Obesity

Mediating Effect of Infant Rapid Weight Gain on the Association Between Exclusive Breastfeeding and the Risk of Obesity Later in Life

Pediatr ObesPublished Observational longitudinal study

Authors' conclusion

Infant feeding practices, particularly exclusive breastfeeding in the first 4 months, are associated with weight and BMI trajectories up to 6 years. Rapid weight gain mediates this relationship in the first 6 months, but from 6 to 12 months.

Study context

Population
Children born at term with adequate weight for gestational age, followed from birth to 6 years
Participants
834 children
Exposure
Formula feeding vs exclusive breastfeeding in the first 4 months
Outcome
BMI z-scores and obesity
Follow-up
Up to 6 years
Methodological detailsmediation analysis
  • Mediation analysis

Main finding

As reported in the abstract

  • Association between feeding type and body mass index (BMI) at 6 years partly positively mediated by infant rapid weight gain (RWG) up to 6 months
  • Formula-fed vs Exclusively breastfed: P = 0.012
  • Formula-fed vs Exclusively breastfed: P = 0.003

Observational data: associations, not effects.

Further findings

RWG

P = 0.036

RWG and BMI z-score / obesity at 6 years

RWG associated with higher BMI z-scores and obesity
P < 0.001 in both cases

Original publication

Mediating Effect of Infant Rapid Weight Gain on the Association Between Exclusive Breastfeeding and the Risk of Obesity Later in Life. Pediatr Obes. Published 14 July 2025. doi:10.1111/ijpo.70039

Composed by AI from the published abstract and checked against it. How Briefs are made →

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