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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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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In human studies, early introduction of solid food was associated with a higher risk of obesity or immunological diseases.
“In human studies, early introduction of solid food was associated with a higher risk of obesity (274, 275) or immunological diseases (276).”
From Diet and the Microbiota–Gut–Brain Axis: Sowing the Seeds of Good Mental Health (2021) · cites this paper as [274]
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Diet and the Microbiota–Gut–Brain Axis: Sowing the Seeds of Good Mental Health
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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
- PMC
- PMC6060808
- 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
- hybrid
- doi.org
- Licence
- 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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