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A mixed-method approach to assess factors associated with food provision to children during weaning in Singapore

Lookup NU author(s): Dr Sharron Kuznesof, Emeritus Professor Chris SealORCiD

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

PurposeThe complementary feeding period is a key transitional phase in which lifelong dietary preferences are developed which shapes disease risk in later life. This study aimed to use cross-sectional data to examine how maternal characteristics are associated with the diet quality of their offspring.MethodsAnalysis of cross-sectional data in Singaporean mother-child dyads was conducted, alongside individual in-depth interviews to explore mothers’ perceptions and beliefs on food provisioning. Data from 488 Singaporean mother-child dyads (aged 6-24mo), were collected. Food intake (assessed by food frequency questionnaires), anthropometric and questionnaire data were collected during on-site visits. In-depth interviews were carried out in a sub-group of mothers (n = 12) to better understand dietary habits, choices, motives and influences related to their food provisioning. Pearson/Spearman correlation coefficients were used to explore diet quality relationships in the mother-child dyads. Multiple linear regression models were applied to examine the predictors for the diet quality of a child.ResultsDiet quality of children was significantly affected by maternal age, education, BMI, breastfeeding practice, and household income. The total diet quality scores in mother-child dyads were correlated (r = 0.176, p < 0.001), contributed primarily by whole grains and fruit (r = 0.330 and r = 0.325 respectively, p < 0.001), and vegetable (r = 0.125, p = 0.006). Breastfeeding was the strongest predictor of a child’s diet quality (β = 0.195; p < 0.001), and mothers valued breastfeeding qualitatively as a means to improve the bonding and well-being of their children.ConclusionMultiple factors influence diet quality in children during complementary feeding, including breastfeeding, maternal age, BMI status, dietary habit and educational attainment.


Publication metadata

Author(s): Chi AL, Lim A, Kuznesof SA, Seal CJ, Brownlee IA

Publication type: Article

Publication status: Published

Journal: European Journal of Nutrition

Year: 2026

Volume: 65

Print publication date: 02/03/2026

Online publication date: 02/03/2026

Acceptance date: 12/02/2026

Date deposited: 11/03/2026

ISSN (print): 1436-6207

ISSN (electronic): 1436-6215

Publisher: Springer Medizin

URL: https://doi.org/10.1007/s00394-026-03927-7

DOI: 10.1007/s00394-026-03927-7

Data Access Statement: Data cannot be shared openly but are available on request from authors.


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Funding

Funder referenceFunder name
Economic Development Board (EDB) of Singapore
European Joint Programming Initiative
EU Horizon 2020 Research and Innovation Programme
Nestlé Singapore Research & Development

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