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Infant Feeding Practices and Weight Status among WIC Participants.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Infant Feeding Practices and Weight Status among WIC Participants./
作者:	Bably, Morium B.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2021,
面頁冊數:	103 p.
附註:	Source: Dissertations Abstracts International, Volume: 83-07, Section: B.
Contained By:	Dissertations Abstracts International83-07B.
標題:	Public health. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28777107
ISBN:	9798759979531

Infant Feeding Practices and Weight Status among WIC Participants.
Bably, Morium B.

Infant Feeding Practices and Weight Status among WIC Participants. - Ann Arbor : ProQuest Dissertations & Theses, 2021 - 103 p.

Source: Dissertations Abstracts International, Volume: 83-07, Section: B.

Thesis (Ph.D.)--The University of North Carolina at Charlotte, 2021.

This item must not be sold to any third party vendors.

Appropriate infant and child feeding practices and balanced nutrition can significantly reduce malnutrition and can contribute to optimal physical, mental, and developmental growth of children. Childhood obesity is a major public health concern in the United States and is associated with both physical and psychological consequences and decreased health-related quality of life. Early life feeding practices and nutrients intake starting from birth to 2 years can significantly contribute to the development of obesity. This dissertation aimed to develop three manuscripts to understand the association between infant feeding practices including bottle feeding practices, initiation of added sugar and added sugar intake, and children's BMI-for-age percentile at 36 months old among Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) participants. First manuscript examined the association between added sugar consumption at young age and BMI-for-age percentile at 36 months old among WIC participants. Second manuscript examined factors associated with initiation of added sugar among WIC participants. Third manuscript examined the association between usual daily intake of added sugar at young age and BMI-for-age percentile at 36 months old among WIC participants. Data were from the WIC Infant and Toddler Feeding Practices Study-2 (ITFPS-2). The ITFPS-2, a longitudinal study of WIC participants (mothers and their children) began in 2013. First, Cox proportional hazards model was used to identify factors associated with bottle cessation, and multivariate linear regression to examine the association between age of bottle cessation and BMI. Second, Cox proportional hazards model examined factors associated with introducing added sugar. Third, bivariate analysis was used to examine the association between usual daily intake of added sugar before age 2 years old and BMI-for-age-percentile at 36 months old. The first research study indicated about 34% of children used a bottle longer than 12 months, and 13% longer than 18 months. Bottle cessation at older ages was associated with Hispanic ethnicity, multiparity, low income, low education, higher caregiver weight, and not initiating breastfeeding, and adjusted children's BMI-for-age percentile at age 36 months increased by 0.47 for each additional month of bottle use. The second research study indicated about 25% of children initiated added sugar at or before 7 months. Contributing factors were caregiver's race/ethnicity, education, employment, weight status, parity, child sex, and premature birth (all p<0.05). The third research study indicated the mean added sugar intake ≤7 months, 8-13 months, and 14-24 months were 0.23 teaspoon (tsp), 3.44 tsp, and 11 tsp, respectively. Bivariate analysis indicated added sugar intake before 2 years old is associated with children's BMI-for-age-percentile at 36 months old. These research studies indicated a need for health care advocacy programs and intervention to educate the caregivers to practice appropriate feeding practices among infants and children aged 2 or younger.

ISBN: 9798759979531Subjects--Topical Terms:

534748
Public health.
Subjects--Index Terms:

Infant feeding practices

Infant Feeding Practices and Weight Status among WIC Participants.
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300 $a 103 p.
500 $a Source: Dissertations Abstracts International, Volume: 83-07, Section: B.
500 $a Advisor: Racine, Elizabeth.
502 $a Thesis (Ph.D.)--The University of North Carolina at Charlotte, 2021.
506 $a This item must not be sold to any third party vendors.
520 $a Appropriate infant and child feeding practices and balanced nutrition can significantly reduce malnutrition and can contribute to optimal physical, mental, and developmental growth of children. Childhood obesity is a major public health concern in the United States and is associated with both physical and psychological consequences and decreased health-related quality of life. Early life feeding practices and nutrients intake starting from birth to 2 years can significantly contribute to the development of obesity. This dissertation aimed to develop three manuscripts to understand the association between infant feeding practices including bottle feeding practices, initiation of added sugar and added sugar intake, and children's BMI-for-age percentile at 36 months old among Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) participants. First manuscript examined the association between added sugar consumption at young age and BMI-for-age percentile at 36 months old among WIC participants. Second manuscript examined factors associated with initiation of added sugar among WIC participants. Third manuscript examined the association between usual daily intake of added sugar at young age and BMI-for-age percentile at 36 months old among WIC participants. Data were from the WIC Infant and Toddler Feeding Practices Study-2 (ITFPS-2). The ITFPS-2, a longitudinal study of WIC participants (mothers and their children) began in 2013. First, Cox proportional hazards model was used to identify factors associated with bottle cessation, and multivariate linear regression to examine the association between age of bottle cessation and BMI. Second, Cox proportional hazards model examined factors associated with introducing added sugar. Third, bivariate analysis was used to examine the association between usual daily intake of added sugar before age 2 years old and BMI-for-age-percentile at 36 months old. The first research study indicated about 34% of children used a bottle longer than 12 months, and 13% longer than 18 months. Bottle cessation at older ages was associated with Hispanic ethnicity, multiparity, low income, low education, higher caregiver weight, and not initiating breastfeeding, and adjusted children's BMI-for-age percentile at age 36 months increased by 0.47 for each additional month of bottle use. The second research study indicated about 25% of children initiated added sugar at or before 7 months. Contributing factors were caregiver's race/ethnicity, education, employment, weight status, parity, child sex, and premature birth (all p<0.05). The third research study indicated the mean added sugar intake ≤7 months, 8-13 months, and 14-24 months were 0.23 teaspoon (tsp), 3.44 tsp, and 11 tsp, respectively. Bivariate analysis indicated added sugar intake before 2 years old is associated with children's BMI-for-age-percentile at 36 months old. These research studies indicated a need for health care advocacy programs and intervention to educate the caregivers to practice appropriate feeding practices among infants and children aged 2 or younger.
590 $a School code: 0694.
650 4 $a Public health. $3 534748
650 4 $a Developmental biology. $3 592588
650 4 $a Nutrition. $3 517777
653 $a Infant feeding practices
653 $a Bottle feeding
653 $a Added sugar intact
653 $a Childhood BMI
653 $a Special Supplemental Nutrition Program for Women, Infants, and Children
690 $a 0573
690 $a 0758
690 $a 0570
710 2 $a The University of North Carolina at Charlotte. $b Public Health. $3 3343580
773 0 $t Dissertations Abstracts International $g 83-07B.
790 $a 0694
791 $a Ph.D.
792 $a 2021
793 $a English
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28777107