Effect of maternal prenatal food supplementation, gestational weight gain, and breast-feeding on infant growth during the first 24 months of life in rural Vietnam

AbstractObjectiveThe association between gestational weight gain (GWG) and exclusive breast-feeding (EBF) practices remains unclear. The present study evaluated the association between GWG and EBF in the first 6 months postpartum among primiparas in rural China.DesignThe study population was drawn from a previous randomized controlled trial, and the relevant data were obtained from an electronic, population-based perinatal system and a monitoring system for child health care. GWG was categorized according to the guidelines of the Institute of Medicine.SettingFive rural counties in Hebei Province, China.ParticipantsA total of 8449 primiparas.ResultsOf the women, 58·7 % breast-fed exclusively for the first 6 months postpartum. Overweight women who gained either more or less weight than the recommended GWG tended to experience failure of EBF (OR=0·49; 95 % CI 0·34, 0·70; P<0·001 and OR=0·79; 95 % CI 0·63, 0·99; P=0·048, respectively). The same results were also observed among obese women; the OR for lower and greater weight gain were 0·28 (95 % CI 0·08, 0·94; P=0·04) and 0·55 (95 % CI 0·32, 0·95; P=0·03), respectively.ConclusionsGWG that is below or above the Institute of Medicine recommendations is associated with EBF behaviour for the first 6 months postpartum in overweight and obese primiparas in rural China.

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Gestational Weight Gain and Offspring Longitudinal Growth in Early Life

Annals of Nutrition and Metabolism ◽

10.1159/000437149 ◽

2015 ◽

Vol 67 (1) ◽

pp. 49-57 ◽

Cited By ~ 6

Author(s):

Jill C. Diesel ◽

Cara L. Eckhardt ◽

Nancy L. Day ◽

Maria M. Brooks ◽

Silva A. Arslanian ◽

...

Keyword(s):

Weight Gain ◽

Gestational Weight Gain ◽

Infant Growth ◽

Growth Patterns ◽

World Health ◽

Z Score ◽

Growth Standards ◽

Gestational Weight ◽

Excessive Gestational Weight Gain ◽

Health Organization

Background: Excessive gestational weight gain (GWG) increases the risk of childhood obesity, but little is known about its association with infant growth patterns. Aim: The aim of this study was to examine the association between GWG and infant growth patterns. Methods: Pregnant women (n = 743) self-reported GWG at delivery, which we classified as inadequate, adequate or excessive based on the current guidelines. Offspring weight-for-age z-score (WAZ), length-for-age z-score (LAZ (with height-for-age (HAZ) in place of length at 36 months)) and body mass index z-score (BMIZ) were calculated at birth, 8, 18 and 36 months using the 2006 World Health Organization growth standards. Linear mixed models estimated the change in z-score from birth to 36 months by GWG. Results: The mean (SD) WAZ was -0.22 (1.20) at birth. Overall, WAZ and BMIZ increased from birth to, approximately, 24 months and decreased from 24 to 36 months, while LAZ/HAZ decreased from birth through 36 months. Excessive GWG was associated with higher offspring WAZ and BMIZ at birth, 8 and 36 months, and higher HAZ at 36 months, compared with adequate GWG. Compared with the same referent, inadequate GWG was associated with smaller WAZ and BMIZ at birth and 8 months. Conclusion: Excessive GWG may predispose infants to obesogenic growth patterns, while inadequate GWG may not have a lasting impact on infant growth.

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Pre-pregnancy BMI, gestational weight gain and breast-feeding: a cohort study in China

Public Health Nutrition ◽

10.1017/s1368980016003165 ◽

2016 ◽

Vol 20 (6) ◽

pp. 1001-1008 ◽

Cited By ~ 12

Author(s):

Xing-Yong Tao ◽

Kun Huang ◽

Shuang-Qin Yan ◽

A-Zhu Zuo ◽

Rui-Wen Tao ◽

...

Keyword(s):

Cohort Study ◽

Weight Gain ◽

Birth Cohort ◽

Gestational Weight Gain ◽

Breast Feeding ◽

Early Termination ◽

Birth Cohort Study ◽

Exclusive Breast Feeding ◽

Gestational Weight ◽

Urban City

AbstractObjectiveThe purpose of the present study was to examine the influence of maternal pre-pregnancy BMI and gestational weight gain (GWG) on initiation and duration of infant breast-feeding in a prospective birth cohort study.DesignBreast-feeding information was collected at 1, 3, 6 and 12 months postpartum. The association of pre-pregnancy BMI and GWG with delayed lactogenesis II and termination of exclusive breast-feeding was assessed with logistic regression analysis. The risk of early termination of any breast-feeding during the first year postpartum was assessed with Cox proportional hazards models.SettingUrban city in China.SubjectsWomen with infants from the Ma’anshan Birth Cohort Study (n 3196).ResultsThe median duration of any breast-feeding in this cohort was 7·0 months. Pre-pregnancy obese women had higher risks of delayed lactogenesis II (risk ratio=1·89; 95 % CI 1·04, 3·43) and early termination of any breast-feeding (hazard ratio=1·38; 95 % CI 1·09, 1·75) adjusted for potential maternal and infant confounders, when compared with normal-weight women. No differences in breast-feeding initiation or duration of exclusive breast-feeding according to pre-pregnancy BMI were found. Moreover, GWG was not associated with any poor breast-feeding outcomes.ConclusionsThe present study indicated that pre-pregnancy obesity increases the risks of delayed lactogenesis II and early termination of any breast-feeding in Chinese women.

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