Cited by 113Child Nutrition and Feeding IssuesMaternal Mental Health During Pregnancy and PostpartumInfant Nutrition and Health

The influence of maternal socioeconomic and emotional factors on infant weight gain and weight faltering (failure to thrive): data from a prospective birth cohort

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Wright, C M·2006·Archives of Disease in Childhood

Abstract

AIMS: To study the influence of maternal socioeconomic and emotional factors on infant weight gain and weight faltering (failure to thrive) in the first year of life. METHODS: The Gateshead Millennium Baby Study is a population birth cohort in northeast England studied prospectively from birth, via parental questionnaires and a health check aged 13 months. Data were collected on maternal education, deprivation, eating attitudes, and depression, using the Edinburgh Post Natal Depression Scale (EPDS) at 3 months. Weight gain was assessed using change in weight SD score, conditional on birth weight (Thrive Index); weight faltering was defined as conditional weight gain below the 5th centile. RESULTS: Of 923 eligible infants born at term, 774 (84%) had both weight and questionnaire data. Replicating a previous finding, both the highest and the lowest levels of deprivation were associated with weight faltering; this was independent of the type of milk feeding. No relation was found with maternal educational status. Maternal eating restraint was unrelated to weight gain. Infants of mothers with high depression symptom scores (EPDS >12) had significantly slower weight gain and increased rates of weight faltering up to 4 months (relative risk 2.5), especially if they came from deprived families, but by 12 months they were no different from the remainder of the cohort. CONCLUSIONS: In this setting, social and maternal characteristics had little influence on infants' weight gain, apart from a strong, but transient effect of postnatal depression.

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  1. Van Strien T, Frijters JER, Bergers GPA, et al. Dutch eating behaviour questionnaire for assessment of restrained, emotional and external eating behaviour. Int J Eat Disord 1986;5:295-315.
  2. Wright C, Callum J, Birks E, et al. Community based management of failure to thrive: a randomised control trial. BMJ 1998;317:571-4.
  3. Dex S, Joshi H. Children of the 21st century. Bristol: Policy Press, 2005.

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Authors
Wright, C. M.
Affiliations
University of Glasgow (GB)
Corresponding author
Wright, C M
Venue
Archives of Disease in Childhood
Publisher
BMJ
Published
2006-01-11
Volume
91
Issue
4
Pages
312-317
ISSN
  • 0003-9888 (ISSN-L)
  • 1468-2044
OpenAlex
W2171131513
Cited by
113
References
49
Citations by year
2026: 2 · 2025: 1 · 2024: 2 · 2023: 6 · 2022: 5 · 2021: 4 · 2020: 1 · 2019: 5 · 2018: 6 · 2017: 3 · 2016: 7 · 2015: 8 · 2014: 9 · 2013: 4 · 2012: 12
FWCI
4.05
Type
journal article
Language
en
Open access
Locations
  • Archives of Disease in Childhood (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • HighWire Press Open Archive (submittedVersion)
  • Newcastle University ePrints (Newcastle Univesity)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Nursing › Nutrition and Dietetics › Infant Nutrition and Health
Keywords
infant weight gain, failure to thrive, maternal socioeconomic status, maternal deprivation, maternal education, maternal depression, postpartum depression, infant feeding
MeSH terms
Educational Status, Epidemiologic Methods, Failure to Thrive, Feeding Behavior, Female, Humans, Infant, Poverty, Socioeconomic Factors, Weight Gain, Child of Impaired Parents, Depression, Postpartum

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