Dietary patterns are associated with child, maternal and household-level characteristics and overweight/obesity among young Samoan children
Bibliographic Data
| ID | 15096978 |
|---|---|
| Authors | Courtney C Choy (0000-0002-6870-4384, Brown University), Dongqing Wang (0000-0003-3369-5972, University of Michigan), Ana Baylin (0000-0002-6602-0392, University of Michigan), Christina Soti‐ulberg (0000-0002-0042-2321, National University of Samoa), Christina Soti-Ulberg, Take Naseri (0000-0002-7633-2269, National University of Samoa), Muagututi‘a Sefuiva Reupena (0000-0003-2626-4787, National University of Samoa), Avery A Thompson (Yale University), Rachel L Duckham (0000-0001-7882-2950, Deakin University), Nicola L Hawley (0000-0002-2601-3454, Yale University, corresponding author) |
| Year | 2018 |
| Volume | 21 |
| Issue | 7 |
| Pages | 1243-1254 |
| Publication date | 2018-05-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Public Health Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1368-9800 • E-ISSN: 1475-2727 |
| Publisher | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1017/s1368980017003913 |
| PMID | 29362013 |
| OpenAlex | W2791740846 |
| Language | EN |
| Citations received | 5 |
| References cited | 40 |
Objective Among young Samoan children, diet may not be optimal: in 2015, 16·1 % of 24–59-month-olds were overweight/obese, 20·3 % stunted and 34·1 % anaemic. The present study aimed to identify dietary patterns among 24–59-month-old Samoan children and evaluate their association with: (i) child, maternal and household characteristics; and (ii) nutritional status indicators (stunting, overweight/obesity, anaemia). Design A community-based, cross-sectional study. Principal component analysis on 117 FFQ items was used to identify empirical dietary patterns. Distributions of child, maternal and household characteristics were examined by factor score quintiles. The regression of nutritional status indicators v . these quintiles was performed using logistic regression models. Setting Ten villages on the Samoan island of Upolu. Subjects A convenience sample of mother–child pairs ( n 305). Results Two dietary patterns, modern and neo-traditional, emerged. The modern pattern was loaded with ‘westernized’ foods (red meat, condiments and snacks). The neo-traditional pattern included vegetables, local starches, coconuts, fish and poultry. Following the modern diet was associated with urban residence, greater maternal educational attainment, higher socio-economic status, lower vitamin C intake and higher sugar intake. Following the neo-traditional diet was associated with rural residence, lower socio-economic status, higher vitamin C intake and lower sugar intake. While dietary patterns were not related to stunting or anaemia, following the neo-traditional pattern was positively associated with child overweight/obesity (adjusted OR=4·23, 95 % CI 1·26, 14·17, for the highest quintile, P -trend=0·06). Conclusions Further longitudinal monitoring and evaluation of early childhood growth and development are needed to understand the influences of early diet on child health in Samoa
Cross-sectional study · Environmental health · Logistic regression · Nutrition transition · Obesity · Overweight · Population · Residence · Samoan · Socioeconomic status · Child Nutrition and Water Access · Demography · Medicine · Nutritional Studies and Diet · Obesity, Physical Activity, Diet
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| Citations per year | 0.63 |
|---|---|
| Citation span | 2018 - 2025 (8) |
| Highly cited | No |