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Longitudinal association between preschool fussy eating and body composition at 6 years of age: The Generation R Study
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 yea...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4678491/ https://www.ncbi.nlm.nih.gov/pubmed/26666996 http://dx.doi.org/10.1186/s12966-015-0313-2 |
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author | de Barse, Lisanne M. Tiemeier, Henning Leermakers, Elisabeth T. M. Voortman, Trudy Jaddoe, Vincent W. V. Edelson, Lisa R. Franco, Oscar H. Jansen, Pauline W. |
author_facet | de Barse, Lisanne M. Tiemeier, Henning Leermakers, Elisabeth T. M. Voortman, Trudy Jaddoe, Vincent W. V. Edelson, Lisa R. Franco, Oscar H. Jansen, Pauline W. |
author_sort | de Barse, Lisanne M. |
collection | PubMed |
description | 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. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12966-015-0313-2) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-4678491 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-46784912015-12-16 Longitudinal association between preschool fussy eating and body composition at 6 years of age: The Generation R Study de Barse, Lisanne M. Tiemeier, Henning Leermakers, Elisabeth T. M. Voortman, Trudy Jaddoe, Vincent W. V. Edelson, Lisa R. Franco, Oscar H. Jansen, Pauline W. Int J Behav Nutr Phys Act Research 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. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12966-015-0313-2) contains supplementary material, which is available to authorized users. BioMed Central 2015-12-14 /pmc/articles/PMC4678491/ /pubmed/26666996 http://dx.doi.org/10.1186/s12966-015-0313-2 Text en © de Barse et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research de Barse, Lisanne M. Tiemeier, Henning Leermakers, Elisabeth T. M. Voortman, Trudy Jaddoe, Vincent W. V. Edelson, Lisa R. Franco, Oscar H. Jansen, Pauline W. Longitudinal association between preschool fussy eating and body composition at 6 years of age: The Generation R Study |
title | Longitudinal association between preschool fussy eating and body composition at 6 years of age: The Generation R Study |
title_full | Longitudinal association between preschool fussy eating and body composition at 6 years of age: The Generation R Study |
title_fullStr | Longitudinal association between preschool fussy eating and body composition at 6 years of age: The Generation R Study |
title_full_unstemmed | Longitudinal association between preschool fussy eating and body composition at 6 years of age: The Generation R Study |
title_short | Longitudinal association between preschool fussy eating and body composition at 6 years of age: The Generation R Study |
title_sort | longitudinal association between preschool fussy eating and body composition at 6 years of age: the generation r study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4678491/ https://www.ncbi.nlm.nih.gov/pubmed/26666996 http://dx.doi.org/10.1186/s12966-015-0313-2 |
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