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Early introduction of complementary foods and childhood overweight in breastfed and formula-fed infants in the Netherlands: the PIAMA birth cohort study.
Eur J Nutr 2018; 57(5):1985-1993EJ

Abstract

PURPOSE

To investigate whether early introduction of complementary foods (CF) is associated with an increased risk of overweight during childhood, and whether this association differs between formula-fed and breastfed infants.

METHODS

We included 2611 participants that were born at term from a Dutch population-based birth cohort (n = 3963) designed to investigate the development of asthma and allergies. Parents kept records of their infant's age when CF were first introduced. Weight and height were parent reported yearly from age 1 to 8 years, and at ages 11, 14 and 17 years. We used multivariate generalized estimating equations analysis to investigate the association between timing of CF introduction (before 4 months vs at or after 4 months of age) and overweight at ages 1-17 years.

RESULTS

Children with CF introduction before 4 months had higher odds of being overweight during childhood than children with CF introduction at or after 4 months (OR 1.32, 95% CI 1.19, 1.47). This association was observed in formula-fed infants (OR 1.51, 95% CI 1.17, 1.94) and breastfed infants (OR 1.32, 95% CI 1.19, 1.47). The duration of breastfeeding modified the association between CF introduction and overweight: children breastfed for shorter than 4 months, but not children breastfed for 4 months or longer with CF introduction before 4 months had higher odds of being overweight (OR 1.37, 95% CI 1.19, 1.57 and 1.07, 95% CI 0.87, 1.32, respectively), compared to those with CF introduction at or after 4 months.

CONCLUSIONS

In children born at term, formula-fed infants and infants who were breastfed for shorter than 4 months, but not infants who were breastfed for 4 months or longer, had a higher risk of being overweight during childhood when being introduced to CF before 4 months of age.

Authors+Show Affiliations

Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, STR 6.131, P.O. Box 85500, 3508 GA, Utrecht, The Netherlands. l.p.m.pluymen@umcutrecht.nl.Center for Nutrition, Prevention, and Health Services, National Institute for Public Health and the Environment, Bilthoven, The Netherlands.Institute for Risk Assessment Sciences, Division of Environmental Epidemiology, Utrecht University, Utrecht, The Netherlands.Department of Pediatric Pulmonology and Pediatric Allergology, Beatrix Children's Hospital, UMCG, GRIAC Research Institute, University of Groningen, Groningen, The Netherlands.Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, STR 6.131, P.O. Box 85500, 3508 GA, Utrecht, The Netherlands.Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, STR 6.131, P.O. Box 85500, 3508 GA, Utrecht, The Netherlands.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29470690

Citation

Pluymen, Linda P M., et al. "Early Introduction of Complementary Foods and Childhood Overweight in Breastfed and Formula-fed Infants in the Netherlands: the PIAMA Birth Cohort Study." European Journal of Nutrition, vol. 57, no. 5, 2018, pp. 1985-1993.
Pluymen LPM, Wijga AH, Gehring U, et al. Early introduction of complementary foods and childhood overweight in breastfed and formula-fed infants in the Netherlands: the PIAMA birth cohort study. Eur J Nutr. 2018;57(5):1985-1993.
Pluymen, L. P. M., Wijga, A. H., Gehring, U., Koppelman, G. H., Smit, H. A., & van Rossem, L. (2018). Early introduction of complementary foods and childhood overweight in breastfed and formula-fed infants in the Netherlands: the PIAMA birth cohort study. European Journal of Nutrition, 57(5), pp. 1985-1993. doi:10.1007/s00394-018-1639-8.
Pluymen LPM, et al. Early Introduction of Complementary Foods and Childhood Overweight in Breastfed and Formula-fed Infants in the Netherlands: the PIAMA Birth Cohort Study. Eur J Nutr. 2018;57(5):1985-1993. PubMed PMID: 29470690.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Early introduction of complementary foods and childhood overweight in breastfed and formula-fed infants in the Netherlands: the PIAMA birth cohort study. AU - Pluymen,Linda P M, AU - Wijga,Alet H, AU - Gehring,Ulrike, AU - Koppelman,Gerard H, AU - Smit,Henriëtte A, AU - van Rossem,L, Y1 - 2018/02/22/ PY - 2017/07/10/received PY - 2018/02/17/accepted PY - 2018/2/23/pubmed PY - 2018/12/13/medline PY - 2018/2/23/entrez KW - Childhood KW - Infant feeding KW - Overweight KW - Solids SP - 1985 EP - 1993 JF - European journal of nutrition JO - Eur J Nutr VL - 57 IS - 5 N2 - PURPOSE: To investigate whether early introduction of complementary foods (CF) is associated with an increased risk of overweight during childhood, and whether this association differs between formula-fed and breastfed infants. METHODS: We included 2611 participants that were born at term from a Dutch population-based birth cohort (n = 3963) designed to investigate the development of asthma and allergies. Parents kept records of their infant's age when CF were first introduced. Weight and height were parent reported yearly from age 1 to 8 years, and at ages 11, 14 and 17 years. We used multivariate generalized estimating equations analysis to investigate the association between timing of CF introduction (before 4 months vs at or after 4 months of age) and overweight at ages 1-17 years. RESULTS: Children with CF introduction before 4 months had higher odds of being overweight during childhood than children with CF introduction at or after 4 months (OR 1.32, 95% CI 1.19, 1.47). This association was observed in formula-fed infants (OR 1.51, 95% CI 1.17, 1.94) and breastfed infants (OR 1.32, 95% CI 1.19, 1.47). The duration of breastfeeding modified the association between CF introduction and overweight: children breastfed for shorter than 4 months, but not children breastfed for 4 months or longer with CF introduction before 4 months had higher odds of being overweight (OR 1.37, 95% CI 1.19, 1.57 and 1.07, 95% CI 0.87, 1.32, respectively), compared to those with CF introduction at or after 4 months. CONCLUSIONS: In children born at term, formula-fed infants and infants who were breastfed for shorter than 4 months, but not infants who were breastfed for 4 months or longer, had a higher risk of being overweight during childhood when being introduced to CF before 4 months of age. SN - 1436-6215 UR - https://www.unboundmedicine.com/medline/citation/29470690/Early_introduction_of_complementary_foods_and_childhood_overweight_in_breastfed_and_formula_fed_infants_in_the_Netherlands:_the_PIAMA_birth_cohort_study_ L2 - https://dx.doi.org/10.1007/s00394-018-1639-8 DB - PRIME DP - Unbound Medicine ER -