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Birth weight, growth and feeding pattern in early infancy predict overweight/obesity status at two years of age: a birth cohort study of Chinese infants.
PLoS One. 2013; 8(6):e64542.Plos

Abstract

OBJECTIVES

To investigate the early determinants of overweight and obesity status at age two years.

METHODS

A total of 1098 healthy neonates (563 boys and 535 girls) were involved in this community-based prospective study in China. Data on body weight and length were collected at birth, the 3(rd) and 24(th) month. A self-administered questionnaire was used to collect data on social demography and feeding patterns of children, etc. Three multivariable logistic regression models were employed to make various comparisons of weight status, i.e., model 1 (obesity vs. non-obesity), model 2 (combined overweight and obesity vs. normal weight, and model 3 (obesity, overweight and normal weight).

RESULTS

Prevalences of overweight/obesity (95(th) >BMI ≥85(th) p and BMI ≥95(th) p, referring to WHO BMI standards) at 2 years of age are 15.8%/11.2% for boys and 12.9%/9.0% for girls, respectively. Being born with macrosomia (OR: 1.80-1.88), relatively greater BMI increment in the first 3 months (OR: 1.15-1.16) and bottle emptying by encouragement at age two (OR: 1.30-1.57) were found in all three models to be significant risk factors for higher BMI status at 2 years. Pre-pregnancy maternal BMI (OR: 1.09-1.12), paternal BMI (OR: 1.06), and mixed breastfeeding (OR: 1.54-1.57) or formula feeding (OR: 1.90-1.93) in the first month were identified as significant in models 2 and 3. Child-initiated bottle emptying at age two was observed to increase the risk of obesity by 1.31 times but only in model 1.

CONCLUSION

Fetal and early postnatal growth and feeding pattern appear to have significant impacts on early childhood overweight and obesity status independent of parental BMI. Policy-based and multidisciplinary approaches to promote breastfeeding and enhancement of feeding skills of care takers may be promising intervention strategies.

Authors+Show Affiliations

Department of Woman and Child's Care and Adolescence Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. jd_zh@mail.hust.edu.cnNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23755127

Citation

Zhang, Jianduan, et al. "Birth Weight, Growth and Feeding Pattern in Early Infancy Predict Overweight/obesity Status at Two Years of Age: a Birth Cohort Study of Chinese Infants." PloS One, vol. 8, no. 6, 2013, pp. e64542.
Zhang J, Himes JH, Guo Y, et al. Birth weight, growth and feeding pattern in early infancy predict overweight/obesity status at two years of age: a birth cohort study of Chinese infants. PLoS ONE. 2013;8(6):e64542.
Zhang, J., Himes, J. H., Guo, Y., Jiang, J., Yang, L., Lu, Q., Ruan, H., & Shi, S. (2013). Birth weight, growth and feeding pattern in early infancy predict overweight/obesity status at two years of age: a birth cohort study of Chinese infants. PloS One, 8(6), e64542. https://doi.org/10.1371/journal.pone.0064542
Zhang J, et al. Birth Weight, Growth and Feeding Pattern in Early Infancy Predict Overweight/obesity Status at Two Years of Age: a Birth Cohort Study of Chinese Infants. PLoS ONE. 2013;8(6):e64542. PubMed PMID: 23755127.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Birth weight, growth and feeding pattern in early infancy predict overweight/obesity status at two years of age: a birth cohort study of Chinese infants. AU - Zhang,Jianduan, AU - Himes,John H, AU - Guo,Yuan, AU - Jiang,Jingxiong, AU - Yang,Liu, AU - Lu,Qiaozhen, AU - Ruan,Haiyan, AU - Shi,Shuhua, Y1 - 2013/06/05/ PY - 2012/10/05/received PY - 2013/04/16/accepted PY - 2013/6/12/entrez PY - 2013/6/12/pubmed PY - 2014/1/15/medline SP - e64542 EP - e64542 JF - PloS one JO - PLoS ONE VL - 8 IS - 6 N2 - OBJECTIVES: To investigate the early determinants of overweight and obesity status at age two years. METHODS: A total of 1098 healthy neonates (563 boys and 535 girls) were involved in this community-based prospective study in China. Data on body weight and length were collected at birth, the 3(rd) and 24(th) month. A self-administered questionnaire was used to collect data on social demography and feeding patterns of children, etc. Three multivariable logistic regression models were employed to make various comparisons of weight status, i.e., model 1 (obesity vs. non-obesity), model 2 (combined overweight and obesity vs. normal weight, and model 3 (obesity, overweight and normal weight). RESULTS: Prevalences of overweight/obesity (95(th) >BMI ≥85(th) p and BMI ≥95(th) p, referring to WHO BMI standards) at 2 years of age are 15.8%/11.2% for boys and 12.9%/9.0% for girls, respectively. Being born with macrosomia (OR: 1.80-1.88), relatively greater BMI increment in the first 3 months (OR: 1.15-1.16) and bottle emptying by encouragement at age two (OR: 1.30-1.57) were found in all three models to be significant risk factors for higher BMI status at 2 years. Pre-pregnancy maternal BMI (OR: 1.09-1.12), paternal BMI (OR: 1.06), and mixed breastfeeding (OR: 1.54-1.57) or formula feeding (OR: 1.90-1.93) in the first month were identified as significant in models 2 and 3. Child-initiated bottle emptying at age two was observed to increase the risk of obesity by 1.31 times but only in model 1. CONCLUSION: Fetal and early postnatal growth and feeding pattern appear to have significant impacts on early childhood overweight and obesity status independent of parental BMI. Policy-based and multidisciplinary approaches to promote breastfeeding and enhancement of feeding skills of care takers may be promising intervention strategies. SN - 1932-6203 UR - https://www.unboundmedicine.com/medline/citation/23755127/Birth_weight_growth_and_feeding_pattern_in_early_infancy_predict_overweight/obesity_status_at_two_years_of_age:_a_birth_cohort_study_of_Chinese_infants_ L2 - http://dx.plos.org/10.1371/journal.pone.0064542 DB - PRIME DP - Unbound Medicine ER -