The association of birth weight and postnatal growth with energy intake and eating behavior at 5 years of age – a birth cohort study

Abstract Background Low and high birth weight and accelerated postnatal weight gain are associated with an increased risk of obesity. Perinatal effects on energy intake and eating behavior have been proposed as underlying mechanisms. This study aimed to examine the independent associations of birth weight and postnatal weight and height gain with childhood energy intake and satiety response. Methods In a birth cohort study, we used data from 2227 children (52 % male), mean age 5.6 (±0.4) years. Mean daily energy intake and satiety response were parent-reported through validated questionnaires. Exposures were birth weight z-score and conditional weight and height gain between 0–1, 1–3, 3–6, 6–12 months and 12 months to 5 years. Conditional weight and height are residuals of current weight and height regressed on prior growth data, to represent deviations from expected growth. Analyses were adjusted for a set of potential confounding variables. Results Conditional weight gain between 1–3, 3–6 months and 12 months to 5 years was significantly associated with energy intake, with 29.7 (95 %-CI: 4.6; 54.8), 24.0 (1.8; 46.1) and 79.5 (29.4; 129.7) kcal/day more intake for each Z-score conditional weight gain between 1–3, 3–6 months and 12 months to 5 years, respectively. Conditional height gain between 0–1, 1–3 months and 12 months to 5 years was negatively associated with energy intake (β: −42.0 [66.6; –17.4] for 0–1 months, −35.1 [−58.4; −11.8] for 1–3 months and −37.4 [−72.4; −2.3] for 12 months to 5 years). Conditional weight gain in all periods was negatively associated with satiety response, with effect sizes from − 0.03 (−0.06; −0.002) in early infancy to −0.12 (−0.19; −0.06) in childhood. Birth weight was not associated with energy intake or satiety response. Conclusions Our findings suggest that accelerated infant and childhood weight gain are associated with increased energy intake and diminished satiety response at 5 years. Accelerated height gain seems to be beneficial for childhood energy intake. This perinatal ‘programming’ of energy intake and eating behavior provide a potential mechanism linking early life influences with later obesity and cardiovascular disease.

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PID https://www.doi.org/10.6084/m9.figshare.c.3632297.v1
PID https://www.doi.org/10.6084/m9.figshare.c.3632297
URL http://dx.doi.org/10.6084/m9.figshare.c.3632297
URL http://dx.doi.org/10.6084/m9.figshare.c.3632297.v1
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Author Deutekom, Arend Van
Author Chinapaw, Mai
Author Vrijkotte, Tanja
Author Gemke, Reinoud
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Collected From Datacite
Hosted By figshare
Publication Date 2016-01-01
Publisher Figshare
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Language UNKNOWN
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keyword FOS: Chemical sciences
keyword FOS: Biological sciences
keyword FOS: Health sciences
system:type other
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Source https://science-innovation-policy.openaire.eu/search/other?orpId=dedup_wf_001::6c18e39f0edc06533adea701683e18be
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Last Updated 20 December 2020, 03:44 (CET)
Created 20 December 2020, 03:44 (CET)