Related Experiment Video
Updated: Jul 11, 2026

Noninvasive Sampling of Mucosal Lining Fluid for the Quantification of In Vivo Upper Airway Immune-mediator Levels
Published on: August 7, 2017
Associations between postnatal weight gain, change in postnatal pulmonary function, formula feeding and early asthma
1School of Paediatrics and Child Health, University of Western Australia and Department of Respiratory Medicine, Princess Margaret Hospital for Children, Perth, Australia. s.w.turner@abdn.ac.uk
Insights
Infant weight gain is linked to poorer lung function development. Breastfeeding may reduce this risk and early asthma symptoms, potentially influencing the "fat happy wheezer" profile.
Area of Science:
- Pediatric Respiratory Health
- Infant Growth and Development
- Nutritional Epidemiology
Background:
- Factors influencing infant lung function are crucial for long-term respiratory health.
- Understanding the relationship between infant weight changes and lung function is important for early intervention.
Purpose of the Study:
- To investigate factors affecting lung function in infancy.
- To test the hypothesis that infant weight gain negatively impacts lung function development.
Main Methods:
- Measured infant weight, length, and maximal flow at functional residual capacity (V'maxFRC) at 1 and 12 months.
- Collected data on asthma symptoms and formula feeding introduction via questionnaires.
- Analyzed associations between weight changes, V'maxFRC changes, and asthma symptoms.
Main Results:
- Infant weight gain showed an inverse association with changes in V'maxFRC (r = -0.18, p<0.001).
- Higher weight gain and reduced V'maxFRC change were linked to increased asthma risk by age 3.
- Exclusive breastfeeding to 6 months correlated with reduced weight gain and fewer asthma symptoms at age 3.
Conclusions:
- Infant weight gain is inversely related to lung function development.
- Postnatal weight gain may influence transient early asthma symptoms, potentially modifiable by breastfeeding.
- Findings may relate to the 'fat happy wheezer' syndrome, highlighting the role of infant feeding practices.
Background:
A study was undertaken to examine factors that might influence lung function during infancy and to test the hypothesis that change in weight during infancy is negatively associated with change in lung function.
Methods:
Weight, length and maximal flow at functional residual capacity (V'maxFRC) were measured at ages 1 and 12 months. V'maxFRC was adjusted for length. Asthma symptoms and age at introduction of formula feeds were identified from questionnaires. Groups were dichotomised by V'maxFRC at 1 month and change in V'maxFRC.
Results:
154 infants were assessed at ages 1 and 12 months. The change in V'maxFRC was inversely associated with change in weight (r = -0.18, r2 = 0.13, p<0.001). The group with lower V'maxFRC at 1 month and reduced change in V'maxFRC over infancy had the greatest weight gain (p = 0.003) and increased risk for asthma symptoms by 3 years (p = 0.017) but not afterwards. Exclusive breast feeding to 6 months was associated with a mean reduction in weight gain at age 12 months in comparison with earlier introduction of formula milk (mean difference 0.65 kg, p = 0.001), and was also associated with reduced asthma symptoms at 3 years (odds ratio 0.44, p = 0.043) but not at 6 or 11 years of age.
Conclusions:
Weight gain in infancy is inversely associated with change in lung function during infancy. Postnatal weight gain may be indirectly associated with early transient asthma symptoms via an influence on lung growth during infancy, and this is potentially modifiable by breast feeding. These associations could be relevant to the clinically recognised syndrome of the "fat happy wheezer".
Related Concept Videos
Asthma I: Introduction
Asthma-I: Introduction
Asthma-II: Pathophysiology and Classification
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Asthma III: Clinical Manifestations
Asthma: Pathogenesis and Management
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features