Evidence map›Paper›PMID 40659368›Full record

Observational studyPediatric obesity2025

Mediating Effect of Infant Rapid Weight Gain on the Association Between Exclusive Breastfeeding and the Risk of Obesity Later in Life.

Carlos Nagore González, Iris Iglesia Altaba, Cristina Guillén Sebastián, Maria Luisa Alvarez Sauras, Sheila García Enguita, Luis A Moreno, Gerardo Rodríguez

Abstract readObservational Study
In one paragraph

Observational study in Pediatric obesity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Trial
  2. Observational
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

7 authors.

Carlos Nagore GonzálezInstituto de Investigación Sanitaria Aragón (IISAragón), Zaragoza, Spain.ORCID https://orcid.org/0000-0003-4659-7378
Iris Iglesia AltabaInstituto de Investigación Sanitaria Aragón (IISAragón), Zaragoza, Spain.ORCID https://orcid.org/0000-0002-2219-3646
Cristina Guillén SebastiánInstituto de Investigación Sanitaria Aragón (IISAragón), Zaragoza, Spain.
Maria Luisa Alvarez SaurasInstituto de Investigación Sanitaria Aragón (IISAragón), Zaragoza, Spain.ORCID https://orcid.org/0000-0002-1715-962X
Sheila García EnguitaInstituto de Investigación Sanitaria Aragón (IISAragón), Zaragoza, Spain.
Luis A MorenoInstituto de Investigación Sanitaria Aragón (IISAragón), Zaragoza, Spain.ORCID https://orcid.org/0000-0003-0454-653X
Gerardo RodríguezInstituto de Investigación Sanitaria Aragón (IISAragón), Zaragoza, Spain.ORCID https://orcid.org/0000-0002-7985-9912

Funding

Aragon Health Sciences Institute for the project Growth and Feeding in Infants from Aragon (CALINA) PI08/0559Environmental factors influencing early development of obesity during childhood and body composition programming PI13/02359Instituto de Salud Carlos IIIMaternal, Child Health and Development Network (Retic SAMID) RETICS funded by the PN I + D + I 20089-2011 (Spain), ISCIII-Sub-Directorate General for Research Assessment and Promotion and the European Regional Development Fund (ERDF) RD12/0026
6 · The paper itself

Abstract

introductionObesity is a global health problem, with an impact on future health. Early factors such as infant feeding and rapid weight gain (RWG) may play a role in its development. However, their contribution is not fully understood.

objectiveTo analyse associations and potential interactions between the type of infant feeding during the first 4 months of age, RWG and later development of obesity in children at 6 years of age. MATERIALS AND

methodsThis observational longitudinal study examines growth in 834 children born at term with adequate weight for their gestational age. Data were collected from birth to 6 years, focusing on weight, height and body mass index (BMI) z-scores. The relationships between infant feeding, RWG, and BMI at 6 years were explored using mediation models.

resultsFormula-fed infants showed higher BMI z-scores and obesity prevalence at 6 years compared to exclusively breastfed infants (p = 0.012 and p = 0.003 respectively). RWG also was associated with higher BMI z-scores and obesity (p < 0.001 in both cases), with formula-fed infants more likely to experience RWG (39.7% vs. 32.2%; p = 0.036). Mediation analysis revealed that the association between feeding type and BMI at 6 years is partly positively mediated by infant RWG up to 6 months.

conclusionsInfant feeding practices, particularly exclusive breastfeeding in the first 4 months, are associated with weight and BMI trajectories up to 6 years. Rapid weight gain mediates this relationship in the first 6 months, but from 6 to 12 months.

Indexed as

Breast FeedingPediatric ObesityWeight GainBody Mass IndexChildChild, PreschoolFemaleHumansInfantInfant FormulaInfant, NewbornInfant Nutritional Physiological PhenomenaLongitudinal StudiesMaleRisk Factorsbody mass indexbreastfeedinginfant feedingobesityrapid weight gain

Identifiers

PMID40659368
PMCPMC12414580

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.