Promoting Healthy Growth or Feeding Obesity? The Need for Evidence-Based Oversight of Infant Nutritional Supplement Claims

Lampl, Michelle; Mummert, Amanda; Schoen, Meriah

doi:10.3390/healthcare4040084

Cited by 40 publications

(4 citation statements)

References 75 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A sensitivity to food intake of children in this age range has also been reported for child obesity, 19,20 although similar reports about stunting are limited. 21 The nutritional sensitivity for both stunting and obesity can be explained by the enhanced degree of child growth during these months of age.…”

Section: Discussionsupporting

confidence: 52%

Relationship between dietary patterns and stunting in preschool children: a cohort analysis from Kwale, Kenya

et al. 2019

View full text Add to dashboard Cite

Objectives: Stunting is a significant cause of poor cognitive performance and lower school achievement. Stunting is observed among preschool children in several areas in Africa; however, not all children are affected, and children with and without stunting are seen in the same communities. Therefore, this study aimed to identify nutritional and other factors that prevent stunting that may exist in local communities. Study design: This is a prospective cohort study. Methods: Data were extracted from the Health and Demographic Surveillance System conducted in Kwale County, Kenya. The cohort consisted of all households with children less than five years old, within a radius of 2.2 km from a local health centre. A dietary pattern (DP) survey with a semi-quantitative food frequency questionnaire was conducted on caretakers of children who were voluntary participated from the cohort between June 2012 and August 2012. Using cluster analysis, the children were assigned to a DP group. Logistic regression analysis was applied to calculate the adjusted odds ratios (aORs) of DPs for stunting controlling for other factors. Results: In total, 402 children were included in the analysis. By cluster analysis, three DPs were identified: protein-rich DP; traditional DP; and traditional DP complemented by breastfeeding. The aOR of a child becoming stunted from a normal height during the study period among children who received a traditional DP compared with those who had a protein-rich DP was 2.78 (95% confidence interval [

show abstract

Section: Discussionsupporting

confidence: 52%

Relationship between dietary patterns and stunting in preschool children: a cohort analysis from Kwale, Kenya

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Feeding practices in early infancy are critical. Obesity risk is associated with the use of infant formula instead of breastfeeding, shorter durations of breastfeeding, early or late introduction of solids (before four or after seven months) and use of follow-up and toddler formula [1,[8][9][10]. Breastfeeding may protect against overweight and obesity [11,12], through its nutritional components and because this mode of nutrition encourages self-regulation and avoids overfeeding [13].…”

Section: Introductionmentioning

confidence: 99%

Promoting Healthy Weight for All Young Children: A Mixed Methods Study of Child and Family Health Nurses’ Perceptions of Barriers and How to Overcome Them.

Cheng

Eames-Brown

Tutt

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Childhood obesity is a global health concern. Early intervention to help parents adopt best practice for infant feeding and physical activity is critical for maintaining healthy weight. Australian governments provide universal free primary healthcare from child and family health nurses (CFHNs) to support families with children aged up to five years and to provide evidence-based advice to parents. This paper aims to examine factors influencing the child obesity prevention practices of CFHNs and to identify opportunities to support them in promoting healthy infant growth.Methods: This mixed methods study used a survey (n = 90) and semi-structured interviews (n = 20) with CFHNs working in two local health districts in Sydney, Australia. Survey data were analysed descriptively; interview transcripts were coded and analysed iteratively. Survey and interview questions examined how CFHNs addressed healthy infant feeding practices, healthy eating, active play and limiting sedentary behaviour during routine consultations; factors influencing such practices; and how CFHNs could be best supported.Results: CFHNs frequently advised parents on breastfeeding, introducing solid foods, and techniques for settling infants. They spent less time providing advice on evidence-based formula feeding practices or encouraging physical activity in young children. Although nurses frequently weighed and measured children, they did not always use growth charts to identify those at risk of becoming overweight or obese. Nurses identified several barriers to promoting healthy weight gain in infants and young children, including limited parental recognition of overweight in their children or motivation to change diet or lifestyle; socioeconomic factors (such as the cost of healthy food); and beliefs and attitudes about infant weight and the importance of breastfeeding and physical activity amongst parents and family members.Conclusions: CFHNs require further education and support for their role in promoting optimal child growth and development, especially training in behaviour change techniques to increase parents’ understanding of healthy infant weight gain. Parent information resources should be accessible and address cultural diversity. Resources should highlight the health effects of childhood overweight and obesity and emphasise the benefits of breastfeeding, appropriate formula feeding, suitable first foods, responsiveness to infant feeding cues, active play and limiting screen time.

show abstract

“…For TGFAs that were inversely associated with rapid growth, we ran a sensitivity analysis in the complete case set, testing for association with failure to thrive, defined as change in weight-for-age z-score < −0.67 [57]. Additionally, we assessed the sensitivity of our results by testing the complete case data.…”

Section: Sensitivity Analysesmentioning

confidence: 99%

Predictors of Human Milk Fatty Acids and Associations with Infant Growth in a Norwegian Birth Cohort

et al. 2022

View full text Add to dashboard Cite

Triglyceride-bound fatty acids constitute the majority of lipids in human milk and may affect infant growth. We describe the composition of fatty acids in human milk, identify predictors, and investigate associations between fatty acids and infant growth using data from the Norwegian Human Milk Study birth cohort. In a subset of participants (n = 789, 30% of cohort), oversampled for overweight and obesity, we analyzed milk concentrations of detectable fatty acids. We modelled percent composition of fatty acids in relation to maternal body mass index, pregnancy weight gain, parity, smoking, delivery mode, gestational age, fish intake, and cod liver oil intake. We assessed the relation between fatty acids and infant growth from 0 to 6 months. Of the factors tested, excess pregnancy weight gain was positively associated with monounsaturated fatty acids and inversely associated with stearic acid. Multiparity was negatively associated with monounsaturated fatty acids and n-3 fatty acids while positively associated with stearic acid. Gestational age was inversely associated with myristic acid. Medium-chain saturated fatty acids were inversely associated with infant growth, and mono-unsaturated fatty acids, particularly oleic acid, were associated with an increased odds of rapid growth. Notably, excessive maternal weight gain was associated with cis-vaccenic acid, which was further associated with a threefold increased risk of rapid infant growth (OR = 2.9, 95% CI 1.2–6.6), suggesting that monounsaturated fatty acids in milk may play a role in the intergenerational transmission of obesity.

show abstract

Promoting Healthy Growth or Feeding Obesity? The Need for Evidence-Based Oversight of Infant Nutritional Supplement Claims

Cited by 40 publications

References 75 publications

Relationship between dietary patterns and stunting in preschool children: a cohort analysis from Kwale, Kenya

Relationship between dietary patterns and stunting in preschool children: a cohort analysis from Kwale, Kenya

Promoting Healthy Weight for All Young Children: A Mixed Methods Study of Child and Family Health Nurses’ Perceptions of Barriers and How to Overcome Them.

Predictors of Human Milk Fatty Acids and Associations with Infant Growth in a Norwegian Birth Cohort

Contact Info

Product

Resources

About