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Infant feeding mode affects early growth and body composition.
N F Butte1, W W Wong, J M Hopkinson
1Department of Pediatrics, USDA/ARS Children's Nutrition Research Center, Baylor College of Medicine, Houston, Texas, USA.
Pediatrics
|January 11, 2000
Summary
Differences in infant body composition between breastfed (BF) and formula-fed (FF) infants emerge early but resolve by the second year of life. Nutrient intake correlates with these early body composition changes in BF and FF infants.
Area of Science:
- Pediatrics
- Human Nutrition
- Infant Growth
Background:
- Breastfed (BF) and formula-fed (FF) infants exhibit distinct growth patterns, often attributed to nutrient intake variations.
- The specific impact of these nutrient differences on infant body composition and their persistence post-weaning remains unclear.
Purpose of the Study:
- To investigate the impact of infant feeding mode (BF vs. FF) on body composition during the first two years of life.
- To determine if early differences in body composition between BF and FF infants persist beyond the weaning period.
Main Methods:
- A prospective cohort study involving 40 BF and 36 FF infants.
- Repeated measurements of anthropometry and body composition (using multicomponent models, DXA, and TBC) at multiple time points from 0.5 to 24 months.
- Infant food intake was recorded at 3, 6, 12, and 24 months.
Main Results:
- Formula-fed infants showed higher weight velocity in early infancy (3-6 months).
- Breastfed infants had lower total body water, potassium, and bone mineral content in early infancy.
- Differences in fat-free mass and fat mass were observed in early infancy, with formula-fed infants showing higher fat-free mass and breastfed infants showing higher fat mass (in boys).
- Nutrient intakes were lower in BF infants at 3 and 6 months and correlated with weight and fat-free mass gain.
Conclusions:
- Infant feeding mode significantly influences body composition during early infancy.
- These feeding-related body composition differences do not persist into the second year of life.