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Title: Prospective associations of parental smoking, alcohol use, marital status, maternal satisfaction, and parental and childhood body mass index at 6.5 years with later problematic eating attitudes
Authors: Wade, K.H
Skugarevsky, O
Kramer, M.S 
Patel, R
Bogdanovich, N
Vilchuck, K
Sergeichick, N
Richmond, R
Palmer, T
Smith, G.D
Gillman, M
Oken, E
Martin, R.M
Keywords: alcohol
alcohol consumption
birth weight
body mass
breast feeding
childhood obesity
clinical assessment
cohort analysis
feeding behavior
follow up
Likert scale
major clinical study
maternal satisfaction
outcome assessment
outpatient department
parental smoking
paternal smoking
principal component analysis
priority journal
prospective study
self report
Issue Date: 2014
Publisher: Nature Publishing Group
Citation: Wade, K.H, Skugarevsky, O, Kramer, M.S, Patel, R, Bogdanovich, N, Vilchuck, K, Sergeichick, N, Richmond, R, Palmer, T, Smith, G.D, Gillman, M, Oken, E, Martin, R.M (2014). Prospective associations of parental smoking, alcohol use, marital status, maternal satisfaction, and parental and childhood body mass index at 6.5 years with later problematic eating attitudes. Nutrition and Diabetes 4 (JANUARY) : e100. ScholarBank@NUS Repository.
Rights: Attribution 4.0 International
Abstract: background: Few studies have prospectively investigated whether early-life exposures are associated with pre-adolescent eating attitudes. objective: The objective of this study is to prospectively investigate associations of parental smoking, alcohol use, marital status, measures of maternal satisfaction, self-reported parental body mass index (BMI) and clinically measured childhood BMI, assessed between birth and 6.5 years, with problematic eating attitudes at 11.5 years. mathods: Observational cohort analysis nested within the Promotion of Breastfeeding Intervention Trial, a cluster-randomised trial conducted in 31 maternity hospitals and affiliated polyclinics in Belarus. Our primary outcome was a Children's Eating Attitudes Test (ChEAT) score X22.5 (85th percentile), an indicator of problematic eating attitudes. We employed multivariable mixed logistic regression models, which allow inference at the individual level. We also performed instrumental variable (IV) analysis using parents' BMIs as instruments for the child's BMI, to assess whether associations could be explained by residual confounding or reverse causation. subjects: Of the 17 046 infants enrolled between 1996 and 1997 across Belarus, 13 751 (80.7%) completed the ChEAT test at 11.5 years. results: In fully adjusted models, overweight children at age 6.5 years had a 2.14-fold (95% confidence interval (CI): 1.82, 2.52) increased odds of having ChEAT scoresX85th percentile at age 11.5 years, and those who were obese had a 3.89-fold (95% CI: 2.95, 5.14) increased odds compared with normal-weight children. Children of mothers or fathers who were themselves overweight or obese were more likely to score X85th percentile (P for trend p0.001). IV analysis was consistent with a child's BMI causally affecting future eating attitudes. There was little evidence that parental smoking, alcohol use, or marital status or maternal satisfaction were associated with eating attitudes. conclusion: In our large, prospective cohort in Belarus, both parental and childhood overweight and obesity at 6.5 years were associated with pre-adolescent problematic eating attitudes 5 years later.© 2014 Macmillan Publishers Limited.
Source Title: Nutrition and Diabetes
ISSN: 20444052
DOI: 10.1038/nutd.2013.40
Rights: Attribution 4.0 International
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