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The Mediating Effect Of Dietary Patterns On The Association Between Mother’s Education Level And The Physical Aggression Of Five-year-old Children: A Population-based Cohort Study

Wen-Chi Vivian Wu, Ching-I Lin, Yi-Fan Li, Ling-Yin Chang, Tung-liang Chiang
Published 2020 · Medicine
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Background Relatively few studies have investigated the effects of diet on behavior problems among preschoolers, particularly, physical aggression. In addition, children raised by poorly educated mothers usually have a higher probability of developing negative outcomes. Additionally, highly educated mothers have a higher probability of providing more healthy foods for their children. Thus, mothers providing healthy foods might mitigate children’s behavior problems. The study aims to examine whether preschoolers’ dietary pattern, as a manipulable factor, mediates the association between maternal education level and physical aggression. Methods Data came from the Taiwan Birth Cohort Study (TBCS), a nationally representative population-based cohort study, which included 18,513 five-year-old Taiwanese children. Mothers and primary caregivers reported the information on preschoolers’ physical aggression and food consumption at age 5 and maternal education level at age 6 months. Two dietary patterns, namely a healthy diet and a high-fat-sugar-salt (HFSS) diet, were retrieved by exploratory factor analysis. Mediation hypotheses were tested by a series of multiple regression models conducted using the PROCESS macro of SAS 9.4. All models were adjusted for children’s sex, parental marital status, household income, mental distress at age 5 and children’s physical aggression at age 3. Results Maternal education positively linked to healthy dietary patterns (B = 0.014, p  = 0.002) which was negatively associated with preschoolers’ physical aggression (B = -0.096, p  = 0.013), and it is negatively related to the HFSS dietary pattern (B = -0.042, p  = 0.002) which was directly positively associated with preschoolers’ physical aggression (B = 0.123, p  = 0.008). The association between maternal education and preschoolers’ physical aggression was partially mediated by preschoolers’ healthy (B = -0.001, p  < .001) and HFSS (B = -0.005, p = <.001) dietary patterns, respectively. The R-square of the mediation model is 0.178. Conclusions Preschoolers’ dietary patterns directly associate with their physical aggression. In addition, mothers with poor education may provide less healthy foods and more unhealthy foods to their children, which may increase the level of physical aggression. The results imply partial mediating effects of dietary patterns between maternal education and physical aggression. It is suggested that a parent-based nutritional education program focusing on healthy meal preparation for poor educated mothers might be beneficial for preschoolers’ healthy development.
This paper references
10.1016/j.nut.2014.04.014
Association between junk food consumption and mental health in a national sample of Iranian children and adolescents: the CASPIAN-IV study.
H. Zahedi (2014)
10.1080/01612840490486755
CONCEPT ANALYSIS: AGGRESSION
Jianghong Liu (2004)
10.1007/s00394-017-1574-0
A traditional dietary pattern is associated with lower odds of overweight and obesity among preschool children in Lebanon: a cross-sectional study
Lara Nasreddine (2017)
10.1017/S0007114510004137
Relative validity of adolescent dietary patterns: a comparison of a FFQ and 3 d food record.
Gina L. Ambrosini (2011)
10.1002/9781119057574.WHBVA004
The Development of Aggression from Early Childhood to Adulthood
Richard E. Tremblay (2017)
10.1192/bjp.bp.108.058925
Dietary pattern and depressive symptoms in middle age.
Tasnime Akbaraly (2009)
10.1097/00041433-200202000-00002
Dietary pattern analysis: a new direction in nutritional epidemiology
F. Hu (2002)
10.1111/pcn.12188
Reliability and validity of Brief Problem Monitor, an abbreviated form of the Child Behavior Checklist.
Brian J Piper (2014)
Eating habits and patterns of four to twelve year-old children in Taiwan. In Reports of Nutrition and Health Survey in Taiwan (NAHSIT) 1993–1996
CJ L (1999)
10.1111/j.1753-4887.2008.00107.x
Nutritional and dietary influences on attention deficit hyperactivity disorder.
N. Sinn (2008)
10.1007/s10802-005-9001-z
The Development of Physical Aggression from Toddlerhood to Pre-Adolescence: A Nation Wide Longitudinal Study of Canadian Children
S. Côté (2006)
10.1017/S1368980012005411
Using exploratory factor analysis of FFQ data to identify dietary patterns among Yup'ik people.
Tove K. Ryman (2014)
10.1017/S1368980015003675
Reciprocal relationship between unhealthy eating behaviours and depressive symptoms from childhood to adolescence: 10-year follow-up of the Child and Adolescent Behaviors in Long-Term Evolution study.
Wen-Chi Wu (2016)
Exploratory factor analysis with the world values survey
D Suhr (2012)
10.1002/ab.20335
Effects of nutritional supplements on aggression, rule-breaking, and psychopathology among young adult prisoners.
Ap Zaalberg (2010)
10.1111/mcn.12031
Association between maternal education and diet of children at 9 months is partially explained by mothers' diet.
S. Lioret (2015)
10.1002/9780470479216.CORPSY0114
Behavior Assessment System for Children
C. Reynolds (2010)
10.1136/bmjopen-2017-017086
Associations of caesarean delivery and the occurrence of neurodevelopmental disorders, asthma or obesity in childhood based on Taiwan birth cohort study
Gin-Den Chen (2017)
a regression-based approach
Hayes AF. Introduction to mediation (2020)
Using exploratory factor analysis of food frequency questionnaires to identify dietary patterns among Yup’ik people
TK Ryman (2014)
10.1001/archpsyc.58.4.389
Parental and early childhood predictors of persistent physical aggression in boys from kindergarten to high school.
D. Nagin (2001)
10.1177/0002716217729471
Maternal Education, Changing Family Circumstances, and Children’s Skill Development in the United States and UK
Margot I. Jackson (2017)
10.1111/j.1469-7610.2006.01636.x
Trajectories of aggression from toddlerhood to age 9 predict academic and social functioning through age 12.
S. B. Campbell (2006)
10.1001/ARCHPSYC.64.11.1305
The role of maternal education and nonmaternal care services in the prevention of children's physical aggression problems.
S. Côté (2007)
10.1111/1469-7610.00744
Developmental trajectories of physical aggression from school entry to late adolescence.
B. Brame (2001)
10.1017/S1368980017003548
Parental work characteristics and diet quality among pre-school children in dual-parent households: results from a population-based cohort in Taiwan.
Jennifer Chun-li Wu (2018)
10.3390/nu6020530
Low Blood Zinc, Iron, and Other Sociodemographic Factors Associated with Behavior Problems in Preschoolers
Jianghong Liu (2014)
10.1177/0539018403042001791
Expanding Evolutionary Psychology: toward a Better Understanding of Violence and Aggression
Iver Mysterud (2003)
10.1079/PNS2006511
Dietary influences on cognitive development and behaviour in children.
J. Stevenson (2006)
Concept analysis: aggression. Issues in Mental Health Nursing
J Liu (2004)
10.1017/jns.2018.15
Dietary patterns are not associated with overweight and obesity in a sample of 8900 Chinese preschool children from four cities
Erigene Rutayisire (2018)
Reports of Nutrition and Health Survey in Taiwan (NAHSIT) 1993-1996. edn. Taipei: Department of Health
L Cj (1999)
10.1007/s10803-018-3850-0
Dietary Patterns and Anthropometric Measures of Indian Children with Autism Spectrum Disorder
Seema Siddiqi (2019)
10.1079/PAVSNNR20094075
Influence of nutrition on aggression.
Bernard Wallner (2009)
10.1037/a0038920
Increases in maternal education and low-income children's cognitive and behavioral outcomes.
Jessica F Harding (2015)
10.1186/s12966-014-0113-0
Maternal educational level and children’s healthy eating behaviour: role of the home food environment (cross-sectional results from the INPACT study)
Wilke J C van Ansem (2014)
Accessed 1
Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Based Approach
A. Hayes (2013)
10.1300/J076v21n03_08
DIET, NUTRITION, AND AGGRESSION
Diana H. Fishbein (1994)
10.1186/s12889-017-5014-0
Ethnicity and socioeconomic status are related to dietary patterns at age 5 in the Amsterdam born children and their development (ABCD) cohort
Viyan Rashid (2018)
10.1080/07315724.2018.1473819
Dietary Patterns and Attention Deficit Hyperactivity Disorder Among Iranian Children: A Case-Control Study
Khadijeh Abbasi (2019)
10.1111/j.1545-5300.2003.42203.x
Family predictors of antisocial behavior in adolescence.
M. Deković (2003)
Influence of nutrition on aggression. CAB Reviews: Perspectives in Agriculture, Veterinary Science, Nutrition and Natural Resources
B. Wallner (2009)
10.1371/journal.pone.0032175
Trans Fat Consumption and Aggression
B. Golomb (2012)
10.1016/j.bbi.2018.01.002
Dietary patterns, body mass index and inflammation: Pathways to depression and mental health problems in adolescents
W. Oddy (2018)
10.6133/apjcn.2007.16.s2.04
Nutrition knowledge, attitude, and behavior of Taiwanese elementary school children.
Wei Lin (2007)
10.1542/peds.114.1.e43
Physical aggression during early childhood: trajectories and predictors.
R. Tremblay (2004)



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