Document Detail

Inappropriate bottle use: an early risk for overweight? Literature review and pilot data for a bottle-weaning trial.
MedLine Citation:
PMID:  20055929     Owner:  NLM     Status:  MEDLINE    
Identifying early risk factors for childhood obesity is critical, as weight in infancy and early childhood tracks to later periods. Continued bottle use - primarily from excess milk intake - is emerging as a potential risk factor for early childhood overweight. Over three fourths of US infants drink from bottles beyond the recommended weaning age of 12 months, and two thirds of UK infants use a bottle at 18 months. This paper is divided into three parts. Part 1 reviews the literature on beverage intake, weight and bottle use in young children. Part II describes pilot data on milk bottle use and weight in 12-60-month-olds, collected prior to a randomized controlled (RCT) trial of a bottle-weaning intervention. Median daily milk bottle consumption at 12 months was 5.0 (interquartile range = 3-6). Among 12-36-month-olds, current users were significantly more likely to be >95th% weight-for-height (19% vs. 0%, P < 0.02), and more were >85% weight-for-height (27% vs. 11%, P < 0.11), vs. non-users. In contrast, current bottle use was not associated with either overweight or obesity in 37-60-month-olds. Part III describes the RCT, begun in fall 2008. It is enrolling 464 parent/12-month-old dyads from a nutrition assistance programme for low-income families. Children's bottle use, anthropometrics, dietary intake and nutrient density (via 24 h recall) are assessed quarterly through 24 months of age. For the intervention, site nutritionists employ a project-developed, visually attractive flip chart. An observational study nested within the RCT will describe dietary changes during this period of feeding transitions.
Karen A Bonuck; Vincent Huang; Jason Fletcher
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Review    
Journal Detail:
Title:  Maternal & child nutrition     Volume:  6     ISSN:  1740-8709     ISO Abbreviation:  Matern Child Nutr     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-01-08     Completed Date:  2010-03-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101201025     Medline TA:  Matern Child Nutr     Country:  England    
Other Details:
Languages:  eng     Pagination:  38-52     Citation Subset:  IM    
Department of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, NY, USA. kbonuck@montefiore.or
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MeSH Terms
Bottle Feeding / adverse effects*
Child Nutritional Physiological Phenomena
Child, Preschool
Energy Intake
Great Britain
Infant Nutritional Physiological Phenomena
New York City
Obesity / epidemiology
Overweight / epidemiology*
Risk Factors
Weight Gain

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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