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Open AccessArticle

Rapid Weight Gain, Infant Feeding Practices, and Subsequent Body Mass Index Trajectories: The CALINA Study

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GENUD (Growth, Exercise, NUtrition, and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Spain Edificio del SAI, C/Pedro Cerbuna s/n, 50009 Zaragoza, Spain
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Instituto Agroalimentario de Aragón (IA2), 50013 Zaragoza, Spain
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Instituto de Investigación Sanitaria Aragón (IIS Aragón), 50009 Zaragoza, Spain
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Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), 28029 Madrid, Spain
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Red de Salud Materno Infantil y del Desarrollo (SAMID), RETICS ISCIII, 28029 Madrid, Spain
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Departamento de Pediatría, Radiología y Medicina Física, Universidad de Zaragoza, 12, 50009 Zaragoza, Spain
*
Author to whom correspondence should be addressed.
Nutrients 2020, 12(10), 3178; https://doi.org/10.3390/nu12103178
Received: 31 August 2020 / Revised: 10 October 2020 / Accepted: 13 October 2020 / Published: 17 October 2020
(This article belongs to the Special Issue Early Nutrition and Re-programming of Health and Disease)
We aimed to study growth patterns according to rapid weight gain (RWG) and infant feeding practices during the first 120 days and whether infant feeding practices mediated the association between RWG in the first semester of life and subsequent body mass index (BMI) z-score in children from age 1 to 6. (1) Methods: 862 children from the Growth and Feeding during Lactation and Early Childhood in Children of Aragon study (CALINA in Spanish) were examined. Repeated-measures ANOVA analyses were conducted to assess growth trajectories according to RWG and type of feeding practice. The product of coefficients mediation method was used to assess the potential contribution of infant feeding practices to the association between RWG and BMI z-score. Mediation models were conducted using IBM SPSS-PROCESS Statistics for Windows, Version 26.0. Armonk, NY: IBM Corp. (2) Results: BMI and weight z-score trajectories were significantly higher in the RWG group and the formula-fed group. No significant differences were found regarding height. Infant feeding practices did not mediate the association between RWG and BMI z-score but were associated with BMI at 6 years. (3) Conclusions: Infant feeding practices and RWG determine different growth trajectories of BMI and weight during childhood. Although infant feeding practices did not mediate the association between early RWG and BMI later in life, formula feeding is independently related to higher BMI growth patterns later in childhood. View Full-Text
Keywords: rapid weight gain; infant feeding; breastfeeding; body mass index z-score rapid weight gain; infant feeding; breastfeeding; body mass index z-score
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Flores-Barrantes, P.; Iguacel, I.; Iglesia-Altaba, I.; Moreno, L.A.; Rodríguez, G. Rapid Weight Gain, Infant Feeding Practices, and Subsequent Body Mass Index Trajectories: The CALINA Study. Nutrients 2020, 12, 3178.

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