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Longitudinal association between preschool fussy eating and body composition at 6 years of age: The Generation R Study.
- Source :
- International Journal of Behavioral Nutrition & Physical Activity; 12/14/2015, Vol. 12, p1-8, 8p, 2 Charts, 1 Graph
- Publication Year :
- 2015
-
Abstract
- Background: Children's fussy eating behavior has been related to both underweight and overweight in cross-sectional studies, but the direction of these associations and the relation with more detailed measures of body composition remains unclear. We aimed to examine whether fussy eating at age 4 years is longitudinally related to body mass index (BMI), fat mass index (FMI) and fat-free mass index (FFMI) at 6 years of age. Methods: This study was embedded in Generation R, a population-based, prospective cohort. Data were available for 4191 children. The Children's Eating Behaviour Questionnaire (CEBQ), administered at age 4 years, was used to derive a fussy eating profile. This profile is characterized by high scores on food avoidant scales and low scores on food approach scales. At age 6 years, height and weight were measured at our research center. Body fat and fat-free mass were measured using Dual-energy-X-ray absorptiometry. We used age- and sex-specific standard deviation scores (SDS) for all outcomes. Results: After adjustment for confounders, the fussy eating profile was related to lower BMI-SDS (B = -0.37, 95 % CI: -0.47;-0.26), lower FMI-SDS (B = -0.22, 95 % CI: -0.33;-0.12) and lower FFMI-SDS (B = -0.41, 95 % CI: -0.54;-0.29). When adjusting for baseline BMI at 4 years, the fussy eating profile predicted a 0.11 lower BMI-SDS at age 6 (95 % CI: -0.19;-0.04). This change in BMI was mainly due to a decrease in FFMI (B = -0.19, 95 % CI: -0.29;-0.09). Fussy eaters also had a higher risk of becoming underweight than non-fussy eaters (OR = 2.28, 95 % CI: 1.34;3.87). Conclusions: Our findings suggest that young fussy eaters are at risk of having a lower fat free mass and of becoming underweight over a 2-year period. This implies that fussy eaters may benefit from careful monitoring to prevent an adverse growth development. [ABSTRACT FROM AUTHOR]
- Subjects :
- BODY composition
CONFIDENCE intervals
FOOD habits
LONGITUDINAL method
MEDICAL cooperation
PROBABILITY theory
QUESTIONNAIRES
REGRESSION analysis
RESEARCH
RESEARCH funding
SCALE analysis (Psychology)
MATHEMATICAL variables
MULTIPLE regression analysis
SECONDARY analysis
SOCIOECONOMIC factors
BONE density
BODY mass index
LEAN body mass
DATA analysis software
DESCRIPTIVE statistics
PHOTON absorptiometry
ODDS ratio
CHILDREN
Subjects
Details
- Language :
- English
- ISSN :
- 14795868
- Volume :
- 12
- Database :
- Complementary Index
- Journal :
- International Journal of Behavioral Nutrition & Physical Activity
- Publication Type :
- Academic Journal
- Accession number :
- 111668956
- Full Text :
- https://doi.org/10.1186/s12966-015-0313-2