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Updated: Jun 27, 2026

A Common Marmoset Model of Mother-Infant Intervention for Breastfeeding Disorders in the Presence of Paternal Inhibition and Maternal Neglect
Published on: September 22, 2023
Effects of infant feeding practice on weight gain from birth to 3 years
L J Griffiths1, L Smeeth, S Sherburne Hawkins
1MRC Centre of Epidemiology for Child Health, UCL Institute of Child Health, London WC1N 1EH, UK. l.griffiths@ich.ucl.ac.uk
Insights
Initiating and continuing breastfeeding helps reduce excess weight gain in children up to preschool age. Early introduction of solids does not appear to affect weight gain after accounting for height. These findings highlight modifiable infant feeding practices for public health importance.
Area of Science:
- Child Health
- Pediatric Nutrition
- Growth Monitoring
Background:
- Infant feeding practices' impact on childhood weight gain is debated, with limited research adjusting for confounding factors.
- Understanding these influences is crucial for addressing childhood obesity.
Purpose of the Study:
- To investigate the effects of breastfeeding initiation, duration, and age of solid food introduction on weight gain from birth to 3 years.
- To analyze these effects while controlling for potential confounding variables.
Main Methods:
- Prospective, nationally representative study of 10,533 children in the UK Millennium Cohort Study.
- Weight gain z-scores from birth to 3 years were analyzed using multiple linear regression, adjusting for confounders.
Main Results:
- Breastfeeding initiation and longer duration were linked to reduced weight gain up to age 3.
- Infants not breastfed or breastfed for less than 4 months showed faster weight gain.
- Early introduction of solids was not associated with faster weight gain when adjusted for height.
Conclusions:
- Promoting breastfeeding initiation and duration may help prevent excess weight gain by preschool age.
- The link between early solids and rapid weight gain is mediated by childhood stature.
- These modifiable infant feeding factors have public health significance, necessitating support strategies for mothers.
Objective:
The influence of infant feeding practices on weight gain during childhood remains unresolved, with few studies adjusting appropriately for confounding factors. This study examined the effect of breastfeeding initiation, breastfeeding duration and age at introduction of solid foods on weight gain from birth to 3 years.
Design:
Nationally representative prospective study.
Setting:
England, Wales, Scotland and Northern Ireland.
Participants:
10,533 3-year-old children from the UK Millennium Cohort Study.
Main Outcome Measure:
Conditional weight gain z-scores from birth to 3 years (adjusted for birthweight); multiple linear regression analyses were conducted to examine the impact of infant feeding practices on this measure after adjustment for confounding factors.
Results:
Breastfeeding initiation and breastfeeding duration were significantly associated with weight gain from birth to 3 years. Infants receiving no breast milk grew faster than those whose mothers initiated breastfeeding (adjusted regression coefficient (difference in z-scores) 0.06, 95% CI 0.02 to 0.09), as did those breastfed for less than 4 months (0.05, 95% CI 0.01 to 0.09) versus those breastfed 4 months or longer. Early introduction of solids was not associated with faster weight gain after adjustment for height z-score at 3 years (-0.01, 95% CI -0.04 to 0.03).
Conclusions:
Initiating and prolonging breastfeeding may reduce excess weight gain by preschool age. Association of the early introduction of solids with rapid weight gain during early childhood is mediated through childhood stature. Although effects sizes are small, at a population level they are of public health importance as these risk factors are potentially modifiable. Strategies to support mothers to follow internationally recommended infant feeding practices are required.
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