Cited by 68Obesity, Physical Activity, DietInfant Nutrition and HealthBreastfeeding Practices and Influences

Early introduction of complementary foods and childhood overweight in breastfed and formula-fed infants in the Netherlands: the PIAMA birth cohort study

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Pluymen, Linda P. M., Wijga, Alet H., Gehring, Ulrike, Koppelman, Gerard H., Smit, Henriëtte A., van Rossem, L.·2018·European Journal of Nutrition

Abstract

PURPOSE: To investigate whether early introduction of complementary foods (CF) is associated with an increased risk of overweight during childhood, and whether this association differs between formula-fed and breastfed infants. METHODS: We included 2611 participants that were born at term from a Dutch population-based birth cohort (n = 3963) designed to investigate the development of asthma and allergies. Parents kept records of their infant's age when CF were first introduced. Weight and height were parent reported yearly from age 1 to 8 years, and at ages 11, 14 and 17 years. We used multivariate generalized estimating equations analysis to investigate the association between timing of CF introduction (before 4 months vs at or after 4 months of age) and overweight at ages 1-17 years. RESULTS: Children with CF introduction before 4 months had higher odds of being overweight during childhood than children with CF introduction at or after 4 months (OR 1.32, 95% CI 1.19, 1.47). This association was observed in formula-fed infants (OR 1.51, 95% CI 1.17, 1.94) and breastfed infants (OR 1.32, 95% CI 1.19, 1.47). The duration of breastfeeding modified the association between CF introduction and overweight: children breastfed for shorter than 4 months, but not children breastfed for 4 months or longer with CF introduction before 4 months had higher odds of being overweight (OR 1.37, 95% CI 1.19, 1.57 and 1.07, 95% CI 0.87, 1.32, respectively), compared to those with CF introduction at or after 4 months. CONCLUSIONS: In children born at term, formula-fed infants and infants who were breastfed for shorter than 4 months, but not infants who were breastfed for 4 months or longer, had a higher risk of being overweight during childhood when being introduced to CF before 4 months of age.

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Authors
Pluymen, L. P. M., Wijga, A. H., Gehring, U., Koppelman, G. H., Smit, H. A., & van Rossem, L.
Affiliations
  • University Medical Center Utrecht (NL)
  • National Institute for Public Health and the Environment (NL)
  • Utrecht University (NL)
  • University Medical Center Groningen (NL)
Corresponding author
Pluymen, Linda P. M.
Venue
European Journal of Nutrition
Published
2018-02-22
Volume
57
Issue
5
Pages
1985-1993
ISSN
  • 1436-6207 (ISSN-L)
  • 1436-6215
OpenAlex
W2790481263
Cited by
68
References
35
Citations by year
2026: 2 · 2025: 7 · 2024: 4 · 2023: 12 · 2022: 6 · 2021: 9 · 2020: 19 · 2019: 7 · 2018: 2
FWCI
8.82
Type
journal article
Language
en
Open access
Locations
  • European Journal of Nutrition (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, cc-by)
  • Rivm Repository (Netherlands National Institute for Public Health and the Environment) (submittedVersion)
  • Rivm (National Institute for Public Health and the Environment) (submittedVersion)
Funders
  • National Institute for Public Health and the Environment (S/260306/01/PA)
  • Netherlands Organization for Health Research and Development
  • Netherlands Asthma Foundation
  • Netherlands Ministry of Planning, Housing and the Environment
  • Netherlands Ministry of Health, Welfare and Sport
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Nursing › Nutrition and Dietetics › Infant Nutrition and Health
  • Health Sciences › Medicine › Epidemiology › Breastfeeding Practices and Influences
Keywords
complementary foods, timing of complementary food introduction, childhood overweight, infant feeding, breastfeeding duration, bottle feeding, infant weight gain, PIAMA birth cohort
MeSH terms
Adolescent, Breast Feeding, Child, Child, Preschool, Female, Humans, Infant, Male, Netherlands, Cohort Studies, Infant Formula, Overweight, Pediatric Obesity

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