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

Table 3.

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 overweight status in early childhood: pooled effect from seven Australian and New Zealand cohorts.

Odds ratio 95%CI P value
Maternal pre-pregnancy BMI → Child overweight status (yes vs no)
Total effect 1.10 1.07 1.14 <0.001
Direct effect 1.07 1.06 1.09 <0.001
Indirect effect
 via infant birth weight 1.01 1.01 1.02 <0.001
 via infant rapid weight gain 1.00 0.98 1.03 0.70
 via breastfeeding duration 1.01 0.99 1.03 0.38
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 0.91 0.90 0.93 <0.001
Indirect effect
 via infant birth weight 1.00 1.00 1.01 0.002
Infant birth weight→ Child overweight status (yes vs no)
Total effect 0.18 0.11 0.28 <0.001
Direct effect 3.46 2.76 4.34 <0.001
Indirect effect
 via infant rapid weight gain 0.05 0.03 0.09 <0.001
 via breastfeeding duration 0.98 0.93 1.03 0.41
Breastfeeding duration(≥6 vs <6 months)→ Child overweight status (yes vs no)
Total effect 0.30 0.21 0.43 <0.001
Direct effect 0.91 0.74 1.12 0.37
Indirect effect
 via infant rapid weight gain 0.33 0.24 0.45 <0.001

Adjusted for cohort, ages at infancy and early childhood assessments, maternal age, child sex, and intervention allocation. Odds ratios are presented for categorical outcomes.

CI confidence interval.