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Weight Gain in Early Infancy Impacts Appetite Regulation in the First Year of Life. A Prospective Study of Infants Living in Cyprus

Hileti, Dona; Demetriou, Christiana A; Iasonides, Michalis C; Pipis, Spyros; Mahmood, Amna; Lanigan, Julie; Singhal, Atul; (2023) Weight Gain in Early Infancy Impacts Appetite Regulation in the First Year of Life. A Prospective Study of Infants Living in Cyprus. The Journal of Nutrition , 153 (8) pp. 2531-2539. 10.1016/j.tjnut.2023.06.017. Green open access

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Abstract

BACKGROUND: Eating behaviour is associated with weight gain in infancy and childhood. Few studies found a bi-directional association between weight gain and eating behaviour development in childhood but there is little data on the association in early infancy, a period critical for the programming of obesity risk. OBJECTIVE: We investigated the bi-directional association between appetite traits and weight gain during the first year of life. METHODS: Participants were part of a cohort of 432 infants born in Cyprus. Appetite traits were measured using the BEBQ or the CEBQ at age 2-4 weeks, 6 and 12 months. Weight and length were collected at birth, 4 weeks, 6 and 12 months. Multivariable linear regression was used to analyse associations between appetite traits at 2-4 weeks and 6 months and weight for age Z-score change (WFAZC) between 4 weeks-6 months and 6-12 months. Associations were also analysed in the opposite direction, between WFAZC from birth to 4 weeks, 4 weeks to 6 months, 6-12 months and appetite traits at 4 weeks, 6 months and 12 months. RESULTS: Satiety responsive (SR) at 2-4 weeks was associated with lower WFAZC from 4 weeks to 6 months (β=-0.17; 95%CI: -0.30, -0.04) and SR at age 6 months was associated with lower WFAZC from 6 to 12 months (β=-0.09; 95%CI: -0.17, -0.02). WFAZC from 4 weeks to 6 months was associated with higher EF at 12 months (β=0.11; 95%CI: 0.01, 0.20), higher FR at 12 months (β=0.17; 95%CI: 0.04, 0.30) and lower SR at both 6 (β=-0.11; 95%CI: -0.21, -0.01) and 12 months (β=-0.14; 95%CI: -0.24, -0.03) CONCLUSIONS: We found a bi-directional association between weight gain and appetite traits in infancy, suggesting that the effect of postnatal weight gain on obesity development is partly mediated by programming of appetite traits.

Type: Article
Title: Weight Gain in Early Infancy Impacts Appetite Regulation in the First Year of Life. A Prospective Study of Infants Living in Cyprus
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.tjnut.2023.06.017
Publisher version: https://doi.org/10.1016/j.tjnut.2023.06.017
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions.
Keywords: eating behavior, ΒΕΒQ (Baby Eating Behavior Questionnaire), CEBQ (Child Eating Behavior Questionnaire), appetite, infant growth, childhood obesity, cohort studies
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Population, Policy and Practice Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10173239
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