Department of Nutrition and Dietetics, Harokopio University, 70, El.Venizelou Ave, 17671 Kallithea, Athens, Greece.
INSERM, UMR1153 Epidemiology and Biostatistics Sorbonne Paris Cité Center (CRESS), Early Determinants of the Child's Health and Development Team (ORCHAD), 75014, Paris, France.
Eur J Pediatr. 2017 Sep;176(9):1181-1192. doi: 10.1007/s00431-017-2961-5. Epub 2017 Jul 15.
Not only healthy growth but also childhood obesity partly originate from early life. The current work aimed to examine the association of feeding practices during infancy with growth and adiposity indices in preschool children from four European countries and in UK schoolchildren and adolescents. Existing data from four European birth cohorts (ALSPAC-UK, EDEN-France, EuroPrevall-Greece and Generation XXI-Portugal) were used. Anthropometrics and body composition indices were collected. Parallel multivariate regression analyses were performed to examine the research hypothesis. Overall, the analyses showed that breastfeeding and timing of complementary feeding were not consistently associated with height z-score, overweight/obesity, and body fat mass in children or adolescents. However, breastfeeding duration for less than 6 months was associated with lower height z-scores in 5-year-old French children (P < 0.001) but with higher height z-scores in 4-year-old UK children (P = 0.006). Furthermore, introduction of complementary foods earlier than 4 months of age was positively associated with fat mass levels in 5-year-old French children (P = 0.026).
Early feeding practices, i.e., any breastfeeding duration and age of introduction of complementary foods, do not appear to be consistently associated with height z-score, overweight/obesity, and body fat mass in preschool children from four European countries and in UK schoolchildren and adolescents. What is known? • Healthy growth and childhood obesity partly originate from early life. What is new? • Breastfeeding duration less than 6 months was associated with lower height z-scores in 5-year-old French children, while the opposite was observed in 4-year-old British children. • Introduction of complementary foods earlier than 4 months was positively associated with fat mass levels in 5-year-old French children, but not in the other three countries. • Early feeding practices did not appear to be consistently associated with growth and adiposity indices, and as such, no clear influence can be observed.
本研究旨在探讨婴儿期喂养方式与 4 个欧洲国家和英国学龄前儿童以及青少年生长和肥胖指标之间的关系。
利用来自 4 个欧洲出生队列（英国 ALSPAC 队列、法国 EDEN 队列、希腊 EuroPrevall 队列和葡萄牙 XXI 世代队列）的现有数据。收集人体测量学和身体成分指数。并行多元回归分析用于检验研究假设。
总体而言，分析表明母乳喂养和补充喂养的时间与儿童或青少年的身高 z 评分、超重/肥胖和体脂肪量之间并非始终存在相关性。然而，法国 5 岁儿童母乳喂养时间少于 6 个月与身高 z 评分较低相关（P < 0.001），而英国 4 岁儿童母乳喂养时间较长与身高 z 评分较高相关（P = 0.006）。此外，4 个月龄前引入补充食品与法国 5 岁儿童体脂肪量水平呈正相关（P = 0.026）。
早期喂养方式，即任何母乳喂养持续时间和补充食品引入年龄，与 4 个欧洲国家和英国的学龄前儿童以及青少年的身高 z 评分、超重/肥胖和体脂肪量之间似乎没有一致性关联。
健康的生长和儿童肥胖部分源于生命早期。
法国 5 岁儿童的母乳喂养时间少于 6 个月与身高 z 评分较低有关，而英国 4 岁儿童的母乳喂养时间较长与身高 z 评分较高有关。4 个月龄前引入补充食品与法国 5 岁儿童体脂肪量水平呈正相关，但在其他三个国家则不然。
早期喂养方式与生长和肥胖指标之间似乎没有一致性关联，因此没有明显的影响。
