Infant body composition at 6 and 24 months: what are the driving factors?
-
Published:2023-08-10
Issue:
Volume:
Page:
-
ISSN:0954-3007
-
Container-title:European Journal of Clinical Nutrition
-
language:en
-
Short-container-title:Eur J Clin Nutr
Author:
Santos Ina S.ORCID, Costa Caroline S., Hills Andrew P.ORCID, Ariff Shabina, Wickramasinghe V. Pujitha, Norris ShaneORCID, Murphy-Alford Alexia J.ORCID, Slater ChristineORCID, Lucas NishaniORCID, Nyati Lukhanyo H.ORCID, Kurpad Anura V.ORCID, Ahuja Kiran D. K., Kuriyan RebeccaORCID, Nyati Lukhanyo, Ahmad Tanvir, Beckett Jeffrey M., Bielemann Renata M., Byrne Nuala M., Charania Laila, Christian Michele P., Divya Priscilla J., Hanley Anne, Herath Manoja P., Ismail Leila C., Jayasinghe Sisitha, Lanerolle Pulani, Loechl Cornelia, Moktar Najat, Senerath Upul, Soofi Sajid, Street Steven J., Valle Neiva C. J., Yameen Ayesha,
Abstract
Abstract
Background/Objective
Available evidence on infant body composition is limited. This study aimed to investigate factors associated with body composition at 6 and 24 months.
Subjects/Methods
Multicenter study with data from a 0 to 6-mo cohort (Australia, India and South Africa) and a 3 to 24-mo cohort (Brazil, Pakistan, South Africa, and Sri Lanka). For the 0–6-mo cohort, body composition was assessed by air-displacement plethysmography (ADP) and for the 3–24-month cohort by the deuterium dilution (DD) technique. Fat mass (FM), fat-free mass (FFM), FM index (FMI), and FFM index (FFMI) were calculated. Independent variables comprised the Gini index of the country, maternal and infant characteristics, and breastfeeding pattern at 3 months. For the 3–24-mo cohort, breastfeeding, and minimum dietary diversity (MDD) at 12 months were also included. Crude and adjusted analyses stratified by sex were conducted by multilevel modelling using mixed models.
Results
At 6 months, every 1 kg increase in birth weight was associated with an increase of 0.716 kg in FFM and 0.582 kg/m2 in FFMI in girls, whereas in boys, the increase was of 0.277 kg in FFM. At 24 months, compared to those weaned before 12 months, girls still breastfed at 12 months presented a decrease of 0.225 kg in FM, 0.645 kg in FFM and 0.459 kg/m2 in FFMI, and in boys the decreases were of 0.467 kg in FM, 0.603 kg in FFM and 0.628 kg/m2 in FFMI.
Conclusion
Birth weight and breastfeeding are independent predictors of body composition in early life, irrespective of sex.
Funder
Bill and Melinda Gates Foundation International Atomic Energy Agency
Publisher
Springer Science and Business Media LLC
Subject
Nutrition and Dietetics,Medicine (miscellaneous)
Reference47 articles.
1. Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, de Onis M, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. lancet. 2013;382:427–51. 2. Barker DJ, Osmond C, Winter P, Margetts B, Simmonds SJ. Weight in infancy and death from ischaemic heart disease. Lancet. 1989;334:577–80. 3. NCD Risk Factor Collaboration (NCD-RisC). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128• 9 million children, adolescents, and adults. Lancet. 2017;390:2627–42. 4. Yousuf EI, Rochow N, Li J, Simioni J, Gunn E, Hutton EK, et al. Growth and body composition trajectories in infants meeting the WHO growth standards study requirements. Pediatr Res. 2022;92:1640–7. 5. The World Bank. Classifying countries by income. Access in: Aug 2020. https://datatopics.worldbank.org/world-development-indicators/stories/the-classification-of-countries-by-income.html.
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献
|
|