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Published in: BMC Pediatrics 1/2018

Open Access 01-12-2018 | Research article

Differences in infant feeding practices between Chinese-born and Australian-born mothers living in Australia: a cross-sectional study

Authors: Kristy A. Bolton, Peter Kremer, Kylie D. Hesketh, Rachel Laws, Konsita Kuswara, Karen J. Campbell

Published in: BMC Pediatrics | Issue 1/2018

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Abstract

Background

Chinese immigrants are the third largest immigrant group in Australia. Recent qualitative evidence from Victorian Maternal and Child Health nurses indicate that infants of Chinese parents commonly have rapid growth trajectories and that high value is placed on rapid growth and having a fatter child; with low breastfeeding rates and overfeeding of infant formula. The aim of this study was to compare infant feeding practices (breastfeeding, infant formula, other liquids, solids) of Chinese-born and Australian-born mothers living in Australia.

Methods

Using the Australian National Infant Feeding Survey dataset (2010–2011), infant feeding data from Chinese-born mothers (n = 602) were compared with a random sub-sample of Australian-born mothers (n = 602). Group differences on feeding practices were tested using Chi-square or t-tests and the effect of ethnicity on infant feeding behaviours assessed using regression.

Results

Compared to infants of Australian-born mothers, infants of Chinese-born mothers were younger when they first consumed infant formula, water-based drinks and fruit juice and older when they first ate solid foods (p < 0.05). Furthermore, infants of Chinese-born mothers were less likely to have ever had cow’s milk (OR: 0.37 95%CI:, 0.18–0.78) and solids (0.41, 0.25–0.68); but were more likely to have ever had infant formula (2.19, 1.32–3.62), water (2.45, 1.55–3.87), toddler milk (3.39, 1.60–7.18), water-based drinks (e.g. cordial, soft drink, tea; 2.48, 1.12–5.49), and fruit juice (4.03, 2.50–6.51). Those ≤4 months of age were more likely to have had water-based drinks (7.77, 1.96–30.77) and fruit juice (3.44, 1.14–10.38) (p < 0.05) compared to infants of Australian-born mothers.

Conclusion

Differences in mothers’ early infant feeding practices exist between Chinese-born and Australian-born mothers living in Australia. Better understanding these ethnically patterned infant feeding practices is important for identifying key opportunities to promote best nutrition and growth in early life in different ethnic groups within our population.
Literature
4.
go back to reference Hardy LL, King L, Hector D, Baur LA. Socio-cultural differences in Australian primary school children's weight and weight-related behaviours. J Paediatr Child Health. 2013 Aug;49(8):641–8.CrossRefPubMed Hardy LL, King L, Hector D, Baur LA. Socio-cultural differences in Australian primary school children's weight and weight-related behaviours. J Paediatr Child Health. 2013 Aug;49(8):641–8.CrossRefPubMed
5.
go back to reference Waters E, Ashbolt R, Gibbs L, Booth M, Magarey A, Gold L, et al. Double disadvantage: the influence of ethnicity over socioeconomic position on childhood overweight and obesity: findings from an inner urban population of primary school children. Int J Pediatr Obes. 2008;3(4):196–204.CrossRefPubMed Waters E, Ashbolt R, Gibbs L, Booth M, Magarey A, Gold L, et al. Double disadvantage: the influence of ethnicity over socioeconomic position on childhood overweight and obesity: findings from an inner urban population of primary school children. Int J Pediatr Obes. 2008;3(4):196–204.CrossRefPubMed
6.
go back to reference Wake M, Hardy P, Canterford L, Sawyer M, Carlin JB. Overweight, obesity and girth of Australian preschoolers: prevalence and socio-economic correlates. Int J Obes. 2007 Jul;31(7):1044–51.CrossRef Wake M, Hardy P, Canterford L, Sawyer M, Carlin JB. Overweight, obesity and girth of Australian preschoolers: prevalence and socio-economic correlates. Int J Obes. 2007 Jul;31(7):1044–51.CrossRef
7.
go back to reference Caprio S, Daniels SR, Drewnowski A, Kaufman FR, Palinkas LA, Rosenbloom AL, et al. Influence of race, ethnicity, and culture on childhood obesity: implications for prevention and treatment. Obesity. 2008 Dec;16(12):2566–77.CrossRefPubMed Caprio S, Daniels SR, Drewnowski A, Kaufman FR, Palinkas LA, Rosenbloom AL, et al. Influence of race, ethnicity, and culture on childhood obesity: implications for prevention and treatment. Obesity. 2008 Dec;16(12):2566–77.CrossRefPubMed
8.
go back to reference Diong S, Johnson M, Breastfeeding LR. Chinese mothers living in Australia. Breastfeed Rev. 2000 Jul;8(2):17–23.PubMed Diong S, Johnson M, Breastfeeding LR. Chinese mothers living in Australia. Breastfeed Rev. 2000 Jul;8(2):17–23.PubMed
9.
go back to reference Li B, Adab P, Cheng KK. The role of grandparents in childhood obesity in China - evidence from a mixed methods study. Int J Behav Nutr Phys Act. 2015;12(1):91.CrossRefPubMedPubMedCentral Li B, Adab P, Cheng KK. The role of grandparents in childhood obesity in China - evidence from a mixed methods study. Int J Behav Nutr Phys Act. 2015;12(1):91.CrossRefPubMedPubMedCentral
10.
go back to reference Kuswara K, Laws R, Kremer P, Hesketh KD, Campbell K. The infant feeding practices of Chinese immigrant mothers in Australia: a qualitative exploration. Appetite. 2016;105:375–84.CrossRefPubMed Kuswara K, Laws R, Kremer P, Hesketh KD, Campbell K. The infant feeding practices of Chinese immigrant mothers in Australia: a qualitative exploration. Appetite. 2016;105:375–84.CrossRefPubMed
11.
go back to reference Baird J, Fisher D, Lucas P, Kleijnen J, Roberts H, Law C. Being big or growing fast: systematic review of size and growth in infancy and later obesity. BMJ. 2005 Oct 22;331(7522):929.CrossRefPubMedPubMedCentral Baird J, Fisher D, Lucas P, Kleijnen J, Roberts H, Law C. Being big or growing fast: systematic review of size and growth in infancy and later obesity. BMJ. 2005 Oct 22;331(7522):929.CrossRefPubMedPubMedCentral
12.
go back to reference Ong KK, Loos RJ. Rapid infancy weight gain and subsequent obesity: systematic reviews and hopeful suggestions. Acta Paediatr. 2006 Aug;95(8):904–8.CrossRefPubMed Ong KK, Loos RJ. Rapid infancy weight gain and subsequent obesity: systematic reviews and hopeful suggestions. Acta Paediatr. 2006 Aug;95(8):904–8.CrossRefPubMed
13.
go back to reference Monteiro PO, Victora CG. Rapid growth in infancy and childhood and obesity in later life--a systematic review. Obes Rev. 2005 May;6(2):143–54.CrossRefPubMed Monteiro PO, Victora CG. Rapid growth in infancy and childhood and obesity in later life--a systematic review. Obes Rev. 2005 May;6(2):143–54.CrossRefPubMed
14.
go back to reference Dennison BA, Edmunds LS, Stratton HH, Pruzek RM. Rapid infant weight gain predicts childhood overweight. Obesity. 2006 Mar;14(3):491–9.CrossRefPubMed Dennison BA, Edmunds LS, Stratton HH, Pruzek RM. Rapid infant weight gain predicts childhood overweight. Obesity. 2006 Mar;14(3):491–9.CrossRefPubMed
15.
go back to reference Koletzko B, von Kries R, Closa R, Escribano J, Scaglioni S, Giovannini M, et al. Can infant feeding choices modulate later obesity risk? Am J Clin Nutr 2009 May;89(5):1502S–8S. Koletzko B, von Kries R, Closa R, Escribano J, Scaglioni S, Giovannini M, et al. Can infant feeding choices modulate later obesity risk? Am J Clin Nutr 2009 May;89(5):1502S–8S.
16.
go back to reference Arenz S, Ruckerl R, Koletzko B, von Kries R. Breast-feeding and childhood obesity--a systematic review. Int J Obes Relat Metab Disord. 2004 Oct;28(10):1247–56.CrossRefPubMed Arenz S, Ruckerl R, Koletzko B, von Kries R. Breast-feeding and childhood obesity--a systematic review. Int J Obes Relat Metab Disord. 2004 Oct;28(10):1247–56.CrossRefPubMed
17.
go back to reference Pearce J, Taylor MA, Langley-Evans SC. Timing of the introduction of complementary feeding and risk of childhood obesity: a systematic review. Int J Obes. 2013 Oct;37(10):1295–306.CrossRef Pearce J, Taylor MA, Langley-Evans SC. Timing of the introduction of complementary feeding and risk of childhood obesity: a systematic review. Int J Obes. 2013 Oct;37(10):1295–306.CrossRef
18.
go back to reference Huh SY, Rifas-Shiman SL, Taveras EM, Oken E, Gillman MW. Timing of solid food introduction and risk of obesity in preschool-aged children. Pediatrics. 2011 Mar;127(3):e544–51.CrossRefPubMedPubMedCentral Huh SY, Rifas-Shiman SL, Taveras EM, Oken E, Gillman MW. Timing of solid food introduction and risk of obesity in preschool-aged children. Pediatrics. 2011 Mar;127(3):e544–51.CrossRefPubMedPubMedCentral
19.
go back to reference Mihrshahi S, Battistutta D, Magarey A, Daniels LA. Determinants of rapid weight gain during infancy: baseline results from the NOURISH randomised controlled trial. BMC Pediatr. 2011;11:99.CrossRefPubMedPubMedCentral Mihrshahi S, Battistutta D, Magarey A, Daniels LA. Determinants of rapid weight gain during infancy: baseline results from the NOURISH randomised controlled trial. BMC Pediatr. 2011;11:99.CrossRefPubMedPubMedCentral
20.
go back to reference Li L, Zhang M, Scott JA, Binns CW. Infant feeding practices in home countries and Australia: Perth Chinese mothers survey. Nutr Diet. 2005;62:82–8.CrossRef Li L, Zhang M, Scott JA, Binns CW. Infant feeding practices in home countries and Australia: Perth Chinese mothers survey. Nutr Diet. 2005;62:82–8.CrossRef
21.
go back to reference Dahlen HG, Homer CS. Infant feeding in the first 12 weeks following birth: a comparison of patterns seen in Asian and non-Asian women in Australia. Women Birth. 2010 Mar;23(1):22–8.CrossRefPubMed Dahlen HG, Homer CS. Infant feeding in the first 12 weeks following birth: a comparison of patterns seen in Asian and non-Asian women in Australia. Women Birth. 2010 Mar;23(1):22–8.CrossRefPubMed
22.
go back to reference National Health and Medical Research Council. Infant feeding guidelines. Canberra; 2012. National Health and Medical Research Council. Infant feeding guidelines. Canberra; 2012.
23.
go back to reference Harder T, Bergmann R, Kallischnigg G, Plagemann A. Duration of breastfeeding and risk of overweight: a meta-analysis. Am J Epidemiol. 2005 Sep 1;162(5):397–403.CrossRefPubMed Harder T, Bergmann R, Kallischnigg G, Plagemann A. Duration of breastfeeding and risk of overweight: a meta-analysis. Am J Epidemiol. 2005 Sep 1;162(5):397–403.CrossRefPubMed
24.
go back to reference Owen CG, Martin RM, Whincup PH, Smith GD, Cook DG. Effect of infant feeding on the risk of obesity across the life course: a quantitative review of published evidence. Pediatrics. 2005 May;115(5):1367–77.CrossRefPubMed Owen CG, Martin RM, Whincup PH, Smith GD, Cook DG. Effect of infant feeding on the risk of obesity across the life course: a quantitative review of published evidence. Pediatrics. 2005 May;115(5):1367–77.CrossRefPubMed
25.
go back to reference Oddy WH, Mori TA, Huang RC, Marsh JA, Pennell CE, Chivers PT, et al. Early infant feeding and adiposity risk: from infancy to adulthood. Ann Nutr Metab. 2014;64(3–4):262–70.CrossRefPubMed Oddy WH, Mori TA, Huang RC, Marsh JA, Pennell CE, Chivers PT, et al. Early infant feeding and adiposity risk: from infancy to adulthood. Ann Nutr Metab. 2014;64(3–4):262–70.CrossRefPubMed
26.
go back to reference Horta BL. Victora CG. In: Long-term effects of breastfeeding: a systematic review; 2013. Horta BL. Victora CG. In: Long-term effects of breastfeeding: a systematic review; 2013.
27.
go back to reference Koletzko B, von Kries R, Closa R, Escribano J, Scaglioni S, Giovannini M, et al. Lower protein in infant formula is associated with lower weight up to age 2 y: a randomized clinical trial. Am J Clin Nutr. 2009 Jun;89(6):1836–45.CrossRefPubMed Koletzko B, von Kries R, Closa R, Escribano J, Scaglioni S, Giovannini M, et al. Lower protein in infant formula is associated with lower weight up to age 2 y: a randomized clinical trial. Am J Clin Nutr. 2009 Jun;89(6):1836–45.CrossRefPubMed
28.
go back to reference Weber M, Grote V, Closa-Monasterolo R, Escribano J, Langhendries JP, Dain E, et al. Lower protein content in infant formula reduces BMI and obesity risk at school age: follow-up of a randomized trial. Am J Clin Nutr. 2014 May;99(5):1041–51.CrossRefPubMed Weber M, Grote V, Closa-Monasterolo R, Escribano J, Langhendries JP, Dain E, et al. Lower protein content in infant formula reduces BMI and obesity risk at school age: follow-up of a randomized trial. Am J Clin Nutr. 2014 May;99(5):1041–51.CrossRefPubMed
29.
go back to reference Thompson AL. Developmental origins of obesity: early feeding environments, infant growth, and the intestinal microbiome. Am J Hum Biol. 2012 May-Jun;24(3):350–60.CrossRefPubMed Thompson AL. Developmental origins of obesity: early feeding environments, infant growth, and the intestinal microbiome. Am J Hum Biol. 2012 May-Jun;24(3):350–60.CrossRefPubMed
30.
go back to reference Wang J, Wu Y, Xiong G, Chao T, Jin Q, Liu R, et al. Introduction of complementary feeding before 4 months of age increases the risk of childhood overweight or obesity; a meta-analysis of prospective cohort studies. Nutr Res. 2016;36(8):759–70.CrossRefPubMed Wang J, Wu Y, Xiong G, Chao T, Jin Q, Liu R, et al. Introduction of complementary feeding before 4 months of age increases the risk of childhood overweight or obesity; a meta-analysis of prospective cohort studies. Nutr Res. 2016;36(8):759–70.CrossRefPubMed
31.
go back to reference Australian Institute of Health and Welfare. Australian National Infant Feeding Survey: indicator results. In: Canberra: Australian Institute of Health and Welfare2011; 2010. Australian Institute of Health and Welfare. Australian National Infant Feeding Survey: indicator results. In: Canberra: Australian Institute of Health and Welfare2011; 2010.
32.
go back to reference Adhikari P, Cooper-Stanbury M. Australian National Infant Feeding Survey. In: Study documentation. Canberra: Australian Institute of Health and Welfare2014; 2010. Adhikari P, Cooper-Stanbury M. Australian National Infant Feeding Survey. In: Study documentation. Canberra: Australian Institute of Health and Welfare2014; 2010.
33.
go back to reference Taveras EM, Gillman MW, Kleinman KP, Rich-Edwards JW, Rifas-Shiman SL. Reducing racial/ethnic disparities in childhood obesity: the role of early life risk factors. JAMA Pediatr. 2013 Aug 1;167(8):731–8.CrossRefPubMed Taveras EM, Gillman MW, Kleinman KP, Rich-Edwards JW, Rifas-Shiman SL. Reducing racial/ethnic disparities in childhood obesity: the role of early life risk factors. JAMA Pediatr. 2013 Aug 1;167(8):731–8.CrossRefPubMed
34.
go back to reference Griffiths LJ, Tate AR, Dezateux C. The contribution of parental and community ethnicity to breastfeeding practices: evidence from the millennium cohort study. Int J Epidemiol. 2005 Dec;34(6):1378–86.CrossRefPubMed Griffiths LJ, Tate AR, Dezateux C. The contribution of parental and community ethnicity to breastfeeding practices: evidence from the millennium cohort study. Int J Epidemiol. 2005 Dec;34(6):1378–86.CrossRefPubMed
35.
go back to reference Singh GK, Kogan MD, Dee DL. Nativity/immigrant status, race/ethnicity, and socioeconomic determinants of breastfeeding initiation and duration in the United States, 2003. Pediatrics. 2007 Feb;119(Suppl 1):S38–46.CrossRefPubMed Singh GK, Kogan MD, Dee DL. Nativity/immigrant status, race/ethnicity, and socioeconomic determinants of breastfeeding initiation and duration in the United States, 2003. Pediatrics. 2007 Feb;119(Suppl 1):S38–46.CrossRefPubMed
36.
go back to reference Zhou Q, Younger KM, Kearney JM. An exploration of the knowledge and attitudes towards breastfeeding among a sample of Chinese mothers in Ireland. BMC Public Health. 2010;10:722.CrossRefPubMedPubMedCentral Zhou Q, Younger KM, Kearney JM. An exploration of the knowledge and attitudes towards breastfeeding among a sample of Chinese mothers in Ireland. BMC Public Health. 2010;10:722.CrossRefPubMedPubMedCentral
37.
go back to reference Chen WL. Understanding the cultural context of Chinese mothers' perceptions of breastfeeding and infant health in Canada. J Clin Nurs. 2010 Apr;19(7–8):1021–9.CrossRefPubMed Chen WL. Understanding the cultural context of Chinese mothers' perceptions of breastfeeding and infant health in Canada. J Clin Nurs. 2010 Apr;19(7–8):1021–9.CrossRefPubMed
38.
go back to reference Rossiter MD, Colapinto CK, Khan MKA, McIsaac J-LD, Williams PL, Kirk SFL, et al. Breast, formula and combination feeding in relation to childhood obesity in Nova Scotia, Canada. Matern Child Health J. 2015 Feb;19(9):2048–56.CrossRefPubMed Rossiter MD, Colapinto CK, Khan MKA, McIsaac J-LD, Williams PL, Kirk SFL, et al. Breast, formula and combination feeding in relation to childhood obesity in Nova Scotia, Canada. Matern Child Health J. 2015 Feb;19(9):2048–56.CrossRefPubMed
39.
go back to reference Janssen PA, Livingstone VH, Chang B, Klein MC. Development and evaluation of a Chinese-language newborn feeding hotline: a prospective cohort study. BMC Pregnancy Childbirth. 2009;9:3.CrossRefPubMedPubMedCentral Janssen PA, Livingstone VH, Chang B, Klein MC. Development and evaluation of a Chinese-language newborn feeding hotline: a prospective cohort study. BMC Pregnancy Childbirth. 2009;9:3.CrossRefPubMedPubMedCentral
40.
go back to reference Amezdroz E, Carpenter L, O'Callaghan E, Johnson S, Waters E. Transition from milks to the introduction of solid foods across the first 2 years of life: findings from an Australian birth cohort study. J Hum Nutr Diet. 2015 Aug;28(4):375–83.CrossRefPubMedPubMedCentral Amezdroz E, Carpenter L, O'Callaghan E, Johnson S, Waters E. Transition from milks to the introduction of solid foods across the first 2 years of life: findings from an Australian birth cohort study. J Hum Nutr Diet. 2015 Aug;28(4):375–83.CrossRefPubMedPubMedCentral
41.
go back to reference Griffiths LJ, Tate AR, Dezateux C. Do early infant feeding practices vary by maternal ethnic group? Public Health Nutr. 2007 Sep;10(9):957–64.CrossRefPubMed Griffiths LJ, Tate AR, Dezateux C. Do early infant feeding practices vary by maternal ethnic group? Public Health Nutr. 2007 Sep;10(9):957–64.CrossRefPubMed
42.
go back to reference Pan L, Li R, Park S, Galuska DA, Sherry B, Freedman DS. A longitudinal analysis of sugar-sweetened beverage intake in infancy and obesity at 6 years. Pediatrics. 2014;134(Suppl 1):S29–35.CrossRefPubMedPubMedCentral Pan L, Li R, Park S, Galuska DA, Sherry B, Freedman DS. A longitudinal analysis of sugar-sweetened beverage intake in infancy and obesity at 6 years. Pediatrics. 2014;134(Suppl 1):S29–35.CrossRefPubMedPubMedCentral
43.
go back to reference Sahota P, Gatenby LA, Greenwood DC, Bryant M, Robinson S, Wright J. Ethnic differences in dietary intake at age 12 and 18 months: the born in Bradford 1000 study. Public Health Nutr. 2016;19(1):114–22.CrossRefPubMed Sahota P, Gatenby LA, Greenwood DC, Bryant M, Robinson S, Wright J. Ethnic differences in dietary intake at age 12 and 18 months: the born in Bradford 1000 study. Public Health Nutr. 2016;19(1):114–22.CrossRefPubMed
44.
go back to reference Faith MS, Dennison BA, Edmunds LS, Stratton HH. Fruit juice intake predicts increased adiposity gain in children from low-income families: weight status-by-environment interaction. Pediatrics. 2006 Nov;118(5):2066–75.CrossRefPubMed Faith MS, Dennison BA, Edmunds LS, Stratton HH. Fruit juice intake predicts increased adiposity gain in children from low-income families: weight status-by-environment interaction. Pediatrics. 2006 Nov;118(5):2066–75.CrossRefPubMed
45.
go back to reference Sonneville KR, Long MW, Rifas-Shiman SL, Kleinman K, Gillman MW, Taveras EM. Juice and water intake in infancy and later beverage intake and adiposity: could juice be a gateway drink? Obesity. 2015 Jan;23(1):170–6.CrossRefPubMed Sonneville KR, Long MW, Rifas-Shiman SL, Kleinman K, Gillman MW, Taveras EM. Juice and water intake in infancy and later beverage intake and adiposity: could juice be a gateway drink? Obesity. 2015 Jan;23(1):170–6.CrossRefPubMed
46.
go back to reference Shefferly A, Scharf RJ, DeBoer MD. Longitudinal evaluation of 100% fruit juice consumption on BMI status in 2–5-year-old children. Pediatr Obes. 2016;11(3):221–7.CrossRefPubMed Shefferly A, Scharf RJ, DeBoer MD. Longitudinal evaluation of 100% fruit juice consumption on BMI status in 2–5-year-old children. Pediatr Obes. 2016;11(3):221–7.CrossRefPubMed
47.
go back to reference Gaffney KF, Kitsantas P, Cheema J. Clinical practice guidelines for feeding behaviors and weight-for-age at 12 months: a secondary analysis of the infant feeding practices study II. Worldviews Evid-Based Nurs. 2012 Dec;9(4):234–42.CrossRefPubMed Gaffney KF, Kitsantas P, Cheema J. Clinical practice guidelines for feeding behaviors and weight-for-age at 12 months: a secondary analysis of the infant feeding practices study II. Worldviews Evid-Based Nurs. 2012 Dec;9(4):234–42.CrossRefPubMed
Metadata
Title
Differences in infant feeding practices between Chinese-born and Australian-born mothers living in Australia: a cross-sectional study
Authors
Kristy A. Bolton
Peter Kremer
Kylie D. Hesketh
Rachel Laws
Konsita Kuswara
Karen J. Campbell
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2018
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-018-1157-0

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