The Association between Early Childhood and Later Childhood Sugar-Containing Beverage Intake: A Prospective Cohort Study

Sugar-containing beverages (SCBs) are a major source of sugar intake in children. Early life intake of SCBs may be a strong predictor of SCB intake later in life. The primary objective of this study was to evaluate if SCB intake (defined as 100% fruit juice, soda, and sweetened drinks) in early childhood (≤2.5 years of age) was associated with SCB intake in later childhood (5–9 years of age). A prospective cohort study was conducted using data from the TARGet Kids! primary care practice network (n = 999). Typical daily SCB intake was measured by parent-completed questionnaires. Odds ratios (OR) and 95% confidence intervals (CI) were estimated using logistic regression. A total of 43% of children consumed ≥0.5 cups/day of SCBs at ≤2.5 years and this increased to 64% by 5–9 years. Daily SCB intake, compared to no daily intake, at ≤2.5 years was significantly associated with SCB intake at 5–9 years (adjusted OR: 4.03; 95% CI: 2.92–5.55) and this association was much stronger for soda/sweetened drinks (adjusted OR: 12.83; 95% CI: 4.98, 33.0) than 100% fruit juice (OR: 3.61; 95% CI: 2.63–4.95). Other early life risk factors for SCB intake at 5–9 years were presence of older siblings, low household income, and shorter breastfeeding duration. Daily intake of SCBs in early childhood was strongly associated with greater SCB intake in later childhood. Early life may be an important period to target for population prevention strategies.

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Assessing causal effects of early life-course factors on early childhood caries in 5-year-old Ugandan children using directed acyclic graphs (DAGs): A prospective cohort study

Community Dentistry And Oral Epidemiology ◽

10.1111/cdoe.12314 ◽

2017 ◽

Vol 45 (6) ◽

pp. 512-521 ◽

Cited By ~ 3

Author(s):

Nancy Birungi ◽

Lars T. Fadnes ◽

Arabat Kasangaki ◽

Victoria Nankabirwa ◽

Isaac Okullo ◽

...

Keyword(s):

Early Childhood ◽

Cohort Study ◽

Life Course ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Early Life ◽

Early Childhood Caries ◽

Directed Acyclic Graphs ◽

Causal Effects ◽

Acyclic Graphs

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Predictors of Breastfeeding Duration among Women in Kuwait: Results of a Prospective Cohort Study

Nutrients ◽

10.3390/nu6020711 ◽

2014 ◽

Vol 6 (2) ◽

pp. 711-728 ◽

Cited By ~ 27

Author(s):

Manal Dashti ◽

Jane Scott ◽

Christine Edwards ◽

Mona Al-Sughayer

Keyword(s):

Cohort Study ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Breastfeeding Duration

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P08 Epidemiology of epilepsy in early childhood and predictors of outcome: a national population-based prospective cohort study

10.1136/archdischild-2020-rcpch.19 ◽

2020 ◽

Author(s):

JD Symonds ◽

KS Elliott ◽

JC Knight ◽

A Jollands ◽

E Pilley ◽

...

Keyword(s):

Early Childhood ◽

Cohort Study ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Population Based ◽

Predictors Of Outcome ◽

National Population

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Maternal micronutrient consumption periconceptionally and during pregnancy: a prospective cohort study

Public Health Nutrition ◽

10.1017/s1368980016002019 ◽

2016 ◽

Vol 20 (2) ◽

pp. 294-304 ◽

Cited By ~ 5

Author(s):

Michelle Livock ◽

Peter J Anderson ◽

Sharon Lewis ◽

Stephen Bowden ◽

Evelyne Muggli ◽

...

Keyword(s):

Cohort Study ◽

Prospective Cohort Study ◽

Repeated Measures ◽

Prospective Cohort ◽

Tertiary Education ◽

Maternal Diet ◽

Daily Intake ◽

Public Health Education ◽

Singleton Pregnancy ◽

Supplement Use

AbstractObjectiveTo examine overall micronutrient intake periconceptionally and throughout pregnancy in a population-based cohort of Australian women.DesignIn a prospective cohort study, micronutrient dosages were extracted from self-reported maternal supplement use, recorded pre-conception, and for each trimester of pregnancy. A food frequency scale (DQESv2) captured usual maternal diet for gestational weeks 14–26. The influence of sociodemographic and lifestyle factors associated with supplement use was examined using logistic regression, and changes in micronutrient intakes prior to and throughout pregnancy were assessed using repeated-measures ANOVA analyses.SettingMetropolitan hospital sites in Melbourne, Australia.SubjectsWomen with a viable singleton pregnancy were recruited at less than 19 weeks’ gestation (n2146).ResultsCompared with non-users, women using supplements during pregnancy were more likely to have planned their pregnancy, be >25 years old, primiparous, Caucasian, non-smokers, have a tertiary education and be consuming a folate-rich diet. Intakes of folate, Fe and Zn were significantly lower in the periconceptional period, compared with other periods (P<0·001). Intakes below Recommended Daily Intake levels were common both periconceptionally and throughout pregnancy, with 19–46 % of women not meeting the Recommended Daily Intake for folate, 68–82 % for Fe and 17–36 % for Zn. Conversely, 15–19 % of women consumed beyond the recommended Upper Limit for folate and 11–24 % for Fe.ConclusionsThe study highlights the need for improved public health education on nutritional needs during pregnancy, especially among women with lower educational achievements and income.

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Early life and socio-economic determinants of dietary trajectories in infancy and early childhood – results from the HSHK birth cohort study

Nutrition Journal ◽

10.1186/s12937-021-00731-3 ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Narendar Manohar ◽

Andrew Hayen ◽

Loc Do ◽

Jane Scott ◽

Sameer Bhole ◽

...

Keyword(s):

Early Childhood ◽

Cohort Study ◽

Birth Cohort ◽

Early Life ◽

Maternal Education ◽

Multinomial Logistic Regression ◽

Preschool Age ◽

Breastfeeding Duration ◽

Birth Cohort Study ◽

Infancy And Early Childhood

Abstract Background Early childhood is a period when dietary behaviours are established. This study aimed to examine the longitudinal intake of core and discretionary foods and identify early life and socio-economic factors influencing those intakes. Methods Mother-infant dyads (n = 934) from the Healthy Smiles Healthy Kids study, an ongoing birth cohort study, were interviewed. The information on ‘weekly frequency of core and discretionary foods intake’ using a food frequency questionnaire was collected at 4 months, 8 months, 1 year, 2 years and 3 years age points. Group-based trajectory modelling analyses were performed to identify diet trajectories for ‘core’ and ‘discretionary’ foods respectively. A multinomial logistic regression was performed to identify the maternal and child-related predictors of resulting trajectories. Results The intake of core and discretionary foods each showed distinct quadratic (n = 3) trajectories with age. Overall, core foods intake increased rapidly in the first year of life, followed by a decline after age two, whereas discretionary foods intake increased steadily across the five age points. Multiparity (Relative Risk (RR): 0.46, 95%CI: 0.27–0.77), non-English speaking ethnicity of mother (RR: 0.66, 95%CI: 0.47–0.91) and having a single mother (RR: 0.40, 95%CI: 0.18–0.85) were associated with low trajectories of core foods intake whereas older maternal age (RR: 1.05, 95%CI: 1.01–1.08) and longer breastfeeding duration (RR: 1.02, 95%CI: 1.00–1.03) were associated with higher trajectories of core foods intake. Also, multiparity (RR 2.63, 95%CI: 1.47–4.70), low maternal education (RR 3.01, 95%CI: 1.61–5.65), and socio-economic disadvantage (RR 2.69, 95%CI: 1.31–5.55) were associated with high trajectories of discretionary foods intake. Conversely, longer duration of breastfeeding (RR 0.99, 95%CI: 0.97–0.99), and timely introduction of complementary foods (RR 0.30, 95%CI: 0.15–0.61) had a protective effect against high discretionary foods consumption in infancy and early childhood. Conclusion Children’s frequency of discretionary foods intake increases markedly as they transition from infancy to preschool age, and the trajectories of intake established during early childhood are strongly influenced by socio-demographic factors and infant feeding choices. Hence, there is a need for targeted strategies to improve nutrition in early childhood and ultimately prevent the incidence of chronic diseases in children.

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Influences of Cesarean Delivery on Breastfeeding Practices and Duration: A Prospective Cohort Study

Journal of Human Lactation ◽

10.1177/0890334417741434 ◽

2018 ◽

Vol 34 (3) ◽

pp. 526-534 ◽

Cited By ~ 15

Author(s):

Cheng Chen ◽

Yan Yan ◽

Xiao Gao ◽

Shiting Xiang ◽

Qiong He ◽

...

Keyword(s):

Cohort Study ◽

Regression Model ◽

Cesarean Delivery ◽

Vaginal Delivery ◽

Prospective Cohort Study ◽

Exclusive Breastfeeding ◽

Prospective Cohort ◽

Breastfeeding Duration ◽

Breastfeeding Initiation ◽

Breastfeeding Practices

Background: Mothers are encouraged to exclusively breastfeed for the first 6 months. However, cesarean delivery rates have increased worldwide, which may affect breastfeeding. Research aim: This study aimed to determine the potential effects of cesarean delivery on breastfeeding practices and breastfeeding duration. Methods: This was a 6-month cohort study extracted from a 24-month prospective cohort study of mother–infant pairs in three communities in Hunan, China. Data about participants’ characteristics, delivery methods, breastfeeding initiation, use of formula in the hospital, exclusive breastfeeding, and any breastfeeding were collected at 1, 3, and 6 months following each infant’s birth. The chi-square test, logistic regression model, and Cox proportional hazard regression model were used to examine the relationship between breastfeeding practices and cesarean delivery. Results: The number of women who had a cesarean delivery was 387 (40.6%), and 567 (59.4%) women had a vaginal delivery. The exclusive breastfeeding rates at 1, 3, and 6 months were 80.2%, 67.4%, and 21.5%, respectively. Women who had a cesarean delivery showed a lower rate of exclusive breastfeeding and any breastfeeding than those who had a vaginal delivery ( p < .05). In addition, cesarean delivery was related with using formula in the hospital and delayed breastfeeding initiation. Cesarean delivery also shortened the breastfeeding duration (hazard ratio = 1.40, 95% confidence interval [1.06, 1.84]). Conclusion: Healthcare professionals should provide more breastfeeding skills to women who have a cesarean delivery and warn mothers about the dangers of elective cesarean section for breastfeeding practices.

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