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- Title
Maternal Pre-Pregnancy BMI, Offspring Adiposity in Late Childhood, and Age of Weaning: A Causal Mediation Analysis.
- Authors
Zhang, Jie; Clayton, Gemma L.; Hansen, Stefan Nygaard; Olsen, Anja; Lawlor, Deborah A.; Dahm, Christina C.
- Abstract
Infant feeding practices have been hypothesized to influence offspring's body mass index (BMI) later in life, and women with overweight or obesity tend to wean their infants earlier than women with healthy BMI. We, therefore, aimed to investigate how much early age of weaning mediated the maternal-offspring adiposity relationship. The study included 4920 mother-child pairs from the Avon Longitudinal Study of Parents and Children birth cohort. G-computation was applied to estimate the natural direct (NDE) and indirect (NIE) effects, via the age of weaning (<3 months, 3 months, >3 months), of maternal pre-pregnancy overweight or obesity on offspring's BMI and fat mass index. The NDE of maternal overweight or obesity on offspring BMI at 17 years old was 2.63 kg/m2 (95% CI: 2.27 to 2.99). The NIE via the age of weaning was 0.02 kg/m2 (95% CI: 0.00 to 0.04), corresponding to 0.8% of the total effect. Similar results were observed for the offspring's fat mass index. The NDE and NIE were similar to the main analyses when we looked at the relationship stratified by breastfeeding status. Our study found a minimal influence of age of weaning on the pathway between maternal and offspring adiposity, indicating the age of weaning may not be a key mediator.
- Subjects
RESEARCH; CONFIDENCE intervals; AGE distribution; WOMEN; PREGNANT women; INFANT nutrition; ATTRIBUTION (Social psychology); FACTOR analysis; RESEARCH funding; CHILDREN'S health; BREASTFEEDING; OBESITY in women; BODY mass index; INFANT weaning; STATISTICAL correlation; ADIPOSE tissues; PRECONCEPTION care
- Publication
Nutrients, 2023, Vol 15, Issue 13, p2970
- ISSN
2072-6643
- Publication type
Article
- DOI
10.3390/nu15132970