Birth weight, slowness in eating and feeding practices as independent determinants of rapid weight gain.

Autor: Ortega-Ramírez AD; Faculty of Medicine, University of Colima, Colima, Mexico., Murillo-Zamora E; Faculty of Medicine, University of Colima, Colima, Mexico.; Clinical Epidiemiology Research Unit, Mexican Institute of Social Security, Villa de Álvarez, Colima, Mexico., Trujillo-Hernández B; Faculty of Medicine, University of Colima, Colima, Mexico., Delgado-Enciso I; Faculty of Medicine, University of Colima, Colima, Mexico., Sánchez-Ramírez CA; Faculty of Medicine, University of Colima, Colima, Mexico.
Jazyk: angličtina
Zdroj: Acta paediatrica (Oslo, Norway : 1992) [Acta Paediatr] 2024 Oct; Vol. 113 (10), pp. 2220-2230. Date of Electronic Publication: 2024 Jun 25.
DOI: 10.1111/apa.17330
Abstrakt: Aim: Our aim was to identify independent determinants of rapid weight gain in infants at 3-4, 6, and 12 months of age.
Methods: A cohort study was conducted on Mexican term infants in public and private settings between March 2021 and May 2023. Rapid weight gain was defined as a ≥0.67 SD change in weight-for-age-Z-score from birth to 3-4, 6, and 12 months of age. Maternal and infant characteristics were described, and infant feeding practices, appetitive traits, weight, and length were analysed at 3-4, 6, and 12 months of age. Rapid weight gain predictors were determined using generalised linear regression models.
Results: In total, 168 infants were recruited (55% boys). Small-for-gestational-age status increased rapid weight gain risk 1.5 times, whereas large-for-gestational-age status represented a 20%-30% decrease. Slowness in eating decreased the risk by 10%. Protective factors were older maternal age and higher educational level, whereas formula feeding, early complementary feeding, greater food enjoyment, and satiety responsiveness increased the risk.
Conclusions: Small for gestational age, slowness in eating, and feeding practices can be rapid weight gain predictors across the first year of life.
(© 2024 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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