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The Child Eating Behaviour Questionnaire (CEBQ) is designed to measure ‘usual’ eating behaviour, with no time period attached, thus may not be suitable for assessing the effectiveness of short-term experimental studies. The aim of this study was to validate i) the CEBQ adapted to measure ‘past week’ rather than ‘usual’ eating behaviour, and ii) a computerized questionnaire assessing desire to eat core and non-core foods, against an objective measure of eating behaviour and food intake (eating in the absence of hunger (EAH) experiment). Children (n = 103) aged 8–12 years completed the desire to eat questionnaire followed by the EAH experiment while primary caregivers completed the adapted CEBQ. Results from the CEBQ showed that children with greater ‘satiety responsiveness’ (1-point higher) consumed less energy (−342 kJ; 95% CI -574, −110) whereas those with greater ‘enjoyment of food’ scale consumed more energy (380 kJ; 95% CI 124, 636) during the ad-libitum phase of the EAH experiment. Higher scores for slowness in eating (−705 kJ; 95% CI -1157, −254), emotional undereating (−590 kJ; 95% CI -1074, −106) and food fussiness (−629 kJ; 95% CI -1103, −155) were associated with lower total energy intake. Children who expressed greater desire to eat non-core foods consumed more energy in total (275 kJ; 95% CI 87, 463). Overall, this adapted CEBQ appears valid for measuring several short-term eating behaviours in children. The desire to eat questionnaire may be useful for identifying short-term susceptibility to overeating, however further investigation into how ratings of desire relate to the intake of highly palatable, energy dense foods is warranted.
Rosie Jackson; Jillian J. Haszard; Silke Morrison; Barbara C. Galland; Deborah McIntosh; Aimee L. Ward; Kim A. Meredith-Jones; Rachael W. Taylor. Measuring short-term eating behaviour and desire to eat: Validation of the child eating behaviour questionnaire and a computerized ‘desire to eat’ computerized questionnaire. Appetite 2021, 167, 105661 .
AMA StyleRosie Jackson, Jillian J. Haszard, Silke Morrison, Barbara C. Galland, Deborah McIntosh, Aimee L. Ward, Kim A. Meredith-Jones, Rachael W. Taylor. Measuring short-term eating behaviour and desire to eat: Validation of the child eating behaviour questionnaire and a computerized ‘desire to eat’ computerized questionnaire. Appetite. 2021; 167 ():105661.
Chicago/Turabian StyleRosie Jackson; Jillian J. Haszard; Silke Morrison; Barbara C. Galland; Deborah McIntosh; Aimee L. Ward; Kim A. Meredith-Jones; Rachael W. Taylor. 2021. "Measuring short-term eating behaviour and desire to eat: Validation of the child eating behaviour questionnaire and a computerized ‘desire to eat’ computerized questionnaire." Appetite 167, no. : 105661.
Objective: This study aimed to describe meat consumption rationalisation and relationships with meat consumption patterns and food choice motivations in New Zealand adolescents. Design: This was a cross-sectional study of adolescents from high schools across New Zealand. Demographics, dietary habits, and motivations and attitudes towards food were assessed by online questionnaire and anthropometric measurements taken by researchers. The 4Ns questionnaire assessed meat consumption rationalisation with four subscales: ‘Nice’, ‘Normal’, ‘Necessary’ and ‘Natural’. Setting: Nineteen secondary schools from eight regions in New Zealand, with some purposive sampling of adolescent vegetarians in Otago, New Zealand. Participants: Questionnaires were completed by 385 non-vegetarian and vegetarian (self-identified) adolescents. Results: A majority of non-vegetarian adolescents agreed that consuming meat was ‘nice’ (65 %), but fewer agreed that meat consumption was ‘necessary’ (51 %). Males agreed more strongly than females with all 4N subscales. High meat consumers were more likely to agree than to disagree that meat consumption was nice, normal, necessary and natural, and vegetarians tended to disagree with all rationalisations. Adolescent non-vegetarians whose food choice was motivated more by convenience, sensory appeal, price and familiarity tended to agree more with all 4N subscales, whereas adolescents motivated by animal welfare and environmental concerns were less likely to agree. Conclusions: To promote a reduction in meat consumption in adolescents, approaches will need to overcome beliefs that meat consumption is nice, normal, necessary and natural.
Kelly R. Latimer; Meredith C. Peddie; Tessa Scott; Jillian J. Haszard. Rationalisation of meat consumption in New Zealand adolescents. Public Health Nutrition 2021, 1 -9.
AMA StyleKelly R. Latimer, Meredith C. Peddie, Tessa Scott, Jillian J. Haszard. Rationalisation of meat consumption in New Zealand adolescents. Public Health Nutrition. 2021; ():1-9.
Chicago/Turabian StyleKelly R. Latimer; Meredith C. Peddie; Tessa Scott; Jillian J. Haszard. 2021. "Rationalisation of meat consumption in New Zealand adolescents." Public Health Nutrition , no. : 1-9.
Background: The majority of adolescents do less physical activity than is recommended by the World Health Organization. Active commuting and participation in organised sport and/or physical education individually have been shown to increase physical activity in adolescents. However, how these domains impact physical activity both individually and in combination has yet to be investigated in a sample of New Zealand female adolescents from around the country. Methods: Adolescent females aged 15–18 y (n = 111) were recruited from 13 schools across eight locations throughout New Zealand to participate in this cross-sectional study. Participants completed questions about active commuting, and participation in organised sport and physical education, before wearing an Actigraph GT3X (Actigraph, Pensacola, FL, USA) +24 h a day for seven consecutive days to determine time spent in total, MVPA and light physical activity. Results: Active commuters accumulated 17 min/d (95% CI 8 to 26 min/d) more MVPA compared to those who did not. Those who participated in sport accumulated 45 min/d (95% CI 20 to 71 min/d) more light physical activity and 14 min/d (95% CI 5 to 23 min/d) more MVPA compared to those who did not. Participation in physical education did not seem to have a large impact on any component of physical activity. Participation in multiple domains of activity, e.g., active commuting and organised sport, was associated with higher accumulation of MVPA but not light activity. Conclusion Active commuting and sport both contribute a meaningful amount of daily MVPA. Sport participation has the potential to increase overall activity and displace sedentary behaviour. A combination of physical activity domains may be an important consideration when targeting ways to increase physical activity in adolescent females.
Jennifer Gale; Jillian Haszard; Tessa Scott; Meredith Peddie. The Impact of Organised Sport, Physical Education and Active Commuting on Physical Activity in a Sample of New Zealand Adolescent Females. International Journal of Environmental Research and Public Health 2021, 18, 8077 .
AMA StyleJennifer Gale, Jillian Haszard, Tessa Scott, Meredith Peddie. The Impact of Organised Sport, Physical Education and Active Commuting on Physical Activity in a Sample of New Zealand Adolescent Females. International Journal of Environmental Research and Public Health. 2021; 18 (15):8077.
Chicago/Turabian StyleJennifer Gale; Jillian Haszard; Tessa Scott; Meredith Peddie. 2021. "The Impact of Organised Sport, Physical Education and Active Commuting on Physical Activity in a Sample of New Zealand Adolescent Females." International Journal of Environmental Research and Public Health 18, no. 15: 8077.
Background: Tools that assess all three components of 24 h movement guidelines (sleep, physical activity, and screen use) are scarce. Our objective was to use a newly developed Screen Time and Activity Recall (STAR-24) to demonstrate how this tool could be used to illustrate differences in time-use across the day between two independent samples of male adolescents collected before and during the COVID-19 lockdown. Methods: Adolescent boys aged 15–18 years (n = 109) each completed the STAR-24 twice, n = 74 before lockdown and n = 35 during lockdown. Results: During lockdown more than 50% of the sample reported gaming between 10 a.m. and 12 noon, transport was not reported as an activity, and activities of daily living spiked at mealtimes. Gaming and screen time were more prevalent in weekends than weekdays, with the highest prevalence of weekday screen use (before lockdown) occurring between 8 and 9 p.m. Differences in estimates of moderate-to-vigorous physical activity prior to and during lockdown (mean difference (95% CI); 21 (−9 to 51) min) and sleep (0.5 (−0.2 to 1.2) h) were small. Total and recreational screen time were higher during lockdown (2 h (0.7 to 3.3 h) and 48 min (−36 to 132 min), respectively). Conclusions: The STAR-24 holds promise as a single tool that assesses compliance with 24 h movement guidelines. This tool also allows clear illustration of how adolescent boys are using their time (instead of only providing summary measures), providing richer data to inform public health initiatives.
Meredith Peddie; Tessa Scott; Jillian Haszard. Using a 24 h Activity Recall (STAR-24) to Describe Activity in Adolescent Boys in New Zealand: Comparisons between a Sample Collected before, and a Sample Collected during the COVID-19 Lockdown. International Journal of Environmental Research and Public Health 2021, 18, 8035 .
AMA StyleMeredith Peddie, Tessa Scott, Jillian Haszard. Using a 24 h Activity Recall (STAR-24) to Describe Activity in Adolescent Boys in New Zealand: Comparisons between a Sample Collected before, and a Sample Collected during the COVID-19 Lockdown. International Journal of Environmental Research and Public Health. 2021; 18 (15):8035.
Chicago/Turabian StyleMeredith Peddie; Tessa Scott; Jillian Haszard. 2021. "Using a 24 h Activity Recall (STAR-24) to Describe Activity in Adolescent Boys in New Zealand: Comparisons between a Sample Collected before, and a Sample Collected during the COVID-19 Lockdown." International Journal of Environmental Research and Public Health 18, no. 15: 8035.
Wholegrain flour produced by roller-milling is predominantly comprised of fine particles, while stoneground flour tends to have a comparatively smaller proportion of fine particles. Differences in flour particle size distribution can affect postprandial glycaemia in people with type 2 diabetes and postprandial insulinaemia in people with and without type 2 diabetes. No prior studies have investigated the effect of wholegrain flour particle size distribution on glycaemic or insulinaemic response among people with impaired glucose tolerance or risk factors for type 2 diabetes. In a randomised crossover study, we tested the 180-min acute glycaemic and insulinaemic responses to three wholegrain breads differing in flour particle size and milling method: (1) fine roller-milled flour, (2) fine stoneground flour, and (3) coarse stoneground flour. Participants (n = 23) were males and females with risk factors for type 2 diabetes (age 55–75 y, BMI >28 kg/m2, completing less than 150 min moderate to vigorous intensity activity per week). Each test meal provided 50 g available carbohydrate, and test foods were matched for energy and macronutrients. There was no significant difference in blood glucose iAUC (incremental area under the curve) between the coarse stoneground flour bread and the fine stoneground flour bread (mean difference −20.8 (95% CI: −51.5, 10.0) mmol·min/L) and between the coarse stoneground flour bread and the fine roller-milled flour bread (mean difference −23.3 (95% CI: −57.6, 11.0) mmol·min/L). The mean difference in insulin iAUC for fine stoneground flour bread compared with the fine roller-milled flour bread was −6.9% (95% CI: −20.5%, 9.2%) and compared with the coarse stoneground flour bread was 9.9% (95% CI: −2.6%, 23.9%). There was no evidence of an effect of flour particle size on postprandial glycaemia and insulinaemia among older people with risk factors for type 2 diabetes, most of whom were normoglycaemic.
Evelyn Mete; Jillian Haszard; Tracy Perry; Indrawati Oey; Jim Mann; Lisa Te Morenga. Effect of Wholegrain Flour Particle Size in Bread on Glycaemic and Insulinaemic Response among People with Risk Factors for Type 2 Diabetes: A Randomised Crossover Trial. Nutrients 2021, 13, 2579 .
AMA StyleEvelyn Mete, Jillian Haszard, Tracy Perry, Indrawati Oey, Jim Mann, Lisa Te Morenga. Effect of Wholegrain Flour Particle Size in Bread on Glycaemic and Insulinaemic Response among People with Risk Factors for Type 2 Diabetes: A Randomised Crossover Trial. Nutrients. 2021; 13 (8):2579.
Chicago/Turabian StyleEvelyn Mete; Jillian Haszard; Tracy Perry; Indrawati Oey; Jim Mann; Lisa Te Morenga. 2021. "Effect of Wholegrain Flour Particle Size in Bread on Glycaemic and Insulinaemic Response among People with Risk Factors for Type 2 Diabetes: A Randomised Crossover Trial." Nutrients 13, no. 8: 2579.
Diet is one of the strongest modifiable risk factors for hypertension. In this study, we described the associations between dietary factors and blood pressure; and explored how weight status moderated these associations in a sample of New Zealand male adolescents. We collected demographics information, anthropometric, blood pressure, and dietary data from 108 male adolescents (15–17 years old). Mixed effects and logistic regression models were used to estimate relationships between dietary variables, blood pressure, and hypertension. Moderation effects of overweight status on the relationship between hypertension and diet were explored through forest plots. One-third (36%) of the sample was classified as hypertensive. Fruit intake was related to significantly lower systolic (−2.4 mmHg, p = 0.005) and diastolic blood pressure (−3.9 mmHg, p = 0.001). Vegetable and milk intake was related to significantly lower diastolic blood pressure (−1.4 mmHg, p = 0.047) and (−2.2 mmHg, p = 0.003), respectively. In overweight participants, greater vegetable and milk, and lower meat intake appeared to reduce the odds of hypertension. Certain dietary factors may have more prominent effects on blood pressure depending on weight status.
Jia Yap; Hwei Ng; Meredith Peddie; Elizabeth Fleming; Kirsten Webster; Tessa Scott; Jillian Haszard. How Does Being Overweight Moderate Associations between Diet and Blood Pressure in Male Adolescents? Nutrients 2021, 13, 2054 .
AMA StyleJia Yap, Hwei Ng, Meredith Peddie, Elizabeth Fleming, Kirsten Webster, Tessa Scott, Jillian Haszard. How Does Being Overweight Moderate Associations between Diet and Blood Pressure in Male Adolescents? Nutrients. 2021; 13 (6):2054.
Chicago/Turabian StyleJia Yap; Hwei Ng; Meredith Peddie; Elizabeth Fleming; Kirsten Webster; Tessa Scott; Jillian Haszard. 2021. "How Does Being Overweight Moderate Associations between Diet and Blood Pressure in Male Adolescents?" Nutrients 13, no. 6: 2054.
Background The measurement of height is crucial for weight status assessment. When standing height is difficult to measure, ulna length may offer a convenient and accurate surrogate height measure. Adolescence is a period of accelerated linear growth, hence the validation of age‐specific equations that predict height from ulna length in adolescents is warranted. This study aimed to develop and validate age‐ and sex‐specific equations for predicting height from ulna length in New Zealand adolescents. Methods Height, weight and ulna length were measured in 364 adolescents (n=110 males, n=254 females) aged 15.0 to 18.8 years, who were enrolled in the SuNDiAL project, a cross‐sectional survey performed in 2019 and 2020. Regression models were used to determine equations to predict height from ulna length. Agreement between measured and predicted height, BMI, and BMI z‐score was assessed with intra‐class correlation coefficients (ICC) and Bland‐Altman plots. Sensitivity and specificity were calculated for classifying obesity. Results Strong agreement was found between predicted and measured height (ICC=0.78; mean difference (95% CI): 0.0 (‐0.5, 0.5) cm) and BMI (ICC=0.95; 0.0 (‐0.1, 0.1) kg/m2). Predicted height was 88.1% accurate when classifiying weight status, showing high sensitivity (93.8%) and specificity (99.4%) for classifying obesity. Conclusion Ulna length measurement can accurately estimate height and subsequently weight status in New Zealand adolescents aged 15 to 18 years.
Hwei Min Ng; Sue MacDonell; Jia Yap; Meredith C. Peddie; Tessa Scott; Jillian Joy Haszard. Predicting height from ulna length for the determination of weight status in New Zealand adolescents: A cross‐sectional study. Journal of Human Nutrition and Dietetics 2021, 1 .
AMA StyleHwei Min Ng, Sue MacDonell, Jia Yap, Meredith C. Peddie, Tessa Scott, Jillian Joy Haszard. Predicting height from ulna length for the determination of weight status in New Zealand adolescents: A cross‐sectional study. Journal of Human Nutrition and Dietetics. 2021; ():1.
Chicago/Turabian StyleHwei Min Ng; Sue MacDonell; Jia Yap; Meredith C. Peddie; Tessa Scott; Jillian Joy Haszard. 2021. "Predicting height from ulna length for the determination of weight status in New Zealand adolescents: A cross‐sectional study." Journal of Human Nutrition and Dietetics , no. : 1.
This review investigated whether randomised controlled trials attempting to improve sleep or prevent sleep problems in 0-5 year olds influenced nocturnal sleep duration, day-time naps, or 24-hour sleep. Medline (Ovid), EMBASE, and CINAHL were searched from inception until 9 July 2020 and supplemented with hand searching. Search results were screened, eligible data were extracted, and risk of bias was assessed by at least two reviewers. Of 8571 publications considered, 32 trials which used a variety of subjective and objective sleep measurements were included in generic inverse variance random effects meta-analysis of nocturnal (n=24), day-time (n=14), and 24-hour (n=13) sleep duration. Overall, sleep interventions increased nocturnal sleep duration by a mean of 9 min (95% CI 4.1 to 13.8, I 228%) per night when compared with no sleep intervention. Increases were predominantly seen in sleep-only, rather than multi-component interventions. Total 24-hour sleep duration tended to increase by a similar amount (8.6 min (95% CI -2.7 to 19.8, I 2 = 59%)), but this was mainly only seen in studies that assessed sleep using diaries. There was no evidence that interventions changed day-time sleep duration. Future studies should involve sleep-only rather than multi-component interventions, and use objective sleep measures. (reviewregistry857)
Louise J. Fangupo; Jillian J. Haszard; Andrew N. Reynolds; Albany W. Lucas; Deborah R. McIntosh; Rosalina Richards; Justine Camp; Barbara C. Galland; Claire Smith; Rachael W. Taylor. Do sleep interventions change sleep duration in children aged 0–5 years? A systematic review and meta-analysis of randomised controlled trials. Sleep Medicine Reviews 2021, 59, 101498 .
AMA StyleLouise J. Fangupo, Jillian J. Haszard, Andrew N. Reynolds, Albany W. Lucas, Deborah R. McIntosh, Rosalina Richards, Justine Camp, Barbara C. Galland, Claire Smith, Rachael W. Taylor. Do sleep interventions change sleep duration in children aged 0–5 years? A systematic review and meta-analysis of randomised controlled trials. Sleep Medicine Reviews. 2021; 59 ():101498.
Chicago/Turabian StyleLouise J. Fangupo; Jillian J. Haszard; Andrew N. Reynolds; Albany W. Lucas; Deborah R. McIntosh; Rosalina Richards; Justine Camp; Barbara C. Galland; Claire Smith; Rachael W. Taylor. 2021. "Do sleep interventions change sleep duration in children aged 0–5 years? A systematic review and meta-analysis of randomised controlled trials." Sleep Medicine Reviews 59, no. : 101498.
Background The complementary feeding period is a time of unparalleled dietary change for every human, during which the diet changes from one that is 100% milk to one that resembles the usual diet of the wider family in less than a year. Despite this major dietary shift, we know relatively little about food and nutrient intake in infants worldwide and virtually nothing about the impact of baby food “pouches” and “baby-led weaning” (BLW), which are infant feeding approaches that are becoming increasingly popular. Pouches are squeezable containers with a plastic spout that have great appeal for parents, as evidenced by their extraordinary market share worldwide. BLW is an alternative approach to introducing solids that promotes infant self-feeding of whole foods rather than being fed purées, and is popular and widely advocated on social media. The nutritional and health impacts of these novel methods of infant feeding have not yet been determined. Objective The aim of the First Foods New Zealand study is to determine the iron status, growth, food and nutrient intakes, breast milk intake, eating and feeding behaviors, dental health, oral motor skills, and choking risk of New Zealand infants in general and those who are using pouches or BLW compared with those who are not. Methods Dietary intake (two 24-hour recalls supplemented with food photographs), iron status (hemoglobin, plasma ferritin, and soluble transferrin receptor), weight status (BMI), food pouch use and extent of BLW (questionnaire), breast milk intake (deuterium oxide “dose-to-mother” technique), eating and feeding behaviors (questionnaires and video recording of an evening meal), dental health (photographs of upper and lower teeth for counting of caries and developmental defects of enamel), oral motor skills (questionnaires), and choking risk (questionnaire) will be assessed in 625 infants aged 7.0 to 9.9 months. Propensity score matching will be used to address bias caused by differences in demographics between groups so that the results more closely represent a potential causal effect. Results This observational study has full ethical approval from the Health and Disability Ethics Committees New Zealand (19/STH/151) and was funded in May 2019 by the Health Research Council (HRC) of New Zealand (grant 19/172). Data collection commenced in July 2020, and the first results are expected to be submitted for publication in 2022. Conclusions This large study will provide much needed data on the implications for nutritional intake and health with the use of baby food pouches and BLW in infancy. Trial Registration Australian New Zealand Clinical Trials Registry ACTRN12620000459921; http://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=379436. International Registered Report Identifier (IRRID) DERR1-10.2196/29048
Rachael W Taylor; Cathryn A Conlon; Kathryn L Beck; Pamela R von Hurst; Lisa A Te Morenga; Lisa Daniels; Jill J Haszard; Alison M Meldrum; Neve H McLean; Alice M Cox; Lesieli Tukuafu; Maria Casale; Kimberley J Brown; Emily A Jones; Ioanna Katiforis; Madeleine Rowan; Jenny McArthur; Elizabeth A Fleming; Ben J Wheeler; Lisa A Houghton; Aly Diana; Anne-Louise M Heath. Nutritional Implications of Baby-Led Weaning and Baby Food Pouches as Novel Methods of Infant Feeding: Protocol for an Observational Study. JMIR Research Protocols 2021, 10, e29048 .
AMA StyleRachael W Taylor, Cathryn A Conlon, Kathryn L Beck, Pamela R von Hurst, Lisa A Te Morenga, Lisa Daniels, Jill J Haszard, Alison M Meldrum, Neve H McLean, Alice M Cox, Lesieli Tukuafu, Maria Casale, Kimberley J Brown, Emily A Jones, Ioanna Katiforis, Madeleine Rowan, Jenny McArthur, Elizabeth A Fleming, Ben J Wheeler, Lisa A Houghton, Aly Diana, Anne-Louise M Heath. Nutritional Implications of Baby-Led Weaning and Baby Food Pouches as Novel Methods of Infant Feeding: Protocol for an Observational Study. JMIR Research Protocols. 2021; 10 (4):e29048.
Chicago/Turabian StyleRachael W Taylor; Cathryn A Conlon; Kathryn L Beck; Pamela R von Hurst; Lisa A Te Morenga; Lisa Daniels; Jill J Haszard; Alison M Meldrum; Neve H McLean; Alice M Cox; Lesieli Tukuafu; Maria Casale; Kimberley J Brown; Emily A Jones; Ioanna Katiforis; Madeleine Rowan; Jenny McArthur; Elizabeth A Fleming; Ben J Wheeler; Lisa A Houghton; Aly Diana; Anne-Louise M Heath. 2021. "Nutritional Implications of Baby-Led Weaning and Baby Food Pouches as Novel Methods of Infant Feeding: Protocol for an Observational Study." JMIR Research Protocols 10, no. 4: e29048.
Anemia is a significant comorbidity for older adults not fully attributable to iron deficiency. Low-grade inflammation and other micronutrient deficiencies also contribute. This cross-sectional study examined the relationships between nutrient and non-nutrient factors with hemoglobin and anemia in 285 residents (>65 years) of 16 New Zealand aged-care facilities. Blood samples were analyzed for hemoglobin, ferritin, sTfR, hepcidin, zinc, selenium, and interleukin-6 (IL-6), (with ferritin, sTfR, zinc and selenium adjusted for inflammation). Linear regression models examined the relationships between micronutrient biomarkers (iron, zinc, selenium, vitamin B-12 and D), age, sex, and health factors with hemoglobin. Thirty-two percent of participants exhibited anemia, although <2% had either depleted iron stores or iron deficiency. Plasma zinc and selenium deficiencies were present in 72% and 38% of participants, respectively. Plasma zinc and total body iron (TBI) were positively associated (p < 0.05) with hemoglobin, while gastric acid suppressing medications, hepcidin, and interleukin-6 were inversely associated. These relationships were maintained after the application of anemia cut-offs. These findings emphasize the importance of considering multiple micronutrient deficiencies as risk factors for anemia.
Sue MacDonell; Jody Miller; Michelle Harper; Malcolm Reid; Jillian Haszard; Rosalind Gibson; Lisa Houghton. Multiple Micronutrients, Including Zinc, Selenium and Iron, Are Positively Associated with Anemia in New Zealand Aged Care Residents. Nutrients 2021, 13, 1072 .
AMA StyleSue MacDonell, Jody Miller, Michelle Harper, Malcolm Reid, Jillian Haszard, Rosalind Gibson, Lisa Houghton. Multiple Micronutrients, Including Zinc, Selenium and Iron, Are Positively Associated with Anemia in New Zealand Aged Care Residents. Nutrients. 2021; 13 (4):1072.
Chicago/Turabian StyleSue MacDonell; Jody Miller; Michelle Harper; Malcolm Reid; Jillian Haszard; Rosalind Gibson; Lisa Houghton. 2021. "Multiple Micronutrients, Including Zinc, Selenium and Iron, Are Positively Associated with Anemia in New Zealand Aged Care Residents." Nutrients 13, no. 4: 1072.
BACKGROUND The complementary feeding period is a time of unparalleled dietary change for every human, during which the diet changes from one that is 100% milk to one that resembles the usual diet of the wider family in less than a year. Despite this major dietary shift, we know relatively little about food and nutrient intake in infants worldwide and virtually nothing about the impact of baby food “pouches” and “baby-led weaning” (BLW), which are infant feeding approaches that are becoming increasingly popular. Pouches are squeezable containers with a plastic spout that have great appeal for parents, as evidenced by their extraordinary market share worldwide. BLW is an alternative approach to introducing solids that promotes infant self-feeding of whole foods rather than being fed purées, and is popular and widely advocated on social media. The nutritional and health impacts of these novel methods of infant feeding have not yet been determined. OBJECTIVE The aim of the First Foods New Zealand study is to determine the iron status, growth, food and nutrient intakes, breast milk intake, eating and feeding behaviors, dental health, oral motor skills, and choking risk of New Zealand infants in general and those who are using pouches or BLW compared with those who are not. METHODS Dietary intake (two 24-hour recalls supplemented with food photographs), iron status (hemoglobin, plasma ferritin, and soluble transferrin receptor), weight status (BMI), food pouch use and extent of BLW (questionnaire), breast milk intake (deuterium oxide “dose-to-mother” technique), eating and feeding behaviors (questionnaires and video recording of an evening meal), dental health (photographs of upper and lower teeth for counting of caries and developmental defects of enamel), oral motor skills (questionnaires), and choking risk (questionnaire) will be assessed in 625 infants aged 7.0 to 9.9 months. Propensity score matching will be used to address bias caused by differences in demographics between groups so that the results more closely represent a potential causal effect. RESULTS This observational study has full ethical approval from the Health and Disability Ethics Committees New Zealand (19/STH/151) and was funded in May 2019 by the Health Research Council (HRC) of New Zealand (grant 19/172). Data collection commenced in July 2020, and the first results are expected to be submitted for publication in 2022. CONCLUSIONS This large study will provide much needed data on the implications for nutritional intake and health with the use of baby food pouches and BLW in infancy. CLINICALTRIAL Australian New Zealand Clinical Trials Registry ACTRN12620000459921; http://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=379436. INTERNATIONAL REGISTERED REPORT DERR1-10.2196/29048
Rachael W Taylor; Cathryn A Conlon; Kathryn L Beck; Pamela R von Hurst; Lisa A Te Morenga; Lisa Daniels; Jill J Haszard; Alison M Meldrum; Neve H McLean; Alice M Cox; Lesieli Tukuafu; Maria Casale; Kimberley J Brown; Emily A Jones; Ioanna Katiforis; Madeleine Rowan; Jenny McArthur; Elizabeth A Fleming; Ben J Wheeler; Lisa A Houghton; Aly Diana; Anne-Louise M Heath. Nutritional Implications of Baby-Led Weaning and Baby Food Pouches as Novel Methods of Infant Feeding: Protocol for an Observational Study (Preprint). 2021, 1 .
AMA StyleRachael W Taylor, Cathryn A Conlon, Kathryn L Beck, Pamela R von Hurst, Lisa A Te Morenga, Lisa Daniels, Jill J Haszard, Alison M Meldrum, Neve H McLean, Alice M Cox, Lesieli Tukuafu, Maria Casale, Kimberley J Brown, Emily A Jones, Ioanna Katiforis, Madeleine Rowan, Jenny McArthur, Elizabeth A Fleming, Ben J Wheeler, Lisa A Houghton, Aly Diana, Anne-Louise M Heath. Nutritional Implications of Baby-Led Weaning and Baby Food Pouches as Novel Methods of Infant Feeding: Protocol for an Observational Study (Preprint). . 2021; ():1.
Chicago/Turabian StyleRachael W Taylor; Cathryn A Conlon; Kathryn L Beck; Pamela R von Hurst; Lisa A Te Morenga; Lisa Daniels; Jill J Haszard; Alison M Meldrum; Neve H McLean; Alice M Cox; Lesieli Tukuafu; Maria Casale; Kimberley J Brown; Emily A Jones; Ioanna Katiforis; Madeleine Rowan; Jenny McArthur; Elizabeth A Fleming; Ben J Wheeler; Lisa A Houghton; Aly Diana; Anne-Louise M Heath. 2021. "Nutritional Implications of Baby-Led Weaning and Baby Food Pouches as Novel Methods of Infant Feeding: Protocol for an Observational Study (Preprint)." , no. : 1.
There has been an important shift in the New Zealand infant food market over the past decade, with the majority of complementary foods now sold in “pouches”. Along with the increasing market share of commercial infant food pouches internationally, there have been growing concerns about their nutritional quality. However, research examining the nutritional quality of these pouches compared to other forms of commercial infant foods in New Zealand has not been undertaken. Nor have any studies reported the free sugars or added sugars content of these foods. To address this knowledge gap, a cross-sectional survey of infant foods sold in New Zealand supermarkets was conducted in 2019–2020. Recipes and nutrient lines were developed for the 266 foods identified (133 food pouches). The energy, iron, vitamin B12, total sugars, free sugars, and added sugars content of infant food pouches and other forms of commercial infant foods per 100 g were compared, both within food groups and by age group. Infant food pouches contained similar median amounts of energy, iron, and vitamin B12 to other forms of commercial infant foods but contained considerably more total sugars (8.4 g/100 g vs. 2.3 g/100 g). However, median free sugars and added sugars content was very low across all food groups except for “dairy” and “sweet snacks”. All “dry cereals” were fortified with iron whereas none of the infant food pouches were. Therefore, consuming food pouches to the exclusion of other commercial infant foods may place infants at risk of iron deficiency if they do not receive sufficient iron from other sources.
Ioanna Katiforis; Elizabeth Fleming; Jillian Haszard; Tiana Hape-Cramond; Rachael Taylor; Anne-Louise Heath. Energy, Sugars, Iron, and Vitamin B12 Content of Commercial Infant Food Pouches and Other Commercial Infant Foods on the New Zealand Market. Nutrients 2021, 13, 657 .
AMA StyleIoanna Katiforis, Elizabeth Fleming, Jillian Haszard, Tiana Hape-Cramond, Rachael Taylor, Anne-Louise Heath. Energy, Sugars, Iron, and Vitamin B12 Content of Commercial Infant Food Pouches and Other Commercial Infant Foods on the New Zealand Market. Nutrients. 2021; 13 (2):657.
Chicago/Turabian StyleIoanna Katiforis; Elizabeth Fleming; Jillian Haszard; Tiana Hape-Cramond; Rachael Taylor; Anne-Louise Heath. 2021. "Energy, Sugars, Iron, and Vitamin B12 Content of Commercial Infant Food Pouches and Other Commercial Infant Foods on the New Zealand Market." Nutrients 13, no. 2: 657.
Background When maternal micronutrient intakes and statuses are compromised, reductions in micronutrient concentrations in neonatal stores and human milk may result in suboptimal micronutrient intakes, statuses, and functional outcomes of breastfed infants during the critical first 6-month period. Objectives We compared the adequacy of micronutrient intakes and statuses at 2 and/or 5 months and morbidity and growth faltering at 2, 5, and 12 months in a cohort of exclusively breastfed (EBF) and partially breastfed (PBF) infants from low-resource Indonesian households. Methods At 2 and 5 months, the breastfeeding status and human milk intake of 212 infants were determined using the deuterium oxide dose-to-mother technique, and intakes were calculated from milk micronutrient concentrations and 3-d weighed food intakes. At 5 months, five infant micronutrient biomarkers, hemoglobin, C-reactive protein, and α-1-acid-glycoprotein were measured. Infant morbidity, weight, and length were measured at 2, 5, and 12 months. Means, medians, or proportions were reported for each group and differences between groups were statistically determined. Results Median intakes of iron, thiamin, niacin, and vitamin B-12 were higher in PBF than EBF infants at 5 months (all P values < 0.05), but intakes in all infants were below adequate intakes. At 5 months, anemia was <20% in both groups, although fewer PBF versus EBF infants had vitamin B-12 deficiency (11.5% vs. 28.6%, respectively; P = 0.011). The mean ± SD length-for-age z-scores for EBF versus PBF infants at 2 months were 0.7 ± 0.9 versus −0.5 ± 1.1, respectively (P = 0.158), declining to −1.4 ± 0.9 versus −1.1 ± 1.2, respectively, at 12 months (P = 0.059). Reported morbidity rates were generally low, with no evidence of a difference between infant groups (all P values > 0.126). Conclusions Irrespective of exclusive or partial breastfeeding status, micronutrient intakes of infants were low, statuses were compromised, and growth faltering during the critical 6 months period of early infancy was present. The findings highlight the importance of improving maternal nutritional statuses and evaluating their impacts on infant outcomes.
Claudia Leong; Rosalind S Gibson; Aly Diana; Jillian J Haszard; Sofa Rahmannia; Mohammad Brachim Ansari; Lina Sofiatul Inayah; Afini Dwi Purnamasari; Lisa A Houghton. Differences in Micronutrient Intakes of Exclusive and Partially Breastfed Indonesian Infants from Resource-Poor Households are Not Accompanied by Differences in Micronutrient Status, Morbidity, or Growth. The Journal of Nutrition 2021, 151, 705 -715.
AMA StyleClaudia Leong, Rosalind S Gibson, Aly Diana, Jillian J Haszard, Sofa Rahmannia, Mohammad Brachim Ansari, Lina Sofiatul Inayah, Afini Dwi Purnamasari, Lisa A Houghton. Differences in Micronutrient Intakes of Exclusive and Partially Breastfed Indonesian Infants from Resource-Poor Households are Not Accompanied by Differences in Micronutrient Status, Morbidity, or Growth. The Journal of Nutrition. 2021; 151 (3):705-715.
Chicago/Turabian StyleClaudia Leong; Rosalind S Gibson; Aly Diana; Jillian J Haszard; Sofa Rahmannia; Mohammad Brachim Ansari; Lina Sofiatul Inayah; Afini Dwi Purnamasari; Lisa A Houghton. 2021. "Differences in Micronutrient Intakes of Exclusive and Partially Breastfed Indonesian Infants from Resource-Poor Households are Not Accompanied by Differences in Micronutrient Status, Morbidity, or Growth." The Journal of Nutrition 151, no. 3: 705-715.
Short sleep duration is associated with poorer outcomes for adolescents; however, sleep duration is often assessed (either by questionnaire or device) using self-reported bedtime (i.e., the time a person goes to bed). With sedentary activities, such as screen time, being common presleep in-bed behaviors, the use of “bedtime” may introduce error to the estimates of sleep duration. It has been proposed that self-reported “shuteye time” (i.e., the time a person starts trying to go to sleep) is used instead of bedtime. This study aimed to compare the bedtimes and shuteye times of a sample of 15- to 18-year-old female adolescents recruited from 13 high schools across New Zealand. The influence on sleep duration estimates and associations with healthy lifestyle habits was also examined. Sleep data were collected from 136 participants using actigraphy and self-report. On average, 52 min (95% confidence interval [43, 60] min) of sedentary time was misclassified as sleep when bedtime was used instead of shuteye time with actigraph data. Mean bedtimes on weekdays and weekends were 9:56 p.m. (SD = 58 min) and 10:40 p.m. (SD = 77 min), respectively. The relationship between bedtime and shuteye time was not linear—indicating that bedtime cannot be used as a proxy for shuteye time. Earlier shuteye times were more strongly associated with meeting fruit and vegetable intake and sleep and physical activity guidelines than earlier bedtimes. Using bedtime instead of shuteye time to estimate sleep duration may introduce substantial error to estimates of both sleep and sedentary time.
Jillian J. Haszard; Tessa Scott; Claire Smith; Meredith C. Peddie. Shuteye Time Compared With Bedtime: Misclassification of Sleep in Adolescent Females. Journal for the Measurement of Physical Behaviour 2021, -1, 1 -6.
AMA StyleJillian J. Haszard, Tessa Scott, Claire Smith, Meredith C. Peddie. Shuteye Time Compared With Bedtime: Misclassification of Sleep in Adolescent Females. Journal for the Measurement of Physical Behaviour. 2021; -1 (aop):1-6.
Chicago/Turabian StyleJillian J. Haszard; Tessa Scott; Claire Smith; Meredith C. Peddie. 2021. "Shuteye Time Compared With Bedtime: Misclassification of Sleep in Adolescent Females." Journal for the Measurement of Physical Behaviour -1, no. aop: 1-6.
The first COVID-19 pandemic lockdown in Aotearoa New Zealand resulted in disruptions to everyday life, including changes in grocery shopping, cooking and eating. This study aimed to capture changes in behaviours and perceptions of grocery shopping and food preparation during the lockdown, and the extent to which dietary patterns changed during this period. Data were collected in an online survey of 3028 adults (89% women, mean age = 44 years, range 18–87 years, the median time in lockdown = 40 days), during Aotearoa New Zealand's lockdown Alert levels 4 (33.4%) and Level 3 (66.6%). Respondents had decreased enjoyment of grocery shopping and increased home cooking and baking from scratch. There was an overall shift toward an unhealthy dietary pattern, with some respondents reporting increased consumption of sweet snacks (41%), salty snacks (33%), alcohol (33%), and sugary drinks (20%) during the lockdown. Age moderated the effect of lockdown for nearly every measure, with adults aged under 50 years the most likely to report adverse changes to their eating behaviours and diet. Future pandemic responses by government and employers should include public health nutrition policies and mitigate the stress for younger adults and those caring for children at home.
Sarah Gerritsen; Victoria Egli; Rajshri Roy; Jill Haszard; Charlotte De Backer; Lauranna Teunissen; Isabelle Cuykx; Paulien Decorte; Sara Pabian Pabian; Kathleen Van Royen; Ngāti Whātua Lisa Te Morenga (Ngapuhi. Seven weeks of home-cooked meals: changes to New Zealanders’ grocery shopping, cooking and eating during the COVID-19 lockdown. Journal of the Royal Society of New Zealand 2020, 51, S4 -S22.
AMA StyleSarah Gerritsen, Victoria Egli, Rajshri Roy, Jill Haszard, Charlotte De Backer, Lauranna Teunissen, Isabelle Cuykx, Paulien Decorte, Sara Pabian Pabian, Kathleen Van Royen, Ngāti Whātua Lisa Te Morenga (Ngapuhi. Seven weeks of home-cooked meals: changes to New Zealanders’ grocery shopping, cooking and eating during the COVID-19 lockdown. Journal of the Royal Society of New Zealand. 2020; 51 (sup1):S4-S22.
Chicago/Turabian StyleSarah Gerritsen; Victoria Egli; Rajshri Roy; Jill Haszard; Charlotte De Backer; Lauranna Teunissen; Isabelle Cuykx; Paulien Decorte; Sara Pabian Pabian; Kathleen Van Royen; Ngāti Whātua Lisa Te Morenga (Ngapuhi. 2020. "Seven weeks of home-cooked meals: changes to New Zealanders’ grocery shopping, cooking and eating during the COVID-19 lockdown." Journal of the Royal Society of New Zealand 51, no. sup1: S4-S22.
Type 1 diabetes (T1D) is one of the most common chronic diseases of childhood and comes with considerable management and psychological burden for children and their families. Fear of hypoglycaemia (FOH), particularly nocturnal hypoglycaemia, is a common worry. Continuous glucose monitoring (CGM) is a tool that may help reduce FOH, as well as reduce overall diabetes burden. However, CGM systems are expensive and often not publicly funded or subsidised. MiaoMiao (MM) is a novel relatively affordable third-party add-on technology to intermittently scanned CGM (isCGM). MM allows users to convert their isCGM to a form of “Do-it-yourself” (DIY)-CGM. Our hypothesis is that MM-CGM will result in significant reduction in parental fear from hypoglycaemia. The primary objective is to determine the impact of real-time DIY-CGM on parental fear of hypoglycaemia using Hypoglycaemia Fear Survey (HFS). This is a multisite randomised cross-over study of 55 New Zealand children (ages 2–13 years) with established T1D and current users of isCGM (Abbott FreeStyle Libre). DIY-CGM will be compared to usual care with isCGM. Participants will be randomised to either arm of the study for 6 weeks followed by a 4-week wash-out period before crossing over to the other study arm for a further 6 weeks. The results of this study will provide much needed clinical trial data regarding DIY-CGM effectiveness in reducing parental FOH, as measured by HFS, as well as various other secondary outcomes including traditional glycaemic metrics, and child and caregiver sleep. The trial was registered with the Australian New Zealand Clinical Trials Registry (ACTRN 12619001551189) on 18 November 2019, and the World Health Organisation International Clinical Trial Registry Platform (Universal Trial Number U1111–1236-9189).
Mona Elbalshy; Sara Boucher; Barbara Galland; Jillian J. Haszard; Hamish Crocket; Esko Wiltshire; Craig Jefferies; Martin I. de Bock; Paul Tomlinson; Shirley Jones; Benjamin J. Wheeler. The MiaoMiao study: can do-it-yourself continuous glucose monitoring technology improve fear of hypoglycaemia in parents of children affected by type 1 diabetes? Journal of Diabetes & Metabolic Disorders 2020, 19, 1647 -1658.
AMA StyleMona Elbalshy, Sara Boucher, Barbara Galland, Jillian J. Haszard, Hamish Crocket, Esko Wiltshire, Craig Jefferies, Martin I. de Bock, Paul Tomlinson, Shirley Jones, Benjamin J. Wheeler. The MiaoMiao study: can do-it-yourself continuous glucose monitoring technology improve fear of hypoglycaemia in parents of children affected by type 1 diabetes? Journal of Diabetes & Metabolic Disorders. 2020; 19 (2):1647-1658.
Chicago/Turabian StyleMona Elbalshy; Sara Boucher; Barbara Galland; Jillian J. Haszard; Hamish Crocket; Esko Wiltshire; Craig Jefferies; Martin I. de Bock; Paul Tomlinson; Shirley Jones; Benjamin J. Wheeler. 2020. "The MiaoMiao study: can do-it-yourself continuous glucose monitoring technology improve fear of hypoglycaemia in parents of children affected by type 1 diabetes?" Journal of Diabetes & Metabolic Disorders 19, no. 2: 1647-1658.
Although 24-hour time-use data are increasingly being examined in relation to indices of health, consensus has yet to be reached about the best way to present estimates from compositional analyses. This analysis explored the impact of different presentations of results when assessing the relationship between 24-hour time-use and body mass index (BMI) z-score using compositional analysis of 5-day actigraphy data in 742 children. First it was found that reallocating non-wear time to day-time components only (sedentary behavior, light physical activity, and moderate-to-vigorous physical activity [MVPA]) before normalization to 24 hours provided stronger estimates with BMI z-score than simply removing non-wear time before normalization. Estimates for sleep time were substantially affected, where associations with BMI z-score nearly doubled (mean difference [95% CI] in BMI z-score for 10% longer sleep were −0.20 [−0.32, −0.08] compared to −0.11 [−0.23, 0.002]). Presenting estimates in terms of a greater number of minutes in a component, relative to all others, showed MVPA to be the strongest predictor of BMI z-score, while estimates in terms of the proportion of minutes showed sleep to be the strongest predictor. Both presentations have value. However, presentations in terms of one-to-one “substitutions” of time may need careful interpretation due to the uneven distribution of time in each component. In conclusion, when analyzing relationships between 24-hour time-use and health outcomes, non-wear time and presentation of estimates can impact final conclusions. As a result, the current understanding of the importance of sleep for child health may be underestimated.
Jillian J. Haszard; Kim Meredith-Jones; Victoria Farmer; Sheila Williams; Barbara Galland; Rachael Taylor. Non-Wear Time and Presentation of Compositional 24-Hour Time-Use Analyses Influence Conclusions About Sleep and Body Mass Index in Children. Journal for the Measurement of Physical Behaviour 2020, 3, 1 -7.
AMA StyleJillian J. Haszard, Kim Meredith-Jones, Victoria Farmer, Sheila Williams, Barbara Galland, Rachael Taylor. Non-Wear Time and Presentation of Compositional 24-Hour Time-Use Analyses Influence Conclusions About Sleep and Body Mass Index in Children. Journal for the Measurement of Physical Behaviour. 2020; 3 (3):1-7.
Chicago/Turabian StyleJillian J. Haszard; Kim Meredith-Jones; Victoria Farmer; Sheila Williams; Barbara Galland; Rachael Taylor. 2020. "Non-Wear Time and Presentation of Compositional 24-Hour Time-Use Analyses Influence Conclusions About Sleep and Body Mass Index in Children." Journal for the Measurement of Physical Behaviour 3, no. 3: 1-7.
Despite activity guidelines moving towards a 24-h focus, we have a poor understanding of the 24-h activity patterns of adolescents. Therefore, this study aims to describe the 24-h activity patterns of a sample of adolescent females and investigate the association with body mass index (BMI). Adolescent females aged 15–18 years (n = 119) were recruited across 13 schools in 8 locations throughout New Zealand. Actigraph GT3X+ accelerometers were worn 24-h a day for seven days and the output was used to identify time spent in each 24-h component (sleep, sedentary, light-intensity physical activity and moderate-to-vigorous intensity physical activity). In a 24-h period, adolescent females spent approximately half their time sedentary, one third sleeping and the remainder in light-intensity physical activity (15%) and moderate-to-vigorous intensity physical activity (5%). Higher BMI z-scores were associated with 16 min more time spent in light-intensity physical activity. Additionally, those with higher BMI were less likely to meet the sleep and physical activity guidelines for this age group. Compliance with the moderate-to-vigorous intensity physical activity guidelines, sleep guidelines, or both, was low, especially in those classified as overweight or obese. The association between BMI and light activity warrants further investigation.
Lauren S. Tye; Tessa Scott; Jillian J. Haszard; Meredith C. Peddie. Physical Activity, Sedentary Behaviour and Sleep, and Their Association with BMI in a Sample of Adolescent Females in New Zealand. International Journal of Environmental Research and Public Health 2020, 17, 6346 .
AMA StyleLauren S. Tye, Tessa Scott, Jillian J. Haszard, Meredith C. Peddie. Physical Activity, Sedentary Behaviour and Sleep, and Their Association with BMI in a Sample of Adolescent Females in New Zealand. International Journal of Environmental Research and Public Health. 2020; 17 (17):6346.
Chicago/Turabian StyleLauren S. Tye; Tessa Scott; Jillian J. Haszard; Meredith C. Peddie. 2020. "Physical Activity, Sedentary Behaviour and Sleep, and Their Association with BMI in a Sample of Adolescent Females in New Zealand." International Journal of Environmental Research and Public Health 17, no. 17: 6346.
Background Maternal micronutrient deficits during preconception and pregnancy may persist during lactation and compromise human milk composition. Objective We measured micronutrient concentrations in human milk and investigated their association with maternal micronutrient intakes, status, and milk volume. Methods Infant milk intake (measured via a deuterium dose-to-mother technique), milk micronutrient and fat concentrations, and maternal micronutrient intakes were assessed at 2 and 5 mo postpartum in 212 Indonesian lactating mother–infant pairs. Maternal hemoglobin, ferritin, transferrin receptors, retinol binding protein (RBP), zinc, selenium, and vitamin B-12 were measured at 5 mo (n = 163). Multivariate or mixed effects regression examined associations of milk micronutrient concentrations with maternal micronutrient intakes, status, and milk volume. Results Prevalence of anemia (15%), and iron (15% based on body iron), selenium (2.5%), and vitamin B-12 deficiency (0%) were low compared with deficiencies of zinc (60%) and vitamin A (34%). The prevalence of inadequate intakes was >50% for 7 micronutrients at 2 and 5 mo. Median milk concentrations for most micronutrients were below reference values, and nearly all declined between 2 and 5 mo postpartum and were not associated substantially with milk volume (except for β-carotene, α-carotene, and β-cryptoxanthin). At 5 mo postpartum, associations between maternal micronutrient status and corresponding milk concentrations reported as mean percentage difference in human milk concentration for each unit higher maternal biomarker were significant for hemoglobin (1.9%), iron biomarkers (ranging from 0.4 to 7%), RBP (35%), selenium (70%), and vitamin B-12 (0.1%), yet for maternal intakes only a positive association with β-carotene existed. Conclusions Most milk micronutrient concentrations declined during lactation, independent of changes in human milk production, and few were associated with maternal micronutrient intakes. The significant associations between maternal biomarkers and milk micronutrient concentrations at 5 mo warrant further study to investigate whether the declines in milk micronutrients are linked to shifts in maternal status.
Rosalind S Gibson; Sofa Rahmannia; Aly Diana; Claudia Leong; Jillian J Haszard; Daniela Hampel; Malcolm Reid; Juergen Erhardt; Aghnia Husnayiani Suryanto; Wina Nur Sofiah; Annisha Fathonah; Setareh Shahab-Ferdows; Lindsay H Allen; Lisa A Houghton. Association of maternal diet, micronutrient status, and milk volume with milk micronutrient concentrations in Indonesian mothers at 2 and 5 months postpartum. The American Journal of Clinical Nutrition 2020, 112, 1039 -1050.
AMA StyleRosalind S Gibson, Sofa Rahmannia, Aly Diana, Claudia Leong, Jillian J Haszard, Daniela Hampel, Malcolm Reid, Juergen Erhardt, Aghnia Husnayiani Suryanto, Wina Nur Sofiah, Annisha Fathonah, Setareh Shahab-Ferdows, Lindsay H Allen, Lisa A Houghton. Association of maternal diet, micronutrient status, and milk volume with milk micronutrient concentrations in Indonesian mothers at 2 and 5 months postpartum. The American Journal of Clinical Nutrition. 2020; 112 (4):1039-1050.
Chicago/Turabian StyleRosalind S Gibson; Sofa Rahmannia; Aly Diana; Claudia Leong; Jillian J Haszard; Daniela Hampel; Malcolm Reid; Juergen Erhardt; Aghnia Husnayiani Suryanto; Wina Nur Sofiah; Annisha Fathonah; Setareh Shahab-Ferdows; Lindsay H Allen; Lisa A Houghton. 2020. "Association of maternal diet, micronutrient status, and milk volume with milk micronutrient concentrations in Indonesian mothers at 2 and 5 months postpartum." The American Journal of Clinical Nutrition 112, no. 4: 1039-1050.
Arterial stiffness is an important marker of vascular damage and a strong predictor of cardiovascular diseases (CVD). Given that pathophysiological processes leading to an increased arterial stiffness begin during childhood, the aim of this clustered observational study was to determine the relationship between modifiable factors including dietary patterns and indices of aortic arterial stiffness and wave reflection in 9–11-year-old children. Data collection was conducted between April and December 2015 in 17 primary schools in Dunedin, New Zealand. Dietary data were collected using a previously validated food frequency questionnaire and identified using principal component analysis method. Arterial stiffness (carotid-femoral pulse wave velocity, PWV) and central arterial wave reflection (augmentation index, AIx) were measured using the SphygmoCor XCEL system (Atcor Medical, Sydney, Australia). Complete data for PWV and AIx analyses were available for 389 and 337 children, respectively. The mean age of children was 9.7 ± 0.7 years, 49.0% were girls and 76.0% were classified as “normal weight”. The two identified dietary patterns were “Snacks” and “Fruit and Vegetables”. Mean PWV and AIx were 5.8 ± 0.8 m/s and −2.1 ± 14.1%, respectively. There were no clinically meaningful relationships between the identified dietary pattern scores and either PWV or AIx in 9–11-year-old children.
Pouya Saeedi; Jillian Haszard; Lee Stoner; Sheila Skeaff; Katherine E. Black; Brittany Davison; Harriet Harrex; Kim Meredith-Jones; Robin Quigg; Jyh Eiin Wong; Paula M. L. Skidmore. Relationships between Dietary Patterns and Indices of Arterial Stiffness and Central Arterial Wave Reflection in 9–11-Year-Old Children. Children 2020, 7, 66 .
AMA StylePouya Saeedi, Jillian Haszard, Lee Stoner, Sheila Skeaff, Katherine E. Black, Brittany Davison, Harriet Harrex, Kim Meredith-Jones, Robin Quigg, Jyh Eiin Wong, Paula M. L. Skidmore. Relationships between Dietary Patterns and Indices of Arterial Stiffness and Central Arterial Wave Reflection in 9–11-Year-Old Children. Children. 2020; 7 (6):66.
Chicago/Turabian StylePouya Saeedi; Jillian Haszard; Lee Stoner; Sheila Skeaff; Katherine E. Black; Brittany Davison; Harriet Harrex; Kim Meredith-Jones; Robin Quigg; Jyh Eiin Wong; Paula M. L. Skidmore. 2020. "Relationships between Dietary Patterns and Indices of Arterial Stiffness and Central Arterial Wave Reflection in 9–11-Year-Old Children." Children 7, no. 6: 66.