Longitudinal Analysis Between Maternal Feeding Practices and Body Mass Index (BMI): A Study in Asian Singaporean Preschoolers.

Authors:
Phaik Ling Quah
Phaik Ling Quah
Singapore Institute for Clinical Sciences (SICS)
Lisa R Fries
Lisa R Fries
Nestlé Research Center
Mei Jun Chan
Mei Jun Chan
Singapore Institute for Clinical Sciences
Izzuddin M Aris
Izzuddin M Aris
Yong Loo Lin School of Medicine
Yung Seng Lee
Yung Seng Lee
Singapore Institute for Clinical Sciences
Singapore
Fabian Yap
Fabian Yap
KK Women's and Children's Hospital
Singapore
Keith M Godfrey
Keith M Godfrey
University of Southampton
Highfield | United Kingdom

Front Nutr 2019 2;6:32. Epub 2019 Apr 2.

Singapore Institute for Clinical Sciences, Agency for Science, Technology, and Research, Singapore, Singapore.

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; < 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.   This study was registered at clinicaltrials.gov as NCT01174875 (www.clinicaltrials.gov, NCT01174875).

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Source
https://www.frontiersin.org/article/10.3389/fnut.2019.00032/
Publisher Site
http://dx.doi.org/10.3389/fnut.2019.00032DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454195PMC
April 2019
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