Evidence map›Paper›PMID 28597536›Full record

ArticleMaternal & child nutrition2018

Timing of solid food introduction and association with later childhood overweight and obesity: The IDEFICS study.

Stalo Papoutsou, Savvas C Savva, Monica Hunsberger, Hannah Jilani, Nathalie Michels, Wolfgang Ahrens, Michael Tornaritis, Toomas Veidebaum, Dénes Molnár, Alfonso Siani and 3 more

Abstract readComparative Study
In one paragraph

Article in Maternal & child nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Las Dos Cosas Versus Exclusive Breastfeeding: A Culturally and Linguistically Exploratory Intervention Study in Hispanic Mothers Living in Kentucky.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
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  16. Children's behaviour and childhood obesity.Pediatric endocrinology, diabetes, and metabolism · 2024
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Stalo PapoutsouResearch and Education Institute of Child Health, Nicosia, Cyprus.ORCID 0000-0002-1666-6793
Savvas C SavvaResearch and Education Institute of Child Health, Nicosia, Cyprus.
Monica HunsbergerPublic Health Epidemiology Unit, Department of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Hannah JilaniLeibniz Institute for Prevention Research and Epidemiology- BIPS, Bremen, Germany.
Nathalie MichelsDepartment of Public Heath, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
Wolfgang AhrensLeibniz Institute for Prevention Research and Epidemiology- BIPS, Bremen, Germany.
Michael TornaritisResearch and Education Institute of Child Health, Nicosia, Cyprus.
Toomas VeidebaumNational Institute for Health Development, Tallinn, Estonia.
Dénes MolnárDepartment of Pediatrics, University of Pécs, Pécs, Hungary.
Alfonso SianiNational Research Council, Institute of Food Sciences, Unit of Epidemiology & Population Genetics, Avellino, Italy.
Luis A MorenoGrowth, Exercise, Nutrition and Development Research Group, University of Zaragosa, Zaragosa, Spain.
Charis HadjigeorgiouResearch and Education Institute of Child Health, Nicosia, Cyprus.
IDEFICS consortium

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study investigated associations between timing of solid food introduction and childhood obesity and explored maternal characteristics influencing early feeding practices. Cross-sectional data from children 2-9 years (n = 10,808; 50.5% boys) residing in 8 European countries of the IDEFICS study (2007-2008) were included. Late solid food introduction (≥7 months of age) was associated with an increased prevalence of later childhood overweight/obesity among exclusively breastfed children (OR [odds ratio]: 1.38, 95% CI [confidence interval] [1.01, 1.88]). In contrast, early solid food introduction (<4 months of age) was associated with lower prevalence of overweight/obesity among children that ceased exclusive breastfeeding earlier than 4 months (OR: 0.63, 95% CI [0.47, 0.84]). Children that were introduced to solids right after 6 months exclusive breastfeeding and continued to receive breastmilk (≥12 months) were less likely to become overweight/obese (OR: 0.67, 95% CI [0.51, 0.88]) compared to children that discontinued to receive breastmilk. Analyses were adjusted for age, sex, country, birth weight, parental education level, parental body mass index, tobacco use in pregnancy, gestational weight gain, and gestational diabetes. Underweight mothers, overweight mothers, mothers who reported daily smoking during pregnancy, and low-educated mothers were less likely to follow recommendations on breastfeeding and timely solids introduction. Future studies should examine whether guidelines for solid food introduction timing have to distinguish between exclusively breastfed, formula fed, and too early exclusive breastfeeding-ceased infants. There is also need for more prospective studies; recall bias was an important current limitation. In conclusion, health professionals should emphasize benefits of breastfeeding and appropriate solid food introduction, especially to mothers that are less likely to follow recommendations.

Indexed as

Infant FoodInfant Nutritional Physiological PhenomenaBody Mass IndexBreast FeedingChildChild, PreschoolCohort StudiesCross-Sectional StudiesDietDiet, HealthyEuropeFeeding MethodsFemaleHumansInfantMalebreastfeedingchildhoodmaternalobesityoverweightsolid food introduction

Identifiers

PMID28597536
PMCPMC6866068

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.