Obesity

Timing of Complementary Feeding in Preterm Infants and Prevalence of Overweight and Obesity: A Randomized Clinical Trial

JAMA Netw OpenPublished Randomised controlled trial

Authors' conclusion

In this randomized clinical trial of preterm infants, initiating complementary feeding between corrected age 12 and 17 weeks did not affect overweight and obesity prevalence at corrected age 2 years.

Study context

Population
Preterm infants born at gestational age (GA) 30–36 weeks, 17 hospitals in the Netherlands; full-term infants as reference255 preterm randomized
Participants
131 / 124 / 159
Comparison
Complementary feeding initiated at corrected age 12 weeks vs 17 weeks
  • Earlyn = 131
  • Laten = 124
  • Full-termn = 159reference
Primary endpoint
Prevalence of overweight and obesity (logistic mixed models)
Follow-up
Corrected age 2 years
Methodological detailsmulticenter, Conducted May 13, 2016 to April 26, 2021; follow-up completed December 2023
  • Multicenter
  • Conducted May 13, 2016 to April 26, 2021; follow-up completed December 2023

Primary result

As reported in the abstract

Prevalence of overweight

Secondary outcomes

OutcomeEarlyLateFull-term
Prevalence of obesity (primary outcome component) · corrected age 2 years1.7% (95% CI 0.3%–5.5%)1.8% (95% CI 0.3%–5.9%)3.5% (95% CI 1.3%–7.5%)

Original publication

Timing of Complementary Feeding in Preterm Infants and Prevalence of Overweight and Obesity: A Randomized Clinical Trial. JAMA Netw Open. Published 1 April 2025. doi:10.1001/jamanetworkopen.2025.2968

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