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Updated: Jun 15, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Early weaning and other potential risk factors for overweight among preschool children
Geni Balaban1, Maria Eugênia Farias Almeida Motta, Giselia Alves Pontes Silva
1Federal University of Ceará and School of Medicine of Juazeiro do Norte - Ceará/PE, Brazil. genibalaban@hotmail.com
Insights
Early weaning is not a significant risk factor for childhood overweight when other factors are considered. Maternal overweight, high birth weight, and inactivity are stronger predictors of childhood obesity.
Area of Science:
- Pediatric Nutrition
- Obesity Research
- Public Health
Background:
- Childhood overweight is a growing public health concern.
- Identifying early life risk factors is crucial for prevention strategies.
Purpose of the Study:
- To determine if early weaning (breastfeeding < 4 months) is a risk factor for overweight in preschool children.
- To identify other contributing factors to childhood overweight.
Main Methods:
- A case-control study involving 366 children aged 2-6 years.
- Overweight defined as body mass index (BMI) for age ≥ 85th percentile.
- Early weaning was the primary exposure of interest.
Main Results:
- Early weaning showed a significant association with overweight in univariate analysis (OR=1.69).
- This association was not significant in multivariate analysis (OR=1.42) after controlling for other variables.
- Maternal overweight, birth weight ≥ 3,500g, and sedentarism were significant risk factors for overweight.
Conclusions:
- The protective effect of breastfeeding against overweight was not sustained after adjusting for other factors.
- Breastfeeding's role in preventing childhood overweight appears less significant than genetic and environmental factors like maternal weight and lifestyle.
Objective:
To investigate whether early weaning constitutes a risk factor for overweight at preschool age and to identify other factors that affect this association.
Methods:
This was a case-control study of 366 children aged 2 to 6 years (176 boys and 190 girls) from three cities. The case group comprised overweight children, as defined by body mass index (BMI) for age greater than or equal to the 85(th) percentile. The main exposure analyzed was early weaning (exclusive or predominant breastfeeding for less than four months).
Results:
Early weaning was a significant risk factor for overweight in univariate analysis (OR = 1.69; 95% CI: 1.10-2.60; p = 0.02), but not in multivariate analysis (OR = 1.42; 95% CI: 0.86-2.34; p = 0.17). Maternal overweight, birth weight > or = 3,500 g and sedentarism were the main risk factors for overweight in multivariate analysis.
Discussion:
In our study, the protective effect of breastfeeding against overweight was only shown in univariate analysis; it did not persist after controlling for other variables. It is possible that breastfeeding has only a small protective role against overweight in comparison with other variables of greater importance.
Conclusion:
Our results suggest that the potential protective effect of breastfeeding against overweight among preschool children is weaker than genetic and other environmental factors.
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