Obesity

Infant feeding practices and body mass index up to 7.5 years in the French nationwide ELFE study

Pediatr ObesPublished Prospective birth cohort study

Authors' conclusion

Breastfeeding was related with a lower BMI in infancy but not thereafter, whereas an early CF initiation (<4 months) was associated with a higher BMI in childhood.

Study context

Population
Children of the French nationwide ELFE birth cohort; feeding data collected monthly from 2 to 10 months
Exposure
Infant feeding practices and body mass index (BMI)
Outcome
BMI z-score; 7.5-year overweight (IOTF references)
Follow-up
1, 2, 3, 5 and 7.5 years
Methodological detailsnationwide
  • Nationwide

Main finding

As reported in the abstract

BMI z-score · up to 7.5 years
  • Ever breastfeeding was not associated with BMI up to 7.5 years
  • Longer breastfeeding (BF) duration (≥6 months) vs intermediate (1 to <3 months): lower 1-year BMI, but not at older ages
  • Early complementary feeding (CF) (<4 months) vs recommended age (4-6 months): higher BMI up to 5 years, similar trend at 7.5 years, not related to risk of overweight
  • Principal component analyses (PCA) patterns of early baby cereal and late food pieces introduction, or frequent intake of main food groups: lower BMI up to 7.5 years
  • Linear regression adjusted for main confounders

Observational data: associations, not effects.

Original publication

Infant feeding practices and body mass index up to 7.5 years in the French nationwide ELFE study. Pediatr Obes. Published 15 April 2024. doi:10.1111/ijpo.13121

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