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Dietary Pattern Trajectories from 6 to 12 Months of Age in a Multi-Ethnic Asian Cohort

Identifieur interne : 000389 ( Main/Exploration ); précédent : 000388; suivant : 000390

Dietary Pattern Trajectories from 6 to 12 Months of Age in a Multi-Ethnic Asian Cohort

Auteurs : Geraldine Huini Lim ; Jia Ying Toh ; Izzuddin M. Aris ; Ai-Ru Chia ; Wee Meng Han ; Seang Mei Saw ; Keith M. Godfrey ; Peter D. Gluckman [Nouvelle-Zélande] ; Yap-Seng Chong ; Fabian Yap [Singapour] ; Yung Seng Lee [Singapour] ; Michael S. Kramer [Canada] ; Mary Foong-Fong Chong [Singapour]

Source :

RBID : PMC:4924206

Abstract

Little is known about the dietary patterns of Asian infants in the first year of life, nor of their associations with maternal socio-demographic factors. Based on the Growing Up in Singapore towards healthy Outcomes (GUSTO) mother-offspring cohort, cross-sectional dietary patterns were derived by factor analysis using 24-h recalls and food diaries of infants at 6-, 9- and 12-months of age. Dietary pattern trajectories were modeled by mapping similar dietary patterns across each age using multilevel mixed models. Associations with maternal socio-demographic variables, collected through questionnaires during pregnancy, were assessed using general linear models. In n = 486 infants, four dietary pattern trajectories were established from 6- to 12-months. Predominantly breastmilk: mainly breastmilk and less formula milk, Guidelines: rice porridge, vegetables, fruits and low-fat fish and meat, Easy-to-prepare foods: infant cereals, juices, cakes and biscuits and Noodles (in soup) and seafood: noodle and common accompaniments. In adjusted models, higher maternal education attainment was correlated with higher start scores on Predominantly breastmilk, but lowest education attainment increased its adherence over time. Older mothers had higher start scores on Easy-to-prepare foods, but younger mothers had increased adherence over time. Chinese mothers had higher start scores on Predominantly breastmilk but greater adherence to Guidelines over time, while Indian mothers had higher start scores on Easy-to-prepare foods but greater adherence to Predominantly breastmilk with time (p < 0.05 for all). Changes in trajectories over time were small. Hence, dietary patterns established during weaning are strongly influenced by maternal socio-demographic factors and remain stable over the first year of life.


Url:
DOI: 10.3390/nu8060365
PubMed: 27314387
PubMed Central: 4924206


Affiliations:


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Le document en format XML

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<nlm:aff id="af4-nutrients-08-00365">Saw Swee Hock School of Public Health, National University of Singapore, Singapore 117549, Singapore;
<email>seang_mei_saw@nuhs.edu.sg</email>
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<nlm:aff id="af13-nutrients-08-00365">Clinical Nutrition Research Centre, Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research, Singapore 117609, Singapore</nlm:aff>
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<title xml:lang="en" level="a" type="main">Dietary Pattern Trajectories from 6 to 12 Months of Age in a Multi-Ethnic Asian Cohort</title>
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<nlm:aff id="af1-nutrients-08-00365">Singapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (A*STAR), Singapore 117609, Singapore;
<email>gerlimhn@gmail.com</email>
(G.H.L.);
<email>toh_jia_ying@sics.a-star.edu.sg</email>
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<email>gerlimhn@gmail.com</email>
(G.H.L.);
<email>toh_jia_ying@sics.a-star.edu.sg</email>
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<email>izzuddin_aris@sics.a-star.edu.sg</email>
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<name sortKey="Aris, Izzuddin M" sort="Aris, Izzuddin M" uniqKey="Aris I" first="Izzuddin M." last="Aris">Izzuddin M. Aris</name>
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<nlm:aff id="af1-nutrients-08-00365">Singapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (A*STAR), Singapore 117609, Singapore;
<email>gerlimhn@gmail.com</email>
(G.H.L.);
<email>toh_jia_ying@sics.a-star.edu.sg</email>
(J.Y.T.);
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<name sortKey="Chia, Ai Ru" sort="Chia, Ai Ru" uniqKey="Chia A" first="Ai-Ru" last="Chia">Ai-Ru Chia</name>
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<nlm:aff id="af2-nutrients-08-00365">Department of Obstetrics & Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228;
<email>chiaairu@u.nus.edu</email>
(A.-R.C.);
<email>michael.kramer@mcgill.ca</email>
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</affiliation>
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<name sortKey="Han, Wee Meng" sort="Han, Wee Meng" uniqKey="Han W" first="Wee Meng" last="Han">Wee Meng Han</name>
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<nlm:aff id="af3-nutrients-08-00365">Department of Nutrition and Dietetics, KK Women’s and Children’s Hospital, Singapore 229899, Singapore;
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</nlm:aff>
</affiliation>
</author>
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<name sortKey="Saw, Seang Mei" sort="Saw, Seang Mei" uniqKey="Saw S" first="Seang Mei" last="Saw">Seang Mei Saw</name>
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<email>seang_mei_saw@nuhs.edu.sg</email>
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</affiliation>
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<name sortKey="Godfrey, Keith M" sort="Godfrey, Keith M" uniqKey="Godfrey K" first="Keith M." last="Godfrey">Keith M. Godfrey</name>
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<nlm:aff id="af5-nutrients-08-00365">Medical Research Council Lifecourse Epidemiology Unit and National Institute for Health Research Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton National Health Service Foundation Trust, Southampton SO16 6YD, UK;
<email>kmg@mrc.soton.ac.uk</email>
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<name sortKey="Gluckman, Peter D" sort="Gluckman, Peter D" uniqKey="Gluckman P" first="Peter D." last="Gluckman">Peter D. Gluckman</name>
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<nlm:aff id="af1-nutrients-08-00365">Singapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (A*STAR), Singapore 117609, Singapore;
<email>gerlimhn@gmail.com</email>
(G.H.L.);
<email>toh_jia_ying@sics.a-star.edu.sg</email>
(J.Y.T.);
<email>izzuddin_aris@sics.a-star.edu.sg</email>
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<email>pd.gluckman@auckland.ac.nz</email>
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<author>
<name sortKey="Chong, Yap Seng" sort="Chong, Yap Seng" uniqKey="Chong Y" first="Yap-Seng" last="Chong">Yap-Seng Chong</name>
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<nlm:aff id="af1-nutrients-08-00365">Singapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (A*STAR), Singapore 117609, Singapore;
<email>gerlimhn@gmail.com</email>
(G.H.L.);
<email>toh_jia_ying@sics.a-star.edu.sg</email>
(J.Y.T.);
<email>izzuddin_aris@sics.a-star.edu.sg</email>
(I.M.A.);
<email>pd.gluckman@auckland.ac.nz</email>
(P.D.G.);
<email>yap_seng_chong@nuhs.edu.sg</email>
(Y.-S.C.);
<email>yung_seng_lee@nuhs.edu.sg</email>
(Y.S.L.)</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="af2-nutrients-08-00365">Department of Obstetrics & Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228;
<email>chiaairu@u.nus.edu</email>
(A.-R.C.);
<email>michael.kramer@mcgill.ca</email>
(M.S.K.)</nlm:aff>
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<author>
<name sortKey="Yap, Fabian" sort="Yap, Fabian" uniqKey="Yap F" first="Fabian" last="Yap">Fabian Yap</name>
<affiliation>
<nlm:aff id="af7-nutrients-08-00365">Department of Paediatrics, KK Women’s and Children’s Hospital, Singapore 229899, Singapore;
<email>fabian.yap.kp@kkh.com.sg</email>
</nlm:aff>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="af8-nutrients-08-00365">Department of Paediatrics, Duke-National University of Singapore Graduate Medical School, Singapore 169857, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Department of Paediatrics, Duke-National University of Singapore Graduate Medical School, Singapore 169857</wicri:regionArea>
<wicri:noRegion>Singapore 169857</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="af9-nutrients-08-00365">Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore 308232, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore 308232</wicri:regionArea>
<wicri:noRegion>Singapore 308232</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Lee, Yung Seng" sort="Lee, Yung Seng" uniqKey="Lee Y" first="Yung Seng" last="Lee">Yung Seng Lee</name>
<affiliation>
<nlm:aff id="af1-nutrients-08-00365">Singapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (A*STAR), Singapore 117609, Singapore;
<email>gerlimhn@gmail.com</email>
(G.H.L.);
<email>toh_jia_ying@sics.a-star.edu.sg</email>
(J.Y.T.);
<email>izzuddin_aris@sics.a-star.edu.sg</email>
(I.M.A.);
<email>pd.gluckman@auckland.ac.nz</email>
(P.D.G.);
<email>yap_seng_chong@nuhs.edu.sg</email>
(Y.-S.C.);
<email>yung_seng_lee@nuhs.edu.sg</email>
(Y.S.L.)</nlm:aff>
</affiliation>
<affiliation wicri:level="4">
<nlm:aff id="af10-nutrients-08-00365">Departments of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Departments of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228</wicri:regionArea>
<orgName type="university">Université nationale de Singapour</orgName>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="af11-nutrients-08-00365">Division of Paediatric Endocrinology and Diabetes, Khoo Teck Puat-National University Children’s Medical Institute, National University Hospital, National University Health System, Singapore 119074, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Division of Paediatric Endocrinology and Diabetes, Khoo Teck Puat-National University Children’s Medical Institute, National University Hospital, National University Health System, Singapore 119074</wicri:regionArea>
<wicri:noRegion>Singapore 119074</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Kramer, Michael S" sort="Kramer, Michael S" uniqKey="Kramer M" first="Michael S." last="Kramer">Michael S. Kramer</name>
<affiliation>
<nlm:aff id="af2-nutrients-08-00365">Department of Obstetrics & Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228;
<email>chiaairu@u.nus.edu</email>
(A.-R.C.);
<email>michael.kramer@mcgill.ca</email>
(M.S.K.)</nlm:aff>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="af12-nutrients-08-00365">Departments of Pediatrics and of Epidemiology, Biostatistics and Occupational Health, McGill University Faculty of Medicine, Montreal, QC H3A 1A2, Canada</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Departments of Pediatrics and of Epidemiology, Biostatistics and Occupational Health, McGill University Faculty of Medicine, Montreal, QC H3A 1A2</wicri:regionArea>
<wicri:noRegion>QC H3A 1A2</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Chong, Mary Foong Fong" sort="Chong, Mary Foong Fong" uniqKey="Chong M" first="Mary Foong-Fong" last="Chong">Mary Foong-Fong Chong</name>
<affiliation>
<nlm:aff id="af1-nutrients-08-00365">Singapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (A*STAR), Singapore 117609, Singapore;
<email>gerlimhn@gmail.com</email>
(G.H.L.);
<email>toh_jia_ying@sics.a-star.edu.sg</email>
(J.Y.T.);
<email>izzuddin_aris@sics.a-star.edu.sg</email>
(I.M.A.);
<email>pd.gluckman@auckland.ac.nz</email>
(P.D.G.);
<email>yap_seng_chong@nuhs.edu.sg</email>
(Y.-S.C.);
<email>yung_seng_lee@nuhs.edu.sg</email>
(Y.S.L.)</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="af4-nutrients-08-00365">Saw Swee Hock School of Public Health, National University of Singapore, Singapore 117549, Singapore;
<email>seang_mei_saw@nuhs.edu.sg</email>
</nlm:aff>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="af13-nutrients-08-00365">Clinical Nutrition Research Centre, Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research, Singapore 117609, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Clinical Nutrition Research Centre, Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research, Singapore 117609</wicri:regionArea>
<wicri:noRegion>Singapore 117609</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Nutrients</title>
<idno type="eISSN">2072-6643</idno>
<imprint>
<date when="2016">2016</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>Little is known about the dietary patterns of Asian infants in the first year of life, nor of their associations with maternal socio-demographic factors. Based on the Growing Up in Singapore towards healthy Outcomes (GUSTO) mother-offspring cohort, cross-sectional dietary patterns were derived by factor analysis using 24-h recalls and food diaries of infants at 6-, 9- and 12-months of age. Dietary pattern trajectories were modeled by mapping similar dietary patterns across each age using multilevel mixed models. Associations with maternal socio-demographic variables, collected through questionnaires during pregnancy, were assessed using general linear models. In
<italic>n</italic>
= 486 infants, four dietary pattern trajectories were established from 6- to 12-months.
<italic>Predominantly breastmilk:</italic>
mainly breastmilk and less formula milk,
<italic>Guidelines:</italic>
rice porridge, vegetables, fruits and low-fat fish and meat,
<italic>Easy-to-prepare foods:</italic>
infant cereals, juices, cakes and biscuits and
<italic>Noodles (in soup) and seafood</italic>
: noodle and common accompaniments. In adjusted models, higher maternal education attainment was correlated with higher start scores on
<italic>Predominantly breastmilk,</italic>
but lowest education attainment increased its adherence over time. Older mothers had higher start scores on
<italic>Easy-to-prepare foods</italic>
, but younger mothers had increased adherence over time. Chinese mothers had higher start scores on
<italic>Predominantly breastmilk</italic>
but greater adherence to
<italic>Guidelines</italic>
over time, while Indian mothers had higher start scores on
<italic>Easy-to-prepare foods</italic>
but greater adherence to
<italic>Predominantly breastmilk</italic>
with time (
<italic>p</italic>
< 0.05 for all). Changes in trajectories over time were small. Hence, dietary patterns established during weaning are strongly influenced by maternal socio-demographic factors and remain stable over the first year of life.</p>
</div>
</front>
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<country>
<li>Canada</li>
<li>Nouvelle-Zélande</li>
<li>Singapour</li>
</country>
<orgName>
<li>Université nationale de Singapour</li>
</orgName>
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<name sortKey="Chia, Ai Ru" sort="Chia, Ai Ru" uniqKey="Chia A" first="Ai-Ru" last="Chia">Ai-Ru Chia</name>
<name sortKey="Chong, Yap Seng" sort="Chong, Yap Seng" uniqKey="Chong Y" first="Yap-Seng" last="Chong">Yap-Seng Chong</name>
<name sortKey="Godfrey, Keith M" sort="Godfrey, Keith M" uniqKey="Godfrey K" first="Keith M." last="Godfrey">Keith M. Godfrey</name>
<name sortKey="Han, Wee Meng" sort="Han, Wee Meng" uniqKey="Han W" first="Wee Meng" last="Han">Wee Meng Han</name>
<name sortKey="Lim, Geraldine Huini" sort="Lim, Geraldine Huini" uniqKey="Lim G" first="Geraldine Huini" last="Lim">Geraldine Huini Lim</name>
<name sortKey="Saw, Seang Mei" sort="Saw, Seang Mei" uniqKey="Saw S" first="Seang Mei" last="Saw">Seang Mei Saw</name>
<name sortKey="Toh, Jia Ying" sort="Toh, Jia Ying" uniqKey="Toh J" first="Jia Ying" last="Toh">Jia Ying Toh</name>
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<name sortKey="Gluckman, Peter D" sort="Gluckman, Peter D" uniqKey="Gluckman P" first="Peter D." last="Gluckman">Peter D. Gluckman</name>
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<name sortKey="Yap, Fabian" sort="Yap, Fabian" uniqKey="Yap F" first="Fabian" last="Yap">Fabian Yap</name>
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<name sortKey="Chong, Mary Foong Fong" sort="Chong, Mary Foong Fong" uniqKey="Chong M" first="Mary Foong-Fong" last="Chong">Mary Foong-Fong Chong</name>
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<name sortKey="Lee, Yung Seng" sort="Lee, Yung Seng" uniqKey="Lee Y" first="Yung Seng" last="Lee">Yung Seng Lee</name>
<name sortKey="Yap, Fabian" sort="Yap, Fabian" uniqKey="Yap F" first="Fabian" last="Yap">Fabian Yap</name>
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</record>

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