Skip Navigation
Skip to contents

JPMPH : Journal of Preventive Medicine and Public Health

OPEN ACCESS
SEARCH
Search

Author index

Page Path
HOME > Browse Articles > Author index
Search
Moon-Kyung Shin 1 Article
Association of Infant Feeding Characteristics With Dietary Patterns and Obesity in Korean Childhood
Kyoung-Nam Kim, Moon-Kyung Shin
J Prev Med Public Health. 2023;56(4):338-347.   Published online June 26, 2023
DOI: https://doi.org/10.3961/jpmph.22.504
  • 1,475 View
  • 96 Download
AbstractAbstract AbstractSummary PDFSupplementary Material
Objectives
Young children’s feeding characteristics can play an important role in eating habits and health during later childhood. This study was conducted to examine the associations of feeding characteristics with dietary patterns and obesity in children.
Methods
This study utilized data from the Korea National Health and Nutrition Examination Survey conducted between 2013 and 2017. In total, 802 toddlers were included, with information on their demographic characteristics, feeding practices and duration, and 24-hour recall obtained from their parents. Feeding characteristics were categorized into feeding type, duration of total breastfeeding, duration of total formula feeding, duration of exclusive breastfeeding, and age when starting formula feeding. Dietary patterns were identified based on factor loadings for the food groups for 3 major factors, with “vegetables & traditional,” “fish & carbohydrates,” and “sweet & fat” patterns. Overweight/obesity was defined as ≥85th percentile in body mass index based on the 2017 Korean National Growth charts for children and adolescents. Multiple regression analysis was conducted to examine associations between feeding characteristics and dietary patterns. The association between dietary patterns and obesity was analyzed using multivariable logistic regression analysis.
Results
The early introduction of formula feeding was inversely associated with the “vegetables & traditional” pattern (β=-0.18; 95% confidence interval [CI], -0.34 to -0.02). A higher “vegetables & traditional” intake was associated with a lower risk of obesity (odds ratio, 0.48; 95% CI, 0.24 to 0.95).
Conclusions
Feeding characteristics are associated with dietary patterns in later childhood, and dietary patterns were shown to have a potential protective association against obesity.
Summary
Korean summary
생애 초기 수유 형태는 유아의 식습관 형성에 영향을 주고 아울러 성장기의 식습관에도 중요한 바탕이 된다. 특히, 생애 초기 수유 형태는 유아기의 성장 발달 또는 비만과 관련됨이 알려져 있다. 과일과 채소 섭취 증가 및 다양한 식품의 섭취는 비만을 예방하는 대표적인 식습관 중의 하나이다. 본 연구에는 영아 시기의 수유 형태가 이후 유아기의 식사 패턴에 미치는 영향 및 유아기 비만과의 관련성을 살펴보고자 수행되었다. 이에 본 연구에서는 국민건강영양조사2013-2017년까지 만2-3세 유아 802명 대상으로 수유 형태에 따른 식사 패턴 분석 결과, 4개월 이전 분유 수유를 시작할 경우 ‘vegetables & traditional’패턴 점수가 감소하였다. 식사 패턴과 비만 유병률 결과, ‘vegetables & traditional’ 패턴 요인 점수가 증가할수록 비만 유병률이 감소하는 경향을 보였다. 이에 본 연구 결과들을 통해 생애 초기 수유 형태에 따라 유아기(미취학아동)의 식습관에 영향을 미치는 요인으로 판단되며, 그 식습관이 반영됨에 따라 소아 비만과 관련이 있음을 나타냈다. 따라서 국내 대규모의 표본을 대상으로 한 연구 결과로 건강하고 다양한 식습관 지도를 위한 영양 교육 프로그램의 근거 자료로 활용될 수 있다고 생각된다.

JPMPH : Journal of Preventive Medicine and Public Health