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Breast-feeding and overweight in Singapore school children
Charumathi Sabanayagam1, Anoop Shankar, Yap-Seng Chong
1Department of Community, Occupational, and Family Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Insights
Breast-feeding was not associated with overweight or obesity in Singaporean children aged 10-12. This study found no significant links between infant feeding practices and childhood obesity in this Asian population.
Area of Science:
- Pediatric Nutrition
- Public Health
- Childhood Obesity
Background:
- Inconsistent findings exist regarding breast-feeding and childhood overweight/obesity in Western countries.
- Limited data are available on this association within Asian populations.
- This study addresses the gap by examining Singaporean children.
Purpose of the Study:
- To evaluate the association between breast-feeding and overweight/obesity.
- To investigate the impact of breast-feeding type and duration on childhood weight status.
- Focus on a cohort of 10-12-year-old children in Singapore.
Main Methods:
- Utilized data from 797 children (49% girls, 76% Chinese) in the Singapore Cohort Study of the Risk Factors for Myopia (SCORM).
- Defined overweight/obesity using age- and sex-specific body mass index (BMI) cut-offs based on International Obesity Task Force (IOTF) criteria.
- Analyzed associations adjusting for potential confounders.
Main Results:
- The prevalence of overweight/obesity was 22.5% in the study cohort.
- Overall, breast-feeding showed no significant association with overweight/obesity.
- Multivariable analysis revealed no significant odds ratios for overweight/obesity based on breast-feeding duration or exclusivity.
Conclusions:
- No significant associations were detected between breast-feeding (type or duration) and overweight/obesity.
- Findings suggest that breast-feeding may not be a significant predictor of childhood overweight/obesity in this Asian cohort.
- Further research may be needed to explore other factors influencing childhood obesity in diverse populations.
Background:
Studies from developed Western countries have shown inconsistent associations between breast-feeding and overweight/obesity in children and adolescents. Few data are available from Asian populations. The purpose of the present study was therefore to evaluate the association between breast-feeding and overweight/obesity in a study of 10-12-year-old children in Singapore.
Methods:
A total of 797 school children (49% girls, 76% Chinese) who participated in the Singapore Cohort Study of the Risk Factors for Myopia (SCORM) were examined. Overweight/obesity (n = 179) was defined as age-sex-specific body mass index (BMI) cut-offs corresponding to BMI of 25 kg/m(2) for overweight and 30 kg/m(2) for obesity at age 18 based on the International Obesity Task Force (IOTF) reference.
Results:
The prevalence of overweight/obesity was 22.5%. Overall, breast-feeding was not found to be associated with overweight/obesity. After adjusting for potential confounders, the multivariable odds ratio (95% confidence interval) of overweight/obesity was 1.14 (0.80-1.63) for ever breast-fed compared with never breast-fed, 1.00 (0.57-1.72) for breast-fed for >3 months compared to < or =3 months and 0.79 (0.47-1.34) for exclusive/mostly breast-fed compared to partly breast-fed.
Conclusions:
No significant associations were detected among breast-feeding, its type, and duration with overweight/obesity in this Asian cohort of 10-12-year-old children.
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