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Dietary energy intake at the age of 4 months predicts postnatal weight gain and childhood body mass index.

Abstract

OBJECTIVE

Rapid infant weight gain has been shown to predict later obesity risk; however, it is unclear which factors influence infant diet and weight gain. The objective of this study was to determine whether different feeding patterns and energy intakes that are provided to infants affect body weight and BMI later in childhood.

METHODS

This representative birth cohort study was conducted in the United Kingdom. Energy intake at age 4 months was estimated from 1-day unweighed dietary records in 881 infants and related to their childhood weight gain and BMI.

RESULTS

Among formula- or mixed-fed infants (N = 582), energy intake was higher in first-born infants (mean +/- SE: 2730 +/- 29.4 kJ/day; n = 263) than in subsequent-born infants (2620.8 +/- 25.2 kJ/day; n = 296). Energy intake at 4 months was also higher in infants who were given solid foods earlier (1-2 months: 2805.6 +/- 50.4 kJ/day, n = 89; 2-3 months: 2658.6 +/- 25.2 kJ/day, n = 339; 4+ months: 2587.2 +/- 46.2 kJ/day, n = 111). Higher energy intake at 4 months predicted greater weight gain between birth to age 1, 2, or 3 years and larger body weight and BMI at ages 1 to 5 years. No significant associations were seen in breastfed infants (N = 299).

CONCLUSIONS

Among formula- or mixed-fed infants, dietary energy intake at age 4 months predicted postnatal weight gain and childhood obesity risk. Both prenatal and postnatal factors may influence infant energy intake and postnatal weight gain.

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  • Authors+Show Affiliations

    ,

    Medical Research Council Epidemiology Unit, Cambridge, United Kingdom. ko224@mrc-epid.cam.ac.uk

    , , , ,

    Source

    Pediatrics 117:3 2006 Mar pg e503-8

    MeSH

    Birth Weight
    Body Mass Index
    Body Weight
    Breast Feeding
    Child, Preschool
    Energy Intake
    Humans
    Infant
    Infant Food
    Infant Formula
    Infant Nutritional Physiological Phenomena
    Longitudinal Studies
    Weight Gain

    Pub Type(s)

    Journal Article
    Research Support, N.I.H., Extramural
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    16510629

    Citation

    Ong, Ken K., et al. "Dietary Energy Intake at the Age of 4 Months Predicts Postnatal Weight Gain and Childhood Body Mass Index." Pediatrics, vol. 117, no. 3, 2006, pp. e503-8.
    Ong KK, Emmett PM, Noble S, et al. Dietary energy intake at the age of 4 months predicts postnatal weight gain and childhood body mass index. Pediatrics. 2006;117(3):e503-8.
    Ong, K. K., Emmett, P. M., Noble, S., Ness, A., & Dunger, D. B. (2006). Dietary energy intake at the age of 4 months predicts postnatal weight gain and childhood body mass index. Pediatrics, 117(3), pp. e503-8.
    Ong KK, et al. Dietary Energy Intake at the Age of 4 Months Predicts Postnatal Weight Gain and Childhood Body Mass Index. Pediatrics. 2006;117(3):e503-8. PubMed PMID: 16510629.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Dietary energy intake at the age of 4 months predicts postnatal weight gain and childhood body mass index. AU - Ong,Ken K, AU - Emmett,Pauline M, AU - Noble,Sian, AU - Ness,Andy, AU - Dunger,David B, AU - ,, PY - 2006/3/3/pubmed PY - 2006/3/23/medline PY - 2006/3/3/entrez SP - e503 EP - 8 JF - Pediatrics JO - Pediatrics VL - 117 IS - 3 N2 - OBJECTIVE: Rapid infant weight gain has been shown to predict later obesity risk; however, it is unclear which factors influence infant diet and weight gain. The objective of this study was to determine whether different feeding patterns and energy intakes that are provided to infants affect body weight and BMI later in childhood. METHODS: This representative birth cohort study was conducted in the United Kingdom. Energy intake at age 4 months was estimated from 1-day unweighed dietary records in 881 infants and related to their childhood weight gain and BMI. RESULTS: Among formula- or mixed-fed infants (N = 582), energy intake was higher in first-born infants (mean +/- SE: 2730 +/- 29.4 kJ/day; n = 263) than in subsequent-born infants (2620.8 +/- 25.2 kJ/day; n = 296). Energy intake at 4 months was also higher in infants who were given solid foods earlier (1-2 months: 2805.6 +/- 50.4 kJ/day, n = 89; 2-3 months: 2658.6 +/- 25.2 kJ/day, n = 339; 4+ months: 2587.2 +/- 46.2 kJ/day, n = 111). Higher energy intake at 4 months predicted greater weight gain between birth to age 1, 2, or 3 years and larger body weight and BMI at ages 1 to 5 years. No significant associations were seen in breastfed infants (N = 299). CONCLUSIONS: Among formula- or mixed-fed infants, dietary energy intake at age 4 months predicted postnatal weight gain and childhood obesity risk. Both prenatal and postnatal factors may influence infant energy intake and postnatal weight gain. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/16510629/full_citation L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=16510629 DB - PRIME DP - Unbound Medicine ER -