Predictors of Infant Body Composition at 5 Months of Age: The Healthy Start Study
Objective To examine associations of demographic, perinatal, and infant feeding characteristics with offspring body composition at approximately 5 months of age. Study design We collected data on 640 mother/offspring pairs from early pregnancy through approximately 5 months of age. We assessed offsp...
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| Veröffentlicht in: | The Journal of pediatrics 2017-04, Vol.183, p.94-99.e1 |
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| container_title | The Journal of pediatrics |
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| creator | Sauder, Katherine A., PhD Kaar, Jill L., PhD Starling, Anne P., PhD Ringham, Brandy M., PhD Glueck, Deborah H., PhD Dabelea, Dana, MD, PhD |
| description | Objective To examine associations of demographic, perinatal, and infant feeding characteristics with offspring body composition at approximately 5 months of age. Study design We collected data on 640 mother/offspring pairs from early pregnancy through approximately 5 months of age. We assessed offspring body composition with air displacement plethysmography at birth and approximately 5 months of age. Linear regression analyses examined associations between predictors and fat-free mass, fat mass, and percent fat mass (adiposity) at approximately 5 months. Secondary models further adjusted for body composition at birth and rapid infant growth. Results Greater prepregnant body mass index and gestational weight gain were associated with greater fat-free mass at approximately 5 months of age, but not after adjustment for fat-free mass at birth. Greater gestational weight gain was also associated with greater fat mass at approximately 5 months of age, independent of fat mass at birth and rapid infant growth, although this did not translate into increased adiposity. Greater percent time of exclusive breastfeeding was associated with lower fat-free mass (-311 g; P |
| doi_str_mv | 10.1016/j.jpeds.2017.01.014 |
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Study design We collected data on 640 mother/offspring pairs from early pregnancy through approximately 5 months of age. We assessed offspring body composition with air displacement plethysmography at birth and approximately 5 months of age. Linear regression analyses examined associations between predictors and fat-free mass, fat mass, and percent fat mass (adiposity) at approximately 5 months. Secondary models further adjusted for body composition at birth and rapid infant growth. Results Greater prepregnant body mass index and gestational weight gain were associated with greater fat-free mass at approximately 5 months of age, but not after adjustment for fat-free mass at birth. Greater gestational weight gain was also associated with greater fat mass at approximately 5 months of age, independent of fat mass at birth and rapid infant growth, although this did not translate into increased adiposity. Greater percent time of exclusive breastfeeding was associated with lower fat-free mass (-311 g; P < .001), greater fat mass (+224 g; P < .001), and greater adiposity (+3.51%; P < .001). Compared with offspring of non-Hispanic white mothers, offspring of Hispanic mothers had greater adiposity (+2.72%; P < .001) and offspring of non-Hispanic black mothers had lower adiposity (-1.93%; P < .001). Greater adiposity at birth predicted greater adiposity at approximately 5 months of age, independent of infant feeding and rapid infant growth. Conclusions There are clear differences in infant body composition by demographic, perinatal, and infant feeding characteristics, although our data also show that increased adiposity at birth persists through approximately 5 months of age. Our findings warrant further research into implications of differences in infant body composition.</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/j.jpeds.2017.01.014</identifier><identifier>PMID: 28161200</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Age Factors ; Birth Weight ; Body Composition ; Body Mass Index ; Breast Feeding ; breastfeeding ; Child Development - physiology ; Cohort Studies ; ethnicity ; European Continental Ancestry Group - statistics & numerical data ; Female ; Gestational Age ; Health Surveys ; Hispanic Americans - statistics & numerical data ; Humans ; Infant ; Infant, Newborn ; Linear Models ; Male ; Maternal Health ; maternal obesity ; Pediatrics ; Plethysmography - methods ; Predictive Value of Tests ; Pregnancy ; race ; Risk Assessment ; Sex Factors ; Weight Gain - physiology</subject><ispartof>The Journal of pediatrics, 2017-04, Vol.183, p.94-99.e1</ispartof><rights>Elsevier Inc.</rights><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c514t-17da61cbb1022bfe724090b42b5b5bcfad712ea47ca5dd50ecf4511428b712213</citedby><cites>FETCH-LOGICAL-c514t-17da61cbb1022bfe724090b42b5b5bcfad712ea47ca5dd50ecf4511428b712213</cites><orcidid>0000-0002-8473-8015</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpeds.2017.01.014$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28161200$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sauder, Katherine A., PhD</creatorcontrib><creatorcontrib>Kaar, Jill L., PhD</creatorcontrib><creatorcontrib>Starling, Anne P., PhD</creatorcontrib><creatorcontrib>Ringham, Brandy M., PhD</creatorcontrib><creatorcontrib>Glueck, Deborah H., PhD</creatorcontrib><creatorcontrib>Dabelea, Dana, MD, PhD</creatorcontrib><title>Predictors of Infant Body Composition at 5 Months of Age: The Healthy Start Study</title><title>The Journal of pediatrics</title><addtitle>J Pediatr</addtitle><description>Objective To examine associations of demographic, perinatal, and infant feeding characteristics with offspring body composition at approximately 5 months of age. Study design We collected data on 640 mother/offspring pairs from early pregnancy through approximately 5 months of age. We assessed offspring body composition with air displacement plethysmography at birth and approximately 5 months of age. Linear regression analyses examined associations between predictors and fat-free mass, fat mass, and percent fat mass (adiposity) at approximately 5 months. Secondary models further adjusted for body composition at birth and rapid infant growth. Results Greater prepregnant body mass index and gestational weight gain were associated with greater fat-free mass at approximately 5 months of age, but not after adjustment for fat-free mass at birth. Greater gestational weight gain was also associated with greater fat mass at approximately 5 months of age, independent of fat mass at birth and rapid infant growth, although this did not translate into increased adiposity. Greater percent time of exclusive breastfeeding was associated with lower fat-free mass (-311 g; P < .001), greater fat mass (+224 g; P < .001), and greater adiposity (+3.51%; P < .001). Compared with offspring of non-Hispanic white mothers, offspring of Hispanic mothers had greater adiposity (+2.72%; P < .001) and offspring of non-Hispanic black mothers had lower adiposity (-1.93%; P < .001). Greater adiposity at birth predicted greater adiposity at approximately 5 months of age, independent of infant feeding and rapid infant growth. Conclusions There are clear differences in infant body composition by demographic, perinatal, and infant feeding characteristics, although our data also show that increased adiposity at birth persists through approximately 5 months of age. Our findings warrant further research into implications of differences in infant body composition.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Birth Weight</subject><subject>Body Composition</subject><subject>Body Mass Index</subject><subject>Breast Feeding</subject><subject>breastfeeding</subject><subject>Child Development - physiology</subject><subject>Cohort Studies</subject><subject>ethnicity</subject><subject>European Continental Ancestry Group - statistics & numerical data</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Health Surveys</subject><subject>Hispanic Americans - statistics & numerical data</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Linear Models</subject><subject>Male</subject><subject>Maternal Health</subject><subject>maternal obesity</subject><subject>Pediatrics</subject><subject>Plethysmography - methods</subject><subject>Predictive Value of Tests</subject><subject>Pregnancy</subject><subject>race</subject><subject>Risk Assessment</subject><subject>Sex Factors</subject><subject>Weight Gain - physiology</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUsFu1DAQjRCILoUvQEI5csky49jxBolKZQW0UhGgFomb5TiTrkM23tpOpfw93m6pgAvyyHOYN--N5k2WvURYImD1pl_2O2rDkgHKJWAK_ihbINSyqFZl-ThbADBWlFxWR9mzEHoAqDnA0-yIrbBCBrDIvn311FoTnQ-56_LzsdNjzN-7ds7XbrtzwUbrxlzHXOSf3Rg3d7DTa3qbX20oPyM9xM2cX0btY_qndn6ePen0EOjFfT7Ovn_8cLU-Ky6-fDpfn14URiCPBcpWV2iaBtOQTUeScaih4awR6ZlOtxIZaS6NFm0rgEzHBSJnqyYVGJbH2cmBdzc1W2oNjdHrQe283Wo_K6et-rsy2o26drdKlJWsuUwEr-8JvLuZKES1tcHQMOiR3BQUriohsC5FmaDlAWq8C8FT9yCDoPZmqF7dmaH2ZijAFDx1vfpzwoee39tPgHcHAKU93VryKhhLo0mOeDJRtc7-R-Dkn34z2NEaPfykmULvJj8mCxSqwBSoy_097M8BZZnU2Y_yF2OEsOQ</recordid><startdate>20170401</startdate><enddate>20170401</enddate><creator>Sauder, Katherine A., PhD</creator><creator>Kaar, Jill L., PhD</creator><creator>Starling, Anne P., PhD</creator><creator>Ringham, Brandy M., PhD</creator><creator>Glueck, Deborah H., PhD</creator><creator>Dabelea, Dana, MD, PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8473-8015</orcidid></search><sort><creationdate>20170401</creationdate><title>Predictors of Infant Body Composition at 5 Months of Age: The Healthy Start Study</title><author>Sauder, Katherine A., PhD ; Kaar, Jill L., PhD ; Starling, Anne P., PhD ; Ringham, Brandy M., PhD ; Glueck, Deborah H., PhD ; Dabelea, Dana, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c514t-17da61cbb1022bfe724090b42b5b5bcfad712ea47ca5dd50ecf4511428b712213</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Birth Weight</topic><topic>Body Composition</topic><topic>Body Mass Index</topic><topic>Breast Feeding</topic><topic>breastfeeding</topic><topic>Child Development - physiology</topic><topic>Cohort Studies</topic><topic>ethnicity</topic><topic>European Continental Ancestry Group - statistics & numerical data</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Health Surveys</topic><topic>Hispanic Americans - statistics & numerical data</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Linear Models</topic><topic>Male</topic><topic>Maternal Health</topic><topic>maternal obesity</topic><topic>Pediatrics</topic><topic>Plethysmography - methods</topic><topic>Predictive Value of Tests</topic><topic>Pregnancy</topic><topic>race</topic><topic>Risk Assessment</topic><topic>Sex Factors</topic><topic>Weight Gain - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sauder, Katherine A., PhD</creatorcontrib><creatorcontrib>Kaar, Jill L., PhD</creatorcontrib><creatorcontrib>Starling, Anne P., PhD</creatorcontrib><creatorcontrib>Ringham, Brandy M., PhD</creatorcontrib><creatorcontrib>Glueck, Deborah H., PhD</creatorcontrib><creatorcontrib>Dabelea, Dana, MD, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sauder, Katherine A., PhD</au><au>Kaar, Jill L., PhD</au><au>Starling, Anne P., PhD</au><au>Ringham, Brandy M., PhD</au><au>Glueck, Deborah H., PhD</au><au>Dabelea, Dana, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors of Infant Body Composition at 5 Months of Age: The Healthy Start Study</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>2017-04-01</date><risdate>2017</risdate><volume>183</volume><spage>94</spage><epage>99.e1</epage><pages>94-99.e1</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><abstract>Objective To examine associations of demographic, perinatal, and infant feeding characteristics with offspring body composition at approximately 5 months of age. Study design We collected data on 640 mother/offspring pairs from early pregnancy through approximately 5 months of age. We assessed offspring body composition with air displacement plethysmography at birth and approximately 5 months of age. Linear regression analyses examined associations between predictors and fat-free mass, fat mass, and percent fat mass (adiposity) at approximately 5 months. Secondary models further adjusted for body composition at birth and rapid infant growth. Results Greater prepregnant body mass index and gestational weight gain were associated with greater fat-free mass at approximately 5 months of age, but not after adjustment for fat-free mass at birth. Greater gestational weight gain was also associated with greater fat mass at approximately 5 months of age, independent of fat mass at birth and rapid infant growth, although this did not translate into increased adiposity. Greater percent time of exclusive breastfeeding was associated with lower fat-free mass (-311 g; P < .001), greater fat mass (+224 g; P < .001), and greater adiposity (+3.51%; P < .001). Compared with offspring of non-Hispanic white mothers, offspring of Hispanic mothers had greater adiposity (+2.72%; P < .001) and offspring of non-Hispanic black mothers had lower adiposity (-1.93%; P < .001). Greater adiposity at birth predicted greater adiposity at approximately 5 months of age, independent of infant feeding and rapid infant growth. Conclusions There are clear differences in infant body composition by demographic, perinatal, and infant feeding characteristics, although our data also show that increased adiposity at birth persists through approximately 5 months of age. Our findings warrant further research into implications of differences in infant body composition.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28161200</pmid><doi>10.1016/j.jpeds.2017.01.014</doi><orcidid>https://orcid.org/0000-0002-8473-8015</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Age Factors Birth Weight Body Composition Body Mass Index Breast Feeding breastfeeding Child Development - physiology Cohort Studies ethnicity European Continental Ancestry Group - statistics & numerical data Female Gestational Age Health Surveys Hispanic Americans - statistics & numerical data Humans Infant Infant, Newborn Linear Models Male Maternal Health maternal obesity Pediatrics Plethysmography - methods Predictive Value of Tests Pregnancy race Risk Assessment Sex Factors Weight Gain - physiology |
| title | Predictors of Infant Body Composition at 5 Months of Age: The Healthy Start Study |
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