• Nutrition · Jan 2023

    Proinflammatory maternal diet and early weaning are associated with the inflammatory diet index of Brazilian children (6-12 mo): A pathway analysis.

    • Marcela Martins Soares, Leidjaira Lopes Juvanhol, Sarah Aparecida Vieira Ribeiro, FranceschiniSylvia do Carmo CastroSDCCDepartment of Nutrition and Health of the Federal University of Viçosa, Minas Gerais, Brazil., Nitin Shivappa, James R Hebert, and Raquel Maria Amaral Araújo.
    • Department of Nutrition and Health of the Federal University of Viçosa, Minas Gerais, Brazil. Electronic address: mmsoares15@gmail.com.
    • Nutrition. 2023 Jan 1; 105: 111845111845.

    ObjectiveThe aim of this study was to assess the dietary inflammatory index (DII) and its association with maternal factors and excess body weight in Brazilian children aged <2 y during complementary feeding.MethodsThis was a cross-sectional study (2016-2019), conducted with 231 mothers and children ages 6 to 24 mo. The food consumption of the mother-child dyad was obtained through the mean of three 24-h recalls, as well as information on the consumption of breast milk. The DII was used to verify the quality of the diet. Children's weight and length were measured, and the weight/height index was calculated. Path analysis was used to assess the interrelationships between variables. Multiple linear regression was conducted to identify the components of the child's DII (C-DII) that contributed the most to explaining its variation.ResultsThe children had an anti-inflammatory diet (C-DII -0.37 ± 0.91) whereas the mothers had a proinflammatory diet (M-DII +0.24 ± 0.86). Fiber was the nutrient that contributed most to the variations in the C-DII. Approximately 28% of children were overweight. In the pathway analysis, we verified a direct negative effect of education on excess body weight (standardized coefficients [SC], -0.180; P = 0.034) and C-DII (SC, -0.167; P = 0.002); negative direct effect of breastfeeding on the C-DII (SC, -0.294; P < 0.001); and positive direct effect of M-DII on C-DII (SC, 0.119; P = 0.021).ConclusionChildren's proinflammatory diet during the period of complementary feeding was associated with maternal proinflammatory diets, lower education, and absence of breastfeeding practice.Copyright © 2022 Elsevier Inc. All rights reserved.

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