How Does Maternal and Child Feeding Behavior Relate to Weight Gain and Failure to Thrive? Data From a Prospective Birth Cohort

Wright, Charlotte; Parkinson, Kathryn; Drewett, Robert

doi:10.1542/peds.2005-1215

Cited by 110 publications

(134 citation statements)

References 23 publications

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“…There were no major differences between traits; a larger appetite rating, greater enjoyment of food, greater food responsiveness, faster eating speed, and lower satiety responsiveness were all related to higher weights and faster weight gains over 6-and 12-mo periods during infancy. These findings were in line with other studies that have investigated associations between infant appetite and weight gain in early childhood (15,17).…”

Section: Discussionsupporting

confidence: 92%

“…Answers were on a 5-point scale (ie, poor, okay, good, very good, or excellent), and higher scores indicated a larger general appetite (17).…”

Section: Appetitive Traitsmentioning

confidence: 99%

“…One study showed that infant sucking pressure measured in the laboratory at 2 and 4 wk of age was associated with BMI at ages 1, 2, and 3 y, although the effect had disappeared by 6 y (15,16). In the Gateshead Millennium Study, appetite measured at 6 wk was predictive of weight gain from birth to 12 mo (17), although the association with BMI at 7-8 y was no longer significant (18). These studies indicated that appetitive traits were prospectively related to weight, at least over the medium term, but none of the studies explicitly examined effects in the reverse direction.…”

Section: Introductionmentioning

confidence: 99%

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Prospective associations between appetitive traits and weight gain in infancy

Jaarsveld¹,

Llewellyn²,

Johnson³

et al. 2011

The American Journal of Clinical Nutrition

126

104

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Background: Differences in appetitive traits such as food-cue or satiety responsiveness have been hypothesized to contribute to variability in weight gain. However, existing data were largely crosssectional and could not exclude the possibility that differences in appetitive traits were consequences of differences in weight. Objective: We tested whether prospective associations between appetitive traits and subsequent weight were stronger than associations between weight and subsequent appetitive traits. Design: Data were from Gemini, which is a population-based cohort of 2402 families with twins. Parents completed a Baby Eating Behavior Questionnaire to assess 4 appetitive traits for each twin at ages 3 and 15 mo. We obtained infant weights at 3, 9, and 15 mo from records of health professionals. Weight SD scores were calculated by using UK 1990 reference data. A path analysis was used to examine prospective associations in each direction over sequential 6-mo intervals and over the same 12-mo period, with the significance of differences between the 2 paths established with bootstrapping. Results: Path analyses included 2213 infants. For each appetitive trait, the path to subsequent weight (standardized coefficients: 0.17-0.33) was significantly larger than the path from weight to subsequent appetite (coefficients: 0.07-0.13). Results were confirmed when both associations were analyzed by using changes from 3 to 15 mo. Conclusion: Longitudinal analyses showed that associations between appetitive traits and subsequent weight were stronger than between weight and subsequent appetite, which supports the idea that differences in appetitive traits, in conjunction with environmental opportunities to overeat, influence weight gain in early childhood.Am J Clin Nutr 2011;94:1562-7.

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Section: Discussionsupporting

confidence: 92%

“…Answers were on a 5-point scale (ie, poor, okay, good, very good, or excellent), and higher scores indicated a larger general appetite (17).…”

Section: Appetitive Traitsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Prospective associations between appetitive traits and weight gain in infancy

Jaarsveld¹,

Llewellyn²,

Johnson³

et al. 2011

The American Journal of Clinical Nutrition

126

104

View full text Add to dashboard Cite

show abstract

“…Similarly, only between 5 and 10% will have any symptoms or signs of underlying disease (14) . Some evidence of differences in maternal feeding behaviour and appetite and eating behaviour as well as decreased energy intake at meals (31) have been found in the infant (27)(28)(29)(30) . Thus, the majority of children showing a weight faltering pattern have no observable disease or evidence of neglect.…”

Section: Failure To Thrive/weight Falteringmentioning

confidence: 99%

Child undernutrition in affluent societies: what are we talking about?

Wright

García

2012

Proc. Nutr. Soc.

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In this paper we set out to explore the prevalence of child undernutrition found in community studies in affluent societies, but a preliminary literature review revealed that, in the absence of a gold standard method of diagnosis, the prevalence largely depends on the measure, threshold and the growth reference used, as well as age. We thus go on to explore describe the common clinical 'syndromes' of child undernutrition: wasting, stunting and failure to thrive (weight faltering) and how we have used data from two population-based cohort studies, this paper to explore how much these different 'syndromes' overlap and the extent to which they reflect true undernutrition. This analysis revealed that when more than one definition is applied to the same children, a majority are below the lower threshold for only one measure. However, those with both weight faltering and low BMI in infancy, go on in later childhood to show growth and body composition patterns suggestive of previous undernutrition. In older children there is even less overlap and most children with either wasting or low fat seem to be simply growing at one extreme of the normal range. We conclude that in affluent societies the diagnosis of undernutrition is only robust when it relies on a combination of both, that is decline in weight or BMI centile and wasting. Undernutrition is an intrinsic hazard in pre-school children in all cultures because infants have such high-nutrient requirements due to high rates of morbidity, requirements for growth, relatively inefficient metabolism and dependence on adults for all food. Worldwide, undernutrition has been clearly linked to a substantial increased risk of mortality and morbidity (1) as well as long-term stunting (2) and probably also has metabolic effects stretching into adulthood (3,4) . Thus undernutrition in childhood is clearly an important risk factor. However, what is less clear is how common it actually is in more affluent societies and what causes it in those settings. Systematic review of the prevalence of undernutrition in affluent societiesWe undertook a systematic review of the literature on the recent prevalence of undernutrition in developed societies, searching Medline, Ovid and/or Web of Knowledge for studies published between 2000 and 2011. Countries listed as having a very high human development index as defined by the UN (5) were considered as 'developed or affluent societies'. Studies were included if published in English and if they included prevalence rates and data collection methodology.

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“…1 Feeding difficulties are known to impact on weight gain, with a high percentage of children suffering from concomitant growth faltering, which may have a long-term effect on longitudinal growth and cognitive development. [2][3][4] For many years, it has been known that some medical conditions in early infancy may lead to feeding difficulties. Levy et al 5 found in children with organic disease that, in addition to the size of the child, transition in feeding (i.e.…”

Section: Introductionmentioning

confidence: 99%