Early Feeding Practices and Body Mass Index Z-Score among Saudi Preschoolers: A Cross-Sectional Study
Abstract ObjectivesTo characterize early feeding practices among mothers in Saudi Arabia and examine their associations with child birthweight and BMI z-score (BMIz) at preschool. Study DesignCross-sectional study. MethodsMother-child dyads (n=209) were recruited from different preschools around the city of Jeddah. Mothers completed the study questionnaire over the telephone and preschoolers’ anthropometric measurements were objectively measured. Descriptive statistics were used to characterize early feeding practices. Bivariate analyses and linear regression were used to examine the association of early feeding practices with child birthweight and BMIz at preschool. ResultsThe majority of mothers (92.3%) initiated breastfeeding, with an average duration of 9.34 months (SD= 8.04). About half of the mothers reported that they have offered fruit juice and/or date syrup-milk mixture in a baby bottle (52.2% and 45.9% respectively), with an average duration of 11.5 months (SD= 7.73) and 5.90 months (SD= 6.13), respectively. Children who were offered fruit juice and/or date syrup-milk mixture in a baby bottle had significantly lower birthweights compared to children who were not (M= 2.79, SD= 0.59 vs. M= 3.06, SD=0.69, P< 0.01 and M= 2.79, SD= 0.67 vs. M= 3.03, SD=0.62, P< 0.01, respectively). There was a negative association between introducing fruit juice in a baby bottle and child BMIz at preschool (b: 0.18, 95% confidence interval (CI): -0.83, -0.11); This association was not significant after adjusting for child birthweight and other covariates (b: -0.10, 95% CI: -0.64, 0.09). ConclusionLongitudinal and interventions studies are needed to inform counseling guidelines and community campaigns in order to improve early feeding practices in the region.