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 c...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BioMed Central Ltd
2024
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| Online Access: | http://psasir.upm.edu.my/id/eprint/114508/ http://psasir.upm.edu.my/id/eprint/114508/1/114508.pdf |
| _version_ | 1848866514814369792 |
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| author | Appannah, Geeta Toh, Jia Ying Lai, Jun Shi Yong, Heng Yaw Shariff, Zalilah Mohd Tint, Mya Thway Yuan, Wen Lun Pang, Wei Wei Godfrey, Keith M. Tan, Kok Hian Yap, Fabian Lee, Yung Seng Eriksson, Johan G. Chong, Mary F. F. |
| author_facet | Appannah, Geeta Toh, Jia Ying Lai, Jun Shi Yong, Heng Yaw Shariff, Zalilah Mohd Tint, Mya Thway Yuan, Wen Lun Pang, Wei Wei Godfrey, Keith M. Tan, Kok Hian Yap, Fabian Lee, Yung Seng Eriksson, Johan G. Chong, Mary F. F. |
| author_sort | Appannah, Geeta |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-15T14:21:49Z |
| format | Article |
| id | upm-114508 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T14:21:49Z |
| publishDate | 2024 |
| publisher | BioMed Central Ltd |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-1145082025-01-16T10:10:12Z http://psasir.upm.edu.my/id/eprint/114508/ Dietary pattern trajectories in early childhood and their associations with patterns of maternal feeding practices in a multi-ethnic Asian cohort Appannah, Geeta Toh, Jia Ying Lai, Jun Shi Yong, Heng Yaw Shariff, Zalilah Mohd Tint, Mya Thway Yuan, Wen Lun Pang, Wei Wei Godfrey, Keith M. Tan, Kok Hian Yap, Fabian Lee, Yung Seng Eriksson, Johan G. Chong, Mary F. F. 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. BioMed Central Ltd 2024 Article PeerReviewed text en cc_by_nc_nd_4 http://psasir.upm.edu.my/id/eprint/114508/1/114508.pdf Appannah, Geeta and Toh, Jia Ying and Lai, Jun Shi and Yong, Heng Yaw and Shariff, Zalilah Mohd and Tint, Mya Thway and Yuan, Wen Lun and Pang, Wei Wei and Godfrey, Keith M. and Tan, Kok Hian and Yap, Fabian and Lee, Yung Seng and Eriksson, Johan G. and Chong, Mary F. F. (2024) Dietary pattern trajectories in early childhood and their associations with patterns of maternal feeding practices in a multi-ethnic Asian cohort. Nutrition Journal, 23 (1). art. no. 110. pp. 1-13. ISSN 1475-2891; eISSN: 1475-2891 https://nutritionj.biomedcentral.com/articles/10.1186/s12937-024-01012-5 10.1186/s12937-024-01012-5 |
| spellingShingle | Appannah, Geeta Toh, Jia Ying Lai, Jun Shi Yong, Heng Yaw Shariff, Zalilah Mohd Tint, Mya Thway Yuan, Wen Lun Pang, Wei Wei Godfrey, Keith M. Tan, Kok Hian Yap, Fabian Lee, Yung Seng Eriksson, Johan G. Chong, Mary F. F. Dietary pattern trajectories in early childhood and their associations with patterns of maternal feeding practices in a multi-ethnic Asian cohort |
| title | Dietary pattern trajectories in early childhood and their associations with patterns of maternal feeding practices in a multi-ethnic Asian cohort |
| title_full | Dietary pattern trajectories in early childhood and their associations with patterns of maternal feeding practices in a multi-ethnic Asian cohort |
| title_fullStr | Dietary pattern trajectories in early childhood and their associations with patterns of maternal feeding practices in a multi-ethnic Asian cohort |
| title_full_unstemmed | Dietary pattern trajectories in early childhood and their associations with patterns of maternal feeding practices in a multi-ethnic Asian cohort |
| title_short | Dietary pattern trajectories in early childhood and their associations with patterns of maternal feeding practices in a multi-ethnic Asian cohort |
| title_sort | dietary pattern trajectories in early childhood and their associations with patterns of maternal feeding practices in a multi-ethnic asian cohort |
| url | http://psasir.upm.edu.my/id/eprint/114508/ http://psasir.upm.edu.my/id/eprint/114508/ http://psasir.upm.edu.my/id/eprint/114508/ http://psasir.upm.edu.my/id/eprint/114508/1/114508.pdf |