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. 2023 Apr 3;47(7):574–582. doi: 10.1038/s41366-023-01301-9

Table 2.

Total, direct and indirect effect among the pathways between prenatal (maternal pre-pregnancy BMI) and postnatal factors (infant birth weight, infant rapid weight gain, breastfeeding duration) and BMI z-score in early childhood: pooled effect from seven Australian and New Zealand cohorts.

β or Odds ratio 95%CI P value
Maternal pre-pregnancy BMI → Child BMI z-core
Total effect 0.04 0.03 0.05 <0.001
Direct effect 0.03 0.03 0.04 <0.001
Indirect effect
 via infant birth weight 0.01 0.01 0.01 <0.001
 via infant rapid weight gain 0.002 −0.01 0.01 0.70
 via breastfeeding duration −0.003 −0.01 0.003 0.28
Maternal pre-pregnancy BMI → Rapid weight gain in infancy (yes vs no)
Total effect 1.05 1.02 1.07 <0.001
Direct effect 1.00 0.99 1.02 0.70
Indirect effect
 via infant birth weight 0.98 0.97 0.98 <0.001
 via breastfeeding duration 1.07 1.05 1.09 <0.001
Maternal pre-pregnancy BMI → Breastfeeding duration (≥6 vs < 6 months)
Total effect 0.92 0.91 0.93 <0.001
Direct effect 0.92 0.90 0.93 <0.001
Indirect effect
 via infant birth weight 1.00 1.00 1.01 0.002
Infant birth weight→ Child BMI z-score
Total effect −0.84 −1.03 −0.65 <0.001
Direct effect 0.57 0.51 0.64 <0.001
Indirect effect
 via infant rapid weight gain −1.42 −1.62 −1.22 <0.001
 via breastfeeding duration 0.01 −0.01 0.03 0.33
Breastfeeding duration(≥6 vs <6 months)→ Child BMI z-score
Total effect −0.50 −0.65 −0.34 <0.001
Direct effect 0.04 −0.03 0.11 0.28
Indirect effect
 via infant rapid weight gain −0.54 −0.65 −0.34 <0.001

Adjusted for cohort, ages at infancy and early childhood assessments, maternal age, child sex, and intervention allocation. β-coefficients are presented for continuous outcome (BMI z-score), and odds ratios are presented for categorical outcomes.

CI confidence interval.