scholarly journals The influence of early feeding practices on healthy diet variety score among pre-school children in four European birth cohorts

2014 ◽  
Vol 18 (10) ◽  
pp. 1774-1784 ◽  
Author(s):  
Louise Jones ◽  
George Moschonis ◽  
Andreia Oliveira ◽  
Blandine de Lauzon-Guillain ◽  
Yannis Manios ◽  
...  
Keyword(s):  
Infant Feeding ◽  
Short Duration ◽  
School Children ◽  
Linear Models ◽  
Complementary Feeding ◽  
Maternal Diet ◽  
Food Groups ◽  
Healthy Foods ◽  
Birth Cohorts ◽  
Breast Fed

AbstractObjectiveThe present study examined whether maternal diet and early infant feeding experiences relating to being breast-fed and complementary feeding influence the range of healthy foods consumed in later childhood.DesignData from four European birth cohorts were studied. Healthy Plate Variety Score (HPVS) was calculated using FFQ. HPVS assesses the variety of healthy foods consumed within and across the five main food groups. The weighted numbers of servings consumed of each food group were summed; the maximum score was 5. Associations between infant feeding experiences, maternal diet and the HPVS were tested using generalized linear models and adjusted for appropriate confounders.SettingThe British Avon Longitudinal Study of Parents and Children (ALSPAC), the French Etude des Déterminants pre et postnatals de la santé et du développement de L’Enfant study (EDEN), the Portuguese Generation XXI Birth Cohort and the Greek EuroPrevall cohort.SubjectsPre-school children and their mothers.ResultsThe mean HPVS for each of the cohorts ranged from 2·3 to 3·8, indicating that the majority of children were not eating a full variety of healthy foods. Never being breast-fed or being breast-fed for a short duration was associated with lower HPVS at 2, 3 and 4 years of age in all cohorts. There was no consistent association between the timing of complementary feeding and HPVS. Mother’s HPVS was strongly positively associated with child’s HPVS but did not greatly attenuate the relationship with breast-feeding duration.ConclusionsResults suggest that being breast-fed for a short duration is associated with pre-school children eating a lower variety of healthy foods.

scholarly journals The interactive association of dietary diversity scores and breast-feeding status with weight and length in Filipino infants aged 6–24 months

2015 ◽  
Vol 18 (10) ◽  
pp. 1762-1773 ◽  
Author(s):  
Melecia J Wright ◽  
Margaret E Bentley ◽  
Michelle A Mendez ◽  
Linda S Adair
Keyword(s):  
Energy Intake ◽  
Breast Feeding ◽  
Fixed Effects ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Food Groups ◽  
Nutrition Survey ◽  
Feeding Patterns ◽  
Significant Difference ◽  
Breast Fed

AbstractObjectiveTo assess how breast-feeding and dietary diversity relate to infant length-for-age Z-score (LAZ) and weight-for-age Z-score (WAZ).DesignBreast-feeding, dietary and anthropometric data from the Cebu Longitudinal Health and Nutrition Survey were analysed using sex-stratified fixed-effects longitudinal regression models. A dietary diversity score (DDS) based on seven food groups was classified as low (<4) or high (≥4). The complementary feeding patterns were: (i) non-breast-fed with low DDS (referent); (ii) breast-fed with low DDS; (iii) non-breast-fed with high DDS; and (iv) breast-fed with high DDS (optimal). Interactions between age, energy intake and complementary feeding patterns were included.SettingPhilippines.SubjectsInfants (n 2822) measured bimonthly from 6 to 24 months.ResultsBreast-feeding (regardless of DDS) was significantly associated with higher LAZ (until 24 months) and WAZ (until 20 months). For example, at 6 months, breast-fed boys with low DDS were 0·246 (95 % CI 0·191, 0·302) sd longer and 0·523 (95 % CI 0·451, 0·594) sd heavier than the referent group. There was no significant difference in size between breast-fed infants with high v. low DDS. Similarly, high DDS conferred no advantage in LAZ or WAZ among non-breast-fed infants. There were modest correlations between the 7-point DDS and nutrient intakes but these correlations were substantially attenuated after energy adjustment. We elucidated several interactions between sex, age, energy intake and complementary feeding patterns.ConclusionsThese results demonstrate the importance of prolonged breast-feeding up to 24 months. The DDS provided qualitative information on infant diets but did not confer a significant advantage in LAZ or WAZ.

scholarly journals ASSOCIATION OF INFANT FEEDING PRACTICES AND FOOD NEOPHOBIA AMONG PRE-SCHOOL CHILDREN IN OROGUN COMMUNITY, IBADAN

2021 ◽  
Vol 2 (2) ◽  
pp. 118-128
Author(s):  
E. M. Okonkwo ◽  
F. O. Samuel
Keyword(s):  
Logistic Regression ◽  
Nutrition Education ◽  
Infant Feeding ◽  
School Children ◽  
Complementary Feeding ◽  
Sampling Technique ◽  
Feeding Practice ◽  
Timely Initiation ◽  
Food Neophobia ◽  
Breastfeeding Practice

This study determined food neophobia (FN) and the relationship of infant feeding practice (IFP) and (FN) among pre-school children in Orogun community, Ibadan. Three hundred and seventy mothers of pre-school children were chosen using a systematic random sampling technique from a pre-survey house to house list of eligible children. A semi-structured questionnaire that included socio-demographic characteristics, retrospective breastfeeding practice, retrospective complementary feeding practice (CFP) and FN scales were used to collect information. Data were analyzed using descriptive and logistic regression. The exclusive breastfeeding (EBF) rate was 26.8% and 38% of the mothers had a good breastfeeding practice. Timely initiation of complementary feeding was 54%. The prevalence of FN was 35%. Logistic regression analysis showed that the odds for FN was higher among children who were initiated to breastfeeding late (OR = 1.45, 95% CI: 0.886 – 2.31), children that were not breastfed on demand (OR = 1.766, 95% CI: 0.925 – 3.372), those not exclusively breastfed for six months (OR = 1.366, 95% CI: 0.834 – 2.240) and children introduced to complementary food before 6 months (OR = 1.473, 95% CI: 0.787 – 2.760). Most rejected foods were from the fruits and vegetable group. There were suboptimal IFP in the study and prevalence of FN was high.  Poor IFP were associated with FN. Community-based nutrition education programs should be encouraged to improve IFP.

scholarly journals Deriving the Dietary Approaches to Stop Hypertension (DASH) Score in Women from Seven Pregnancy Cohorts from the European ALPHABET Consortium

Nutrients ◽  
2019 ◽  
Vol 11 (11) ◽  
pp. 2706 ◽  
Author(s):  
Adrien M. Aubert ◽  
Anne Forhan ◽  
Blandine de Lauzon-Guillain ◽  
Ling-Wei Chen ◽  
Kinga Polanska ◽  
...  
Keyword(s):  
Diet Quality ◽  
Dairy Products ◽  
Maternal Diet ◽  
Dash Score ◽  
Food Groups ◽  
Birth Cohorts ◽  
Added Sugars ◽  
Sweetened Beverages ◽  
Food Components ◽  
Offspring Health

The ALPHABET consortium aims to examine the interplays between maternal diet quality, epigenetics and offspring health in seven pregnancy/birth cohorts from five European countries. We aimed to use the Dietary Approaches to Stop Hypertension (DASH) score to assess diet quality, but different versions have been published. To derive a single DASH score allowing cross-country, cross-cohort and cross-period comparison and limiting data heterogeneity within the ALPHABET consortium, we harmonised food frequency questionnaire (FFQ) data collected before and during pregnancy in ≥26,500 women. Although FFQs differed strongly in length and content, we derived a consortium DASH score composed of eight food components by combining the prescriptive original DASH and the DASH described by Fung et al. Statistical issues tied to the nature of the FFQs led us to re-classify two food groups (grains and dairy products). Most DASH food components exhibited pronounced between-cohort variability, including non-full-fat dairy products (median intake ranging from 0.1 to 2.2 servings/day), sugar-sweetened beverages/sweets/added sugars (0.3–1.7 servings/day), fruits (1.1–3.1 servings/day), and vegetables (1.5–3.6 servings/day). We successfully developed a harmonized DASH score adapted to all cohorts being part of the ALPHABET consortium. This methodological work may benefit other research teams in adapting the DASH to their study’s specificities.

Introduction to complementary feeding in the first year of life and risk of overweight at 24 months of age: changes from 2004 to 2015 Pelotas (Brazil) Birth Cohorts

2020 ◽  
Vol 124 (6) ◽  
pp. 620-630
Author(s):  
Bruna Celestino Schneider ◽  
Giovanna Gatica-Domínguez ◽  
Maria Cecília Formoso Assunção ◽  
Alicia Matijasevich ◽  
Aluísio J. D. Barros ◽  
...  
Keyword(s):  
Complementary Feeding ◽  
Population Based ◽  
First Year ◽  
Food Groups ◽  
Birth Cohorts ◽  
Powdered Milk ◽  
Growth Standards ◽  
Early Introduction ◽  
Fresh Milk ◽  
First Year Of Life

AbstractComplementary feeding (CF) and overweight relationships during early childhood are inconsistent in the literature. We described the association of CF during the first year of life with risk of overweight at 24 months of age in the population-based 2004 and 2015 Pelotas (Brazil) Birth Cohorts (2004c and 2015c). CF introduction was evaluated at the 3 and 12 months’ follow-ups by asking mothers using a list of foods. Risk of overweight at 24 months of age was BMI-for-age z-score above +1sd from the median of the WHO 2006 growth standards. Our analyses included 3823 (2004c) and 3689 (2015c) children. Early introduction CF (before 6 months of age) prevalence in 2004c was 93·3 (95 % CI 92·5, 94·1) % and in 2015c was 87·2 (95 % CI 86·1, 88·2) %. Tea was the item introduced earlier in both 2004c (68·8 %) and 2015c (55·7 %). At 6 months of age, vegetable mash was the most introduced food in 2004c (33·5 %) and 2015c (47·9 %). Between 2004c and 2015c, the introduction of fresh milk decreased 82·1 to 60·5 % and yogurt from 94·4 to 78·1 % during the first year. Risk of overweight prevalence at 24 months was 33·0 (95 % CI 31·6, 34·5) % in 2004c and 32·0 (95 % CI 30·5, 33·5) % in 2015c. In 2015c, the adjusted odds of risk of overweight at 24 months were increased 1·66 and 1·50 times with the early introduction of fresh/powdered milk: plus water, tea or juice, and plus semi-solid/solid food groups, respectively. It is essential to reinforce the adherence to global recommendations on timely feeding introduction and encourage exclusive breast-feeding until 6 months of age to prevent child overweight.

scholarly journals Complementary Feeding Habits in Children Under the Age of 2 Years Living in the City of Adama in the Oromia Region in Central Ethiopia: Traditional Ethiopian Food Study

2021 ◽  
Vol 8 ◽  
Author(s):  
Adugna Negussie Gudeta ◽  
Carin Andrén Aronsson ◽  
Taye Tolera Balcha ◽  
Daniel Agardh
Keyword(s):  
Infant Feeding ◽  
Complementary Feeding ◽  
Feeding Habits ◽  
Feeding Practices ◽  
Birth Cohort Study ◽  
Food Groups ◽  
Anthropometric Measures ◽  
Timely Initiation ◽  
Central Ethiopia ◽  
The City

Updated information on child feeding practices, nutritional status, and trends related to parental sociodemographic variables is required in developing countries. The objective of this study was to describe infant feeding practices and associated sociodemographic factors among Ethiopian children with an emphasis on complementary feeding (CF). Information on infant feeding and anthropometric measures was obtained from 1,054 mother-child pairs participating in a birth cohort study of children born between 2017 and 2020 prospectively followed in the city of Adama located in the Oromia region of central Ethiopia. Logistic regression models were used to identify sociodemographic and food groups associated with the initiation of CF. The introduction of complementary foods at 6 months of age was 84.7% (95% CI, 82.5, 86.8). Vegetables, cereals (teff, wheat, barley), and fruits were most often the earliest types of foods introduced. Wasting, stunting, underweight, and low body mass index (BMI) by age were found in 6.0, 16.9, 2.5, and 6.3%, respectively. Maternal age and occupation were the factors associated with timely initiation of CF [OR = 2.25, (95% CI, 1.14, 4.41)] and [OR = 0.68, (95% CI, 0.48, 0.97)], respectively. This study demonstrates that the majority of Ethiopian children in the Oromia region follow the recommendations of WHO on CF.

A STUDY OF POSITIVE MENTAL HEALTH IN SCHOOL GIRLS WITH POSTURAL DEFORMITIES : WITH REFERENCE TO YOGA INTERVENTION PROGRAM

2017 ◽  
Vol 4 (23) ◽  
Author(s):  
Bharati G. Dhokrat
Keyword(s):  
Mental Health ◽  
Short Duration ◽  
School Children ◽  
Intervention Program ◽  
Positive Mental Health ◽  
Kyphotic Deformity ◽  
Yoga Intervention ◽  
School Girls ◽  
Postural Deformity

The aim of the present study was to analyse the effect of three months yoga program on positive mental health of school girls diagnosed with postural deformity. To conduct the study 2000 school children from various schools in Mumbai were screened with the help of kypholordometry to determine the presence of postural kyphosis. Out of the surveyed subjects, 72 school girls between age of six to twelve years were found to be suffering from postural kyphosis. Out of these 60 school girls were selected and took part in the present study. Selected Kriyas, Asanas and Pranayam respectively forms the basis of three months yogic program. Junior Positive mental health inventory prepared by Agashe and Helode (2009) was used as psychological instrument in the present study.Results reveal significant impact of yoga program on positive mental health of school girls carrying postural deformity in the form of kyphosis. It was concluded that positive mental health among school girls carrying kyphotic deformity can be enhanced with a well chalked out yoga program of short duration.

scholarly journals Associations of Maternal Sociodemographic Characteristics and Eating Behaviors with Infant Feeding Behaviors

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1046-1046
Author(s):  
Tonja Nansel ◽  
Leah Lipsky ◽  
Carolina Schwedhelm ◽  
Breanne Wright ◽  
Chelsie Temmen ◽  
...  
Keyword(s):  
Infant Feeding ◽  
Diet Quality ◽  
Maternal Education ◽  
Healthy Eating Index ◽  
Fruit And Vegetables ◽  
Infant Food ◽  
Food Groups ◽  
Feeding Behaviors ◽  
White Race ◽  
Maternal Characteristics

Abstract Objectives This study examines associations of maternal characteristics with infant feeding of discretionary and health-promoting foods. Methods Mothers in PEAS, a prospective cohort study, reported maternal and child dietary intake, demographics, and eating competence (EC). Maternal diet quality (Healthy Eating Index-2015, HEI) was calculated combining 24-hour diet recalls at 6 weeks, 6, and 12 months postpartum (n = 209). Infant food frequency questionnaires were completed at 6, 9, and 12 months, assessing age of introduction and intake frequency of food groups. T-tests examined bivariate associations of demographics with feeding of discretionary sweets, discretionary savory foods, fruit, and vegetables. Linear regressions examined associations of maternal EC and HEI with infant feeding controlling for demographics. Results Fruit, vegetables, discretionary sweet, and discretionary savory foods were introduced at 5.8 ± 1.7, 5.9 ± 1.7, 8.0 ± 2.0, and 8.8 ± 1.8 months, respectively. Earlier introduction of fruit and vegetables was associated with higher maternal education, white race, and nulliparity; earlier introduction of vegetables was also associated with higher income. Age of introduction of discretionary sweet and savory foods was not associated with maternal demographics, HEI, or EC. At age 12 months, greater infant intake frequency of fruit and vegetables was associated with higher education and income, white race, and breastfeeding, while greater intake frequency of discretionary sweet and savory foods was associated with lower maternal education and minority race. Greater intake frequency of sweets was also associated with multiparity and greater intake frequency of discretionary savory foods was associated with lower income. Maternal HEI was positively associated with infant intake frequency of fruit, vegetables, and discretionary sweet and savory foods. Maternal EC was positively associated with infant intake frequency of fruit and vegetables. Conclusions Demographic differences in infant feeding behaviors indicates these behaviors as critical intervention targets to address disparities in child diet quality. Associations of maternal HEI and EC with infant feeding behaviors suggest potential pathways of maternal influence on infant diet. Funding Sources This research was supported by the NICHD Intramural Research Program.

scholarly journals Promoting healthy foods among urban school children in Bangladesh: a qualitative inquiry of the challenges and opportunities

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
A. M. Rumayan Hasan ◽  
George Smith ◽  
Md Harunor Rashid ◽  
Mohammad Abdus Selim ◽  
Sabrina Rasheed
Keyword(s):  
School Children ◽  
Food System ◽  
Vegetable Consumption ◽  
Food Preferences ◽  
Urban School ◽  
Qualitative Inquiry ◽  
Overweight And Obesity ◽  
Food Culture ◽  
Healthy Foods ◽  
Raw Foods

Abstract Background In Bangladesh overweight and obesity among urban school children are on the rise. Urban school children tend to consume foods dense in calories and few fruits and vegetables which is associated with overweight and obesity. The current study explored the barriers and opportunities for promoting healthy diets among school children from the perspective of teachers and parents in Dhaka, Bangladesh. Methods We conducted 14 key informant interviews with teachers and principals, six focus group discussions with 31 mothers of school children (5 to 15 year old) and 14 structured observations of the school food environment. Inductive thematic analysis was performed manually. Results Schools were important for development of food preferences of children, however, most school cafeterias provided foods based on profit rather than health considerations. A shift in food culture resulted in making eating out acquire many meanings beyond convenience. Mothers, especially those who were employed, struggled to prepare healthy foods due to time pressure. Mothers were generally concerned about chemicals added to raw foods in markets which led to limited fruit and vegetable consumption. Conclusions There were many challenges to promoting healthy foods to school children within and outside the school. It is important to formulate policies and guidance to create a supportive environment for healthy foods in and in the proximity of schools. It is also important to educate consumers about identifying and choosing healthy foods. Laws related to food safety should be adequately implemented to boost the population’s confidence in safety of available healthy foods in the food system.

scholarly journals Food-Choice Values of Elementary School Children and Strategies Used to Influence Mothers’ Food Purchasing Decisions

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 720-720
Author(s):  
Nazratun Monalisa ◽  
Edward Frongillo ◽  
Christine Blake ◽  
Susan Steck ◽  
Robin DiPietro
Keyword(s):  
Elementary School ◽  
South Carolina ◽  
School Children ◽  
Food Choice ◽  
Elementary School Children ◽  
Healthy Foods ◽  
Purchasing Decisions ◽  
Food Purchasing ◽  
Food Purchases ◽  
Children's Strategies

Abstract Objectives This study aimed to understand the values held by elementary school children in constructing food choices and the strategies they used to influence their mothers’ food purchasing decisions. Methods Semi-structured qualitative interviews were conducted with 40 elementary school children (aged 6–11 years) and their mothers living in South Carolina. Food choice information was collected only from children and strategies to influence mothers’ food purchases were collected from both children and mothers. The interviews were audio-recorded, transcribed verbatim, and open-coded. Coding matrices were used to compare children's and mothers’ responses on the children's strategies to influence mothers’ food purchasing decisions. Results Children most valued taste, texture, and flavor of the food items, followed by perceived benefits, happiness, craving, following family and friends, the items’ healthfulness, preparation, and presentation when they made food choice decisions. Children reported 157 strategies that they used to influence mothers’ purchasing decisions. Mothers had concordance with 80 strategies that children mentioned. In mother-child dyads, more concordance was observed between mothers and sons than between mothers and daughters. The most common and successful strategies from both the children's and mothers’ perspectives were reasoned requests, repeated polite requests, and referencing friends. Other strategies included offers to contribute money or service, teaming up with siblings, writing a shopping list, and grabbing desired items. Mothers perceived that children had a lot of influence on their food purchasing decisions. Conclusions Children were aware of the strategies that would get positive reactions from their mothers. Mothers’ acknowledgement of children's influence on their food purchase decisions suggests that children can serve as change agents for improving mothers’ food purchases if children prefer healthy foods. Interventions are needed for mothers to help address children's strategies to influence mothers to purchase unhealthy foods and make healthy foods more appealing to children instead of yielding to children's requests for unhealthy items. Funding Sources SPARC grant and Ogoussan Doctoral Research Award from the University of South Carolina.

scholarly journals Determinants of inadequate complementary feeding practices among children aged 6–23 months in Ghana

2014 ◽  
Vol 18 (4) ◽  
pp. 669-678 ◽  
Author(s):  
Abukari I Issaka ◽  
Kingsley E Agho ◽  
Penelope Burns ◽  
Andrew Page ◽  
Michael J Dibley
Keyword(s):  
Risk Factors ◽  
Health Survey ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Demographic And Health Survey ◽  
Meal Frequency ◽  
Factors Associated ◽  
Minimum Dietary Diversity ◽  
Breast Fed

AbstractObjectiveTo explore complementary feeding practices and identify potential risk factors associated with inadequate complementary feeding practices in Ghana by using the newly developed WHO infant feeding indicators and data from the nationally representative 2008 Ghana Demographic and Health Survey.DesignThe source of data for the analysis was the 2008 Ghana Demographic and Health Survey. Analysis of the factors associated with inadequate complementary feeding, using individual-, household- and community-level determinants, was done by performing multiple logistic regression modelling.SettingGhana.SubjectsChildren (n 822) aged 6–23 months.ResultsThe prevalence of the introduction of solid, semi-solid or soft foods among infants aged 6–8 months was 72·6 % (95 % CI 64·6 %, 79·3 %). The proportion of children aged 6–23 months who met the minimum meal frequency and dietary diversity for breast-fed and non-breast-fed children was 46·0 % (95 % CI 42·3 %, 49·9 %) and 51·4 % (95 % CI 47·4 %, 55·3 %) respectively and the prevalence of minimum acceptable diet for breast-fed children was 29·9 % (95 % CI 26·1 %, 34·1 %). Multivariate analysis revealed that children from the other administrative regions were less likely to meet minimum dietary diversity, meal frequency and acceptable diet than those from the Volta region. Household poverty, children whose mothers perceived their size to be smaller than average and children who were delivered at home were significantly less likely to meet the minimum dietary diversity requirement; and children whose mothers did not have any postnatal check-ups were significantly less likely to meet the requirement for minimum acceptable diet. Complementary feeding was significantly lower in infants from illiterate mothers (adjusted OR=3·55; 95 % CI 1·05, 12·02).ConclusionsThe prevalence of complementary feeding among children in Ghana is still below the WHO-recommended standard of 90 % coverage. Non-attendance of postnatal check-up by mothers, cultural beliefs and habits, household poverty, home delivery of babies and non-Christian mothers were the most important risk factors for inadequate complementary feeding practices. Therefore, nutrition educational interventions to improve complementary feeding practices should target these factors in order to achieve the fourth Millennium Development Goal.

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