ORCID Profile
0000-0003-4442-7332
Current Organisations
The University of Hong Kong
,
University of Oxford
,
National University of Singapore
,
University of Cambridge
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Publications
Singaporean Mothers’ Perception of Their Three-year-old Child’s Weight Status: A Cross-Sectional Study
Publisher: Public Library of Science (PLoS)
Date: 28-01-2016
Sociodemographic determinants of prepregnancy body mass index and gestational weight gain: The Mutaba'ah study
Publisher: Wiley
Date: 11-11-2021
DOI: 10.1002/OSP4.573
Abstract: This study examined the associations of sociodemographic and lifestyle factors with prepregnancy body mass index (BMI) and gestational weight gain (GWG). In the Mutaba'ah Study in the United Arab Emirates, repeated measurements throughout pregnancy from medical records were used to determine prepregnancy BMI and GWG. Associations of sociodemographic and lifestyle factors with prepregnancy BMI and GWG (separately by normal weight, overweight, and obesity status) were tested using multivariable regression models, adjusted for maternal age at delivery. Among 3536 pregnant participants, more than half had prepregnancy overweight (33.2%) or obesity (26.9%), and nearly three‐quarters had inadequate (34.2%) or excessive (38.2%) GWG. Higher parity ( β for 1–2 to ≥5 children = 0.94 to 1.73 kg/m 2 ), lower maternal education ( β for tertiary = −1.42), infertility treatment ( β = 0.69), and maternal prepregnancy active smoking ( β = 1.95) were independently associated with higher prepregnancy BMI. Higher parity was associated with a lower risk for excessive GWG among women with prepregnancy normal weight (odds ratios (ORs) for 1–2 to ≥5 children = 0.61 to 0.39). Higher maternal education was negatively associated with inadequate GWG among women with normal weight and overweight (ORs for tertiary education = 0.75 and 0.69, respectively). Sociodemographic factors, especially parity and maternal education, were differentially associated with prepregnancy BMI and GWG adequacy across weight status.
Predominantly night-time feeding and maternal glycaemic levels during pregnancy
Publisher: Cambridge University Press (CUP)
Date: 07-03-2016
DOI: 10.1017/S0007114516000441
Abstract: Little is known about the influence of meal timing and energy consumption patterns throughout the day on glucose regulation during pregnancy. We examined the association of maternal feeding patterns with glycaemic levels among lean and overweight pregnant women. In a prospective cohort study in Singapore, maternal 24-h dietary recalls, fasting glucose (FG) and 2-h postprandial glucose (2HPPG) concentrations were measured at 26–28 weeks of gestation. Women ( n 985) were classified into lean (BMI kg/m 2 ) or overweight (BMI≥23 kg/m 2 ) groups. They were further categorised as predominantly daytime (pDT) or predominantly night-time (pNT) feeders according to consumption of greater proportion of energy content from 07.00 to 18.59 hours or from 19.00 to 06.59 hours, respectively. On stratification by weight status, lean pNT feeders were found to have higher FG than lean pDT feeders (4·36 ( sd 0·38) v. 4·22 ( sd 0·35) mmol/l P =0·002) however, such differences were not observed between overweight pDT and pNT feeders (4·49 ( sd 0·60) v. 4·46 ( sd 0·45) mmol/l P =0·717). Using multiple linear regression with confounder adjustment, pNT feeding was associated with higher FG in the lean group ( β =0·16 mmol/l 95 % CI 0·05, 0·26 P =0·003) but not in the overweight group ( β =0·02 mmol/l 95 % CI −0·17, 0·20 P =0·879). No significant association was found between maternal feeding pattern and 2HPPG in both the lean and the overweight groups. In conclusion, pNT feeding was associated with higher FG concentration in lean but not in overweight pregnant women, suggesting that there may be an adiposity-dependent effect of maternal feeding patterns on glucose tolerance during pregnancy.
Maternal and infant correlates of maternal feeding beliefs and practices in a multi-ethnic Asian population: the GUSTO (Growing Up in Singapore Towards healthy Outcomes) study
Publisher: Cambridge University Press (CUP)
Date: 28-04-2016
DOI: 10.1017/S1368980016000744
Abstract: Little is known about the influences of maternal and infant correlates on maternal feeding beliefs and practices in the first 2 years of life, despite its important role in early obesogenic eating behaviours and weight gain. Cross-sectional study using demographic data of mothers and infants obtained at 26–28 weeks of gestation, and postnatally from birth to 15 months, respectively. The Infant Feeding Questionnaire was administered at 15 months postpartum. The associations between maternal and infant characteristics with seven maternal feeding beliefs and practices subscales were evaluated using multivariate linear regression analysis. Data obtained from the Singapore GUSTO (Growing Up in Singapore Towards healthy Outcomes) mother–offspring birth cohort. Mothers and infants ( n 1237). Among other maternal correlates such as age, education, BMI, income and milk feeding practices, ethnicity was a consistent factor associated with six subscales, including concern about infant overeating/undereating and weight status, concern and awareness about infants’ hunger and satiety cues, social interaction during feeding and feeding an infant on schedule. Similarly, among infant correlates such as gender and birth order, infant body size gain (reflected by BMI Z -score change from 0 to 15 months) was significantly associated with all subscales except feeding an infant on schedule. Overall, maternal correlates had greater influence on all subscales compared with infant correlates except for the maternal concern about infant undereating or becoming underweight subscale. The present study highlights that maternal feeding beliefs and practices can be influenced by both maternal correlates and infant correlates at 15 months of age.
Related Organisations
University Of Oxford
Location: United Kingdom of Great Britain and Northern Ireland
University Of Cambridge
Location: United Kingdom of Great Britain and Northern Ireland
Related Funding Activities
No related grants have been discovered for Tuck Seng Cheng.