Maternal Factors and Their Association with Patterns of Beverage Intake in Mexican Children and Adolescents
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Participants
2.2. Measurements
2.2.1. Beverage, Water, Energy and Added Sugar Intake
2.2.2. Patterns of Beverages Intake
2.2.3. Maternal Factors
2.3. Statistical Analysis
3. Results
3.1. Beverage Sources
3.2. Maternal Factors
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Acknowledgments
Conflicts of Interest
References
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Variable | Total Sample | Children 4–8 y | Children 9–13 y | Adolescent 14–18 y | |||
---|---|---|---|---|---|---|---|
(n = 526; 34%) | (n = 588; 38%) | (n = 417; 27%) | |||||
n = 1532 | Female | Male | Female | Male | Female | Male | |
n = 230; 53% | n = 296; 47% | n = 272; 45% | n = 316; 56% | n = 208; 50% | n = 209; 50% | ||
Age (years ± S.D.) | 11.1 ± 3.7 | 6.9 ± 1.2 | 7.2 ± 1.2 | 11.5 ± 1.4 | 11.4 ± 1.5 | 15.9 ± 1.1 | 15.8 ± 1.2 |
Weight (kg ± S.D.) | 41.5 ± 17.9 | 23.9 ± 6.8 | 25.2 ± 7.4 | 44.1 ± 13.8 | 42.9 ± 12.9 | 57.9 ± 11.1 | 62.3 ±13.3 |
Height (cm ± S.D.) | 141.6 ± 19.4 | 118.4 ± 9.4 | 121.4 ± 9.1 | 145.7 ±10.0 | 145.8 ±11.1 | 156.1 ± 6.3 | 168.5 ±6.5 |
BMI (kg/m2 ± S.D.) | 19.6 ± 4.5 | 16.8 ± 2.8 | 16.8 ± 3.1 | 20.3 ± 4.5 | 19.8 ± 4.2 | 23.3 ± 3.9 | 21.9 ± 4.2 |
BMI WHO classification | |||||||
Underweight (n, %) | 71 (5%) | 12 (5%) | 18 (6%) | 9 (3%) | 20 (6%) | 1 (0%) | 11 (5%) |
Healthy weight | 983 (64%) | 154 (67%) | 201 (68%) | 164 (60%) | 184 (58%) | 136 (65%) | 144 (69%) |
Overweight | 246 (16%) | 33 (14%) | 36 (12%) | 51 (19%) | 48 (15%) | 52 (25%) | 26 (12%) |
Obesity | 231 (15%) | 31 (13%) | 41 (14%) | 48 (18%) | 64 (20%) | 19 (9%) | 28 (13%) |
Puberal Tanner stage | |||||||
1 (n, %) | 725 (47%) | 222 (97%) | 296 (100%) | 49 (18%) | 158 (50%) | 0 | 0 |
2 | 183 (12%) | 8 (3%) | 0 | 80 (29%) | 91 (29%) | 0 | 3 (1%) |
3 | 189 (12%) | 0 | 0 | 91 (33%) | 50 (16%) | 13 (6%) | 35 (17%) |
4 | 285 (19%) | 0 | 0 | 51 (19%) | 16 (5%) | 116 (56%) | 102 (49%) |
5 | 150 (10%) | 0 | 0 | 1 (0%) | 1 (0%) | 79 (38%) | 69 (33%) |
Maternal factors | |||||||
Mothers´ age (years ± S.D.) | 38.7 ± 7.1 | 35.2 ± 5.9 | 35.0 ± 6.6 | 39.0 ± 6.7 | 39.0 ± 6.7 | 42.8 ± 6.7 | 42.7 ± 5.8 |
Mothers’ BMI (kg/m2 ± S.D.) | 27.3 ± 4.6 | 26.9 ± 4.6 | 26.7 ± 4.6 | 27.5 ± 4.7 | 27.5 ± 4.7 | 27.6 ± 4.4 | 27.7 ± 4.5 |
Mother BMI category | |||||||
Under weight | 11 (1%) | 2 (1%) | 5 (2%) | 2 (1%) | 2 (1%) | 0 (0%) | 0 (0%) |
Healthy weight | 484 (33%) | 81 (37%) | 106 (37%) | 86 (33%) | 91 (30%) | 62 (31%) | 58 (29%) |
Overweight | 619 (42%) | 80 (37%) | 116 (40%) | 110 (43%) | 135 (44%) | 86 (44%) | 90 (44%) |
Obesity | 356 (24%) | 54 (25%) | 60 (21%) | 61 (23%) | 76 (25%) | 50 (25%) | 55 (27%) |
Mother level education | |||||||
Elementary school | 71 (5%) | 11 (5%) | 10 (3%) | 7 (3%) | 18 (6%) | 10 (5%) | 15 (7%) |
Secondary school | 334 (22%) | 48 (21%) | 54 (18%) | 55 (20%) | 77 (24%) | 51 (25%) | 49 (23%) |
High school | 417 (27%) | 68 (30%) | 85 (29%) | 85 (31%) | 73 (23%) | 50 (24%) | 56 (27%) |
Post–secondary education | 161 (11%) | 13 (6%) | 25 (8%) | 37 (14%) | 38 (12%) | 28 (13%) | 20 (10%) |
Bachelor | 500 (33%) | 79 (34%) | 116 (39%) | 82 (30%) | 96 (30%) | 62 (30%) | 65 (31%) |
Master or equivalent | 49 (3%) | 11 (5%) | 7 (2%) | 6 (2%) | 14, (4%) | 7 (3%) | 4 (2%) |
Belongingness to the paid workforce | 807 (53%) | 121 (53%) | 153 (52%) | 154 (57%) | 165 (53%) | 107 (52%) | 107 (52%) |
Socioeconomical level | |||||||
Low | 310 (42%) | 40 (40%) | 81 (42%) | 57 (44%) | 43 (42%) | 47 (42%) | 42 (42%) |
Middle | 392 (53%) | 53 (53%) | 104 (54%) | 66 (51%) | 53 (52%) | 61 (55%) | 55 (56%) |
Upper | 33 (5%) | 7 (7%) | 8 (4%) | 7 (5%) | 6 (6%) | 3 (3%) | 2 (2%) |
Age Group | Sex | Total Water Intake (TWI) mL | 1. Water mL | 2. Tea and Coffee mL | 3. Low Fat & Skim Milk | 4. Noncalorically Sweetened Beverages | 5. Caloric Beverages with Some Nutrients | 6. Calorically Sweetened Beverages | Total Daily Energy Intake (TDEI) (kcal/d) | Daily Energy Intake from Beverages (kcal/d) | Energy Intake Coming from Beverages (% of TDEI) | Added Sugar Intake from Beverages (g/d) | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mean ± S.D. | Median (IQR) | Mean ± S.D. | Median (IQR) | Mean ± S.D. | Median (IQR) | Mean ± S.D. | Median (IQR) | Mean ± S.D. | Median (IQR) | Mean ± S.D. | Median (IQR) | Mean ± S.D. | Median (IQR) | Mean ± S.D. | Median (IQR) | Mean ± S.D. | Median (IQR) | % of TDEI | Mean ± S.D. | Median (IQR) | ||
4–8 y | F | 1511 ± 644 | 1415 (1060–1850) | 547 ± 494 | 500 (250–750) | 7 ± 46 | 0 (0–0) | 68 ± 162 | 0 (0–0) | 27 ± 129 | 0 (0–0) | 748 ± 526 | 628 (450–1000) | 113 ± 185 | 0 (0–250) | 2032 ± 533 | 1969 (1619–2359) | 441 ± 195 | 435 (304–556) | 22% (20.7–23.2) | 27 ± 25 | 20 (5–44) |
M | 1699 ± 680 | 1560 (1250–2000) | 683 ± 547 | 560 (250–1000) | 4 ± 32 | 0 (0–0) | 77 ± 169 | 0 (0–0) | 42 ± 154 | 0 (0–0) | 794 ± 545 | 750 (430–1060) | 97 ± 188 | 0 (0–120) | 2366 ± 1920 | 2176 (1749–2597) | 475 ± 201 | 443 (327–600) | 22.1% (21.0–23.3) | 29 ± 27 | 22 (9–40) | |
9–13 y | F | 1768 ± 664 | 1693 (1305–2100) | 791 ± 696 | 628 (250–1100) | 10 ± 53 | 0 (0–0) | 72 ± 165 | 0 (0–0) | 21 ± 101 | 0 (0–0) | 736 ± 532 | 655 (365–1035) | 136 ± 228 | 0 (0–250) | 2409 ± 986 | 2266 (1868–2762) | 443 ± 208 | 440 (300–580) | 19.5% (18.4–20.6) | 33 ± 32 | 26 (7–51) |
M | 1831 ± 713 | 1750 (1355–2200) | 783 ± 652 | 750 (250–1175) | 4 ± 68 | 0 (0–0) | 63 ± 169 | 0 (0–0) | 43 ± 215 | 0 (0–0) | 790 ± 562 | 750 (500–1060) | 145 ± 276 | 0 (0–250) | 2691 ± 855 | 2564 (2118–3155) | 509 ± 248 | 470 (350–630) | 19.7% (18.7–20.8) | 39 ± 36 | 31 (10–54) | |
14–18 y | F | 1812 ± 650 | 1750 (1375–2215) | 830 ± 681 | 750 (275–1250) | 13 ± 69 | 0 (0–0) | 71 ± 170 | 0 (0–0) | 47 ± 196 | 0 (0–0) | 714 ± 207 | 610 (318–1015) | 136 ± 226 | 0 (0–250) | 2421 ± 1114 | 2285 (1838–2744) | 445 ± 251 | 431 (252–596) | 19.6% (18.2–20.9) | 36 ± 35 | 28 (10–54) |
M | 2032 ± 650 | 1970 (1500–2420) | 834 ± 730 | 750 (250 -1250) | 7 ± 46 | 0 (0–0) | 73 ± 179 | 0 (0–0) | 43 ± 175 | 0 (0–0) | 860 ± 606 | 750 (500–1100) | 214 ± 331 | 0 (0–290) | 3579 ± 5656 | 3017 (2384–3619) | 559 ± 299 | 524 (360–710) | 18.3% (17.0–19.5) | 48 ± 43 | 38 (15–73) | |
TOTAL | 1771 ± 774 | 1650 (1260–2100) | 743 ± 642 | 600 (250–1000) | 7 ± 54 | 0 (0–0) | 71 ± 168 | 0 (0–0) | 37 ± 167 | 0 (0–0) | 774 ± 548 | 735 (423–1050) | 138 ± 244 | 0 (0–250) | 2563 ± 2405 | 2327 (1875–2871) | 479 ± 237 | 450 (308–606) | 20.2% (19.7–20.7) | 35 ± 33 | 26 (10–52) |
Age Group | Sex | IOM TWI Recommendation | AHA Sugar Intake < 25g/d | Suggested Beverage Pattern—n (%) of Non-Compliant Subjects | Acceptable Beverage Pattern—n (%) of Non-Compliant Subjects | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Full Pattern | Level 1 | Level 2 | Level 3 | Level 4 | Level 5 | Level 6 | Full pattern | Level 1 | Level 2 | Level 3 | Level 4 | Level 5 | Level 6 | ||||
4–8 y | F | 78 (34%) | 101 (44%) | 229 (99.6%) | 173 (75%) | 1 (0.4%) | 29 (13%) | 13 (6%) | 213 (93%) | 90 (39%) | 227 (99%) | 83 (36%) | 0 | 41 (18%) | 13 (6%) | 199 (87%) | 90 (39%) |
M | 68 (23%) | 141 (48%) | 294 (99%) | 203 (68%) | 2 (0.7%) | 42 (14%) | 27 (9%) | 277 (93%) | 98 (33%) | 288 (97%) | 89 (30%) | 0 | 63 (21%) | 25 (8%) | 244 (82%) | 98 (33%) | |
9–13 y | F | 122 (45%) | 144 (53%) | 269 (99%) | 170 (63%) | 2 (0.7%) | 36 (13%) | 13 (5%) | 243 (89%) | 103 (38%) | 249 (92%) | 79 (29%) | 1 (0.4%) | 51 (19%) | 10 (4%) | 202 (74%) | 103 (38%) |
M | 173 (55%) | 189 (60%) | 311 (98%) | 205 (65%) | 1 (0.3%) | 35 (11%) | 21 (7%) | 294 (93%) | 113 (36%) | 295 (93%) | 91 (29%) | 1 (0.3%) | 47 (15%) | 21 (7%) | 248 (79%) | 113 (36%) | |
14–18 y | F | 113 (54%) | 119 (57%) | 204 (98%) | 121 (58%) | 3 (1%) | 26 (13%) | 14 (7%) | 185 (89%) | 78 (37%) | 195 (94%) | 56 (27%) | 0 | 37 (18%) | 13 (6%) | 154 (74%) | 78 (38%) |
M | 166 (79%) | 135 (65%) | 206 (99%) | 132 (63%) | 0 | 25 (12%) | 14 (7%) | 192 (92%) | 92 (44%) | 199 (95%) | 74 (35%) | 0 | 35 (17%) | 13 (6%) | 161 (77%) | 92 (44%) | |
TOTAL | 720 (47%) | 829 (54%) | 1513 (99%) | 1004 (66%) | 9 (0.6%) | 193 (13%) | 102 (7%) | 1404 (92%) | 574 (37%) | 1453 (95%) | 472 (31%) | 2 (0.1%) | 274 (18%) | 95 (6%) | 1208 (79%) | 574 (37%) |
Age Group | Sex | SBIS | ABIS | ||
---|---|---|---|---|---|
Mean ± S.D. | Median (IQR) | Mean ± S.D. | Median (IQR) | ||
4–8 y | Female | 0.52 ± 0.21 | 0.5 (0.3–0.7) | 0.6 ± 0.22 | 0.67 (0.5–0.7) |
Male | 0.55 ± 0.21 | 0.5 (0.47–0.7) | 0.64 ± 0.21 | 0.70 (0.50–0.80) | |
9–13 y | Female | 0.51 ± 0.23 | 0.5 (0.3–0.7) | 0.59 ± 0.23 | 0.6 (0.5–0.77) |
Male | 0.47 ± 0.23 | 0.5 (0.3–0.7) | 0.55 ± 0.23 | 0.53 (0.37–0.7) | |
14–18 y | Female | 0.49 ± 0.23 | 0.5 (0.3–0.7) | 0.57 ± 0.23 | 0.57 (0.47–0.7) |
Male | 0.40 ± 0.21 | 0.4 (0.27–0.5) | 0.47 ± 0.22 | 0.50 (0.3–0.7) | |
Total sample | 0.49 ± 0.23 | 0.5 (0.3–0.7) | 0.57 ± 0.23 | 0.60 (0.47–0.7) |
Cluster | |||
---|---|---|---|
Maternal Factor | Cluster 1 n = 335 (47%) | Cluster 2 n = 376 (53%) | Factor Weight |
SES (n, %) | Low (300, 89.6%) | Middle (376, 100%) | 1 |
Average education level (n, %) | Secondary (106, 31.6%) | Bachelor (211, 56.1%) | 0.23 |
BPW (n, %) | Yes (127, 37.9%) | Yes (243, 64.6%) | 0.08 |
BMI (kg/m2) mean ± S.D. | 27.5 ± 4.71 | 26.5 ± 4.34 | 0.02 |
Age (years) mean ± S.D. | 38.38 ± 7.5 | 39.1 ± 6.38 | 0.01 |
OR | 95% CI | p-Value | ||
---|---|---|---|---|
Model 1 | ||||
Maternal Cluster 2 (reference group) | ||||
Maternal Cluster 1 | 9.126 | 1.162 | 71.669 | 0.035 |
Model 2 * | ||||
Maternal Cluster 2 (reference group) | ||||
Maternal Cluster 1 | 9.259 | 1.178 | 72.787 | 0.034 |
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Lopez-Gonzalez, D.; Avila-Rosano, F.; Montiel-Ojeda, D.; Ortiz-Obregon, M.; Reyes-Delpech, P.; Diaz-Escobar, L.; Clark, P. Maternal Factors and Their Association with Patterns of Beverage Intake in Mexican Children and Adolescents. Children 2021, 8, 385. https://0-doi-org.brum.beds.ac.uk/10.3390/children8050385
Lopez-Gonzalez D, Avila-Rosano F, Montiel-Ojeda D, Ortiz-Obregon M, Reyes-Delpech P, Diaz-Escobar L, Clark P. Maternal Factors and Their Association with Patterns of Beverage Intake in Mexican Children and Adolescents. Children. 2021; 8(5):385. https://0-doi-org.brum.beds.ac.uk/10.3390/children8050385
Chicago/Turabian StyleLopez-Gonzalez, Desiree, Fatima Avila-Rosano, Diana Montiel-Ojeda, Marcela Ortiz-Obregon, Pamela Reyes-Delpech, Laura Diaz-Escobar, and Patricia Clark. 2021. "Maternal Factors and Their Association with Patterns of Beverage Intake in Mexican Children and Adolescents" Children 8, no. 5: 385. https://0-doi-org.brum.beds.ac.uk/10.3390/children8050385