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Published on: July 29, 2020
Dietary patterns in infancy are associated with child diet and weight outcomes at 6 years
C M Rose1, L L Birch2, J S Savage1
1Center for Childhood Obesity Research, The Pennsylvania State University, University Park, PA, USA.
Insights
Early infant diet patterns predict later eating habits and weight. High-energy infant foods are linked to increased child overweight risk and continued consumption at age 6.
Area of Science:
- Pediatric Nutrition
- Childhood Obesity Research
- Dietary Pattern Analysis
Background:
- Infant feeding practices significantly influence long-term health outcomes.
- Understanding early dietary patterns is crucial for preventing childhood obesity.
- Previous research identified distinct infant dietary patterns based on milk and solid food intake.
Purpose of the Study:
- To determine if infant dietary patterns at 9 months of age are associated with children's diet and weight status at 6 years.
- To investigate the predictive value of early-life food consumption on later childhood eating behaviors and body mass index (BMI).
Main Methods:
- Utilized data from the Infant Feeding Practices Study II and Year 6 Follow-Up Studies.
- Employed latent class analysis to define five distinct infant dietary patterns.
- Controlled for confounding variables to assess the association between infant dietary patterns and 6-year-old outcomes.
Main Results:
- Infants with higher fruit and vegetable intake at 9 months showed similar consumption at 6 years.
- Dietary patterns high in energy-dense foods in infancy correlated with higher intake of these foods and increased overweight prevalence (43%) at 6 years.
- Formula-fed infants exhibited higher sugar-sweetened beverage intake and lower fruit/vegetable intake compared to breastfed infants at 6 years.
Conclusions:
- Early infant feeding choices, including milk type and solid food introduction, can predict later dietary habits and obesity risk.
- Exposure to energy-dense foods in infancy is associated with sustained consumption and elevated risk of overweight in childhood.
Objective:
To assess whether patterns of dietary exposures at 9 months are associated with child diet and weight at 6 years.
Methods:
Data for this study were from the Infant Feeding Practices Study II and Year 6 Follow-Up Studies. All data were self-reported monthly. Results of a previous latent class analysis revealed five dietary patterns varying in milk and solid food intake. These five infant dietary patterns were used in the current study to predict child diet and weight outcomes at 6 years, while controlling for confounding variables.
Results:
Infants with dietary patterns higher in fruit and vegetable intake at 9 months had higher fruit and vegetable intake at 6 years. Similarly, infants with the dietary pattern characterized by foods high in energy density (that is, French Fries and sweet desserts) continued to have higher consumption of these foods at 6 years, and had a higher prevalence of overweight at 6 years (43%) compared with the other classes. Formula-fed infants had higher sugar-sweetened beverage intake and fewer met the dietary guidelines for fruit and vegetable intake at 6 years than breastfed infants, controlling for factors such as income.
Conclusions:
Early decisions about milk-feeding, and the types of solid foods offered in infancy can foreshadow dietary patterns and obesity risk later in childhood. Infants who were offered energy-dense foods had higher intake of these foods at 6 years of age.
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