Overweight/obesity risk · Healthy, term-born, normal-birth-weight infants aged 4-24 months (breastfed and/or formula-fed) in Western industrialized countries
Responsive complementary feeding probably reduces the risk of overweight/obesity versus other feeding models (RR 0.41, 95% CI 0.24 to 0.71; moderate certainty).
1 finding from 1 review
Z score BMI · Healthy, term-born, normal-birth-weight infants aged 4-24 months (breastfed and/or formula-fed) in Western industrialized countries
In one RCT, responsive complementary feeding lowered BMIz at 13 months versus control (0.23 vs 0.42, p=0.01; low certainty).
1 finding from 1 review
Risk of overweight and obesity after 13 mo (RCT, BMIz): DANIELS 2012 - children in the intervention group had a lower BMIz at 13 months than controls (0.23 +/- 0.93 vs 0.42 +/- 0.85; p = 0.01); 698 (1 RCT); Low.
1 study · 698 participants
Low
Hypertension · Healthy children aged 6–24 months in Western industrialized countries
No eligible studies on caregivers' feeding practices during complementary feeding and later hypertension were found.
1 finding from 1 review
no estimate extracted
0 studies
No studies found
Choking · Healthy children aged 6–24 months in Western industrialized countries
No eligible studies of RCF and choking were found.
1 finding from 1 review
no estimate extracted
0 studies
No studies found
Physical growth / weight gain · Healthy, term-born, normal-birth-weight infants aged 4-24 months (breastfed and/or formula-fed) in Western industrialized countries
Two RCTs suggest responsive complementary feeding leads to better weight gain in the first two years, though effects were small and not always sustained (ungraded).
1 finding from 1 review
Overweight/obesity risk · Healthy, term-born, normal-birth-weight infants aged 4-24 months (breastfed and/or formula-fed) in Western industrialized countries
Non-responsive complementary feeding showed no significant association with overweight/obesity across observational studies (very low certainty).
1 finding from 1 review
Weight gain · Healthy, term-born, normal-birth-weight infants aged 4-24 months (breastfed and/or formula-fed) in Western industrialized countries
Narratively, restrictive NRCF style tended to favor excess weight and coercive/pressuring style tended to favor lower weight (3 of 5 studies each; ungraded).
1 finding from 1 review
Overweight/obesity risk · Healthy children aged 6–24 months in Western industrialized countries
NRCF showed no significant association with overweight/obesity across the reported comparisons (very low certainty).
1 finding from 1 review
Choking · Healthy, term-born, normal-birth-weight infants aged 4-24 months (breastfed and/or formula-fed) in Western industrialized countries
No systematic reviews or studies assessed choking risk for RCF or NRCF (only BLW/BLISS); this is an evidence gap.
1 finding from 1 review