Factors Influencing Early Feeding of Foods and Drinks Containing Free Sugars—A Birth Cohort Study

Ha, Diep; Do, Loc; Thomson, W. Murray; Golley, Rebecca K.; Rugg-Gunn, A. J.; Levy, Steven M.; Jordan, Scott

doi:10.3390/ijerph14101270

Cited by 34 publications

(60 citation statements)

References 42 publications

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“…We identified a diverse range of factors associated with the consumption of SSB by young children in LSIC, reflecting the complexity of factors influencing Aboriginal and Torres Strait Islander child nutrition (36) . In general, we observed lower SSB consumption prevalence among children whose families experienced socio-economic advantage, good life circumstances, and good health and well-being, broadly consistent with Australian and international evidence (1,19,42) . We observed differences between urban/inner regional and remote/outer regional settings in both the prevalence of SSB consumption and associated factors, demonstrating the importance of environmental and structural factors to children's nutrition.…”

Section: Overviewsupporting

confidence: 88%

“…While the present study indicates that SSB consumption is common among young Aboriginal and Torres Strait Islander children, this is not an issue specific to this population (18) ; there is clear evidence of a high prevalence of SSB intake among infants in the total Australian population (1,17,19,86) and in other countries including Finland (87) and Brazil (88) . Efforts to reduce SSB consumption by Aboriginal and Torres Strait Islander children could be broadened to lead to health benefits at the population level.…”

Section: Resultscontrasting

confidence: 61%

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Sugar-sweetened beverage consumption among Indigenous Australian children aged 0–3 years and association with sociodemographic, life circumstances and health factors

Thurber

Long

Salmon

et al. 2019

Public Health Nutr.

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Objective:To explore beverage intake and associations between sugar-sweetened beverage (SSB) intake and sociodemographic, life circumstances, health and well-being factors in a national cohort of Indigenous children.Design:We calculated prevalence ratios for any SSB consumption across exposures, using multilevel Poisson regression (robust variance), adjusted for age group and remoteness. A key informant focus group contextualised these exploratory findings.Setting:Diverse settings across Australia.Participants:Families of Indigenous children aged 0–3 years, in the Longitudinal Study of Indigenous Children.Results:Half (50·7 %, n 473/933) of children had ever consumed SSB at survey, increasing from 29·3 % of 0–12-month-olds to 65·7 % of 18–36-month-olds. SSB consumption prevalence was significantly lower in urban and regional v. remote areas, and in families experiencing socio-economic advantage (area-level advantage, caregiver employed, financial security), better life circumstances (caregiver social support, limited exposure to stressors) and caregiver well-being (non-smoking, social and emotional well-being, physical health). SSB consumption prevalence was significantly lower among those engaged with health services (adequate health-service access, regular prenatal check-ups), except SSB consumption prevalence was higher among those who received home visits from an Aboriginal Health Worker compared with no home visits. Key informants highlighted the role of water quality/safety on SSB consumption.Conclusions:A substantial proportion of Indigenous children in this sample consumed SSB from an early age. Health provider information needs to be relevant to the context of families’ lives. Health system strategies must be paired with upstream strategies, such as holistic support programmes for families, reducing racism and improving water quality.

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Section: Overviewsupporting

confidence: 88%

Section: Resultscontrasting

confidence: 61%

Sugar-sweetened beverage consumption among Indigenous Australian children aged 0–3 years and association with sociodemographic, life circumstances and health factors

Thurber

Long

Salmon

et al. 2019

Public Health Nutr.

View full text Add to dashboard Cite

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“…There were minimal missing data for sociodemographic variables, and no attempt was made to impute missing data. A previous sensitivity analysis for other dietary outcomes investigated in this cohort, in which missing data for sociodemographic explanatory variables was imputed under the assumption that data were missing at random, revealed that distributions of variables in the imputed data sets were consistent with the complete case data [38].…”

Section: Statistical Analysesmentioning

confidence: 70%

Sources and Determinants of Discretionary Food Intake in a Cohort of Australian Children Aged 12–14 Months

Coxon

Devenish

et al. 2019

IJERPH

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Despite recommendations to the contrary, consumption of discretionary (energy-dense, nutrient-poor) foods begins for some children early in the weaning period, and the proportion of children consuming discretionary foods increases markedly in the second year of life. The purpose of this study was to determine intake and sources of discretionary foods in a cohort of 828 Australian toddlers (mean age: 13.1mo), and to identify determinants of discretionary food intake. At approximately 12 months of age, 3 non-consecutive days of dietary intake data were collected using a 24-h recall and 2-day food record, and the percentage total energy derived from discretionary foods was estimated. Linear regression was used to identify associations between discretionary food intake and socio-demographic determinants (mother’s age, level of education, country of birth, pre-pregnancy body mass index, socioeconomic position, parity, age of child when mother returned to work, and child’s sex) and age at which complementary foods were introduced. The average energy intake of children in this cohort was 4040 (±954.7 SD) kJ with discretionary foods contributing an average of 11.2% of total energy. Sweet biscuits, and cakes, muffins, scones and cake-type desserts contributed 10.8% and 10.2% of energy intake from discretionary foods, respectively. Other key contributors to energy intake from discretionary foods included sausages, frankfurters and saveloys (8.3%), vegetable products and dishes where frying was the main cooking technique (8.6%), butter (7.3%), and finally manufactured infant sweet or savory snack foods (9.3%). Higher intakes of discretionary food were associated with children having two or more siblings (p = 0.002), and being born to younger mothers (<25 years) (p = 0.008) and mothers born in Australia or the United Kingdom (p < 0.001). Parents, in particular young mothers and those with larger families, need practical guidance on how much of, and how often, these foods should be eaten by their children.

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“…This could be related to type of foods or cooking methods preferred in each home country, which might contain hidden sugar. Our previous analysis of this same birth cohort reported substantial variation in the early introduction of foods and drinks high in free sugars, 30 with women who were born in other countries (particularly India) much more likely to do so than those born in Australia. Conditions which might restrict maternal time for caregiving (such as being a single and/or working mother or having more than one child) were not found in this study to be associated with ECC risk.…”

Section: Discussionmentioning

confidence: 76%

Maternal caries experience influences offspring’s early childhood caries—a birth cohort study

Hariyani

Thomson

et al. 2020

Comm Dent Oral Epid

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Objective To describe early childhood caries (ECC) patterns and evaluate the associations with maternal caries experience and other factors. Methods A secondary analysis was undertaken using data from the Study of Mothers' and Infants' Life Events Affecting Oral Health (SMILE), a population‐based birth cohort study. It used data from 1040 mother/child dyads. Standardized oral examinations of the mothers and the children were conducted when children were 2‐3 years old to determine the prevalence of ECC (main outcome) and maternal caries experience (main exposure variable). Maternal sociodemographic characteristics, time‐restricting conditions (relationship status, work status and number of children in the household) and dental health behaviours (brushing frequency and sugary beverage consumption) served as covariates. Data on child dental health behaviours were collected at two years of age. Multivariable models were generated for ECC to estimate prevalence ratios (PR) for the association between ECC and maternal caries experience, controlling for the covariates. Results The prevalence of ECC among 2‐ to 3‐year‐old children was 10.6% (95%CI: 8.7%‐12.5%). It was higher in children whose mothers had greater caries experience. Children whose mothers had higher caries experience had 86% (PR = 1.86 [1.27‐2.72]) greater risk of having ECC than those whose mothers had low caries experience. Children whose teeth had not been brushed the night before had a higher risk of ECC (PR = 1.4 [1.01‐1.9]) than their counterparts. Women born in Australia, New Zealand or the UK had offspring with lower risk of ECC. Conclusions Maternal caries experience was an independent risk factor for offspring ECC. However, good oral health behaviours practised by mothers for their children may alleviate such risk. Mothers need to be supported to adopt good oral health behaviours and a healthy diet for their child.

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Factors Influencing Early Feeding of Foods and Drinks Containing Free Sugars—A Birth Cohort Study

Cited by 34 publications

References 42 publications

Sugar-sweetened beverage consumption among Indigenous Australian children aged 0–3 years and association with sociodemographic, life circumstances and health factors

Sugar-sweetened beverage consumption among Indigenous Australian children aged 0–3 years and association with sociodemographic, life circumstances and health factors

Sources and Determinants of Discretionary Food Intake in a Cohort of Australian Children Aged 12–14 Months

Maternal caries experience influences offspring’s early childhood caries—a birth cohort study

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