Obesity

Replacing protein with carbohydrate or fat in infancy is associated with lower Body Mass Index in early childhood: results from the Melbourne InFANT Program

Int J Obes (Lond)Published Secondary analysis of the Melbourne InFANT Program

Authors' conclusion

Substituting protein with carbohydrate or fat intake in infancy was inversely associated with BMI z-score in early childhood.

Study context

Population
Children of the Melbourne InFANT program (15-month infancy obesity prevention intervention) with 9-month and 5-year follow-upscompleted 9-mo and 5-y follow-ups
Participants
345 children
Comparison
Substitution of protein with carbohydrate or fat, and of protein subtypes, at 9 months
Primary endpoint
Change in BMI z-score and overweight status
Follow-up
5 years of age
Methodological detailssubstitution modelling, multivariable linear and logistic regression, adjusted for potential confounders
  • Substitution modelling
  • Multivariable linear and logistic regression
  • Adjusted for potential confounders

Primary result

As reported in the abstract

BMI z-score at 5 years

Substituting 5%E protein with carbohydrate: change in body mass index (BMI) z-score

−0.16

95% CI −0.30, −0.02

Substituting 100 kJ protein with carbohydrate: change in BMI z-score

−0.11

95% CI −0.19, −0.03

Substituting 5%E protein with fat: change in BMI z-score

−0.16

95% CI −0.29, −0.02

Substituting 100 kJ protein with fat: change in BMI z-score

−0.11

95% CI −0.19, −0.03

Further findings

Overweight status at 5 years

No evidence of association between substitution of protein with fat or carbohydrate and overweight status (P > 0.05)

Protein subtype substitution · 5 years

Replacing animal protein with plant or dairy protein not significantly associated with BMI z-score or overweight status

Original publication

Replacing protein with carbohydrate or fat in infancy is associated with lower Body Mass Index in early childhood: results from the Melbourne InFANT Program. Int J Obes (Lond). Published 7 May 2026. doi:10.1038/s41366-026-02099-y

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