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Cohort study
Excess weight gain in the first 18 months of life is associated with later childhood overweight, obesity and greater arterial wall thickness
  1. Nicolas Stettler1,
  2. Madeleine Baumann2
  1. 1Exponent, Washington, DC, USA
  2. 2International Affairs, Haute Ecole de la Santé La Source, Lausanne, Switzerland
  1. Correspondence to : Dr Nicolas Stettler, Exponent, 1150 Connecticut Avenue NW, Suite 1100, Washington, DC 20036, USA; nstettler{at}

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Implications for practice and research

  • The association between early postnatal weight gain and later childhood obesity suggests that programmes providing culturally tailored, universal, affordable or free support to families of newborns and infants are essential.

  • Nursing care should emphasise the importance of optimal, rather than maximal, infant growth.

  • Nursing research, in particular qualitative methods, could strengthen understanding of infant feeding practices and theory-based behaviour modification research could explore non-judgemental and culturally tailored interventions.


Ischaemic heart disease and stroke are the leading causes of death globally with a rapidly increasing incidence in low and intermediate income countries.1 Intrauterine growth retardation (IUGR) is associated with an increased risk of metabolic and cardiovascular disease (CVD) in adulthood. As IUGR prevention is difficult to achieve, the …

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  • Competing interests None.