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Variations in infant feeding practice are associated with body composition in childhood: a prospective cohort study.

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 and Metabolism, 94, (8), pp. 2799-2805.

Record type: Article


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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More information

Published date: August 2009
Organisations: Dev Origins of Health & Disease


Local EPrints ID: 68818
ISSN: 0021-972X
PURE UUID: 31984cab-ee6a-4df0-84e4-edf65414d152
ORCID for Siân. M. Robinson: ORCID iD
ORCID for Hazel M. Inskip: ORCID iD
ORCID for Janis Baird: ORCID iD
ORCID for Keith M. Godfrey: ORCID iD
ORCID for Cyrus Cooper: ORCID iD

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Date deposited: 05 Oct 2009
Last modified: 28 Aug 2017 23:30

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Author: Lynne D. Marriott
Author: Sarah R. Crozier
Author: Nick C. Harvey
Author: Hazel M. Inskip ORCID iD
Author: Janis Baird ORCID iD
Author: Catherine M. Law
Author: Cyrus Cooper ORCID iD

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