfeeding categories). Aspects of eating behaviour from ages 15 months to 6 years were captured using a combination of maternal reports (Child Eating Behaviour Questionnaire; Infant Feeding Questionnaire; Preschooler Feeding Questionnaire) and laboratory-based measures of meal size, oral processing behaviours (e.g. average eating speed and bite size) and tendency to eat in the absence of hunger. Most children had low (44%) or intermediate (44%) breastfeeding exposure; only 12% had high exposure. After adjusting for confounders, multivariable linear regression analyses indicated the high (but not intermediate) breastfeeding group was associated with significantly lower reported food fussiness at 3 years compared to low breastfeeding group (−0.38 [-0.70, −0.06]), with similar but non-significant trends observed at 6 years (−0.27 [-0.66, 0.11]). At 3 years, mothers in the high breastfeeding group also reported the least difficulty in child feeding compared to low breastfeeding group (−0.22 [-0.43, −0.01]). However, high breastfeeding was not associated with any other maternal-reports of child feeding or eating behaviours, and no significant associations were observed between breastfeeding exposure and any of the laboratory measures of eating behaviour at any of the time points. These results do not strongly support the view that increased breastfeeding exposure alone has lasting and consistent associations with eating behaviours in early childhood.
Breastfeeding, Child eating behaviours, Oral processing, Satiety responsiveness: Food fussiness
0195-6663
Pang, Wei Wei
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McCrickerd, K.
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Quah, Phaik Ling
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Fogel, Anna
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Aris, Izzuddin M.
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Yuan, Wen Lun
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Fok, Doris
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Chua, Mei Chien
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Lim, Sok Bee
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Shek, Lynette P.
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Chan, Shiao-Yng
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Tan, Kok Hian
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Yap, Fabian
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Godfrey, Keith
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Meaney, Michael J.
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Wlodek, Mary E.
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Eriksson, Johan
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Kramer, Michael S.
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Forde, Ciaran G
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Chong, Mary F.F.
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Chong, Yap-Seng
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Pang, Wei Wei
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McCrickerd, K.
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Quah, Phaik Ling
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Fogel, Anna
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Aris, Izzuddin M.
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Yuan, Wen Lun
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Fok, Doris
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Chua, Mei Chien
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Lim, Sok Bee
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Shek, Lynette P.
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Chan, Shiao-Yng
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Tan, Kok Hian
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Yap, Fabian
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Godfrey, Keith
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Meaney, Michael J.
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Wlodek, Mary E.
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Eriksson, Johan
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Kramer, Michael S.
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Forde, Ciaran G
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Chong, Mary F.F.
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Chong, Yap-Seng
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Pang, Wei Wei, McCrickerd, K., Quah, Phaik Ling, Fogel, Anna, Aris, Izzuddin M., Yuan, Wen Lun, Fok, Doris, Chua, Mei Chien, Lim, Sok Bee, Shek, Lynette P., Chan, Shiao-Yng, Tan, Kok Hian, Yap, Fabian, Godfrey, Keith, Meaney, Michael J., Wlodek, Mary E., Eriksson, Johan, Kramer, Michael S., Forde, Ciaran G, Chong, Mary F.F. and Chong, Yap-Seng (2020) Is breastfeeding associated with later child eating behaviours? Appetite, 150, [104653]. (doi:10.1016/j.appet.2020.104653).

Record type: Article

Abstract

Individual differences in children's eating behaviours emerge early. We examined the relationship between breastfeeding exposure and subsequent eating behaviours among children from the Growing Up in Singapore Towards healthy Outcomes (GUSTO) cohort. Children (n = 970) were grouped according to their breastfeeding exposure: high (full breastfeeding ≥ 4 months with continued breastfeeding ≥ 6 months), low (any breastfeeding < 3 months or no breastfeeding) and intermediate (between low and high breastfeeding categories). Aspects of eating behaviour from ages 15 months to 6 years were captured using a combination of maternal reports (Child Eating Behaviour Questionnaire; Infant Feeding Questionnaire; Preschooler Feeding Questionnaire) and laboratory-based measures of meal size, oral processing behaviours (e.g. average eating speed and bite size) and tendency to eat in the absence of hunger. Most children had low (44%) or intermediate (44%) breastfeeding exposure; only 12% had high exposure. After adjusting for confounders, multivariable linear regression analyses indicated the high (but not intermediate) breastfeeding group was associated with significantly lower reported food fussiness at 3 years compared to low breastfeeding group (−0.38 [-0.70, −0.06]), with similar but non-significant trends observed at 6 years (−0.27 [-0.66, 0.11]). At 3 years, mothers in the high breastfeeding group also reported the least difficulty in child feeding compared to low breastfeeding group (−0.22 [-0.43, −0.01]). However, high breastfeeding was not associated with any other maternal-reports of child feeding or eating behaviours, and no significant associations were observed between breastfeeding exposure and any of the laboratory measures of eating behaviour at any of the time points. These results do not strongly support the view that increased breastfeeding exposure alone has lasting and consistent associations with eating behaviours in early childhood.

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More information

Accepted/In Press date: 6 March 2020
Published date: 7 March 2020
Keywords: Breastfeeding, Child eating behaviours, Oral processing, Satiety responsiveness: Food fussiness

Identifiers

Local EPrints ID: 438711
URI: http://eprints.soton.ac.uk/id/eprint/438711
ISSN: 0195-6663
PURE UUID: 075e4477-3af9-4691-bf04-18ddeb253383
ORCID for Keith Godfrey: ORCID iD orcid.org/0000-0002-4643-0618

Catalogue record

Date deposited: 23 Mar 2020 17:30
Last modified: 26 Nov 2021 02:35

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Contributors

Author: Wei Wei Pang
Author: K. McCrickerd
Author: Phaik Ling Quah
Author: Anna Fogel
Author: Izzuddin M. Aris
Author: Wen Lun Yuan
Author: Doris Fok
Author: Mei Chien Chua
Author: Sok Bee Lim
Author: Lynette P. Shek
Author: Shiao-Yng Chan
Author: Kok Hian Tan
Author: Fabian Yap
Author: Keith Godfrey ORCID iD
Author: Michael J. Meaney
Author: Mary E. Wlodek
Author: Johan Eriksson
Author: Michael S. Kramer
Author: Ciaran G Forde
Author: Mary F.F. Chong
Author: Yap-Seng Chong

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