Nutritional interventions or exposures in infants and children aged up to 3 years and their effects on subsequent risk of overweight, obesity and body fat: a systematic review of systematic reviews

被引:93
作者
Patro-Golab, B. [1 ]
Zalewski, B. M. [1 ]
Kolodziej, M. [1 ]
Kouwenhoven, S. [2 ]
Poston, L. [3 ,4 ]
Godfrey, K. M. [5 ,6 ,7 ]
Koletzko, B. [8 ]
van Goudoever, J. B. [2 ,9 ]
Szajewska, H. [1 ]
机构
[1] Med Univ Warsaw, Dept Paediat, Zwirki & Wigury 63A, PL-02091 Warsaw, Poland
[2] VU Univ Med Ctr Amsterdam, Dept Pediat, Amsterdam, Netherlands
[3] Kings Coll London, Womens Hlth Acad Ctr, KCL Div Womens Hlth, London, England
[4] Kings Hlth Partners, London, England
[5] Univ Southampton, MRC Lifecourse Epidemiol Unit, Southampton, Hants, England
[6] Univ Southampton, NIHR Southampton Biomed Res Ctr, Southampton, Hants, England
[7] Univ Hosp Southampton NHS Fdn Trust, Southampton, Hants, England
[8] Ludwig Maximilians Univ Munchen, Univ Munich Med Ctr, Dr von Hauner Childrens Hosp, Div Metab & Nutr Med, Munich, Germany
[9] Emma Childrens Hosp, Amsterdam Med Ctr, Dept Paediat, Amsterdam, Netherlands
关键词
Nutrition; obesity; systematic review; SWEETENED BEVERAGE CONSUMPTION; CHILDHOOD OBESITY; LOWER-PROTEIN; CONTROLLED-TRIALS; BLOOD-PRESSURE; SCHOOL-AGE; MASS INDEX; WEIGHT; FORMULA; GROWTH;
D O I
10.1111/obr.12476
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This study, performed as part of the international EarlyNutrition research project (http://www.project-earlynutrition.eu), provides a systematic review of systematic reviews on the effects of nutritional interventions or exposures in children (up to 3 years of age) on the subsequent risk of obesity, overweight and adiposity. Electronic databases (including MEDLINE, Embase and Cochrane Library) were searched up until September 2015. Forty systematic reviews were included. A consistent association of breastfeeding with a modest reduction in the risk of later overweight and obesity in childhood and adulthood was found (the odds decreased by 13% based on high-quality studies), but residual confounding cannot be excluded. Lowering the protein content of infant formula is a promising intervention to reduce the risk of later overweight and obesity in children. There is no consistent evidence of an association of the age of introducing complementary foods, sugar-sweetened beverage or energy intake in early childhood with later overweight/obesity, but there are some indications of an association of protein intake during the complementary feeding period with later overweight/obesity. There was inadequate evidence to determine the effects of other nutritional interventions or exposures, including modifications of infant formula composition, fat intake or consumption of different food groups.
引用
收藏
页码:1245 / 1257
页数:13
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