一个多民族亚洲队列中幼儿期的饮食模式轨迹及其与母亲喂养方式的关系。

IF 4.4 2区 医学 Q1 NUTRITION & DIETETICS Nutrition Journal Pub Date : 2024-09-20 DOI:10.1186/s12937-024-01012-5
Geeta Appannah, Jia Ying Toh, Jun Shi Lai, Heng Yaw Yong, Zalilah Mohd Shariff, Mya Thway Tint, Wen Lun Yuan, Wei Wei Pang, Keith M Godfrey, Kok Hian Tan, Fabian Yap, Yung Seng Lee, Johan G Eriksson, Mary F F Chong
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引用次数: 0

摘要

背景:母亲的喂养方式对儿童的膳食摄入量起着重要作用。然而,有关幼儿期膳食模式(DPs)轨迹与母亲喂养方式之间关系的数据却很有限:方法:利用一项多种族亚洲队列研究(即 "在新加坡成长,迈向健康结果"(GUSTO))的数据,使用食物频率问卷调查法测量儿童在 18 个月、5 岁和 7 岁时的膳食摄入量。对 15 个月、3 岁和 5 岁儿童的母亲喂养方式则采用有效问卷进行评估。采用主成分分析法得出所有时间点的两个主要数据集以及母亲喂养方式的模式。基于群体的轨迹模型被用来确定衍生出的DPs的轨迹群体。多变量逻辑回归检验了产妇喂养方式与DP轨迹组之间的关联:结果:在 18 个月、5 岁和 7 岁时,持续得出两个 DP,即 "健康 "和 "不太健康"。在每个DP中,进一步确定了18个月至7岁期间两个稳定的DP轨迹组。就 "健康 "DP轨迹而言,大多数儿童(第 1 组)形成了一个稳定的平均坚持率轨迹组(91.8%),而其余儿童(第 2 组)对这一DP的坚持率较高,但呈下降趋势(8.2%)。至于 "不太健康 "的喂养模式轨迹,大多数儿童(第 1 组)形成了一致的平均喂养模式轨迹(95.5%),而其余儿童(第 2 组)对这一 "不太健康 "的喂养模式的依从性较高(4.5%)。在 15 个月、3 岁和 5 岁时,得出了两种母亲喂养方式,并分别标记为 "结构化自主支持 "和 "强制控制"。在5岁时,如果母亲高度坚持 "有自主支持的结构化喂养 "方式,则其子女明显更有可能属于 "健康 "DP轨迹较高但不断下降的组别[OR = 3.62 (95% CI: 1.64, 7.99)]:在这项多种族研究中,少数儿童分别表现出与 "健康 "或 "较不健康 "DP轨迹组的高度一致性,而大多数儿童则表现出与这两种轨迹的一般一致性。有自主支持的结构化母亲喂养方式与较高的健康DP轨迹z-分数之间存在正相关,这凸显了指导父母采取适当喂养方式的重要性。
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Dietary pattern trajectories in early childhood and their associations with patterns of maternal feeding practices in a multi-ethnic Asian cohort.

Background: Maternal feeding practices play a major role in children's dietary intakes. However, there is limited data on the associations between trajectories of dietary patterns (DPs) and patterns of maternal feeding practices during early childhood.

Methods: Using data from a multi-ethnic Asian cohort study, namely the Growing Up in Singapore Towards healthy Outcomes (GUSTO), dietary intakes were measured using Food Frequency Questionnaires in children at 18 months, 5 and 7 years of age. Maternal feeding practices were assessed using validated questionnaires at 15 months, 3 and 5 years of age. Principal component analysis was used to derive 2 major DPs at all time-points as well as patterns of maternal feeding practices. Group-based trajectory modelling was used to identify trajectory groups for the derived DPs. Multivariable logistic regression examined associations between patterns of maternal feeding practices and DP trajectory groups.

Results: Two DPs, namely the 'healthy' and 'less healthy' were consistently derived at 18 months, 5 and 7 years of age. From each DP, 2 stable DP trajectory groups were further identified between 18 months and 7 years of age. For the 'healthy' DP trajectory, majority of the children (Group 1) formed a consistent average adherence trajectory group (91.8%) while the remaining children (Group 2) showed a higher but decreasing adherence (8.2%) to this DP. For the 'less healthy' DP trajectory, most children (Group 1) formed a consistent average adherence trajectory (95.5%), while the remainder (Group 2) showed consistent higher adherence to this 'less healthy' DP (4.5%). Two patterns of maternal feeding practices were derived and labelled as 'structured with autonomy support' and 'coercive control', respectively, at ages 15 months, 3 and 5 years. Children whose mothers showed high adherence to the structured with autonomy support feeding practices at age 5 years were significantly more likely to be associated with the higher but decreasing 'healthy' DP trajectory group [OR = 3.62 (95% CI: 1.64, 7.99)].

Conclusions: A small number of children in this multi-ethnic study showed high adherence to the 'healthy' or 'less healthy' DP trajectory groups, respectively, while the majority showed average adherence to either of these trajectories. The positive association between structured with autonomy support maternal feeding practices and higher z-scores for the healthy DP trajectory highlights the importance of guiding parents on appropriate feeding practices.

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来源期刊
Nutrition Journal
Nutrition Journal NUTRITION & DIETETICS-
CiteScore
9.80
自引率
0.00%
发文量
68
审稿时长
4-8 weeks
期刊介绍: Nutrition Journal publishes surveillance, epidemiologic, and intervention research that sheds light on i) influences (e.g., familial, environmental) on eating patterns; ii) associations between eating patterns and health, and iii) strategies to improve eating patterns among populations. The journal also welcomes manuscripts reporting on the psychometric properties (e.g., validity, reliability) and feasibility of methods (e.g., for assessing dietary intake) for human nutrition research. In addition, study protocols for controlled trials and cohort studies, with an emphasis on methods for assessing dietary exposures and outcomes as well as intervention components, will be considered. Manuscripts that consider eating patterns holistically, as opposed to solely reductionist approaches that focus on specific dietary components in isolation, are encouraged. Also encouraged are papers that take a holistic or systems perspective in attempting to understand possible compensatory and differential effects of nutrition interventions. The journal does not consider animal studies. In addition to the influence of eating patterns for human health, we also invite research providing insights into the environmental sustainability of dietary practices. Again, a holistic perspective is encouraged, for example, through the consideration of how eating patterns might maximize both human and planetary health.
期刊最新文献
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