Health-related quality of life, temperament, and eating behavior among formula-fed infants in the Philippines

A pilot study

Sheri Volger, Elvira M. Estorninos, Maria R. Capeding, Jowena Lebumfacil, Diane Rigassio Radler, James Scott Parrott, Pamela Rothpletz-Puglia

Research output: Contribution to journalArticle

Abstract

Background: The rising prevalence of childhood obesity in Asia has led to interest in potential risk factors such as infant health-related quality of life (HRQoL), temperament and eating behaviors. This pilot study evaluated the utility of administering parent-reported outcome measures (PROMs) to explore these factors in Filipino infants and examined the relationships between these factors and infant sex, formula intake and weight, over time. Methods: Forty healthy, 4-week-old, formula-fed infants (n=20 males) were enrolled in this 6-week, prospective, uncontrolled study during which infants were exclusively fed a standard term infant formula enriched with alpha-lactalbumin. On Day-1 and 42, anthropometrics were measured and mothers completed a 97-item measure of HRQoL [Infant Toddler Quality of Life Questionnaire (ITQOL)] covering 6 infant-focused and 3 parent-focused concepts and a 24-item measure of infant temperament [Infant Characteristics Questionnaire (ICQ)]. At Day-42, mothers also completed an 18-item measure of infant appetite [Baby Eating Behaviour Questionnaire (BEBQ)]. A 3-day formula intake diary was completed before Day-42. Nonparametric statistics were used to evaluate correlations among outcomes and compare outcomes by visit and sex. Results: Thirty-nine infants completed the study; similar results were observed in males and females. Completion of PROMs was 100% with no missing responses, but Cronbach's α was low for many concept scales scores. ITQOL scores [range 0 (worst)-100 (best)] were generally high (median≥80) except for Day-1 and Day-42 Temperament and Mood and Day-1 General Health Perceptions scores. ITQOL but not ICQ temperament scores improved significantly between Day-1 and Day-42 (P<0.01). Mean±standard deviation BEBQ scores (range 1-5) were high for Enjoyment of Food (4.59±0.60) and Food Responsiveness (3.53±0.81), and low for Satiety Responsiveness (2.50±0.73) and Slowness in Eating (1.71±0.60). Better HRQoL scores were significantly (P<0.05) associated with high General Appetite scores (3 ITQOL concepts, r=0.32 to 0.54), greater Enjoyment of Food (4 ITQOL concepts, r=0.35 to 0.42) and low levels of Slowness in Eating (7 ITQOL concepts, r=-0.32 to -0.47). Conclusion: Findings demonstrated the utility of the ITQOL, ICQ and BEBQ for measuring HRQoL, temperament and eating behavior, and the need for further adaptations for use in Filipino infants.

Original languageEnglish (US)
Article number121
JournalHealth and Quality of Life Outcomes
Volume16
Issue number1
DOIs
StatePublished - Jun 8 2018

Fingerprint

Infant Formula
Philippines
Temperament
Feeding Behavior
Quality of Life
Appetite
Surveys and Questionnaires
Eating
Mothers
Outcome Assessment (Health Care)
Infant Food
Sex Factors
Lactalbumin
Food
Pediatric Obesity
Nonparametric Statistics

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Keywords

  • Baby eating behaviour questionnaire
  • HRQoL
  • Health-related quality of life
  • Infant characteristics questionnaire
  • Infant eating behavior
  • Infant quality of life
  • Infant temperament
  • The infant toddler quality of life questionnaire

Cite this

@article{7891f68c1df444d48609f352bbe3b658,
title = "Health-related quality of life, temperament, and eating behavior among formula-fed infants in the Philippines: A pilot study",
abstract = "Background: The rising prevalence of childhood obesity in Asia has led to interest in potential risk factors such as infant health-related quality of life (HRQoL), temperament and eating behaviors. This pilot study evaluated the utility of administering parent-reported outcome measures (PROMs) to explore these factors in Filipino infants and examined the relationships between these factors and infant sex, formula intake and weight, over time. Methods: Forty healthy, 4-week-old, formula-fed infants (n=20 males) were enrolled in this 6-week, prospective, uncontrolled study during which infants were exclusively fed a standard term infant formula enriched with alpha-lactalbumin. On Day-1 and 42, anthropometrics were measured and mothers completed a 97-item measure of HRQoL [Infant Toddler Quality of Life Questionnaire (ITQOL)] covering 6 infant-focused and 3 parent-focused concepts and a 24-item measure of infant temperament [Infant Characteristics Questionnaire (ICQ)]. At Day-42, mothers also completed an 18-item measure of infant appetite [Baby Eating Behaviour Questionnaire (BEBQ)]. A 3-day formula intake diary was completed before Day-42. Nonparametric statistics were used to evaluate correlations among outcomes and compare outcomes by visit and sex. Results: Thirty-nine infants completed the study; similar results were observed in males and females. Completion of PROMs was 100{\%} with no missing responses, but Cronbach's α was low for many concept scales scores. ITQOL scores [range 0 (worst)-100 (best)] were generally high (median≥80) except for Day-1 and Day-42 Temperament and Mood and Day-1 General Health Perceptions scores. ITQOL but not ICQ temperament scores improved significantly between Day-1 and Day-42 (P<0.01). Mean±standard deviation BEBQ scores (range 1-5) were high for Enjoyment of Food (4.59±0.60) and Food Responsiveness (3.53±0.81), and low for Satiety Responsiveness (2.50±0.73) and Slowness in Eating (1.71±0.60). Better HRQoL scores were significantly (P<0.05) associated with high General Appetite scores (3 ITQOL concepts, r=0.32 to 0.54), greater Enjoyment of Food (4 ITQOL concepts, r=0.35 to 0.42) and low levels of Slowness in Eating (7 ITQOL concepts, r=-0.32 to -0.47). Conclusion: Findings demonstrated the utility of the ITQOL, ICQ and BEBQ for measuring HRQoL, temperament and eating behavior, and the need for further adaptations for use in Filipino infants.",
keywords = "Baby eating behaviour questionnaire, HRQoL, Health-related quality of life, Infant characteristics questionnaire, Infant eating behavior, Infant quality of life, Infant temperament, The infant toddler quality of life questionnaire",
author = "Sheri Volger and Estorninos, {Elvira M.} and Capeding, {Maria R.} and Jowena Lebumfacil and Radler, {Diane Rigassio} and Parrott, {James Scott} and Pamela Rothpletz-Puglia",
year = "2018",
month = "6",
day = "8",
doi = "https://doi.org/10.1186/s12955-018-0944-5",
language = "English (US)",
volume = "16",
journal = "Health and Quality of Life Outcomes",
issn = "1477-7525",
publisher = "BioMed Central Ltd.",
number = "1",

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Health-related quality of life, temperament, and eating behavior among formula-fed infants in the Philippines : A pilot study. / Volger, Sheri; Estorninos, Elvira M.; Capeding, Maria R.; Lebumfacil, Jowena; Radler, Diane Rigassio; Parrott, James Scott; Rothpletz-Puglia, Pamela.

In: Health and Quality of Life Outcomes, Vol. 16, No. 1, 121, 08.06.2018.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Health-related quality of life, temperament, and eating behavior among formula-fed infants in the Philippines

T2 - A pilot study

AU - Volger, Sheri

AU - Estorninos, Elvira M.

AU - Capeding, Maria R.

AU - Lebumfacil, Jowena

AU - Radler, Diane Rigassio

AU - Parrott, James Scott

AU - Rothpletz-Puglia, Pamela

PY - 2018/6/8

Y1 - 2018/6/8

N2 - Background: The rising prevalence of childhood obesity in Asia has led to interest in potential risk factors such as infant health-related quality of life (HRQoL), temperament and eating behaviors. This pilot study evaluated the utility of administering parent-reported outcome measures (PROMs) to explore these factors in Filipino infants and examined the relationships between these factors and infant sex, formula intake and weight, over time. Methods: Forty healthy, 4-week-old, formula-fed infants (n=20 males) were enrolled in this 6-week, prospective, uncontrolled study during which infants were exclusively fed a standard term infant formula enriched with alpha-lactalbumin. On Day-1 and 42, anthropometrics were measured and mothers completed a 97-item measure of HRQoL [Infant Toddler Quality of Life Questionnaire (ITQOL)] covering 6 infant-focused and 3 parent-focused concepts and a 24-item measure of infant temperament [Infant Characteristics Questionnaire (ICQ)]. At Day-42, mothers also completed an 18-item measure of infant appetite [Baby Eating Behaviour Questionnaire (BEBQ)]. A 3-day formula intake diary was completed before Day-42. Nonparametric statistics were used to evaluate correlations among outcomes and compare outcomes by visit and sex. Results: Thirty-nine infants completed the study; similar results were observed in males and females. Completion of PROMs was 100% with no missing responses, but Cronbach's α was low for many concept scales scores. ITQOL scores [range 0 (worst)-100 (best)] were generally high (median≥80) except for Day-1 and Day-42 Temperament and Mood and Day-1 General Health Perceptions scores. ITQOL but not ICQ temperament scores improved significantly between Day-1 and Day-42 (P<0.01). Mean±standard deviation BEBQ scores (range 1-5) were high for Enjoyment of Food (4.59±0.60) and Food Responsiveness (3.53±0.81), and low for Satiety Responsiveness (2.50±0.73) and Slowness in Eating (1.71±0.60). Better HRQoL scores were significantly (P<0.05) associated with high General Appetite scores (3 ITQOL concepts, r=0.32 to 0.54), greater Enjoyment of Food (4 ITQOL concepts, r=0.35 to 0.42) and low levels of Slowness in Eating (7 ITQOL concepts, r=-0.32 to -0.47). Conclusion: Findings demonstrated the utility of the ITQOL, ICQ and BEBQ for measuring HRQoL, temperament and eating behavior, and the need for further adaptations for use in Filipino infants.

AB - Background: The rising prevalence of childhood obesity in Asia has led to interest in potential risk factors such as infant health-related quality of life (HRQoL), temperament and eating behaviors. This pilot study evaluated the utility of administering parent-reported outcome measures (PROMs) to explore these factors in Filipino infants and examined the relationships between these factors and infant sex, formula intake and weight, over time. Methods: Forty healthy, 4-week-old, formula-fed infants (n=20 males) were enrolled in this 6-week, prospective, uncontrolled study during which infants were exclusively fed a standard term infant formula enriched with alpha-lactalbumin. On Day-1 and 42, anthropometrics were measured and mothers completed a 97-item measure of HRQoL [Infant Toddler Quality of Life Questionnaire (ITQOL)] covering 6 infant-focused and 3 parent-focused concepts and a 24-item measure of infant temperament [Infant Characteristics Questionnaire (ICQ)]. At Day-42, mothers also completed an 18-item measure of infant appetite [Baby Eating Behaviour Questionnaire (BEBQ)]. A 3-day formula intake diary was completed before Day-42. Nonparametric statistics were used to evaluate correlations among outcomes and compare outcomes by visit and sex. Results: Thirty-nine infants completed the study; similar results were observed in males and females. Completion of PROMs was 100% with no missing responses, but Cronbach's α was low for many concept scales scores. ITQOL scores [range 0 (worst)-100 (best)] were generally high (median≥80) except for Day-1 and Day-42 Temperament and Mood and Day-1 General Health Perceptions scores. ITQOL but not ICQ temperament scores improved significantly between Day-1 and Day-42 (P<0.01). Mean±standard deviation BEBQ scores (range 1-5) were high for Enjoyment of Food (4.59±0.60) and Food Responsiveness (3.53±0.81), and low for Satiety Responsiveness (2.50±0.73) and Slowness in Eating (1.71±0.60). Better HRQoL scores were significantly (P<0.05) associated with high General Appetite scores (3 ITQOL concepts, r=0.32 to 0.54), greater Enjoyment of Food (4 ITQOL concepts, r=0.35 to 0.42) and low levels of Slowness in Eating (7 ITQOL concepts, r=-0.32 to -0.47). Conclusion: Findings demonstrated the utility of the ITQOL, ICQ and BEBQ for measuring HRQoL, temperament and eating behavior, and the need for further adaptations for use in Filipino infants.

KW - Baby eating behaviour questionnaire

KW - HRQoL

KW - Health-related quality of life

KW - Infant characteristics questionnaire

KW - Infant eating behavior

KW - Infant quality of life

KW - Infant temperament

KW - The infant toddler quality of life questionnaire

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