scholarly journals The impact of early growth patterns and infant feeding on body composition at 3 years of age

2015 ◽  
Vol 114 (2) ◽  
pp. 316-327 ◽  
Author(s):  
Katrine T. Ejlerskov ◽  
Line B. Christensen ◽  
Christian Ritz ◽  
Signe M. Jensen ◽  
Christian Mølgaard ◽  
...  
Keyword(s):  
Body Composition ◽  
Weight Gain ◽  
Birth Weight ◽  
Infant Feeding ◽  
Fat Mass ◽  
Early Growth ◽  
Growth Patterns ◽  
High Birth Weight ◽  
Early Weight Gain ◽  
The Impact

Early excessive weight gain is positively associated with later obesity, and yet the effect of weight gain during specific periods and the impact of infant feeding practices are debated. The objective of the present study was to examine the impact of weight gain in periods of early childhood on body composition at 3 years, and whether infant feeding modified the relationship between early growth and body composition at 3 years. We studied 233 children from the prospective cohort study, SKOT (in Danish: Småbørns Kost og Trivsel). Birth weight z-scores (BWZ) and change in weight-for-age z-scores (WAZ) from 0 to 5, 5 to 9, 9 to 18 and 18 to 36 months were analysed for relations with body composition (anthropometry and bioelectrical impedance) at 3 years by multivariate regression analysis. BWZ and change in WAZ from 0 to 5 months were positively associated with BMI, fat mass index (FMI) and fat-free mass index (FFMI) at 3 years. Full breastfeeding for 6 months (compared to less than 1 month) eliminated the effect of early growth (P= 0·01). Full breastfeeding for 6 months (compared to less than 1 month) also eliminated the positive relation between BWZ and FMI (P= 0·009). No effect modification of infant feeding was found for FFMI. In conclusion, high birth weight and rapid growth from 0 to 5 months were associated with increased FMI and FFMI at 3 years. Longer duration of full breastfeeding reduced the effect of birth weight and early weight gain on fat mass.

Association between early weight gain and later adiposity in Sri Lankan adolescents

2020 ◽  
pp. 1-10
Author(s):  
D. Samaranayake ◽  
P. Lanerolle ◽  
I. Waidyatilaka ◽  
M. de Lanerolle-Dias ◽  
A. P. Hills ◽  
...  
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Fat Mass ◽  
Early Life ◽  
Family Income ◽  
Bioelectrical Impedance ◽  
Fat Free Mass ◽  
Cross Sectional ◽  
Random Factor ◽  
Early Weight Gain

Abstract Early growth pattern is increasingly recognized as a determinant of later obesity. This study aimed to identify the association between weight gain in early life and anthropometry, adiposity, leptin, and fasting insulin levels in adolescence. A cross-sectional study was conducted in 366 school children aged 11–13 years. Weight, height, and waist circumference (WC) were measured. Fat mass (FM) was assessed using bioelectrical impedance analysis. Blood was drawn after a 12-h fast for insulin and leptin assay. Birth weight and weight at 6 months and at 18 months were extracted from Child Health Development Records. An increase in weight SD score (SDS) by ≥0.67 was defined as accelerated weight gain. Linear mixed-effects modeling was used to predict anthropometry, adiposity, and metabolic outcomes using sex, pubertal status, accelerated weight gain as fixed factors; age, birth weight, and family income as fixed covariates, and school as a random factor. Children with accelerated weight gain between birth and 18 months had significantly higher body mass index (BMI) SDS, WC SDS, height SDS, %FM, fat mass index (FMI), fat free mass index (FFMI), and serum leptin levels in adolescence. Accelerated weight gain between 6 and 18 months was associated with higher BMI SDS, WC SDS, %FM, and FMI, but not with height SDS or FFMI. Accelerated weight gain at 0–6 months, in children with low birth weight, was associated with higher height SDS, BMI SDS, WC SDS, %FM, and FMI; in children with normal birth weight, it was associated with BMI SDS, WC SDS, height SDS, and FFMI, but not with %FM or FMI. Effects of accelerated weight gain in early life on anthropometry and adiposity in adolescence varied in different growth windows. Accelerated weight gain during 6–18 months was associated with higher FM rather than linear growth. Effects of accelerated weight gain between 0 and 6 months varied with birth weight.

Relationship between early growth and CVD risk factors in adolescents

2016 ◽  
Vol 7 (2) ◽  
pp. 132-143 ◽  
Author(s):  
M. G. Musa ◽  
J. Kagura ◽  
P. T. Pisa ◽  
S. A. Norris
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
Early Childhood ◽  
Body Composition ◽  
Weight Gain ◽  
Birth Weight ◽  
Fat Mass ◽  
Disease Risk ◽  
Relative Weight ◽  
Increased Risk

Low birth weight and a rapid weight gain in early childhood may lead to an increased risk for developing cardiovascular disease later in life, such as hypertension and dyslipidaemia. In this study, we examined the associations between size at birth, relative weight gain in infancy and childhood with specific cardiovascular disease risk factors in early adulthood. Adolescents (n=1935) from the Birth to Twenty plus (BT20+) cohort were included in the analysis. The following were treated as exposure variables: weight at birth, and relative conditional weight gain (CW), independent of height, between ages 0–24 months and 24–48 months. Outcomes were serum lipids and body composition variables at age 18 years. After adjusting for sex and other confounders, early life exposures were not associated with adolescent lipid profile. Following adjustment for sex and height (body size), birth weight [β=0.704 (0.40, 1.01)], CW 0–24 [β=1.918 (1.56, 2.28)] and CW24–48 [β=1.485 (1.14, 1.82)] accounted for 48% of the variance in fat mass. However, birth weight [β=0.773 (0.54, 1.01)], CW 0–24 [β=1.523 (1.24, 1.80)] and CW24–48 [β=1.226 (0.97, 1.49)] were also positively predicted and accounted for 71% of the variance in fat mass in adolescence (P<0.05). Our data suggests that birth weight and weight gain during infancy and early childhood independent of linear growth are related to adolescent body composition but not blood lipid profiles in an urban African population.

scholarly journals Programming of body composition by early growth and nutrition

2007 ◽  
Vol 66 (3) ◽  
pp. 423-434 ◽  
Author(s):  
Jonathan C. K. Wells ◽  
Sirinuch Chomtho ◽  
Mary S. Fewtrell
Keyword(s):  
Metabolic Syndrome ◽  
Body Composition ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Lean Mass ◽  
Early Life ◽  
Disease Risk ◽  
Early Growth ◽  
Growth Patterns ◽  
The Metabolic Syndrome

There is now compelling evidence that growth patterns in early life are associated with risk of the metabolic syndrome in adulthood, although the relative importance of prenatal v. postnatal growth for such associations remains controversial. Body composition may play a key role in the ‘programming’ of such diseases, through itself being programmed by early growth, and perhaps also by being a mediator of the programming process. Early studies reporting positive associations between birth weight and adult BMI suggested a tendency for large babies to become obese adults. Such findings appeared contradictory to the many studies linking low birth weight with increased risk of the metabolic syndrome. Recent studies now indicate that birth weight is strongly predictive of later lean mass, and has a much weaker association with later fatness. Studies that link low birth weight with a more central adipose distribution in later life remain controversial, and require confirmation using more sophisticated methodologies. Findings for infant growth rate appear population-specific, with infant weight gain predicting subsequent lean mass in developing countries, but predicting subsequent fat mass and obesity in industrialised populations. Further studies are required on this issue, to ensure that appropriate public health policies are recommended for countries across the range of economic development. Although the links between early growth and later disease risk implicate early-life nutrition, either in utero or during infancy, few prospective studies have explored the influence of early diet on later body composition. Many studies have associated breast-feeding with a reduced prevalence of obesity categorised by BMI; however, the few studies directly evaluating childhood fatness provide little support for this hypothesis. Recent advances in the ability to measure body composition during the infant period offer a major opportunity to improve the understanding of the nutritional programming of body composition and its contribution, or lack thereof, to subsequent disease risk.

scholarly journals Impact of changes in maternal body composition on birth weight and neonatal fat mass in dichorionic twin pregnancies

2018 ◽  
Vol 108 (4) ◽  
pp. 716-721 ◽  
Author(s):  
Manisha Gandhi ◽  
Rajshi Gandhi ◽  
Lauren M Mack ◽  
Roman Shypailo ◽  
Anne L Adolph ◽  
...  
Keyword(s):  
Body Composition ◽  
Birth Weight ◽  
Fat Mass ◽  
Fat Free Mass ◽  
Birth Length ◽  
Third Trimester ◽  
Maternal Body ◽  
The Third ◽  
The Impact ◽  
Twin Pregnancies

AbstractBackgroundAlthough the impact of gestational weight gain (GWG) on birth weight in twin pregnancies has been demonstrated, the specific components of GWG have not been delineated for twin gestations. Fetal body composition has been shown to be modifiable in singleton gestations based on nutritional intervention strategies and may prove to have similar modifications in twin gestations.ObjectiveWe aimed to determine the relation of maternal body composition changes to birth weight, birth length, and neonatal fat mass (FM) in dichorionic-diamniotic twin pregnancies.DesignThis is a prospective study of 20 women with twin gestations. Comparisons were made between body composition variables during each trimester and for the entire pregnancy and compared with the outcomes of birth weight, neonatal fat percentage, and birth length.ResultsGWG within or above compared with below the IOM recommendations was associated with higher birth weights (P = 0.03, P = 0.04, respectively), but also with higher postpartum weight retention (P = 0.001). Total maternal protein gain over the pregnancy was positively associated with birth weight (P = 0.03). Changes in maternal fat-free mass (FFM), total body water (TBW), and FM from the first to the third trimester were not associated with either birth weight or neonatal FM percentage. However, maternal FM change from the second to the third trimester was significantly correlated to neonatal FM percentage (P = 0.02). Third trimester GWG and total protein gain were positively correlated with neonatal birth length (P = 0.02 and 0.03, respectively). Maternal FFM over all 3 trimesters showed a positive relation with neonatal birth length (P = 0.01).ConclusionsSignificant increases in maternal protein are associated with greater birth weight and neonatal birth length. Protein accretion, in contrast to TBW and FM gains, may be the most critical component of maternal GWG in dichorionic twin gestations.

Abstract P085: Infant Weight and Length Trajectories Have Different Impacts on Body Composition at Age 3

Circulation ◽  
2014 ◽  
Vol 129 (suppl_1) ◽  
Author(s):  
Jessica G Woo ◽  
Heidi Sucharew ◽  
Patricia M Herbers ◽  
Philip R Khoury ◽  
Nicholas M Edwards ◽  
...  
Keyword(s):  
Body Composition ◽  
Weight Gain ◽  
Body Fat ◽  
Fat Mass ◽  
Growth Curve ◽  
Lean Mass ◽  
Growth Trajectories ◽  
Average Growth ◽  
Early Weight Gain ◽  
Weight Velocity

Introduction: Rapid infant weight gain has been linked with higher childhood body mass index (BMI) and risk of obesity. However, because BMI cannot distinguish lean from fat mass, the role of infant weight or length trajectories on childhood body composition is unclear. Hypothesis: This study aimed to evaluate how specific aspects of infant growth trajectories are associated with fat mass, lean mass and % body fat at age 3. Methods: Total 323 children age 3 y (46% female, 20% African-American) had body composition measured by dual-energy x-ray absorptiometry, and weight and length measurements from birth to age 2 y from pediatrician growth charts. Growth trajectories were characterized using the SuperImposition by Translation And Rotation (SITAR) model. This technique estimates an average growth curve with random effects that allow individual growth curves to shift up or down (size), shift right or left on the age axis (tempo) or rotate to steepen/flatten the growth curve (velocity). Tempo did not improve model fit so was excluded. Size and velocity parameters for weight and length trajectories were regressed against fat mass (FM), lean mass (LM) and % body fat measurements at age 3. Results: On average, girls had higher FM (3.9 vs. 3.4 kg) and lower LM (8.8 vs. 9.5 kg) than boys. Adjusting for sex, LM at age 3 was significantly higher with greater weight velocity and with longer length size between ages 0-2 (Table), but were not related to length velocity or weight size. Adjusting for sex, higher FM was seen for those with higher weight size between ages 0-2, but was not related to either weight or length velocities. Percent body fat at age 3 was associated with both larger weight size and shorter length size between 0-2 years of age, but not with either growth velocities. Conclusions: Weight and length size and velocity differ in their impact on children’s body composition by age 3. This study suggests that faster early weight gain (higher weight velocity) and longer lengths but not higher overall weight may lead to leaner body composition by age 3.

scholarly journals Does kangaroo mother care have an impact on morbidity, mortality and duration of hospital stay of newly born low birth weight babies?

2021 ◽  
Vol 8 (2) ◽  
pp. 311
Author(s):  
Purnima Margekar ◽  
Premlata Parekh ◽  
Shubha Laxmi Margekar
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Hospital Stay ◽  
Normal Weight ◽  
Kangaroo Mother Care ◽  
Outcome Variable ◽  
Low Birth Weight Infants ◽  
Early Weight Gain ◽  
The Impact

Background: Preterm and low birth weight infants are more likely to experience neonatal morbidity including acute respiratory, gastrointestinal, central nervous system, immunologic, hearing and vision problems than both term and normal weight infants who survive the neonatal period. The present study was aimed to evaluate the impact of Kangaroo Mother Care (KMC) on morbidity and mortality of new-borns and duration of hospital stay.Methods: A prospective case control study over a 12 month period was conducted from August 2013 to August 2014 on 50 new-borns weighing less than 1.8 kg. The primary outcome variable was “weight gain”. Secondary measures included morbidity, mortality and duration of hospitalization. Observations were recorded in a proforma specially designed for the study. The results were subjected to statistical analysis.Results: The hospital stay was less amongst neonates who received KMC. Twenty four (48%) out of 50 were discharged within 10 days, another 24 within 11 to 20 days. Neonates who did not received KMC, majority i.e. 27 of the neonates were in the ICU for 11-20 days. There were 3 neonates who stayed beyond 1 month.Conclusions: The study showed that KMC is useful method of caring VLBW baby in respect of early weight gain and decrease morbidity, mortality and hospital stay in our set up. However, there are still insufficient evidences to recommend its routine use in VLBW babies in our country. Well-designed large randomized controlled trail of this intervention are needed.

scholarly journals Early weight gain trajectories and body composition in infancy in infants born very preterm

2020 ◽  
Author(s):  
Victoria A.A. Beunders ◽  
Jorine A. Roelants ◽  
Jessie M. Hulst ◽  
Dimitris Rizopoulos ◽  
Anita C.S. Hokken‐Koelega ◽  
...  
Keyword(s):  
Body Composition ◽  
Weight Gain ◽  
Very Preterm ◽  
Early Weight Gain

scholarly journals Low Birth Weight Prevalence in Children Diagnosed with Neurodevelopmental Disorders in Dubai

2021 ◽  
Vol 8 ◽  
pp. 2333794X2110317
Author(s):  
Faisal A. Nawaz ◽  
Meshal A. Sultan
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Mental Disorders ◽  
Low Birth Weight ◽  
Neurodevelopmental Disorders ◽  
Autism Spectrum ◽  
High Birth Weight ◽  
Perinatal Risk Factors ◽  
Perinatal Risk ◽  
The Impact

The aim of this study is to evaluate the prevalence of low birth weight and other perinatal risk factors in children diagnosed with neurodevelopmental disorders. This is one of the first studies in the Arabian Gulf region focused on the contribution of these factors toward the development of various disorders such as attention-deficit/hyperactivity disorder, autism spectrum disorder, and other mental disorders. This descriptive study was based on qualitative data analysis. We reviewed retrospective information from the electronic medical records of 692 patients in Dubai, United Arab Emirates. The prevalence of low birth weight in children with mental disorders was significantly higher as compared to the general population (16% vs 6% respectively). Furthermore, other risk factors, including high birth weight and preterm birth were noted to have a significant association with neurodevelopmental disorders. Future research on the impact of perinatal risk factors will contribute to advancement of early intervention guidelines.

The lambing period of mountain sheep: synthesis, hypotheses, and tests

1982 ◽  
Vol 60 (1) ◽  
pp. 1-14 ◽  
Author(s):  
Fred L. Bunnell
Keyword(s):  
Body Weight ◽  
Thermal Stress ◽  
Weight Gain ◽  
Female Body ◽  
Extreme Environments ◽  
Growth Patterns ◽  
Central Tendency ◽  
Seasonal Growth ◽  
Early Weight Gain ◽  
Definition Of

Data on lambing periods from 30 populations of North American mountain sheep are reviewed. Among all populations lambing begins later and duration is shorter at more northern altitudes (p < 0.00006). Correlations are enhanced (p < 0.00003) when latitude is replaced by a phenological index incorporating altitude. Termination of lambing is not correlated with latitude or with phenological index. Two broad patterns are evident. Populations feeding on vegetation of less predictable growth patterns ("desert type") have lengthy lambing seasons; populations feeding on vegetation exhibiting more predictable growth patterns ("alpine type") have shorter lambing seasons, typically two oestrous cycles in length. Definition of "types" by latitude or sheep taxonomy reveals significant differences in lambing periods, but correlations are enhanced when "types" are defined on the basis of habitat.Among taxa, birth weights are correlated with female body weight (rs = 0.87). Birth weights are heavier in extreme environments, seasonal growth patterns are expressed better in the alpine type, and early weight gain is most rapid in the northernmost subspecies. All populations show a strong central tendency with regard to peak lambing (17 May ± 6.8 days). Departures from that tendency respond more to predictability of vegetation than to thermal stress or predation pressure.

scholarly journals Glucose absorption from peritoneal dialysate is associated with a gain in fat mass and a reduction in lean body mass in prevalent peritoneal dialysis patients

2020 ◽  
Vol 123 (11) ◽  
pp. 1269-1276
Author(s):  
Steven Law ◽  
Andrew Davenport
Keyword(s):  
Body Composition ◽  
Peritoneal Dialysis ◽  
Weight Gain ◽  
Fat Mass ◽  
Glucose Absorption ◽  
Fat Free Mass ◽  
Osmotic Gradient ◽  
Membrane Function ◽  
Pd Membrane ◽  
Male Sex

AbstractThe majority of peritoneal dialysates use glucose to generate an osmotic gradient for the convective removal of water and Na. Although glucose can potentially be absorbed, previous studies have failed to establish whether this leads to increased fat weight gain. We measured body composition using bioimpedance in peritoneal dialysis (PD) patients, electively starting PD, attending for their first assessment of peritoneal membrane function after 2–3 months, and then after 12 months. We studied 143 patients: eighty-nine (62·2 %) males, fifty-three (37·1 %) diabetics, mean age 61·3 (SD 14·9) years, with ninety (62·1 %) patients treated by automated PD cyclers with a daytime icodextrin exchange and thirty-seven (25·9 %) by continuous ambulatory PD. Median fat mass increased by 1·8 (–0·5 to 4·1) kg, whereas fat-free mass fell –1·3 (–2·9 to 1·0) kg, and the increase in fat mass was negatively associated with the fall in soft lean mass (r –0·41, P < 0·001). Increased fat mass was associated with measured peritoneal glucose absorption (r 0·69, P < 0·001), and glucose absorption was associated with the amount of 22·7 g/l glucose dialysate (OR 2·0, 95 % CI 1·5, 2·5, P < 0·001), peritoneal urea clearance (OR 9·5, 95 % CI 2·4, 37·1, P = 0·001) and male sex (OR 4·8, 95 % CI 1·5, 14·9, P = 0·008). We report an observational study in prevalent PD patients following body composition from their first assessment of PD membrane function for approximately 12 months, and despite the majority of patients prescribed icodextrin, we have demonstrated not only an association between intra-peritoneal glucose absorption and fat weight gain but also loss of fat-free mass.

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