Is higher formula intake and limited dietary diversity in Australian children at 14 months of age associated with dietary quality at 24 months?

Journal article

Byrne, Rebecca, Yeo, Mei En Joy, Mallan, Kimberley, Magarey, Anthea and Daniels, Lynne. (2018). Is higher formula intake and limited dietary diversity in Australian children at 14 months of age associated with dietary quality at 24 months? Appetite. 120, pp. 240 - 245. https://doi.org/10.1016/j.appet.2017.09.002
AuthorsByrne, Rebecca, Yeo, Mei En Joy, Mallan, Kimberley, Magarey, Anthea and Daniels, Lynne
Abstract

A varied and diverse diet in childhood supports optimum long-term preferences and growth. Previous analysis from 14-month-old Australian children in the NOURISH and South Australian Infants Dietary Intake (SAIDI) studies found higher formula intake was associated with lower dietary diversity. This analysis investigated whether formula intake and dietary diversity at 14 months of age is associated with dietary quality at 24 months. This is a secondary analysis of intake data from NOURISH and SAIDI cohorts. Scores for dietary diversity, fruit variety, vegetable variety and meat/alternative variety were combined using structural equation modelling to form the latent variable ‘Dietary quality’ (DQ) at age 24 months. A longitudinal model examined influence of formula (grams), cow's milk (grams) and dietary diversity at 14 months and covariates, on DQ. At age 24 months (n = 337) 27% of children obtained a maximum dietary diversity score (5/5). Variety scores were relatively low – with mean variety scores (and possible range) being four for fruit (0–30); five for vegetables (0–36); and three for meat/alternatives (0–8). Dietary diversity at 14 months (β = 0.19, p = 0.001), maternal age (β = 0.24, p < 0.001) and education (β = 0.22, p < 0.001) predicted DQ at 24 months while Child Food Neophobia Score was negatively associated with DQ (β = −0.30, p < 0.001). Formula intake was negatively associated with diversity at 14 months, but not DQ at 24. Diversity and variety were limited despite sociodemographic advantage of the sample. Diversity at 14 months, degree of neophobia and sociodemographic factors predicted DQ at 24 months. There is an ongoing need to emphasise the importance of repeated early exposure to healthy foods, such that children have the opportunity to learn to like a range of tastes and texture, thereby maximising dietary diversity and quality in infancy and early toddlerhood.

Keywordsdietary quality; diversity; variety; formula; structural equation modelling; toddlers; breastfeeding
Year2018
JournalAppetite
Journal citation120, pp. 240 - 245
PublisherAcademic Press
ISSN0195-6663
Digital Object Identifier (DOI)https://doi.org/10.1016/j.appet.2017.09.002
Scopus EID2-s2.0-85029296150
Page range240 - 245
Publisher's version
File Access Level
Controlled
Grant IDNHMRC/426704
Place of publicationUnited Kingdom
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Mallan, Kimberley and Lipp, Ottmar. (2011). The relationship between self-reported animal fear and ERP modulation : Evidence for enhanced processing and fear of harmless invertebrates in snake- and spider-fearful individuals. Motivation and Emotion. 35(4), pp. 474 - 483. https://doi.org/10.1007/s11031-011-9218-9
The effects of verbal instruction on affective and expectancy learning
Lipp, Ottmar V., Mallan, Kimberley M., Libera, Marilia and Tan, Mingshen. (2010). The effects of verbal instruction on affective and expectancy learning. Behaviour Research and Therapy. 48(3), pp. 203 - 209. https://doi.org/10.1016/j.brat.2009.11.002