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Cohort study
Introduction of solids before 4 months is associated with obesity at 3 years among formula-fed infants but not among breast-fed infants
  1. Colin W Binns
  1. School of Public Health and Curtin Health Innovation Research Institute, Curtin University, Perth, Western Australia, Australia
  1. Correspondence to Colin W Binns
    School of Public Health and Curtin Health Innovation Research Institute, Curtin University, GPO Box U1987, Perth, Western Australia 6845, Australia; c.binns{at}curtin.edu.au

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Obesity is all around us. Wherever we live or travel, it is one of our major health problems. There is some evidence in the more developed countries that obesity prevalence in children might have stabilised.1 But even if this is so, it has stabilised at a level far too high for optimum public health. Several major reviews have analysed the available cohort studies and supported an association between breastfeeding and the later development of obesity2 although the one large cluster randomised controlled trial (RCT) of a health promotion intervention in Belarus did not find an association.3 The introduction of solid foods earlier than 4 months has also been associated with increased body weight and later obesity, and the effect may be present if …

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