Obesity is common in mothers and children in developed countries. In a series of studies, we examined the role of infant feeding as a link between the mother's weight status and that of her offspring, as well as the assessment of obesity in young children.;We found that the peripartum experience of overweight and obese mothers explains a substantial percentage of the relationship between maternal obesity and the early breastfeeding experience. Specifically, C-section deliveries and a long separation between the mother and the baby immediately after birth, explained 25% and 78% of the relationship between maternal obesity and time to the first breastfeed, respectively, and 15% and 27% of the relationship between maternal obesity and suboptimal infant breastfeeding behavior at d 7, respectively.;Assessing obesity in children under the age of 5 y is critical for addressing the problem of obesity in a timely manner. We found that using the World Health Organization (WHO) growth standards allowed for an earlier detection of obesity compared to the Centers for Disease Control and Prevention (CDC) growth reference (P<0.0001). We also found that using the WHO growth standards will result in a greater prevalence of obesity in children than using the CDC growth reference (23.3% vs 16.9%, P<0.0001).;Rapid weight gain in infancy is known to increase the risk of subsequent obesity. We showed that infant feeding mode modifies this relationship, such that formula fed infants who gain weight rapidly in the first 3 mo of life have a much higher risk of later obesity than infants who are fed human milk and who gain weight rapidly (AOR=6.36 vs 2.05, P=0.04).
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机译：肥胖在发达国家的母亲和儿童中很常见。在一系列研究中，我们检查了婴儿喂养作为母亲体重与其后代体重之间的联系以及评估幼儿肥胖的作用。;我们发现超重和肥胖母亲的围产期经历解释了孕产妇肥胖与早期母乳喂养经历之间很大比例的关系。具体来说，剖腹产和刚出生后母亲与婴儿之间的长距离分离分别解释了母亲肥胖与第一次母乳喂养时间之间的关系的25％和78％，以及这一关系的15％和27％分别在第7天母体肥胖和次优婴儿母乳喂养行为之间进行评估；;评估5岁以下儿童的肥胖对于及时解决肥胖问题至关重要。我们发现，与疾病控制和预防中心（CDC）的生长参考相比，使用世界卫生组织（WHO）的生长标准可以更早地发现肥胖（P <0.0001）。我们还发现，与使用CDC增长参考标准相比，使用WHO增长标准将导致儿童肥胖发生率更高（23.3％对16.9％，P <0.0001）.;已知婴儿期体重快速增加会增加患肥胖症的风险。随后的肥胖。我们表明，婴儿喂养方式改变了这种关系，因此，在婴儿出生后前三个月迅速增重的配方奶喂养的婴儿，其发生肥胖症的风险要比喂养母乳且快速增重的婴儿高（AOR = 6.36 vs 2.05，P = 0.04）。
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