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Maternal Pre-Pregnancy BMI, Offspring Adiposity in Late Childhood, and Age of Weaning: A Causal Mediation Analysis
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-o...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10343873/ https://www.ncbi.nlm.nih.gov/pubmed/37447295 http://dx.doi.org/10.3390/nu15132970 |
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author | Zhang, Jie Clayton, Gemma L. Hansen, Stefan Nygaard Olsen, Anja Lawlor, Deborah A. Dahm, Christina C. |
author_facet | Zhang, Jie Clayton, Gemma L. Hansen, Stefan Nygaard Olsen, Anja Lawlor, Deborah A. Dahm, Christina C. |
author_sort | Zhang, Jie |
collection | PubMed |
description | 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/m(2) (95% CI: 2.27 to 2.99). The NIE via the age of weaning was 0.02 kg/m(2) (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. |
format | Online Article Text |
id | pubmed-10343873 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-103438732023-07-14 Maternal Pre-Pregnancy BMI, Offspring Adiposity in Late Childhood, and Age of Weaning: A Causal Mediation Analysis Zhang, Jie Clayton, Gemma L. Hansen, Stefan Nygaard Olsen, Anja Lawlor, Deborah A. Dahm, Christina C. Nutrients Article 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/m(2) (95% CI: 2.27 to 2.99). The NIE via the age of weaning was 0.02 kg/m(2) (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. MDPI 2023-06-29 /pmc/articles/PMC10343873/ /pubmed/37447295 http://dx.doi.org/10.3390/nu15132970 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Zhang, Jie Clayton, Gemma L. Hansen, Stefan Nygaard Olsen, Anja Lawlor, Deborah A. Dahm, Christina C. Maternal Pre-Pregnancy BMI, Offspring Adiposity in Late Childhood, and Age of Weaning: A Causal Mediation Analysis |
title | Maternal Pre-Pregnancy BMI, Offspring Adiposity in Late Childhood, and Age of Weaning: A Causal Mediation Analysis |
title_full | Maternal Pre-Pregnancy BMI, Offspring Adiposity in Late Childhood, and Age of Weaning: A Causal Mediation Analysis |
title_fullStr | Maternal Pre-Pregnancy BMI, Offspring Adiposity in Late Childhood, and Age of Weaning: A Causal Mediation Analysis |
title_full_unstemmed | Maternal Pre-Pregnancy BMI, Offspring Adiposity in Late Childhood, and Age of Weaning: A Causal Mediation Analysis |
title_short | Maternal Pre-Pregnancy BMI, Offspring Adiposity in Late Childhood, and Age of Weaning: A Causal Mediation Analysis |
title_sort | maternal pre-pregnancy bmi, offspring adiposity in late childhood, and age of weaning: a causal mediation analysis |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10343873/ https://www.ncbi.nlm.nih.gov/pubmed/37447295 http://dx.doi.org/10.3390/nu15132970 |
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