Effect Mode of Delivery and Feeding on Body Composition and Nutritional Status of Children

Child Obesity Clinical Trial

Official title:

Nutritional Status and Body Composition of Children in Relation to Mode of Delivery and Feeding in the First 2 Years of Life

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT03900663
• Other study ID #: Delivery,feeding,child obesity
• Status: Not yet recruiting
• Start date: June 2019
• Est. completion date: October 2021

Study information

• Verified date: April 2019
• Source: Assiut University
• Contact: Maher M. Ahmed, Professor
• Phone: 01066006605
• Email: maher.farghali[@]med.au.edu.eg
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

• Feeding and growth during infancy have been associated with later life body mass index.

• Breastfeeding seems to have a small but consistent protective effect against obesity in children.

• The Cholesterol content of human milk is 6-fold greater than that of the standard infant formulas.

• Infants delivered by caesarean section may be at increased risk of childhood obesity and adulthood obesity.

Description:

• Previous guidelines recommended that infants who are exclusively breast fed for the first 6 months of life, with particular solid foods gradually introduced from 6 months associated with lower childhood fat mass.

• The stated reason for discouraging introduction of solids to infant before 4 months include the risk of excessive weight gain, vulnerability of the gut to infection and increased susceptibility to the development of allergic disease.

• Infants whose dietary pattern was most similar to feeding guidelines, with high frequencies of fresh fruit and vegetables, home prepared foods and breast milk, gained weight and skin fold thickness more rapidly from 6 to12 months than other infants, independent of milk feeding, age of introduction of solids and maternal factors.

• Exclusively breastfed infants had significantly higher Total Cholesterol (TC) level and Low density Lipoprotein level (LDL) and lower High density lipoprotein level (HDL) as compared to mixed-fed infants in the first 6 months of life.

• Exclusive breast feeding seems to have a protective effect against some risk factors for cardiovascular disease in later life, as those who exclusively breastfed had lower level of plasma low density lipoprotein (LDL) cholesterol conc., higher level of high density lipoprotein (HDL) and lower LDL/HDL ratio than those bottle fed.

• Early weaning is related to rapid weight gain in infancy, and this may have implication for childhood obesity.

• Vaginally delivered children are colonised with bacterial strains from the mothers' vagina during delivery in contrast to children delivered by CS, and these differences seem to persist throughout infancy.

• The gut microbiota may have a role in energy harvesting, hence inoculation with maternal microbiota through vaginal delivery may be protective for childhood overweight compared with delivery by CS.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 100
• Est. completion date: October 2021
• Est. primary completion date: March 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 2 Years to 3 Years

Eligibility

Inclusion Criteria:

• Infants of both sexes

• Infants from 2 to 3 years

• Breast fed or formula fed or mixed fed infants

Exclusion Criteria:

• Children less than 2 and more than 3 years ago.

• Children having family history of chronic illness

• Children having family history of metabolic

• Children fed cow milk or buffalo milk.

• Infants delivered preterm.

Related Conditions & MeSH terms

• Child Obesity
• Pediatric Obesity

Intervention

Device:
• Anthropometric measures
Measure body weight , height , chest circumference , mid upper arm circumference,skin fold thickness , head circumference

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Assiut University

References & Publications (3)

Goldani HA, Bettiol H, Barbieri MA, Silva AA, Agranonik M, Morais MB, Goldani MZ. Cesarean delivery is associated with an increased risk of obesity in adulthood in a Brazilian birth cohort study. Am J Clin Nutr. 2011 Jun;93(6):1344-7. doi: 10.3945/ajcn.110.010033. Epub 2011 Apr 20. — View Citation

Harit D, Faridi MM, Aggarwal A, Sharma SB. Lipid profile of term infants on exclusive breastfeeding and mixed feeding: a comparative study. Eur J Clin Nutr. 2008 Feb;62(2):203-9. Epub 2007 Feb 28. — View Citation

Ravelli AC, van der Meulen JH, Osmond C, Barker DJ, Bleker OP. Infant feeding and adult glucose tolerance, lipid profile, blood pressure, and obesity. Arch Dis Child. 2000 Mar;82(3):248-52. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Obesity	Body mass index (BMI) kg/m2	Through one year