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Timing of solid food introduction and association with later childhood overweight and obesity : the IDEFICS study

Stalo Papoutsou, Savvas C Savva, Monica Hunsberger, Hannah Jilani, Nathalie Michels UGent, Wolfgang Ahrens, Michael Tornaritis, Toomas Veidebaum, Dénes Molnár, Alfonso Siani, et al. (2018) MATERNAL AND CHILD NUTRITION. 14(1).
abstract
This study investigated associations between timing of solid food introduction and childhood obesity and explored maternal characteristics influencing early feeding practices. Cross-sectional data from children 2-9years (n=10,808; 50.5% boys) residing in 8 European countries of the IDEFICS study (2007-2008) were included. Late solid food introduction (7months of age) was associated with an increased prevalence of later childhood overweight/obesity among exclusively breastfed children (OR [odds ratio]: 1.38, 95% CI [confidence interval] [1.01, 1.88]). In contrast, early solid food introduction (<4months of age) was associated with lower prevalence of overweight/obesity among children that ceased exclusive breastfeeding earlier than 4 months (OR: 0.63, 95% CI [0.47, 0.84]). Children that were introduced to solids right after 6months exclusive breastfeeding and continued to receive breastmilk (12months) were less likely to become overweight/obese (OR: 0.67, 95% CI [0.51, 0.88]) compared to children that discontinued to receive breastmilk. Analyses were adjusted for age, sex, country, birth weight, parental education level, parental body mass index, tobacco use in pregnancy, gestational weight gain, and gestational diabetes. Underweight mothers, overweight mothers, mothers who reported daily smoking during pregnancy, and low-educated mothers were less likely to follow recommendations on breastfeeding and timely solids introduction. Future studies should examine whether guidelines for solid food introduction timing have to distinguish between exclusively breastfed, formula fed, and too early exclusive breastfeeding-ceased infants. There is also need for more prospective studies; recall bias was an important current limitation. In conclusion, health professionals should emphasize benefits of breastfeeding and appropriate solid food introduction, especially to mothers that are less likely to follow recommendations.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
breastfeeding, childhood, maternal, obesity, overweight, solid food introduction, MATERNAL RECALL, RISK, VALIDITY, INFANCY, COHORT, TRIAL, LIFE, AGE
journal title
MATERNAL AND CHILD NUTRITION
Matern. Child Nutr.
volume
14
issue
1
article number
e12471
pages
8 pages
Web of Science type
Article
Web of Science id
000418336700028
ISSN
1740-8695
DOI
10.1111/mcn.12471
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
8542097
handle
http://hdl.handle.net/1854/LU-8542097
date created
2017-12-15 14:39:12
date last changed
2018-05-24 09:15:30
@article{8542097,
  abstract     = {This study investigated associations between timing of solid food introduction and childhood obesity and explored maternal characteristics influencing early feeding practices. Cross-sectional data from children 2-9years (n=10,808; 50.5\% boys) residing in 8 European countries of the IDEFICS study (2007-2008) were included. Late solid food introduction (7months of age) was associated with an increased prevalence of later childhood overweight/obesity among exclusively breastfed children (OR [odds ratio]: 1.38, 95\% CI [confidence interval] [1.01, 1.88]). In contrast, early solid food introduction ({\textlangle}4months of age) was associated with lower prevalence of overweight/obesity among children that ceased exclusive breastfeeding earlier than 4 months (OR: 0.63, 95\% CI [0.47, 0.84]). Children that were introduced to solids right after 6months exclusive breastfeeding and continued to receive breastmilk (12months) were less likely to become overweight/obese (OR: 0.67, 95\% CI [0.51, 0.88]) compared to children that discontinued to receive breastmilk. Analyses were adjusted for age, sex, country, birth weight, parental education level, parental body mass index, tobacco use in pregnancy, gestational weight gain, and gestational diabetes. Underweight mothers, overweight mothers, mothers who reported daily smoking during pregnancy, and low-educated mothers were less likely to follow recommendations on breastfeeding and timely solids introduction. Future studies should examine whether guidelines for solid food introduction timing have to distinguish between exclusively breastfed, formula fed, and too early exclusive breastfeeding-ceased infants. There is also need for more prospective studies; recall bias was an important current limitation. In conclusion, health professionals should emphasize benefits of breastfeeding and appropriate solid food introduction, especially to mothers that are less likely to follow recommendations.},
  articleno    = {e12471},
  author       = {Papoutsou, Stalo and Savva, Savvas C and Hunsberger, Monica and Jilani, Hannah and Michels, Nathalie and Ahrens, Wolfgang and Tornaritis, Michael and Veidebaum, Toomas and Moln{\'a}r, D{\'e}nes and Siani, Alfonso and Moreno, Luis A and Hadjigeorgiou, Charis},
  issn         = {1740-8695},
  journal      = {MATERNAL AND CHILD NUTRITION},
  keyword      = {breastfeeding,childhood,maternal,obesity,overweight,solid food introduction,MATERNAL RECALL,RISK,VALIDITY,INFANCY,COHORT,TRIAL,LIFE,AGE},
  language     = {eng},
  number       = {1},
  pages        = {8},
  title        = {Timing of solid food introduction and association with later childhood overweight and obesity : the IDEFICS study},
  url          = {http://dx.doi.org/10.1111/mcn.12471},
  volume       = {14},
  year         = {2018},
}

Chicago
Papoutsou, Stalo, Savvas C Savva, Monica Hunsberger, Hannah Jilani, Nathalie Michels, Wolfgang Ahrens, Michael Tornaritis, et al. 2018. “Timing of Solid Food Introduction and Association with Later Childhood Overweight and Obesity : the IDEFICS Study.” Maternal and Child Nutrition 14 (1).
APA
Papoutsou, Stalo, Savva, S. C., Hunsberger, M., Jilani, H., Michels, N., Ahrens, W., Tornaritis, M., et al. (2018). Timing of solid food introduction and association with later childhood overweight and obesity : the IDEFICS study. MATERNAL AND CHILD NUTRITION, 14(1).
Vancouver
1.
Papoutsou S, Savva SC, Hunsberger M, Jilani H, Michels N, Ahrens W, et al. Timing of solid food introduction and association with later childhood overweight and obesity : the IDEFICS study. MATERNAL AND CHILD NUTRITION. 2018;14(1).
MLA
Papoutsou, Stalo, Savvas C Savva, Monica Hunsberger, et al. “Timing of Solid Food Introduction and Association with Later Childhood Overweight and Obesity : the IDEFICS Study.” MATERNAL AND CHILD NUTRITION 14.1 (2018): n. pag. Print.