scholarly journals Associations between infant and maternal characteristics measured at child age 5 months and maternal feeding styles and practices up to child age two years

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0261222
Author(s):  
Christine Helle ◽  
Elisabet R. Hillesund ◽  
Nina C. Øverby
Keyword(s):  
Maternal Education ◽  
Longitudinal Design ◽  
Controlled Trial ◽  
Feeding Practices ◽  
Overweight And Obesity ◽  
Maternal Characteristics ◽  
Feeding Styles ◽  
Maternal Feeding Practices ◽  
The Impact ◽  
Child Age

Facilitating positive feeding practices from infancy may be an important strategy to prevent childhood overweight and obesity. Since the feeding situation early in life constitutes a bidirectional relationship, it is important to understand the impact of both maternal and infant characteristics on maternal feeding practices to intervene in a customized and tailored way. Few studies have concurrently examined associations between maternal and infant characteristics in relation to early maternal feeding practices. The aim of the present study was to explore potential associations between infant and maternal characteristics measured at child age five months, and maternal feeding styles and practices during the child’s first two years. Cross-sectional data from a Norwegian randomized controlled trial in which participants responded to questionnaires at child age 5 months (n = 474), 12 months (n = 293) and 24 months (n = 185) were used to explore potential associations. All maternal and child predictor variables were collected at child age five months. Maternal feeding styles and practices were mapped using subscales from the Infant Feeding Questionnaire at child age 5 and 12 months and the Child Feeding Questionnaire and the Parental Feeding Style Questionnaire at child age 24 months. The subscale-scores were split into roughly equal tertiles, and the upper or lower tertile for the outcome of interest were used to create binary outcome variables. Multivariable binary logistic regression models were conducted for each outcome. We found that maternal education and mental health symptoms as well as infant weight, temperament and feeding mode were associated with maternal feeding styles and practices over time. Our findings indicate that risk factors which may have long-term implications for child weight and health outcomes can be identified early. Larger, population-based studies with a longitudinal design are needed to further explore these pathways.

scholarly journals General Parenting and Hispanic Mothers’ Feeding Practices and Styles

2021 ◽  
Vol 18 (2) ◽  
pp. 380
Author(s):  
Thomas G. Power ◽  
Jennifer O. Fisher ◽  
Teresia M. O'Connor ◽  
Nilda Micheli ◽  
Maria A. Papaioannou ◽  
...  
Keyword(s):  
Parenting Styles ◽  
Healthy Eating ◽  
Weight Status ◽  
Feeding Practices ◽  
Feeding Styles ◽  
Hispanic Mothers ◽  
Parenting Dimensions ◽  
Head Start Programs ◽  
Maternal Feeding Practices ◽  
General Parenting

Previous research has shown that general parenting styles, general parenting dimensions, maternal feeding styles, and maternal feeding practices all show specific relationships with the weight status of young children. This study examined the relationships between general parenting and maternal feeding styles/practices in a sample of 187 Hispanic mothers with low incomes. As part of a larger study, mothers of preschool children were recruited through Head Start programs and completed validated questionnaires assessing their general parenting, feeding styles, and feeding practices. Results identified numerous associations between general parenting dimensions and specific feeding practices: i.e., maternal nurturance was positively associated with healthy eating guidance and feeding responsiveness; inconsistency was positively associated with restriction for weight and promotion of overconsumption; follow through on discipline was positively associated with monitoring, healthy eating guidance, and feeding responsiveness; and family organization was positively associated with monitoring and healthy eating guidance. General parenting styles were associated with feeding practices as well, with authoritative mothers showing the highest levels of healthy eating guidance and authoritarian mothers showing the lowest levels of monitoring. There were no significant associations between mothers’ general parenting styles and mothers’ feeding styles. Implications of these findings for the prevention of childhood obesity are considered.

scholarly journals The Impact of Fresh Hass Avocado on the Fecal Metabolome Among Adults with Overweight and Obesity: A Randomized, Controlled Trial

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1593-1593
Author(s):  
Sharon Thompson ◽  
Ziyang Pan ◽  
Caitlyn Edwards ◽  
Ginger Reeser ◽  
Naiman Khan ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Treatment Group ◽  
Controlled Trial ◽  
Overweight And Obesity ◽  
Type I ◽  
Gastrointestinal Microbiota ◽  
Randomized Controlled ◽  
Food And Agriculture ◽  
Hass Avocado ◽  
The Impact

Abstract Objectives Avocados are nutrient-rich fruits that have been recently linked to beneficial alterations to the gastrointestinal microbiota. However, previous research on shifts in the fecal metabolome with avocado intake has largely been conducted in in vitro or preclinical models and little is known about their metabolomic impact in human subjects. Methods Adult participants (n = 109) 25–45 years of age with BMI ≥ 25.0 kg/m2 were enrolled in an investigator-blinded, parallel arm, randomized, controlled trial. Participants consumed isocaloric meals with or without fresh Hass avocado once daily for 12-weeks and reported ≥ 80% meal consumption over the intervention period. Untargeted fecal metabolites were quantified in a subsample of participants (n = 48) using gas chromatography mass spectroscopy and were normalized by sample weight. Kruskal-Wallis tests and false discovery rate type I error correction were conducted and orthogonal partial least squares discriminant analysis (OPLS-DA) was used to predict treatment group by fecal metabolite concentrations (RStudio, version 3.6.2). Results A total of 292 metabolites were identified at intervention follow-up. Of these, three metabolites differed significantly between treatment groups. Fecal concentrations of lanosterol (P = 0.0004, q = 0.04) and the fatty alcohols hexadecanol (P = 0.001, q = 0.04) and octadecanol (P = 0.001, q = 0.04), were greater in the group consuming avocado as compared to control. Seventeen additional metabolites, including nine fecal lipids, two fat soluble vitamin derivatives, and three monosaccharides/disaccharides differed at P < 0.05 but did not meet the q < 0.05 threshold. Treatment group assignment was predicted correctly in 70% of cases (R2 = 72%, Q2 = 33%) using the trained OPLS-DA model. Conclusions Fresh Hass avocado intake increased fecal lipid and sterol concentrations among healthy adults with overweight and obesity, demonstrating diet-related modifications to the fecal metabolome. Funding Sources Support for this research was provided by the Hass Avocado Board, the USDA National Institute of Food and Agriculture, Hatch project 1009249, and the USDA National Institute of Food and Agriculture AFRI Predoctoral Fellowship, project 2018–07785.

scholarly journals Do pregnant women with overweight and obesity find a nutrition and exercise intervention with smartphone app support acceptable? Findings from the PEARs randomised controlled trial. (Preprint)

2019 ◽  
Author(s):  
Ellen Greene ◽  
Eileen O'Brien ◽  
Kate Ainscough ◽  
Maria A Kennelly ◽  
Orna A O'Brien ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Pregnant Women ◽  
Exercise Intervention ◽  
Tertiary Education ◽  
Controlled Trial ◽  
Intervention Group ◽  
Overweight And Obesity ◽  
Smartphone App ◽  
Maternal Characteristics ◽  
Randomised Controlled

BACKGROUND Dietary interventions can improve pregnancy outcomes amongst women with increased BMI. Furthermore, interest in mobile health (mHealth) is growing but little is known about the acceptability of a smartphone app to support lifestyle interventions among such a cohort. OBJECTIVE We aimed to assess the acceptability of the PEARs study and the use of mHealth in a mixed lifestyle intervention. METHODS PEARs was a randomised controlled trial of a low glycaemic index (GI) dietary intervention with exercise prescription and smartphone app, delivered to pregnant women with overweight and obesity. Acceptability questionnaires were completed by the intervention group at 28 weeks’ gestation (n = 149) and post-intervention (n = 123). Maternal characteristics were recorded (age, ethnicity, BMI, socioeconomic status). Associations between maternal characteristics and acceptability of the intervention and app were analysed using t-tests, Mann-Whitney U tests, chi-squares and logistic regression. One-on-one semi-structured interviews were conducted with a sub-cohort of intervention participants (n = 28) at 34 weeks’ gestation, in which participants shared their experience of the PEARs intervention. RESULTS The intervention was generally accepted, with respondents agreeing that the diet was easy to follow (68.5%), enjoyable (74.1%) and affordable (76.9%). Qualitative and quantitative results were consistent with one another, both demonstrating that app acceptability was high. Participants agreed that the app was enjoyable (80%) and easy to use (97.5%). Compared to those with tertiary education, those with lower education were more likely to enjoy the dietary changes (P = .039). Enjoyment of the app was associated with disadvantaged neighbourhood deprivation index (P = .012) and higher BMI (B = .172, P = .029). CONCLUSIONS The PEARs intervention and use of a supportive smartphone app were accepted by pregnant women, particularly by those from vulnerable subgroups of the population. CLINICALTRIAL https://www.isrctn.com/, ISRCTN29316280

scholarly journals Increasing the proportion of healthier foods available with and without reducing portion sizes and energy purchased in worksite cafeterias: protocol for a stepped-wedge randomised controlled trial

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
James P. Reynolds ◽  
Daina Kosīte ◽  
Brier Rigby Dames ◽  
Laura A. Brocklebank ◽  
Mark Pilling ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Lower Energy ◽  
Controlled Trial ◽  
Overweight And Obesity ◽  
Reliable Estimate ◽  
Stepped Wedge ◽  
Portion Sizes ◽  
Randomised Controlled ◽  
Energy Options ◽  
The Impact

Abstract Background Overconsumption of energy from food contributes to high rates of overweight and obesity in many populations. A promising set of interventions tested in pilot studies in worksite cafeterias, suggests energy intake may be reduced by increasing the proportion of healthier – i.e. lower energy – food options available, and decreasing portion sizes. The current study aims to assess the impact on energy purchased of i. increasing the proportion of lower energy options available; ii. combining this with reducing portion sizes, in a full trial. Methods A stepped-wedge randomised controlled trial in 19 worksite cafeterias, where the proportion of lower energy options available in targeted food categories (including main meals, snacks, and cold drinks) will be increased; and combined with reduced portion sizes. The primary outcome is total energy (kcal) purchased from targeted food categories using a pooled estimate across all sites. Follow-up analyses will test whether the impact on energy purchased varies according to the extent of intervention implementation. Discussion This study will provide the most reliable estimate to date of the effect sizes of two promising interventions for reducing energy purchased in worksite cafeterias. Trial registration The study was prospectively registered on ISRCTN (date: 24.05.19; TRN: ISRCTN87225572; doi: 10.1186/ISRCTN87225572).

scholarly journals Maternal characteristics in childhood and smoking at age of 15: Findings from the Czech Republic

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
J Pikhartova ◽  
L Andryskova ◽  
H Pikhart
Keyword(s):  
Maternal Employment ◽  
Maternal Education ◽  
Smoking Behaviour ◽  
Young Adolescents ◽  
Maternal Characteristics ◽  
Parental Employment ◽  
Repeated Attempt ◽  
Behavioural Characteristics ◽  
Employed Mothers ◽  
The Impact

Abstract Objective Maternal employment has been shown to influence child’s health, cognitive and behavioural outcomes. There is only a limited number of studies in Central Europe investigating the impact of parental employment on the uptake of smoking in children. The aim of this work is to look at the influence of maternal employment over the whole period of childhood of their children, and other maternal social and behavioural characteristics on the uptake of smoking among children aged 15 in the Czech part of European Longitudinal Study of Pregnancy and Childhood (ELSPAC). Methods There were 971 individuals with complete data on smoking behaviour at age of 15, pattern of maternal employment between child ages 3 and 15, and other covariates including gender, maternal age, maternal education and marital status, household income, and maternal smoking. Logistic regression was used to analyse the association between maternal employment and smoking in their children. Results 37% of adolescents aged 15 years reported trying cigarette more than once. Preliminary results suggest that those whose mothers were in paid work were more likely to be smoking at age 15. When stratified by maternal education, the association between maternal employment and smoking was particularly strong among university educated mothers. Those whose mothers were never employed were 4-times more likely to smoke than those whose mothers were continuously employed between ages 3 and 15. The association between maternal employment and smoking was weaker in other strata of maternal education. Conclusions Although maternal employment might have only a limited role in development of smoking behaviour of young adolescents, the association between maternal employment during childhood and young adolescents’ smoking does exist and is particularly strong among those with university educated mothers. Key messages More than one third of Czech adolescents self-reported repeated attempt to smoke cigarettes or cigars or pipe at the beginning of new Millennium. Data suggest that adolescents whose mothers had not been employed were more likely to smoke than those of employed mothers.

Estimating and differentiating maternal feeding practices in a country ranked first in childhood obesity

2019 ◽  
Vol 23 (4) ◽  
pp. 620-630 ◽  
Author(s):  
Ana María Salinas Martínez ◽  
Hid Felizardo Cordero Franco ◽  
Daniela Berenice Estrada de León ◽  
Gloria Estefanía Medina Franco ◽  
Francisco Javier Guzmán de la Garza ◽  
...  
Keyword(s):  
Childhood Obesity ◽  
Convergent Validity ◽  
Maternal Education ◽  
Weight Perception ◽  
Feeding Practices ◽  
Easy Access ◽  
Weight Concern ◽  
Cross Sectional ◽  
Maternal Feeding Practices ◽  
Child’S Weight

AbstractObjective:Mexico ranks first in childhood obesity worldwide. However, little is known about the factors influencing maternal feeding practices. The present study aimed to estimate the prevalence of feeding practices and explore associations between weight concern, weight perception, sociodemographic characteristics and those feeding practices.Design:Cross-sectional.Setting:North-eastern Mexico.Participants:Mothers aged ≥18 years who were in charge of feeding a singleton child aged 2–6 years with no endocrine disease or visible genetic malformations (n 507). Information on six maternal feeding practices, concern and perception of the child’s weight and demographics were collected by interview. The mother’s and child’s height and weight were measured. The feeding practices questionnaire was subject to content, construct and convergent validity analysis. Then, mean feeding scores were obtained and prevalence and 95 % CI were determined for scores ≥3; multivariate logistic regression was performed.Results:Not modelling (63·5 %; 95 % CI 59·2, 67·8 %) and pressuring to eat (55·6 %; 95 % CI 51·2, 60·0 %) were the most frequent feeding practices, followed by easy access to unhealthy foods (45·4 %; 95 % CI 40·9, 49·8 %) and child control (43·2 %; 95 % CI 38·8, 47·6 %). They prevailed despite concern about the child’s excess weight or a perception of the child as overweight/obese. Education was associated with the highest number of practices (educated mothers used more pressuring to eat, less regulation and less easy access; or monitoring was less absent).Conclusions:The frequency of certain feeding practices needs to be improved. Emphasis on the child’s weight concern, obesity perception and maternal education is essential for optimizing intervention planning.

RETRACTED: Relation of parenting styles, feeding styles and feeding practices to child overweight and obesity. Direct and moderated effects

Appetite ◽  
2013 ◽  
Vol 71 ◽  
pp. R1
Author(s):  
Laura Hubbs-Tait ◽  
Katherine L. Dickin ◽  
Madeleine Sigman-Grant ◽  
Lisa Jahns ◽  
Amy R. Mobley
Keyword(s):  
Parenting Styles ◽  
Feeding Practices ◽  
Overweight And Obesity ◽  
Feeding Styles ◽  
Child Overweight

scholarly journals Early feeding practices and family structure: associations with overweight in children

2013 ◽  
Vol 73 (1) ◽  
pp. 132-136 ◽  
Author(s):  
Monica Hunsberger
Keyword(s):  
Family Structure ◽  
Future Development ◽  
Exclusive Breastfeeding ◽  
Feeding Practices ◽  
Childhood Overweight ◽  
Overweight And Obesity ◽  
Early Feeding ◽  
Increased Risk ◽  
Two Factors ◽  
The Impact

The aim of this review is to examine two factors that may be associated with development of childhood overweight: early feeding, namely exclusive breastfeeding practices; family structure. Findings from the Identification and prevention of Dietary- and lifestyle-induced health EFfects In Children and infantS (IDEFICS) study are presented in the context of the literature. IDEFICS is a multi-centre European study exploring the risks for overweight and obesity in children, which recruited 16 224 children aged 2–9 years from September 2007 to June 2008 at survey centres in Italy, Estonia, Cyprus, Belgium, Sweden, Hungary, Germany and Spain. Among the IDEFICS sample, after controlling for confounders, exclusive breastfeeding for 4–6 months was protective of overweight (including obesity) when compared with children never exclusively breastfed (OR 0·73, 95 % CI 0·63, 0·85). Family structure and number of siblings may also be associated with overweight. IDEFICS children without siblings were more likely (OR 1·52, 95 % CI 1·34, 1·72) to be overweight than their peers with siblings when controlling for factors related to childhood overweight such as country, parental education, parental weight, maternal age, child's age, birth weight and gender. Both early feeding practices and family structure play a role in the future development of obesity. The impact of breastfeeding on future development of overweight is dependent upon the dose. Exclusive breastfeeding for the recommended 6 months appears to be protective of overweight. Family structure is also an important component and emerging research suggests only children are at increased risk for overweight in comparison with those with siblings. In European countries, approximately 22 million children are overweight. Early dietary exposures, genetic, environmental and social factors have all been proposed as potential causal factors. Two such factors include exclusive breastfeeding and the impact of being an only child. We have investigated these two factors for associations with overweight; our studies, in the context of previous findings, are the focus of this review.

scholarly journals Sociodemographic Differences in Prenatal Diagnosis of Chromosomal Anomalies: A Population-Based Study

2021 ◽  
Vol 9 ◽  
Author(s):  
Michele Santoro ◽  
Lorena Mezzasalma ◽  
Alessio Coi ◽  
Silvia Baldacci ◽  
Lucia Pasquini ◽  
...  
Keyword(s):  
Down Syndrome ◽  
Prenatal Diagnosis ◽  
Maternal Education ◽  
Geographic Origin ◽  
Population Based ◽  
Termination Of Pregnancy ◽  
Chromosomal Anomalies ◽  
Essential Information ◽  
Maternal Characteristics ◽  
The Impact

Background: In Europe, about 76% of cases of chromosomal anomalies are prenatally diagnosed. Prenatal diagnosis allows more efficient planning of postnatal treatment and helps parents for an informed decision about the continuation of pregnancy. The main aim of this study was to evaluate whether the sociodemographic maternal characteristics affect the probability of prenatal diagnosis of chromosomal anomalies.Methods: Cases of chromosomal anomalies in the period 2005–2017 came from the population-based registry of congenital anomalies of Tuscany (Italy). Differences in the proportion of cases prenatally diagnosed were investigated through the following maternal characteristics: education, geographic origin and occupation. The association between cases of termination of pregnancy after prenatal diagnosis and maternal characteristics was also analysed. Odds Ratios (OR) adjusted by maternal age were calculated using logistic regression models. Results were provided for all cases of chromosomal anomalies and for Down syndrome cases.Results: A total of 1,419 cases were included in the study. Cases prenatally diagnosed were 1,186 (83.6%). We observed a higher proportion of cases not prenatally diagnosed among cases with low maternal education compared to those with high maternal education (OR = 2.16, p < 0.001) and in women from high migratory outflow countries, compared to the Italian ones (OR = 2.85, p < 0.001). For prenatally diagnosed Down syndrome cases, we observed a higher proportion of termination of pregnancy for women with low education level (OR = 4.36, p = 0.023).Conclusions: In our study evidence of differences in the probability of prenatal diagnosis of chromosomal anomalies associated with maternal education and geographic origin was found. Population-based studies investigating sociodemographic disparities can provide essential information for targeted public health programs. Further studies are recommended to monitor the impact of the increasing availability of non-invasive screening tests.

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