Abraham EC, Godwin J, Sherriff A, Armstrong J. - 42847 N - Public Health Nutr 2012 ; 15(9) : 1705-14.

Infant feeding in relation to eating patterns in the second year of life and weight status in the fourth year

OBJECTIVE: To explore associations of early infant feeding with (i) eating patterns in the second year of life and (ii) weight status in the fourth year of life in a prospective cohort of children in Scotland.

DESIGN: Growing Up in Scotland (GUS) longitudinal birth cohort study (2005-2008). SETTING: Scotland, UK.

SUBJECTS: Children aged 9-12 months (n 5217) followed through to 45-48 months. RESULTS: Infant feeding was associated with eating patterns, defined by using SPSS two-step cluster analysis, in the second year of life. Children who were ever breast-fed compared with never breast-fed (adjusted OR = 1.48, 95 % CI 1.27, 1.73) were more likely to have a positive eating pattern (Cluster 2). Children who started complementary feeding at 4-5 months or 6-10 months compared with 0-3 months (adjusted OR = 1.32, 95 % CI 1.09, 1.59 or AOR = 1.50, 95 % CI 1.19, 1.89) were more likely to belong to Cluster 2. Breast-feeding was negatively associated with being overweight or obese in the fourth year of life compared with no breast-feeding (adjusted OR = 0.81, 95 % CI 0.81, 1.01). Introduction of complementary feeding at 4-5 months compared with 0-3 months was negatively associated with being overweight or obese (adjusted OR = 0.74, 95 % CI 0.57, 0.97).

CONCLUSIONS: Breast-feeding and introduction of complementary feeding after 4 months were associated with a positive eating pattern in the second year of life. Introduction of complementary feeding at 4-5 months compared with 0-3 months was negatively associated with being overweight or obese.