Variations in infant feeding practice are associated with body composition in childhood: a prospective cohort study.
Variations in infant feeding practice are associated with body composition in childhood: a prospective cohort study.
Context: most studies of infant diet and later body composition focus on milk feeding; few consider the influence of variations in the weaning diet.
Objective: our objective was to examine how variations in milk feeding and the weaning diet relate to body composition at 4 yr.
Study Population: a total of 536 children participating in a prospective birth cohort study.
Design: diet was assessed at 6 and 12 months of age. Compliance with weaning guidance was defined by the infant’s score for a principal component analysis-defined dietary pattern (infant guidelines) at 12 months. Infants with high infant guidelines scores had diets characterized by high consumption of fruit, vegetables, and home-prepared foods. Body composition was assessed at 4 yr by dual x-ray absorptiometry.
Results: longer duration of breastfeeding was associated with lower fat mass at 4 yr [4.5 kg, 95% confidence interval (CI) of 4.3–4.7 kg, in children breastfed for 12 months or more, compared with 5.0 (95% CI 4.7–5.3) kg in children never breastfed (P = 0.002)] but was not related to body mass index. Children with high infant guidelines scores had a higher lean mass [12.6 (95% CI 12.3–12.9) kg in children in the top quarter of the distribution, compared with 12.0 (95% CI 11.7–12.4) kg in children in the bottom quarter (P = 0.001)]. These associations were independent and were little changed by adjustment for confounding factors.
Conclusions: these data suggest that variations in both milk feeding and in the weaning diet are linked to differences in growth and development, and they have independent influences on body composition in early childhood
2799-2805
Robinson, Siân. M.
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Marriott, Lynne D.
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Crozier, Sarah R.
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Harvey, Nick C.
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Gale, Catharine R.
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Inskip, Hazel M.
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Baird, Janis
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Law, Catherine M.
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Godfrey, Keith M.
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Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
August 2009
Robinson, Siân. M.
ba591c98-4380-456a-be8a-c452f992b69b
Marriott, Lynne D.
59da580c-2738-49eb-b1cd-7d005b262159
Crozier, Sarah R.
f725a749-98a7-47ba-aa6b-8d8e17c72cad
Harvey, Nick C.
ce487fb4-d360-4aac-9d17-9466d6cba145
Gale, Catharine R.
5bb2abb3-7b53-42d6-8aa7-817e193140c8
Inskip, Hazel M.
5fb4470a-9379-49b2-a533-9da8e61058b7
Baird, Janis
f4bf2039-6118-436f-ab69-df8b4d17f824
Law, Catherine M.
cf065efa-55c9-4f28-871e-e0df7a0727d9
Godfrey, Keith M.
0931701e-fe2c-44b5-8f0d-ec5c7477a6fd
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Robinson, Siân. M., Marriott, Lynne D., Crozier, Sarah R., Harvey, Nick C., Gale, Catharine R., Inskip, Hazel M., Baird, Janis, Law, Catherine M., Godfrey, Keith M. and Cooper, Cyrus
(2009)
Variations in infant feeding practice are associated with body composition in childhood: a prospective cohort study.
Journal of Clinical Endocrinology & Metabolism, 94 (8), .
(doi:10.1210/jc.2009-0030).
Abstract
Context: most studies of infant diet and later body composition focus on milk feeding; few consider the influence of variations in the weaning diet.
Objective: our objective was to examine how variations in milk feeding and the weaning diet relate to body composition at 4 yr.
Study Population: a total of 536 children participating in a prospective birth cohort study.
Design: diet was assessed at 6 and 12 months of age. Compliance with weaning guidance was defined by the infant’s score for a principal component analysis-defined dietary pattern (infant guidelines) at 12 months. Infants with high infant guidelines scores had diets characterized by high consumption of fruit, vegetables, and home-prepared foods. Body composition was assessed at 4 yr by dual x-ray absorptiometry.
Results: longer duration of breastfeeding was associated with lower fat mass at 4 yr [4.5 kg, 95% confidence interval (CI) of 4.3–4.7 kg, in children breastfed for 12 months or more, compared with 5.0 (95% CI 4.7–5.3) kg in children never breastfed (P = 0.002)] but was not related to body mass index. Children with high infant guidelines scores had a higher lean mass [12.6 (95% CI 12.3–12.9) kg in children in the top quarter of the distribution, compared with 12.0 (95% CI 11.7–12.4) kg in children in the bottom quarter (P = 0.001)]. These associations were independent and were little changed by adjustment for confounding factors.
Conclusions: these data suggest that variations in both milk feeding and in the weaning diet are linked to differences in growth and development, and they have independent influences on body composition in early childhood
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Published date: August 2009
Organisations:
Dev Origins of Health & Disease
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Local EPrints ID: 68818
URI: http://eprints.soton.ac.uk/id/eprint/68818
ISSN: 0021-972X
PURE UUID: 31984cab-ee6a-4df0-84e4-edf65414d152
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Date deposited: 05 Oct 2009
Last modified: 18 Mar 2024 02:58
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Author:
Siân. M. Robinson
Author:
Lynne D. Marriott
Author:
Sarah R. Crozier
Author:
Catherine M. Law
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