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Distinct infant feeding type-specific plasma metabolites at age 3 months associate with body composition at 2 years
Inge A L P van Beijsterveldt1, Pernille Neve Myers2, Stuart G Snowden3
1Department of Pediatrics, Subdivision of Endocrinology, Erasmus University Medical Center/Sophia Children's Hospital, Rotterdam, The Netherlands.
Insights
Infant plasma metabolites at 3 months are linked to body composition at 2 years, particularly in breastfed infants. Early life feeding type influences adiposity programming.
Area of Science:
- Pediatric Nutrition
- Metabolomics
- Body Composition Analysis
Background:
- Early life is a critical period for adiposity programming.
- Infant metabolic profiles may influence this programming.
- Understanding infant feeding's role in adiposity is crucial.
Purpose of the Study:
- To investigate associations between plasma metabolites at 3 months and body composition at 2 years.
- To determine if these associations differ between exclusively breastfed (EBF) and exclusively formula-fed (EFF) infants.
- To explore the impact of infant feeding on early-life adiposity programming.
Main Methods:
- Studied 318 healthy term-born infants.
- Assessed body composition (DXA) and visceral fat (ultrasound) at 2 years.
- Performed metabolic profiling on 3-month-old infant blood samples.
Main Results:
- Specific plasma metabolites at 3 months were associated with body composition at 2 years.
- Lyso-phospholipids were among the identified metabolites.
- Associations were predominantly observed in EBF infants for fat mass index, fat mass percentage, fat-free mass index, and visceral fat.
Conclusions:
- Plasma metabolite associations with body composition at 2 years are dependent on infant feeding type.
- Infant feeding significantly impacts adiposity programming.
- Findings highlight the importance of early life nutrition for metabolic health.
Background & Objectives:
Early life is a critical window for adiposity programming and metabolic profile may affect this programming. We investigated if plasma metabolites at age 3 months were associated with fat mass, fat free mass and abdominal subcutaneous and visceral fat outcomes at age 2 years in a cohort of healthy infants and if these associations were different between infants receiving exclusive breastfeeding (EBF) and those with exclusive formula feeding (EFF).
Methods:
In 318 healthy term-born infants, we determined body composition by Dual Energy X-ray absorptiometry (DXA) and visceral fat by abdominal ultrasound at 2 age years. High-throughput metabolic profiling was performed on blood samples collected at age 3 months. Tertiles were generated for each body composition outcome and differences in plasma metabolite levels at age 3 months between infants with high and low body composition outcomes at age 2 years were evaluated in general, as well as separately in EBF- and EFF-infants.
Results:
Distinct plasma metabolite variables identified at age 3 months were associated with body composition at 2 years. These metabolites included several classes of lyso-phospholipids. Associations between the metabolites at age 3 months and fat mass index, fat mass percentage, fat free mass index and visceral fat at 2 years were predominantly found in EBF-infants.
Conclusion:
Associations between plasma metabolite levels at age 3 months and high body fat mass at 2 years depend on infant feeding type. These findings contribute to our insight into the importance of infant feeding on adiposity programming in early life.
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