Association between timing of maternal energy consumption and adiposity in breastfeeding infants: A prospective cohort study


Yaprak D., Mısırlıgil M., Ünsal N., Balamtekin N., Saygılı Karagöl B., Dumlupınar E.

JOURNAL OF PARENTERAL AND ENTERAL NUTRITION, cilt.49, sa.2, ss.189-199, 2025 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 49 Sayı: 2
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1002/jpen.2714
  • Dergi Adı: JOURNAL OF PARENTERAL AND ENTERAL NUTRITION
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, CAB Abstracts, CINAHL, Food Science & Technology Abstracts, International Pharmaceutical Abstracts, Veterinary Science Database
  • Sayfa Sayıları: ss.189-199
  • Ankara Üniversitesi Adresli: Evet

Özet

BackgroundLactating women's food intake timing may play a critical role in maternal and infant nutrition health. We aimed to examine associations of breastfeeding mothers' diet quantity and circadian timing of food intake with subsequent weight status of exclusively breastfed infants over a 6-month period.MethodsThis prospective observational study comprised pairs of healthy singleton breastfed infants and their corresponding healthy lactating mothers. Reported food intake times and diet content were used to define maternal eating patterns infant body mass index-for-age z scores (BAZs) at birth, 2 and 6 months. Association of maternal eating pattern with alterations in infant BAZ gain and nutritional status at age 6 months were investigated in multiple regression analyses.ResultsCompared with maternal daytime eating, maternal nighttime eating was linked to a greater increase in infantile BAZ from ages 2 to 6 months (adjusted beta = 0.49; 95% CI, 0.05-0.92; P = 0.03) and a heightened likelihood of being overweight at age 6 months (adjusted odds ratio = 3.81; 95% CI, 1.41-6.63; P = 0.01) after adjusting for factors including maternal age, education level, household income, parity, pregestational body mass index, BAZ at 2 months, total daily energy consumption, and the percentages of energy derived from macronutrients.ConclusionDisruption of rhythmic physiology from irregular eating habits can lead to circadian misalignment, which may result in abnormal weight gain in infants and an increased likelihood of being overweight in the early postnatal period. Circadian alignment is fundamental for regulating women-infant dyads health.