Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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Association of Infant Feeding Characteristics With Dietary Patterns and Obesity in Korean Childhood

  • Kyoung-Nam Kim (Department of Preventive Medicine, Hanyang University College of Medicine) ;
  • Moon-Kyung Shin (Department of Preventive Medicine, Hanyang University College of Medicine)
  • Received : 2022.12.06
  • Accepted : 2023.06.02
  • Published : 2023.07.31
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Abstract

Objectives: Young children's feeding characteristics can play an important role in eating habits and health during later childhood. This study was conducted to examine the associations of feeding characteristics with dietary patterns and obesity in children. Methods: This study utilized data from the Korea National Health and Nutrition Examination Survey conducted between 2013 and 2017. In total, 802 toddlers were included, with information on their demographic characteristics, feeding practices and duration, and 24-hour recall obtained from their parents. Feeding characteristics were categorized into feeding type, duration of total breastfeeding, duration of total formula feeding, duration of exclusive breastfeeding, and age when starting formula feeding. Dietary patterns were identified based on factor loadings for the food groups for 3 major factors, with "vegetables & traditional," "fish & carbohydrates," and "sweet & fat" patterns. Overweight/obesity was defined as ≥85th percentile in body mass index based on the 2017 Korean National Growth charts for children and adolescents. Multiple regression analysis was conducted to examine associations between feeding characteristics and dietary patterns. The association between dietary patterns and obesity was analyzed using multivariable logistic regression analysis. Results: The early introduction of formula feeding was inversely associated with the "vegetables & traditional" pattern (β=-0.18; 95% confidence interval [CI], -0.34 to -0.02). A higher "vegetables & traditional" intake was associated with a lower risk of obesity (odds ratio, 0.48; 95% CI, 0.24 to 0.95). Conclusions: Feeding characteristics are associated with dietary patterns in later childhood, and dietary patterns were shown to have a potential protective association against obesity.

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References

  1. Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the United States, 2011-2012. JAMA 2014;311(8):806-814.  https://doi.org/10.1001/jama.2014.732
  2. Pattison KL, Kraschnewski JL, Lehman E, Savage JS, Downs DS, Leonard KS, et al. Breastfeeding initiation and duration and child health outcomes in the first baby study. Prev Med 2019;118:1-6.  https://doi.org/10.1016/j.ypmed.2018.09.020
  3. Kim JH, Moon JS. Secular trends in pediatric overweight and obesity in Korea. J Obes Metab Syndr 2020;29(1):12-17.  https://doi.org/10.7570/jomes20002
  4. Kim JH. Overview of pediatric obesity: diagnosis, epidemiology, and significance. J Korean Med Assoc 2021;64(6):401-409 (Korean).  https://doi.org/10.5124/jkma.2021.64.6.401
  5. Hong YH. Pediatric obesity: life cycle approach of pediatrician and society. Clin Exp Pediatr 2022;65(1):29-30.  https://doi.org/10.3345/cep.2021.01536
  6. Heo EJ, Shim JE, Yoon EY. Systematic review on the study of the childhood and adolescent obesity in Korea: dietary risk factors. Korean J Community Nutr 2017;22(3):191-206 (Korean).  https://doi.org/10.5720/kjcn.2017.22.3.191
  7. Wofford LG. Systematic review of childhood obesity prevention. J Pediatr Nurs 2008;23(1):5-19.  https://doi.org/10.1016/j.pedn.2007.07.006
  8. Wang Y, Cai L, Wu Y, Wilson RF, Weston C, Fawole O, et al. What childhood obesity prevention programmes work? A systematic review and meta-analysis. Obes Rev 2015;16(7):547-565.  https://doi.org/10.1111/obr.12277
  9. Ash T, Agaronov A, Young T, Aftosmes-Tobio A, Davison KK. Family-based childhood obesity prevention interventions: a systematic review and quantitative content analysis. Int J Behav Nutr Phys Act 2017;14(1):113. 
  10. Taveras EM, Gillman MW, Kleinman K, Rich-Edwards JW, Rifas-Shiman SL. Racial/ethnic differences in early-life risk factors for childhood obesity. Pediatrics 2010;125(4):686-695.  https://doi.org/10.1542/peds.2009-2100
  11. Bolton KA, Kremer P, Hesketh KD, Laws R, Kuswara K, Campbell KJ. Differences in infant feeding practices between Chinese-born and Australian-born mothers living in Australia: a cross-sectional study. BMC Pediatr 2018;18(1):209. 
  12. Mannan H. Early infant feeding of formula or solid foods and risk of childhood overweight or obesity in a socioeconomically disadvantaged region of Australia: a longitudinal cohort analysis. Int J Environ Res Public Health 2018;15(8):1685. 
  13. Huh SY, Rifas-Shiman SL, Taveras EM, Oken E, Gillman MW. Timing of solid food introduction and risk of obesity in preschool-aged children. Pediatrics 2011;127(3):e544-e551.  https://doi.org/10.1542/peds.2010-0740
  14. Skinner JD, Carruth BR, Bounds W, Ziegler P, Reidy K. Do food-related experiences in the first 2 years of life predict dietary variety in school-aged children? J Nutr Educ Behav 2002;34(6):310-315.  https://doi.org/10.1016/S1499-4046(06)60113-9
  15. Cooke LJ, Wardle J, Gibson EL, Sapochnik M, Sheiham A, Lawson M. Demographic, familial and trait predictors of fruit and vegetable consumption by pre-school children. Public Health Nutr 2004;7(2):295-302.  https://doi.org/10.1079/PHN2003527
  16. Kim KN, Shin MK. Feeding characteristics in infancy affect fruit and vegetable consumption and dietary variety in early childhood. Nutr Res Pract 2023;17(2):307-315.  https://doi.org/10.4162/nrp.2023.17.2.307
  17. Eshriqui I, Folchetti LD, Valente AM, de Almeida-Pititto B, Ferreira SR. Breastfeeding duration is associated with offspring's adherence to prudent dietary pattern in adulthood: results from the Nutritionist's Health Study. J Dev Orig Health Dis 2020;11(2):136-145.  https://doi.org/10.1017/S204017441900031X
  18. Santos LP, Assuncao MC, Matijasevich A, Santos IS, Barros AJ. Dietary intake patterns of children aged 6 years and their association with socioeconomic and demographic characteristics, early feeding practices and body mass index. BMC Public Health 2016;16(1):1055. 
  19. Shin KO, Oh SY, Park HS. Empirically derived major dietary patterns and their associations with overweight in Korean preschool children. Br J Nutr 2007;98(2):416-421.  https://doi.org/10.1017/S0007114507720226
  20. Ambrosini GL, Emmett PM, Northstone K, Howe LD, Tilling K, Jebb SA. Identification of a dietary pattern prospectively associated with increased adiposity during childhood and adolescence. Int J Obes (Lond) 2012;36(10):1299-1305.  https://doi.org/10.1038/ijo.2012.127
  21. Kweon S, Kim Y, Jang MJ, Kim Y, Kim K, Choi S, et al. Data resource profile: the Korea National Health and Nutrition Examination Survey (KNHANES). Int J Epidemiol 2014;43(1):69-77.  https://doi.org/10.1093/ije/dyt228
  22. Yon M, Lee HS, Kim D, Lee J, Nam J, Moon GI, et al. Breast-feeding and obesity in early childhood-based on the KNHANES 2008 through 2011. Korean J Community Nutr 2013;18(6):644-651 (Korean).  https://doi.org/10.5720/kjcn.2013.18.6.644
  23. Bell LK, Jansen E, Mallan K, Magarey AM, Daniels L. Poor dietary patterns at 1-5 years of age are related to food neophobia and breastfeeding duration but not age of introduction to solids in a relatively advantaged sample. Eat Behav 2018;31:28-34.  https://doi.org/10.1016/j.eatbeh.2018.06.005
  24. Jones L, Moschonis G, Oliveira A, de Lauzon-Guillain B, Manios Y, Xepapadaki P, et al. The influence of early feeding practices on healthy diet variety score among pre-school children in four European birth cohorts. Public Health Nutr 2015;18(10):1774-1784.  https://doi.org/10.1017/S1368980014002390
  25. Bell S, Yew SS, Devenish G, Ha D, Do L, Scott J. Duration of breastfeeding, but not timing of solid food, reduces the risk of overweight and obesity in children aged 24 to 36 months: findings from an Australian cohort study. Int J Environ Res Public Health 2018;15(4):599. 
  26. Kim J, Jo I, Joung H. A rice-based traditional dietary pattern is associated with obesity in Korean adults. J Acad Nutr Diet 2012;112(2):246-253.  https://doi.org/10.1016/j.jada.2011.10.005
  27. Shin MK, Kwak SH, Park Y, Jung JY, Kim YS, Kang YA. Association between dietary patterns and chronic obstructive pulmonary disease in Korean adults: the Korean Genome and Epidemiology Study. Nutrients 2021;13(12):4348. 
  28. Lee KS, Choi YJ, Lim YH, Lee JY, Shin MK, Kim BN, et al. Dietary patterns are associated with attention-deficit hyperactivity disorder (ADHD) symptoms among preschoolers in South Korea: a prospective cohort study. Nutr Neurosci 2022;25(3):603-611.  https://doi.org/10.1080/1028415X.2020.1786789
  29. Kim S, Ha K. Association between dietary protein intake and overweight and obesity among Korean children and adolescents: data from the 2014-2019 Korea National Health and Nutrition Examination Survey. J Nutr Health 2023;56(1):54-69 (Korean).  https://doi.org/10.4163/jnh.2023.56.1.54
  30. Yun SH, Oh KW. Development of the 2017 Korean National Growth Charts for children and adolescents. Public Health Wkly Rep 2018;11(25):813-820 (Korean). 
  31. Song S, Youn J, Lee YJ, Kang M, Hyun T, Song Y, et al. Dietary supplement use among cancer survivors and the general population: a nation-wide cross-sectional study. BMC Cancer 2017;17(1):891. 
  32. Gibbs BG, Forste R. Socioeconomic status, infant feeding practices and early childhood obesity. Pediatr Obes 2014;9(2):135-146.  https://doi.org/10.1111/j.2047-6310.2013.00155.x
  33. Scholtens S, Brunekreef B, Smit HA, Gast GC, Hoekstra MO, de Jongste JC, et al. Do differences in childhood diet explain the reduced overweight risk in breastfed children? Obesity (Silver Spring) 2008;16(11):2498-2503.  https://doi.org/10.1038/oby.2008.403
  34. Beauchamp GK, Mennella JA. Flavor perception in human infants: development and functional significance. Digestion 2011;83(Suppl 1):1-6.  https://doi.org/10.1159/000323397
  35. Husk JS, Keim SA. Breastfeeding and dietary variety among preterm children aged 1-3 years. Appetite 2016;99:130-137.  https://doi.org/10.1016/j.appet.2016.01.016
  36. Ambrosini GL. Childhood dietary patterns and later obesity: a review of the evidence. Proc Nutr Soc 2014;73(1):137-146. https://doi.org/10.1017/S0029665113003765