Patterns of early dietary exposures have implications for maternal and child weight outcomes

Obesity (Silver Spring). 2016 Feb;24(2):430-8. doi: 10.1002/oby.21349. Epub 2015 Dec 31.

Abstract

Objective: This article examines relations between patterns of dietary exposures at 9 months and infant and maternal weight status at 1 year postpartum.

Methods: Participants were part of the Infant Feeding Practices Study II and included 1807 mothers participating through the first year postpartum. All data were self-reported monthly by mothers. Latent class analysis was conducted to identify patterns of infant dietary exposures at 9 months. Factors that predicted dietary pattern class membership were examined including infant sleep and parity. Dietary pattern membership was used to predict child and maternal weight outcomes at 1 year postpartum.

Results: Five patterns of dietary exposures were identified, characterized by differences in milk-feeding and solid foods at 9 months: "Breastfed Fruits and Vegetables," "Breastfed Low Variety," "Formula-Fed Fruits and Vegetables," "Formula-Fed Low Variety," and "Mixed High Energy Density." Infants in the Mixed High Energy Density dietary pattern were more likely to be overweight at 1 year.

Conclusions: Dietary classes that capture different combinations of several aspects of infant feeding may be more useful than single dietary predictors, for example, breastfeeding, formula-feeding, or early introduction to solids, to describe differences in infants' early dietary experience and risk for overweight.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Body Weight*
  • Breast Feeding / statistics & numerical data
  • Diet / statistics & numerical data*
  • Feeding Behavior*
  • Female
  • Food Preferences*
  • Humans
  • Infant
  • Infant Nutritional Physiological Phenomena
  • Mothers / statistics & numerical data
  • Pediatric Obesity / prevention & control
  • Postpartum Period / physiology*
  • Pregnancy