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Published on: February 5, 2019
Late effects of breast-feeding and early weaning: seven-year prospective study in children
V Strbák1, M Skultétyová, M Hromadová
1Institute of Experimental Endocrinology, Slovak Academy of Sciences, Bratislava, CSFR.
Insights
Breastfeeding duration impacts child health. Shorter breastfeeding periods correlate with higher obesity and respiratory illness rates, while longer durations offer gastrointestinal protection.
Area of Science:
- Pediatrics
- Endocrinology
- Public Health
Background:
- Breastfeeding is recognized for its health benefits, but its long-term effects on clinical and thyroid parameters require further investigation.
- Understanding the impact of breastfeeding duration on child development is crucial for public health recommendations.
Purpose of the Study:
- To examine the longitudinal effects of breastfeeding duration on clinical parameters (obesity, diseases) and thyroid function (hormones, TSH, cholesterol) from birth to seven years.
- To identify potential correlations between age at weaning and specific health outcomes in early childhood.
Main Methods:
- Prospective longitudinal study tracking children from birth to seven years.
- Data collection included obesity rates, incidence of respiratory and gastrointestinal diseases, thyroid hormones, TSH, and serum cholesterol levels.
- Analysis compared outcomes based on breastfeeding duration categories.
Main Results:
- Children breast-fed for less than three months had significantly higher obesity rates compared to those breast-fed longer.
- Short breastfeeding durations (less than two weeks) were associated with increased respiratory tract diseases.
- Extended breastfeeding (over six months) showed a protective effect against gastrointestinal diseases.
- Thyroid hormone and TSH levels exhibited biphasic changes, but were not profoundly affected by breastfeeding duration.
- Total serum cholesterol increased with age at weaning in late preschool years, with the most favorable atherogenic index observed in children weaned between one and three months.
Conclusions:
- The age at weaning is a significant factor influencing later childhood development, affecting obesity, disease susceptibility, and lipid profiles.
- While breastfeeding duration impacts certain clinical outcomes, its effect on thyroid function parameters in early childhood appears limited.
- Findings suggest that optimizing breastfeeding duration may play a role in preventing childhood obesity and improving cardiovascular risk factors.
Abstract:
The effect of breast feeding on some clinical and thyroid function parameters was studied in a prospective longitudinal study from birth up to 7 years of age. At the ages 1-7 years, the obesity rates observed in children breast-fed for less than 3 months were substantially higher than in children who had been breast-fed over longer intervals. Mean age when obesity was reported was similar in all groups (4-5 years). The rates of respiratory tract diseases were found to be highest in children which had been breast-fed for less than 2 weeks. Breast-feeding for more than 6 months had a protective effect against diseases of the gastrointestinal tract. The longitudinal follow-up revealed biphasic changes of thyroid hormones and TSH in sera with a nadir at 2-3 years, followed by an increase at the end of preschool age. Duration of breast-feeding did not affect profoundly these parameters at the ages 1-7 years. Surprisingly, during late preschool age (5-6 years) total serum cholesterol increased with the age at weaning. The atherogenic index in 6-year-old children was most favourable in the group breast-fed over more than 1 but less than 3 months. This was due to the highest levels of HDL-cholesterol in this group. We conclude that the age at weaning may be important for the later development of children.
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