Feeding patterns and BMI trajectories during infancy: a multi-ethnic, prospective birth cohort
Abstract Background Milk feeding type (exclusive breastfeeding [EBF], formula feeding or mixed feeding) and timing of complementary feeding (CF) have been associated with infant growth. However, studies evaluating their combined role, and the role of ethnicity, are scarce. We examined associations o...
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doaj-2db4c780bff546df9fc8896e4568efe02021-01-17T12:16:29ZengBMCBMC Pediatrics1471-24312021-01-0121111110.1186/s12887-020-02456-4Feeding patterns and BMI trajectories during infancy: a multi-ethnic, prospective birth cohortOuti Sirkka0Michel H. Hof1Tanja Vrijkotte2Marieke Abrahamse-Berkeveld3Jutka Halberstadt4Jacob C. Seidell5Margreet R. Olthof6Department of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam Public Health Research InstituteDepartment of Clinical Epidemiology, Biostatistics and Bioinformatics, Amsterdam Public Health Research institute, Amsterdam UMC, University of AmsterdamDepartment of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of AmsterdamDanone Nutricia ResearchDepartment of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam Public Health Research InstituteDepartment of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam Public Health Research InstituteDepartment of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam Public Health Research InstituteAbstract Background Milk feeding type (exclusive breastfeeding [EBF], formula feeding or mixed feeding) and timing of complementary feeding (CF) have been associated with infant growth. However, studies evaluating their combined role, and the role of ethnicity, are scarce. We examined associations of feeding patterns (milk feeding type combined with timing of CF) with infant body mass index (BMI) trajectories and potential ethnic-specific associations. Methods Infant feeding and BMI data during the 1st year of life from 3524 children (Dutch n = 2880, Moroccan n = 404 and Turkish n = 240) from the Amsterdam Born Children and their Development (ABCD) cohort were used. Six feeding patterns were defined: EBF/earlyCF, EBF/lateCF (reference), formula/earlyCF, formula/lateCF, mixed/earlyCF and mixed/lateCF. A covariate adjusted latent class mixed model was applied to simultaneously model BMI trajectories and associations with feeding patterns. Potential ethnic differences in the associations were studied in a separate model where interactions between ethnicity and feeding patterns were included. Results Four distinct BMI trajectories (low, mid-low, mid-high and high) were identified. Feeding pattern of formula/earlyCF was associated with lower odds for low (OR: 0.43; 95% CI: 0.25, 0.76) or mid-high (0.28; 0.16, 0.51) (ref: high) trajectory compared with EBF/lateCF pattern (ref). An ethnic-specific model revealed that among Dutch infants, formula/earlyCF pattern was associated with lower odds for low trajectory (0.46; 0.24, 0.87), whereas among Turkish/Moroccan infants almost all feeding patterns were associated with lower odds for the low trajectory (ref: high). Conclusion Infant feeding patterns are associated with early BMI trajectories with specific ethnic differences. Future studies should take the role of ethnicity into account in the associations between infant feeding and growth.https://doi.org/10.1186/s12887-020-02456-4Infant feedingBreastfeedingComplementary feedingBMI trajectoriesOverweight |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Outi Sirkka Michel H. Hof Tanja Vrijkotte Marieke Abrahamse-Berkeveld Jutka Halberstadt Jacob C. Seidell Margreet R. Olthof |
spellingShingle |
Outi Sirkka Michel H. Hof Tanja Vrijkotte Marieke Abrahamse-Berkeveld Jutka Halberstadt Jacob C. Seidell Margreet R. Olthof Feeding patterns and BMI trajectories during infancy: a multi-ethnic, prospective birth cohort BMC Pediatrics Infant feeding Breastfeeding Complementary feeding BMI trajectories Overweight |
author_facet |
Outi Sirkka Michel H. Hof Tanja Vrijkotte Marieke Abrahamse-Berkeveld Jutka Halberstadt Jacob C. Seidell Margreet R. Olthof |
author_sort |
Outi Sirkka |
title |
Feeding patterns and BMI trajectories during infancy: a multi-ethnic, prospective birth cohort |
title_short |
Feeding patterns and BMI trajectories during infancy: a multi-ethnic, prospective birth cohort |
title_full |
Feeding patterns and BMI trajectories during infancy: a multi-ethnic, prospective birth cohort |
title_fullStr |
Feeding patterns and BMI trajectories during infancy: a multi-ethnic, prospective birth cohort |
title_full_unstemmed |
Feeding patterns and BMI trajectories during infancy: a multi-ethnic, prospective birth cohort |
title_sort |
feeding patterns and bmi trajectories during infancy: a multi-ethnic, prospective birth cohort |
publisher |
BMC |
series |
BMC Pediatrics |
issn |
1471-2431 |
publishDate |
2021-01-01 |
description |
Abstract Background Milk feeding type (exclusive breastfeeding [EBF], formula feeding or mixed feeding) and timing of complementary feeding (CF) have been associated with infant growth. However, studies evaluating their combined role, and the role of ethnicity, are scarce. We examined associations of feeding patterns (milk feeding type combined with timing of CF) with infant body mass index (BMI) trajectories and potential ethnic-specific associations. Methods Infant feeding and BMI data during the 1st year of life from 3524 children (Dutch n = 2880, Moroccan n = 404 and Turkish n = 240) from the Amsterdam Born Children and their Development (ABCD) cohort were used. Six feeding patterns were defined: EBF/earlyCF, EBF/lateCF (reference), formula/earlyCF, formula/lateCF, mixed/earlyCF and mixed/lateCF. A covariate adjusted latent class mixed model was applied to simultaneously model BMI trajectories and associations with feeding patterns. Potential ethnic differences in the associations were studied in a separate model where interactions between ethnicity and feeding patterns were included. Results Four distinct BMI trajectories (low, mid-low, mid-high and high) were identified. Feeding pattern of formula/earlyCF was associated with lower odds for low (OR: 0.43; 95% CI: 0.25, 0.76) or mid-high (0.28; 0.16, 0.51) (ref: high) trajectory compared with EBF/lateCF pattern (ref). An ethnic-specific model revealed that among Dutch infants, formula/earlyCF pattern was associated with lower odds for low trajectory (0.46; 0.24, 0.87), whereas among Turkish/Moroccan infants almost all feeding patterns were associated with lower odds for the low trajectory (ref: high). Conclusion Infant feeding patterns are associated with early BMI trajectories with specific ethnic differences. Future studies should take the role of ethnicity into account in the associations between infant feeding and growth. |
topic |
Infant feeding Breastfeeding Complementary feeding BMI trajectories Overweight |
url |
https://doi.org/10.1186/s12887-020-02456-4 |
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