43: Association Between Breastfeeding Duration and Nutritional Risk During Early Childhood: A Cross-Sectional Study
Notice bibliographique
Résumé
Children's eating behaviours and food preferences developed in early life impact on optimal growth and development. Children who consume inadequate nutrients are at risk of malnutrition, obesity, and other negative health consequences. Furthermore, dietary patterns established in early childhood carry forward into later childhood and adulthood, emphasizing the importance of developing healthy eating practices at an early age. Breastfeeding is associated with early infant food preferences and healthy eating behaviours, however, less is known about how breastfeeding is related with early childhood diet. Existing results are mixed, indicating longer breastfeeding duration is associated with healthier dietary behaviours in preschoolers, but conversely with dental caries and deficiencies of iron and vitamin D. To determine whether total breastfeeding duration is associated with eating behaviours among children 3–5 years, as assessed by the Nutritional Screening for Every Preschooler (NutriSTEP) questionnaire. Secondary objectives include examining the relationship between total breastfeeding duration and outcomes: dietary intake, total nutritional risk summary score, sweetened drink consumption, and sweet-savoury snack consumption. Cross-sectional data analysis of children 3–5 years, recruited from seven primary care practices in an urban setting (n=3070). A baseline health questionnaire that included the NutriSTEP assessment was completed by a parent upon their child's study enrolment. Multivariable linear regression was used to evaluate the association between total breastfeeding duration (continuous measure) and eating behaviours (5 item sub-score). Similar models were created to examine the secondary outcomes. Pre-specified, clinically relevant covariates were included in adjusted models. The average total breastfeeding duration was 11.36 months. In unadjusted analyses, total breastfeeding duration was significantly associated with all primary and secondary outcomes. In adjusted analyses, significant associations remained for all outcomes (except snacking); for each one month increase in total breastfeeding duration a decrease in the following outcomes were observed: eating behaviours sub-score −0.02 (95% CI −0.03 to −0.01); dietary intake sub-score −0.02 (95% CI −0.04 to −0.01); total nutritional risk summary score −0.05 (95% CI −0.08 to −0.02); and sweetened drinks consumption −0.02 (95% CI −0.02 to −0.01). Child's age and sex, bottle use in bed, number of siblings, maternal age, education, ethnicity and income, were significant covariates in adjusted models. Longer total breastfeeding duration is associated with decreased nutritional risk, particularly in eating behaviours and dietary intake, as well as decreased sweetened drink consumption. Our findings support heightened awareness of breastfeeding as a primary preventative health measure to enhance healthy eating in childhood.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,002 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,001 |
| Méta-épidémiologie (sens large) | 0,000 | 0,001 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».