Growth tables
used to chart a baby's development may be inaccurate,
on-going research suggests.
The World Health Organization study
found they may over-estimate how quickly babies should
put on weight.
This may have caused unnecessary concern
about for breastfed babies, who gain weight more slowly.
The research was dicussed at a meeting
organised by the London School of Hygiene and Tropical
Medicine and the International Obesity Task Force.
The child development growth charts in widspread use are
largely based on studies of formula fed children from
more than 20 years ago.
Formula fed babies tend to put weight
on faster than their breastfed counterparts.
So, although it is widely accepted
that breast milk provides babies with the best possible
combination of nutrients, the charts appeared to suggest
that many breastfed children were failing to thrive
- even after just two or three months.
The latest WHO study, of 8,440 children
from six countries, found that target weights for two
and three-year-olds were 15% to 20% too high.
And the charts suggest healthy one-year-old
weighs between 22.5lb (10.2kg) and 28.5lb (12.93kg),
when in fact the true healthy weight is 21lb (9.53kg)
to 26lb (11.79kg), they say.
The researchers say the current overfeeding
of babies could explain in part why this generation
of adults is the fattest ever.
The WHO will release new growth charts
based on breast-fed babies at the end of the year.
Researcher Dr Mecedes de Onis said:
"The new standards provide a much better description
of the physiological growth and they establish that
breast fed infants are the biological norm.
"Paediatricians will be able to congratulate
parents on having exclusively breast fed their infants
instead of spending time as they do now in trying to
reassure them that the apparent growth faltering of
the baby is not a reason for concern and is due to the
imperfections of the growth charts that are being used
for their growth."
Dr Prakash Shetty, head of nutrition
planning at the UN's Food and Agriculture Organisation,
said the new recommendations mean that daily energy
intake for babies should be about 7% less than current
levels.
"If you look at the requirements of
these children who are exclusively breast-fed, their
requirements of energy are much lower that those of
formula fed infants."
Too much food, too little exercise
But babies are not the only ones who
may have been being overfed.
Dr Shetty said the way calorie intake
is measured should be changed.
Instead of just having two different
amounts for men and women, people need to be assessed
on how much energy they use, he said.
Someone who sits at a desk all day
and does not exercise should consume fewer than 1,700
calories - significantly less than current recommendations
of 2,000 calories for women and 2,500 for men.
Meanwhile, an individual who has an
active job and does a lot of exercise like running marathons
should be eating about 4,000 calories a day.
Dr Shetty said the amount of food we
eat should be based on individuals energy expenditure.
He also recommended that we do more
exercise.
"People must be physically very active
and they must have activity levels which account for
between 30 to 60 minutes of brisk walking everyday in
order to maintain physical fitness and good health."