Dietary patterns in infancy are associated with child diet and weight outcomes at 6 years

Rose, Chelsea M.; Birch, Leann L.; Savage, Jennifer S.

doi:10.1038/ijo.2017.27

Cited by 75 publications

(60 citation statements)

References 25 publications

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“…Consistent with our pre-specified hypothesis, we found that more frequent intake of unhealthy foods during complementary feeding was associated with higher WFL z-scores, which is similar to other studies conducted with infants and children. 31,32 . Although few mothers introduced unhealthy foods like french fries, snacks, and sweets before 4 months of age, frequent intake of unhealthy foods (>1 serving/d) during the complementary feeding period was common (71% of the sample) and associated with higher WFL z-scores.…”

Section: Discussionmentioning

confidence: 99%

Associations between timing and quality of solid food introduction with infant weight-for-length z-scores at 12 months: Findings from the Nurture cohort

et al. 2019

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This study assesses associations of the timing and quality of solid foods introduced during infancy with weight-for-length (WFL) z-scores at months within the Nurture cohort. Women from North Carolina self-reported sociodemographics, the timing and type of solid food introduction, and reasons for introducing solids; infant anthropometrics were measured every 3 months through 1 year (n=666). Frequency (0-5x/day) infants consumed fruits and vegetables was used to compute a mean (4-12 months) healthy food score (HFS), and sweets, french fries, snacks, and ice cream was used to compute a mean unhealthy food score (UnHFS). Multivariable-adjusted generalized linear models were used to examine the relationship of early solid food introduction, HFS quartiles (Q), UnHFS quartiles, and interactions between these variables with WFL z-scores at 12 months (n=449). Exploratory analyses evaluated WFL zscores among 4 groups of infants with high/low HFS and high/low UnHFS. On average, mothers were 28 years with a pre-pregnancy BMI of 30.5 kg/m 2 ; 65% were Non-Hispanic Black, and 59% had incomes <$20,000. Mean HFS and UnHFS were 2.4 (range 0-7.4 of 10) and 1.8 (range 0-9.9 of 20), respectively. Nearly 1/3 of mothers introduced solids early, but early introduction and the HFS were not associated with WFL z-scores. Infants in Q3 and Q4 of the UnHFS had higher WFL z-scores (0.75-0.79 ±0.09) compared to infants in Q1 (0.42±0.0.9), p<0.05. Frequent unhealthy food intake was associated with higher WFL z-scores at 12-months, underscoring the importance of reducing unhealthy food intake in the first year.

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Section: Discussionmentioning

confidence: 99%

Associations between timing and quality of solid food introduction with infant weight-for-length z-scores at 12 months: Findings from the Nurture cohort

et al. 2019

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“…Evidence from longitudinal studies has revealed the importance of early dietary patterns on later dietary behaviors and health outcomes. [23][24][25][26][27][28] For example, young children who had infrequent consumption of fruits and vegetables at 11 months of age continued to have infrequent consumption 6 years later. 24 A 2015 American Academy of Pediatrics Clinical Report calls on pediatricians to play an active role in obesity prevention with a focus on starting before 2 years of age.…”

Section: Discussionmentioning

confidence: 99%

Food and Beverage Intake From 12 to 23 Months by WIC Status

et al. 2019

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“…There is growing interest in the role of dietary patterns in early childhood as a determinant of obesity risk [18]. Diets of poor quality might be important, as they are often characterized by high consumption of energydense foods [19][20][21]. Children with higher intakes of food from unhealthy patterns showed an increase in total and central body adiposity [22].…”

Section: Introductionmentioning

confidence: 99%

Weight development between age 5 and 10 years and its associations with dietary patterns at age 5 in the ABCD cohort

et al. 2020

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Background: Social inequalities in bodyweight start early in life and track into adulthood. Dietary patterns are an important determinant of weight development in children, towards both overweight and underweight. Therefore, we aimed to examine weight development between age 5 and 10 years by ethnicity, SES and thereafter by BMI category at age 5, to explore its association with dietary patterns at age 5. Methods: Participants were 1765 children from the Amsterdam Born Children and their Development (ABCD) cohort that had valid data on BMI at age 5 and 10 and diet at age 5. Linear mixed model analysis was used to examine weight development between age 5 and 10 years and to assess if four previously identified dietary patterns at age 5 (snacking, full-fat, meat and healthy) were associated with weight development. Analyses were adjusted for relevant confounders, stratified by ethnicity and SES and thereafter stratified per BMI category at age 5. Results: Overall, weight decreased in Dutch and high SES children and increased in non-Dutch and low/middle SES children. Across the range of bodyweight categories at age 5, we observed a conversion to normal weight, which was stronger in Dutch and high SES children but less pronounced in non-Dutch and low/middle SES children. Overall, the observed associations between weight development and dietary patterns were mixed with some unexpected findings: a healthy dietary pattern was positively associated with weight development in most groups, regardless of ethnicity and SES (e.g. Dutch B 0.084, 95% CI 0.038;0.130 and high SES B 0.096, 95% CI 0.047;0.143) whereas the full-fat pattern was negatively associated with weight development (e.g. Dutch B-0.069, 95% CI-0.114;-0.024 and high SES B-0.072, 95% CI-0.119;-0.026). Conclusions: We observed differential weight development per ethnic and SES group. Our results indicate that each ethnic and SES group follows its own path of weight development. Associations between dietary patterns and weight development showed some unexpected findings; follow-up research is needed to understand the association between dietary patterns and weight development.

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Dietary patterns in infancy are associated with child diet and weight outcomes at 6 years

Abstract: Early decisions about milk-feeding, and the types of solid foods offered in infancy can foreshadow dietary patterns and obesity risk later in childhood. Infants who were offered energy-dense foods had higher intake of these foods at 6 years of age.

Cited by 75 publications

References 25 publications

Associations between timing and quality of solid food introduction with infant weight-for-length z-scores at 12 months: Findings from the Nurture cohort

Associations between timing and quality of solid food introduction with infant weight-for-length z-scores at 12 months: Findings from the Nurture cohort

Food and Beverage Intake From 12 to 23 Months by WIC Status

Weight development between age 5 and 10 years and its associations with dietary patterns at age 5 in the ABCD cohort

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