Nutrition- and feeding practice-related risk factors for rapid weight gain during the first year of life: a population-based birth cohort study

BMC Pediatrics

Bernt Alm¹  Jovanna Dahlgren¹  Gerd Almquist-Tangen²  Josefine Roswall³  Ann Bremander⁴  Stefan Bergman⁵  Carin Staland-Nyman⁶  Annelie Lindholm⁷ 

[1] Department of Pediatrics, Institute of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden;Department of Pediatrics, Institute of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden;Child Health Care Unit, Region Halland, Halmstad, Sweden;Department of Pediatrics, Institute of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden;Department of Pediatrics, Halland Hospital, Halmstad, Sweden;Research and Development Center Spenshult, Halmstad, Sweden;Department of Regional Health Research, University of Southern Denmark, Odense, Denmark;Research and Development Center Spenshult, Halmstad, Sweden;Primary Health Care Unit, Department of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden;School of Health and Welfare, Halmstad University, Kristian IV:s väg 3, 301 18, Halmstad, Sweden;School of Health and Welfare, Halmstad University, Kristian IV:s väg 3, 301 18, Halmstad, Sweden;Research and Development Center Spenshult, Halmstad, Sweden;

关键词: Bottle-feeding;    Breastfeeding;    Growth;    Infant;    Milk cereal drink;    Nutrition;    Obesity;    Overweight;    Pediatrics;    Rapid weight gain;   

DOI  :  10.1186/s12887-020-02391-4

来源: Springer

【 摘 要 】

BackgroundRapid weight gain (RWG) during infancy increases the risk of excess weight later in life. Nutrition- and feeding practices associated with RWG need to be further examined. The present study aimed to examine nutrition- and feeding practice-related risk factors for RWG during the first year of life.MethodsA population-based longitudinal birth cohort study of 1780 infants, classified as having RWG or non-RWG during 0–3-4, 0–6 and 6–12 months. RWG was defined as a change > 0.67 in weight standard deviation scores. Associations between nutrition- and feeding practice-related factors and RWG were examined with logistic regression models.ResultsOf the participating infants, 47% had RWG during 0–3-4 months, 46% during 0–6 months and 8% during 6–12 months. In the fully adjusted models, bottle-feeding at birth and at 3–4 months and nighttime meals containing formula milk were positively associated with RWG during 0–3-4 months (p < 0.05 for all). Breastfeeding at 3–4 months and nighttime meals containing breast milk were negatively associated with RWG during this period (p < 0.001). Bottle-feeding at birth, 3–4 and 6 months and nighttime meals containing formula milk at 3–4 months were positively associated with RWG during 0–6 months (p < 0.01 for all). Breastfeeding at 3–4 and 6 months was negatively associated with RWG (p < 0.01). During 6–12 months, only bottle-feeding at 3–4 months was positively associated with RWG (p < 0.05).ConclusionsRWG was more common during the first 6 months of life and bottle-feeding and formula milk given at night were risk factors for RWG during this period.

【 授权许可】

CC BY