Hostname: page-component-848d4c4894-5nwft Total loading time: 0 Render date: 2024-06-02T02:58:26.760Z Has data issue: false hasContentIssue false

Difference between body composition of formula- and breastfed infants at birth

Published online by Cambridge University Press:  28 May 2019

Hazel Ann Smith*
Affiliation:
Paediatrics & Child Health, University College Cork, Cork, Ireland
Jonathan O’B Hourihane
Affiliation:
Paediatrics & Child Health, University College Cork, Cork, Ireland Irish Centre for Fetal and Neonatal Translational Research (INFANT), University College Cork, Cork, Ireland
Louise C. Kenny
Affiliation:
Department of Women’s and Children’s Health, Faculty of Health and Life Sciences, University of Liverpool, England
Mairead Kiely
Affiliation:
Irish Centre for Fetal and Neonatal Translational Research (INFANT), University College Cork, Cork, Ireland School of Food and Nutritional Sciences, University College Cork, Cork, Ireland
P. Leahy-Warren
Affiliation:
School of Nursing & Midwifery, University College, Cork, Ireland
Darren L. Dahly
Affiliation:
HRB Clinical Research Facility – Cork, University College, Cork, Ireland School of Public Health, University College Cork, Cork, Ireland
Deirdre M. Murray
Affiliation:
Paediatrics & Child Health, University College Cork, Cork, Ireland Irish Centre for Fetal and Neonatal Translational Research (INFANT), University College Cork, Cork, Ireland
*
Address for correspondence: Hazel Ann Smith, Paediatrics & Child Health, University College Cork, Cork, Ireland. Email: author smith.hazelann@gmail.com

Abstract

Breastfeeding may reduce obesity risk, but this association could be confounded by breastfeeding families’ characteristics. We investigated if body composition differs at birth among infants who were either exclusively breast- or formula-fed. We hypothesized the two groups would differ in body composition, even at birth, prior to their post-natal feeding experience. Healthy primiparous carrying singleton pregnancy were recruited at 15 weeks’ gestation. PEA POD® measured body composition within 72 hours of delivery and infant feeding was prospectively captured. Out of the 1,152 infants recruited, 117 (10.2%) and 239 (20.7%) went on to be either exclusively breast- or formula-fed, respectively. Breastfed infants were heavier at birth, but their percentage fat mass (FM) was lower than that of exclusively formula-fed infants (covariate adjusted β = −1.91 percentage points of FM; 95% CI −2.82 to −1.01). Differences in intra-uterine exposures, irrespective of early diet, may partly explain an infant’s obesity risk.

Type
Brief Report
Copyright
© Cambridge University Press and the International Society for Developmental Origins of Health and Disease 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Yan, J, Liu, L, Zhu, Y, Huang, G, Wang, PP. The association between breastfeeding and childhood obesity: a meta-analysis. BMC Public Health. 2014; 14, 1267.CrossRefGoogle ScholarPubMed
Gridneva, Z, Kugananthan, S, Rea, A, et al. Human milk adiponectin and leptin and infant body composition over the first 12 months of lactation. Nutrients. 2018; 10, 1125.CrossRefGoogle ScholarPubMed
Hajian Tilaki, K. Methodological issues of confounding in analytical epidemiologic studies. Caspian J Intern Med. 2012; 3, 488495.Google ScholarPubMed
Weng, SF, Redsell, SA, Swift, JA, Yang, M, Glazebrook, CP. Systematic review and meta-analyses of risk factors for childhood overweight identifiable during infancy. Arch Dis Child. 2012; 97, 10191026.CrossRefGoogle ScholarPubMed
Toro-Ramos, T, Paley, C, Pi-Sunyer, FX, Gallagher, D. Body composition during fetal development and infancy through the age of 5 years. European J Clin Nutr. 2015; 69, 12791289.CrossRefGoogle ScholarPubMed
Hales, C, Barker, D. Type 2 (non-insulin-dependent) diabetes mellitus: the thrifty phenotype hypothesis. Diabetologia. 1992; 35, 595601.CrossRefGoogle ScholarPubMed
Wells, JCK. Adaptive variability in the duration of critical windows of plasticity: implications for the programming of obesity. EvolMed Public Health. 2014; 2014, 109121.Google ScholarPubMed
Campbell, T, Shackleton, N. Pre-pregnancy body mass index and breastfeeding initiation, early cessation and longevity: evidence from the first wave of the UK Millennium Cohort Study. J Epidemiol Commun Health. 2018; 72, 11241131.CrossRefGoogle ScholarPubMed
Brown, CRL, Dodds, L, Attenborough, R, et al. Rates and determinants of exclusive breastfeeding in first 6 months among women in Nova Scotia: a population-based cohort study. CMAJ Open. 2013; 1, E9E17.CrossRefGoogle ScholarPubMed
Finkelstein, SA, Keely, E, Feig, DS, Tu, X, Yasseen, AS, Walker, M. Breastfeeding in women with diabetes: ower rates despite greater rewards. A population-based study. Diabetic Med. 2013; 30, 10941101.CrossRefGoogle Scholar
Regnault, N, Botton, J, Forhan, A, et al. Determinants of early ponderal and statural growth in full-term infants in the EDEN mother-child cohort study. Am J Clin Nutr. 2010; 92, 594602.CrossRefGoogle ScholarPubMed
Nommsen-Rivers, LA, Dewey, KG. Growth of breastfed infants. Breastfeeding Med. 2009; 4, S-45–S-9.CrossRefGoogle ScholarPubMed
Fomon, SJ. Assessment of growth of formula-fed infants: evolutionary considerations. Pediatrics. 2004; 113, 389.CrossRefGoogle ScholarPubMed
O’Donovan, SM, Murray, DM, Hourihane, JOB, Kenny, LC, Irvine, AD, Kiely, M. Cohort profile: the Cork BASELINE birth cohort study: babies after SCOPE: evaluating the longitudinal impact on neurological and nutritional endpoints. Int J Epidemiol. 2015; 44, 764775.CrossRefGoogle ScholarPubMed
Fomon, SJ, Haschke, F, Ziegler, EE, Nelson, SE. Body composition of reference children from birth to age 10 years. Am J Clin Nutr. 1982; 35, 11691175.CrossRefGoogle ScholarPubMed
International Atomic Energy Agency. Body Composition Assessment from Birth to Two Years of Age. Vienna: International Atomic Energy Agency; 2013.Google Scholar
Ellis, KJ, Yao, M, Shypailo, RJ, Urlando, A, Wong, WW, Heird, WC. Body-composition assessment in infancy: air-displacement plethysmography compared with a reference 4-compartment model. Am J Clin Nutr. 2007; 85, 9095.CrossRefGoogle ScholarPubMed
World Health Organization. BMI classification. 2006. Retrieved from http://www.euro.who.int/en/health-topics/disease-prevention/nutrition/a-healthy-lifestyle/body-mass-index-bmi access on 10 September 2013.Google Scholar
National Institute for Health and Care Excellence. Antenatal Care for Uncomplicated Pregnancies. 2008. Retrieved from https://www.nice.org.uk/guidance/cg62/resources/antenatal-care-for-uncomplicated-pregnanciespdf-975564597445 accessed on 1 March 2015.Google Scholar
Institute of Medicine and National Research Council. Weight Gain During Pregnancy: Reexamining the Guidelines. 2009, Washington, DC: The National Academies Press.Google Scholar
Hawkes, CP, Hourihane, JOB, Kenny, LC, Irvine, AD, Kiely, M, Murray, DM. Gender- and gestational age–specific body fat percentage at birth. Pediatrics. 2011; 128, e645e51.Google ScholarPubMed
Wells, JCK. The thrifty phenotype: an adaptation in growth or metabolism? Am J Hum Biol. 2011; 23, 6575.CrossRefGoogle ScholarPubMed
Harrod, CS, Reynolds, RM, Chasan-Taber, L, et al. Quantity and timing of maternal prenatal smoking on neonatal body composition: the healthy start study. J Pediatr. 2014; 165, 707712.CrossRefGoogle ScholarPubMed
Harvey, NC, Poole, JR, Javaid, MK, et al. Parental determinants of neonatal body composition. J Clin Endocrinol Metabol. 2007; 92, 523526.CrossRefGoogle ScholarPubMed
Josefson, JL, Hoffmann, JA, Metzger, BE. Excessive weight gain in women with a normal pre-pregnancy BMI is associated with increased neonatal adiposity. Pediatr Obesity. 2013; 8, e33e6.CrossRefGoogle ScholarPubMed
Supplementary material: File

Smith et al. supplementary material

Smith et al. supplementary material 1

Download Smith et al. supplementary material(File)
File 42.5 KB