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首页> 外文期刊>Journal of the Academy of Nutrition and Dietetics >Infant Feeding Practices and Subsequent Dietary Patterns of School-Aged Children in a US Birth Cohort
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Infant Feeding Practices and Subsequent Dietary Patterns of School-Aged Children in a US Birth Cohort

机译:婴儿喂养实践以及美国出生队列中学生儿童的后续饮食模式

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Background Infant feeding practices are thought to shape food acceptance and preferences. However, few studies have evaluated whether these affect child diet later in life. Objective The study objective was to examine the association between infant feeding practices and dietary patterns (DPs) in school-aged children. Design A secondary analysis of data from a diverse prospective birth cohort with 10 years of follow-up (WHEALS [Wayne County Health Environment Allergy and Asthma Longitudinal Study]) was conducted. Participants/setting Children from the WHEALS (Detroit, MI, born 2003 through 2007) who completed a food screener at age 10 years were included (471 of 1,258 original participants). Main outcome measures The main outcome was DPs at age 10 years, identified using the Block Kids Food Screener. Statistical analysis performed Latent class analysis was applied for DP identification. Breastfeeding and age at solid food introduction were associated with DPs using a 3 step approach for latent class modeling based on multinomial logistic regression models. Results The following childhood DPs were identified: processed/energy-dense food (35%), variety plus high intake (41%), and healthy (24%). After weighting for loss to follow-up and covariate adjustment, compared with formula-fed children at 1 month, breastfed children had 0.41 times lower odds of the processed/energy-dense food DP vs the healthy DP (95% CI 0.14 to 1.25) and 0.53 times lower odds of the variety plus high intake DP (95% CI 0.17 to 1.61), neither of which were statistically significant. Results were similar, but more imprecise, for breastfeeding at 6 months. In addition, the association between age at solid food introduction and DP was nonsignificant, with each 1-month increase in age at solid food introduction associated with 0.81 times lower odds of the processed/energy-dense food DP relative to the healthy DP (95% CI 0.64 to 1.02). Conclusions A significant association between early life feeding practices and dietary patterns at school age was not detected. Large studies with follow-up beyond early childhood that can also adjust for the multitude of potential confounders associated with breastfeeding are needed. J Acad Nutr Diet. 2021;121(6):1064-1079.
机译:背景婴儿喂养习惯被认为会影响婴儿对食物的接受和偏好。然而,很少有研究评估这些因素是否会影响儿童以后的饮食。目的研究学龄儿童的婴儿喂养方式与饮食模式(DPs)之间的关系。设计对来自不同前瞻性出生队列的数据进行二次分析,并进行10年随访(WHEALS[Wayne County Health Environment Allergy and哮喘纵向研究])。包括10岁时完成食品筛选的来自麦片(密歇根州底特律,出生于2003年至2007年)的参与者/设置儿童(1258名原始参与者中的471名)。主要结果测量主要结果是10岁时的DPs,使用Block Kids食品筛查仪确定。进行统计分析,潜在类别分析用于DP识别。采用基于多项logistic回归模型的三步潜在类别建模方法,将母乳喂养和固体食物引入时的年龄与DPs相关。结果发现以下儿童DPs:加工/能量密集型食物(35%)、多样化加高摄入量(41%)和健康(24%)。在对随访损失进行加权和协变量调整后,与配方奶粉喂养1个月的儿童相比,母乳喂养儿童的加工/能量密集型食物DP的几率比健康的DP低0.41倍(95%可信区间0.14至1.25),品种加高摄入量DP的几率低0.53倍(95%可信区间0.17至1.61),两者均无统计学意义。6个月时母乳喂养的结果相似,但更不精确。此外,固体食物摄入时的年龄与DP之间的相关性不显著,固体食物摄入时的年龄每增加1个月,加工/能量密集型食物DP相对于健康DP的几率降低0.81倍(95%可信区间0.64至1.02)。结论未发现早期喂养方式与学龄期饮食模式之间存在显著相关性。需要进行大型研究,在幼儿期之后进行后续研究,以调整与母乳喂养相关的众多潜在混杂因素。J Acad营养饮食。2021;121(6):1064-1079.

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