What you feed a newborn baby
during the first week of life could be critical in deciding
whether that baby grows up to be obese, U.S. researchers
said on Monday.
They found that formula-fed
babies who gained weight rapidly during their first week
of life were significantly more likely to be overweight
decades later.
"It suggests that there
may be a critical period in that first week during which
the body's physiology may be programed to develop chronic
disease throughout life," said Dr. Nicolas Stettler, a
pediatric nutrition specialist at The Children's Hospital
of Philadelphia.
"Our findings also point
toward new potential targets for preventing obesity,"
he added. "If these results are confirmed by other studies,
they may lead to interventions in newborns to help prevent
long-term development of obesity."
Stettler's team studied
653 white adults aged 20 to 32.
Writing in the American
Heart Association journal
Circulation, they said
each additional 100 grams (3.5 ounces) of weight gained
during the first eight days of life increased a baby's
risk of becoming an overweight adult by about 10 percent.
The study also helps reinforce
recommendations that mothers breast-feed their babies.
"For a variety of health
reasons, the American Association of Pediatrics recommends
exclusive breast-feeding during a baby's first six months
of life," Stettler said. Breast-fed babies are less likely
to be overweight.
In a special issue on obesity,
the Heart Association said childhood obesity is such a
critical public health problem that it could reverse the
gains made over the last 50 years in reducing heart disease
and death.
An estimated 16 percent
of U.S. children are overweight and carry a significant
risk of developing heart disease and diabetes while young
adults.
"Only 64 percent of mothers
initiate breast feeding, and only 29 percent of babies
are still being breast fed when they are six months of
age. Rates of initiation and duration are even lower among
African-American women," said Dr. Stephen Daniels of Cincinnati
Children's Hospital Medical Center.
The Heart Association published
a statement calling for a multi-pronged approach to preventing
childhood obesity involving families, the health care
system, private insurers, government agencies, schools
and the food and entertainment industries.
"If you think about all
the environmental factors that have contributed to excess
weight gain, then prevention has to take an across-the-board
approach that doesn't just happen in the physician's office,"
Daniels said.
All children should have
weight, height and body mass index -- used to calculate
obesity -- tracked each year, the Heart Association recommended.