Articles producció científica> Medicina i Cirurgia

Different protein intake in the first year and its effects on adiposity rebound and obesity throughout childhood: 11 years follow-up of a randomized controlled trial

  • Identification data

    Identifier: imarina:9280224
    Authors:
    Totzauer, MartinaEscribano, JoaquinClosa-Monasterolo, RicardoLuque, VeronicaVerduci, ElviraReDionigi, AliceLanghendries, Jean-PaulMartin, FrancoiseXhonneux, AnnickGruszfeld, DariuszSocha, PiotrGrote, VeitKoletzko, BertholdEuropean Childhood Obesity Trial S
    Abstract:
    Background and Objectives Infant feeding affects child growth and later obesity risk. We examined whether protein supply in infancy affects the adiposity rebound, body mass index (BMI) and overweight and obesity up to 11 years of age. Methods We enrolled healthy term infants from five European countries in a double blind randomized trial, with anticipated 16 examinations within 11 years follow-up. Formula-fed infants (n = 1090) were randomized to isoenergetic formula with higher or lower protein content within the range stipulated by EU legislation in 2001. A breastfed reference group (n = 588) was included. Adiposity rebound and BMI trajectories were estimated by generalized additive mixed models in 917 children, with 712 participating in the 11 year follow-up. Results BMI trajectories were elevated in the higher compared to the lower protein group, with significantly different BMI at adiposity rebound (0.24 kg/m(2), 0.01-0.47, p = 0.040), and an increased risk for overweight at 11 years (adjusted Odds Ratio 1.70; 1.06-2.73; p = 0.027) but no significant difference for obesity (adjusted Odds Ratio 1.47; 0.66-3.27). The two formula groups did not differ in the timing of adiposity rebound, but all children with obesity at 11 years had an early adiposity rebound before four years. Conclusions Compared to conventional high protein formula, feeding lower protein formula in infancy lowers BMI trajectories up to 11 years and achieves similar BMI values at adiposity rebound as observed in breastfed infants.
  • Others:

    Author, as appears in the article.: Totzauer, Martina; Escribano, Joaquin; Closa-Monasterolo, Ricardo; Luque, Veronica; Verduci, Elvira; ReDionigi, Alice; Langhendries, Jean-Paul; Martin, Francoise; Xhonneux, Annick; Gruszfeld, Dariusz; Socha, Piotr; Grote, Veit; Koletzko, Berthold;European Childhood Obesity Trial S
    Department: Medicina i Cirurgia
    URV's Author/s: Closa Monasterolo, Ricardo / Escribano Subías, Joaquín / Ferre Pallas, Natalia / Luque Moreno, Verònica
    Keywords: Weight-gain Risk Protein Pediatric gastroenterology Overweight Obesity Nutrition Infant formula Growth Breastfeeding Body-mass index Bmi trajectory Bmi Age Adiposity rebound
    Abstract: Background and Objectives Infant feeding affects child growth and later obesity risk. We examined whether protein supply in infancy affects the adiposity rebound, body mass index (BMI) and overweight and obesity up to 11 years of age. Methods We enrolled healthy term infants from five European countries in a double blind randomized trial, with anticipated 16 examinations within 11 years follow-up. Formula-fed infants (n = 1090) were randomized to isoenergetic formula with higher or lower protein content within the range stipulated by EU legislation in 2001. A breastfed reference group (n = 588) was included. Adiposity rebound and BMI trajectories were estimated by generalized additive mixed models in 917 children, with 712 participating in the 11 year follow-up. Results BMI trajectories were elevated in the higher compared to the lower protein group, with significantly different BMI at adiposity rebound (0.24 kg/m(2), 0.01-0.47, p = 0.040), and an increased risk for overweight at 11 years (adjusted Odds Ratio 1.70; 1.06-2.73; p = 0.027) but no significant difference for obesity (adjusted Odds Ratio 1.47; 0.66-3.27). The two formula groups did not differ in the timing of adiposity rebound, but all children with obesity at 11 years had an early adiposity rebound before four years. Conclusions Compared to conventional high protein formula, feeding lower protein formula in infancy lowers BMI trajectories up to 11 years and achieves similar BMI values at adiposity rebound as observed in breastfed infants.
    Thematic Areas: Saúde coletiva Public health, environmental and occupational health Pediatrics, perinatology and child health Pediatrics Nutrition and dietetics Nutrição Medicina ii Medicina i Health policy General medicine Engenharias iv Ciências biológicas i
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: veronica.luque@urv.cat ricardo.closa@urv.cat natalia.ferre@urv.cat joaquin.escribano@urv.cat
    Author identifier: 0000-0003-2615-8175 0000-0002-9963-4163 0000-0002-2838-1525 0000-0002-5041-459X
    Record's date: 2024-09-07
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://onlinelibrary.wiley.com/doi/full/10.1111/ijpo.12961
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Pediatric Obesity. 17 (12): e12961-
    APA: Totzauer, Martina; Escribano, Joaquin; Closa-Monasterolo, Ricardo; Luque, Veronica; Verduci, Elvira; ReDionigi, Alice; Langhendries, Jean-Paul; Martin (2022). Different protein intake in the first year and its effects on adiposity rebound and obesity throughout childhood: 11 years follow-up of a randomized controlled trial. Pediatric Obesity, 17(12), e12961-. DOI: 10.1111/ijpo.12961
    Article's DOI: 10.1111/ijpo.12961
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2022
    Publication Type: Journal Publications
  • Keywords:

    Health Policy,Nutrition and Dietetics,Pediatrics,Pediatrics, Perinatology and Child Health,Public Health, Environmental and Occupational Health
    Weight-gain
    Risk
    Protein
    Pediatric gastroenterology
    Overweight
    Obesity
    Nutrition
    Infant formula
    Growth
    Breastfeeding
    Body-mass index
    Bmi trajectory
    Bmi
    Age
    Adiposity rebound
    Saúde coletiva
    Public health, environmental and occupational health
    Pediatrics, perinatology and child health
    Pediatrics
    Nutrition and dietetics
    Nutrição
    Medicina ii
    Medicina i
    Health policy
    General medicine
    Engenharias iv
    Ciências biológicas i
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