Body Composition during Early Infancy and Mental Health Outcomes at 5 Years of Age: A Prospective Cohort Study of Ethiopian Children.

Journal: The Journal of pediatrics

Volume: 200

Issue: 

Year of Publication: 2019

Affiliated Institutions:  Department of Psychiatry, Faculty of Medical Sciences, Jimma University, Jimma, Ethiopia; Department of Nutrition, Exercise and Sports, University of Copenhagen, Denmark. Electronic address: mubarek.abera@ju.edu.et. Department of Psychiatry, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia. Department of Psychiatry, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia; Center for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom. Department of Nutrition, Exercise and Sports, University of Copenhagen, Denmark; Department of Population and Family Health, Faculty of Public Health, Jimma University, Jimma, Ethiopia. Department of Pediatrics and Child Health, Faculty of Medical Sciences, Jimma University, Jimma, Ethiopia. Childhood Nutrition Research Center UCL Institute of Child Health, London, United Kingdom. Department of Nutrition, Exercise and Sports, University of Copenhagen, Denmark. Department of Nutrition, Exercise and Sports, University of Copenhagen, Denmark; Steno Diabetes Center Copenhagen, Gentofte, Denmark. Steno Diabetes Center Copenhagen, Gentofte, Denmark.

Abstract summary 

To examine the relationship between body composition-specifically fat mass (FM) and fat-free mass (FFM)-in early infancy, and mental health outcomes in early childhood.In the Infant Anthropometry and Body Composition birth cohort study from Ethiopia, body composition was measured at birth and 1.5, 2.5, 3.5, 4.5, and 6 months of age. Mental health was assessed at 5 years of age using the approved Amharic version of the Strengths and Difficulties Questionnaire (SDQ), a parent report scale covering 4 different domains providing a total difficulties score. The associations of FM or FFM at birth as well as during early infancy, with SDQ score at 5 years of age were examined using multiple linear regression analyses.At 5 years of age, the mean ± SD for SDQ score was 10.4 ± 5.8. FM at birth was positively and FFM negatively associated with SDQ score. For each kg increase in FM at birth, the SDQ score at 5 years was 5.7 points higher (β = 5.7; 95% CI, 1.4-10.0). In contrast, for each kilogram increase in FFM at birth, the SDQ score was 3.9 points lower (β = -3.9; 95% CI, -7.0 to -0.8). Neither FM nor FFM accretion rate during early infancy were associated with SDQ score at 5 years of age.Fetal rather than infant body composition was associated with SDQ score at 5 years of age. Greater FFM accretion during fetal life may have contributed to more optimal neurobehavioral development during early life. However, the potential mechanisms underlying the observed associations need further investigation.

Authors & Co-authors:  Abera Mubarek M Tesfaye Markos M Hanlon Charlotte C Admassu Bitiya B Girma Tsinuel T Wells Jonathan C JC Kæstel Pernille P Ritz Christian C Wibaek Rasmus R Michaelsen Kim F KF Friis Henrik H Andersen Gregers S GS

Study Outcome 

Source Link: Visit source

Statistics
Citations : 
Authors :  12
Identifiers
Doi : 10.1016/j.jpeds.2018.04.055
SSN : 1097-6833
Study Population
Male,Female
Mesh Terms
Body Composition
Other Terms
body composition;child mental health;fat mass;fat-free mass;mental health outcome
Study Design
Cohort Study,Cross Sectional Study
Study Approach
Country of Study
Ethiopia
Publication Country
United States