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Associations Between Feeding Practices and Overweight or Obesity in 2–6 Year-Old Children



Mohamadpour M1 ; Dorostymotlagh AR2 ; Movahedi A3
Authors
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Authors Affiliations
  1. 1. Science and Research Branch, Islamic Azad University, Tehran, Iran
  2. 2. Dept. of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Dept. of Nutrition, Science and Research Branch, Islamic Azad University, Tehran, Iran

Source: Iranian Journal of Nutrition Sciences and Food Technology Published:2022

Abstract

Background and Objectives: Recently, overweight and obesity have increased in preschool children. Parents play important roles in a children weight by adopting their feeding practices. Therefore, the aim of this study was to investigate possible associations of feeding practices with body mass index. Materials & Methods: This cross-sectional study was carried out in Mashhad kindergartens on 261 mothers with 2–6 year-old children. Mothers were asked to complete comprehensive feeding practices questionnaires through face-to-face interviews by trained questioners. Children weight and height were measured and body mass index for age z-score was calculated using Plus WHO Anthro and WHO Anthro Software. Results: The mean ±SD (standard deviation) of the age of the participants was 4.8 ±0.1 years and nearly 45% of the children were girls. Participants with more adherence to restriction for weight control had a 10.57-fold increased risk of high body mass index for age z-score in multivariable adjusted model, compared to those with lower adherence, (P for trend < 0.001). Of participants with higher adherence to involvement and modeling feeding practices, body mass index for age z-score respectively decreased by 69 and 67% in multivariable adjusted models, compared to participants with lower adherence to aforementioned feeding practices (OR: 0.56, 95% CI: 0.37–0.84, P for trend = 0.005 and OR: 0.57, 95% CI: 0.34–0.95, P for trend = 0.032, respectively). No significant associations were observed between other feeding practices and body mass index for age z-score. Conclusion: The present study has shown that higher desirable feeding practices are linked to better body mass index for age z-score status; however, lower desirable feeding practices were associated to weaker body mass index for age z-score status. © 2022, National Nutrition and Food Technology Research Institute. All rights reserved.