Early feeding practices and family structure: associations with overweight in children

Hunsberger, Monica

doi:10.1017/s0029665113003741

Cited by 16 publications

(22 citation statements)

References 33 publications

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“…This may explain our results with the mean length of exclusive breast feeding of 4 to 5 months and no significant differences between the weight groups, neither at 5 nor at 8 years of age. Looking at the total duration of breastfeeding, however, there is a significant relationship between shorter breastfeeding and increasing infant obesity at 5 years, which is in line with other studies …”

Section: Discussionsupporting

confidence: 91%

“…Lower maternal intake of omega‐3 PUFA during pregnancy leading to lower levels of EPA and DHA in infant cord blood has been reported to be associated with obesity in childhood . Similarly, maternal n‐3 PUFA intake also influences omega‐3 PUFA milk composition and may partly explain the association between breastfeeding and obesity as well as the relation between overweight in infancy and at 5 years of age …”

Section: Introductionmentioning

confidence: 99%

“…23,24 High parental/family psychological stress has also been reported to be risk factors for obesity in infancy. 18,25 On the other hand, exclusive breastfeeding for 4 to 6 months and siblings 26 could be protective factors. In some Swedish studies, higher prevalence of childhood obesity has been reported in girls 15,27 and in rural areas.…”

Section: Introductionmentioning

confidence: 99%

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Fatty fish intake in mothers during pregnancy and in their children in relation to the development of obesity and overweight in childhood: The prospective ABIS study

Duchén

Faresjö

Klingberg

et al. 2020

Obesity Science & Practice

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Summary Background Although controversial, lower maternal intake of n‐3 polyunsaturated fatty acid (PUFA) during pregnancy and lower levels of omega‐3 PUFA in serum phospholipids during childhood have been related to obesity. The main source of omega‐3 PUFA is fatty fish in the diet. Objectives To assess the relationship between overweight/obesity and the intake of fatty fish in maternal diet during pregnancy and in children up to 8 years of age. Methods The prospective cohort All Children in South‐East Sweden (ABIS) followed babies from birth to 8 years of age. A total of 6749 children at 5 years of age (boys 52.6%) and 3017 children at 8 years (boys 52.3%) participated. A “fatty‐fish index” was constructed on the basis of self‐reports of nutritional habits. Results The prevalence of overweight and obesity in children at 5 years were 12.9% and 4.2%, respectively. At 8 years, 12.2% of the children presented overweight and 2.3% obesity. Girls were more affected than boys by overweight/obesity. A higher fish index during pregnancy was not related to overweight/obesity in the children, whereas a higher fish index in the children during the first years of life was related to obesity at 5 and 8 years of age. This relationship disappeared in a multivariable analysis. Maternal body mass index (BMI), maternal education, maternal smoking during pregnancy, birth weight, and physical activity all remained related to overweight/obesity at both 5 and 8 years of age. Conclusion No relationships were found between a lower intake of fatty fish in the diet, neither in mothers during pregnancy nor in early childhood, and increased risk of overweight/obesity.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Fatty fish intake in mothers during pregnancy and in their children in relation to the development of obesity and overweight in childhood: The prospective ABIS study

Duchén

Faresjö

Klingberg

et al. 2020

Obesity Science & Practice

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“…These results show the importance of preventing overweight in women of reproductive age and supporting them to gain weight within recommendations during pregnancy, so that they may achieve recommended breastfeeding patterns. Shorter breastfeeding duration will have long-term consequences for the womanÕs body weight and metabolic health (5,6,26) as well as for the health of her offspring (7)(8)(9)(10)(11). It is thus important to break this vicious circle.…”

Section: Discussionmentioning

confidence: 99%

“…Recent results from the Norwegian Nord-Trondelag Health Study (HUNT) study showed significant inverse associations between lifetime duration of lactation and BMI, waist circumference, blood pressure, serum lipids, and cardiovascular mortality (5,6). There are also possible adverse effects on the childÕs health of shorter breastfeeding including, among others, increased risk of the child developing diabetes (7,8) and obesity (9)(10)(11).…”

Section: Introductionmentioning

confidence: 99%

Maternal Prepregnant Body Mass Index and Gestational Weight Gain Are Associated with Initiation and Duration of Breastfeeding among Norwegian Mothers

Winkvist

Brantsæter

Brandhagen³

et al. 2015

The Journal of Nutrition

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Effect of a Baby-Led Approach to Complementary Feeding on Infant Growth and Overweight

et al. 2017

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IMPORTANCE Baby-led approaches to complementary feeding, which promote self-feeding of all nonliquid foods are proposed to improve energy self-regulation and lower obesity risk. However, to date, no randomized clinical trials have studied this proposition.OBJECTIVE To determine whether a baby-led approach to complementary feeding results in a lower body mass index (BMI) than traditional spoon-feeding. DESIGN, SETTING, AND PARTICIPANTS The 2-year Baby-Led Introduction to Solids (BLISS) randomized clinical trial recruited 206 women (168 [81.6%] of European ancestry; 85 [41.3%] primiparous) in late pregnancy from December 19, 2012, through March 17, 2014, as part of a community intervention in Dunedin, New Zealand. Women were randomized to a control condition (n = 101) or the BLISS intervention (n = 105) after stratification for parity and education. All outcomes were collected by staff blinded to group randomization, and no participants withdrew because of an adverse event. Data were analyzed based on intention to treat.INTERVENTIONS Mothers in the BLISS group received lactation consultant support (Ն5 contacts) to extend exclusive breastfeeding and delay introduction of complementary foods until 6 months of age and 3 personalized face-to-face contacts (at 5.5, 7.0, and 9.0 months). MAIN OUTCOMES AND MEASURESThe primary outcome was BMI z score (at 12 and 24 months). Secondary outcomes included energy self-regulation and eating behaviors assessed with questionnaires at 6, 12, and 24 months and energy intake assessed with 3-day weighed diet records at 7, 12, and 24 months. RESULTS Among the 206 participants (mean [SD] age, 31.3 [5.6] years), 166 were available for analysis at 24 months (retention, 80.5%). The mean (SD) BMI z score was not significantly different at 12 months (control group, 0.20 [0.89]; BLISS group, 0.44 [1.13]; adjusted difference, 0.21; 95% CI, −0.07 to 0.48) or at 24 months (control group, 0.24 [1.01]; BLISS group, 0.39 [1.04]; adjusted difference, 0.16; 95% CI, −0.13 to 0.45). At 24 months, 5 of 78 infants (6.4%) were overweight (BMIՆ95th percentile) in the control group compared with 9 of 87 (10.3%) in the BLISS group (relative risk, 1.8; 95% CI, 0.6-5.7). Lower satiety responsiveness was observed in BLISS infants at 24 months (adjusted difference, −0.24; 95% CI, −0.41 to −0.07). Parents also reported less food fussiness (adjusted difference, −0.33; 95% CI, −0.51 to −0.14) and greater enjoyment of food (adjusted difference, 0.25; 95% CI, 0.07 to 0.43) at 12 months in BLISS infants. Estimated differences in energy intake were 55 kJ (95% CI, −284 to 395 kJ) at 12 months and 143 kJ (95% CI, −241 to 526 kJ) at 24 months. CONCLUSIONS AND RELEVANCEA baby-led approach to complementary feeding did not result in more appropriate BMI than traditional spoon-feeding, although children were reported to have less food fussiness. Further research should determine whether these findings apply to individuals using unmodified baby-led weaning.

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Early feeding practices and family structure: associations with overweight in children

Cited by 16 publications

References 33 publications

Fatty fish intake in mothers during pregnancy and in their children in relation to the development of obesity and overweight in childhood: The prospective ABIS study

Fatty fish intake in mothers during pregnancy and in their children in relation to the development of obesity and overweight in childhood: The prospective ABIS study

Maternal Prepregnant Body Mass Index and Gestational Weight Gain Are Associated with Initiation and Duration of Breastfeeding among Norwegian Mothers

Effect of a Baby-Led Approach to Complementary Feeding on Infant Growth and Overweight

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