TY - JOUR
T1 - Infant Feeding Practices and Subsequent Dietary Patterns of School-Aged Children in a US Birth Cohort
AU - Sitarik, Alexandra R.
AU - Kerver, Jean M.
AU - Havstad, Suzanne L.
AU - Zoratti, Edward M.
AU - Ownby, Dennis R.
AU - Wegienka, Ganesa
AU - Johnson, Christine Cole
AU - Cassidy-Bushrow, Andrea E.
N1 - Publisher Copyright:
© 2021 Academy of Nutrition and Dietetics
PY - 2021/6
Y1 - 2021/6
N2 - 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.
AB - 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.
KW - Birth cohort
KW - Breastfeeding
KW - Causal inference
KW - Childhood diet
KW - Latent class analysis
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U2 - 10.1016/j.jand.2020.08.083
DO - 10.1016/j.jand.2020.08.083
M3 - Article
C2 - 33544667
AN - SCOPUS:85093660061
SN - 2212-2672
VL - 121
SP - 1064
EP - 1079
JO - Journal of the Academy of Nutrition and Dietetics
JF - Journal of the Academy of Nutrition and Dietetics
IS - 6
ER -