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Related Experiment Video

Updated: Jul 8, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
09:36

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Published on: February 2, 2017

Association Between Food Portions During Complementary Feeding and Later Overweight Risk: Analysis From European

Irene Hernandez-Perez1, Joaquin Escribano1,2, Veit Grote3,4

  • 1Unitat de Pediatria, Departament de Medicina i Cirurgia, Universitat Rovira i Virgili, Reus, Spain.

Pediatric Obesity
|July 6, 2026
PubMed
Summary

Larger portion sizes given to infants during complementary feeding are linked to a higher risk of childhood overweight. Early portion size guidance may be key for preventing obesity.

Keywords:
childhood obesitycomplementary feedingearly nutritionportion size

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Last Updated: Jul 8, 2026

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Area of Science:

  • Pediatric Nutrition
  • Obesity Prevention
  • Child Health

Background:

  • Early-life nutrition significantly impacts long-term health.
  • Complementary feeding practices are crucial for child development.
  • The specific impact of portion size during complementary feeding on later overweight risk is not well understood.

Purpose of the Study:

  • To investigate the association between portion size during complementary feeding and the risk of overweight in childhood and preadolescence.
  • To determine if early portion sizes influence subsequent weight status.
  • To identify potential targets for early obesity prevention strategies.

Main Methods:

  • Secondary analysis of the European Childhood Obesity Project randomized clinical trial.
  • Dietary data collected at 6, 12, 18, and 24 months using 3-day food records with standardized portion sizes (z-scores).
  • Anthropometric measurements taken at 2, 8, and 11 years; statistical analysis using logistic regression and structural equation modeling.

Main Results:

  • Larger portion sizes at 6 months were associated with a more than twofold increased risk of overweight at 2 years (OR 2.36).
  • Portion sizes in later complementary feeding stages showed positive trends with overweight risk at 2, 8, and 11 years.
  • Indirect associations between early portion size and overweight at 8 and 11 years were observed, mediated by portion size at 8 years.

Conclusions:

  • Increased portion sizes in early life are significantly associated with a higher risk of overweight later in childhood.
  • Portion size recommendations during complementary feeding represent a potential target for early obesity prevention.
  • This study underscores the importance of appropriate portion sizes for long-term child health.