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Breast vs. bottle: differences in the growth of Croatian infants
Zlatko Mandić1, Antonija Perl Pirički, Daniela Kenjerić
1Faculty of Medicine, Josipa Huttlera 4, HR-31000 Osijek, Croatia.
Insights
This study compared rural Croatian infant growth to CDC standards, finding that breastfeeding may prevent infant obesity. Breastfed infants showed lower weight gain and reduced risk of being overweight.
Area of Science:
- Pediatrics
- Public Health
- Human Growth and Development
Background:
- Infant growth patterns are crucial for long-term health.
- Obesity in infancy is a growing concern globally.
- Understanding regional growth variations and protective factors is essential.
Purpose of the Study:
- To compare the growth of rural Croatian infants to the 2000 Centers for Disease Control and Prevention (CDC) growth standards.
- To evaluate the potential preventive influence of breastfeeding on infant obesity development.
- To analyze anthropometric data and feeding modes in a cohort of Croatian infants.
Main Methods:
- Retrospective analysis of medical charts for anthropometric data (birth, 1, 3, 6, 9, 12 months).
- Self-reported infant feeding modes (breastfeeding, formula, mixed, cow's milk).
- Comparison of growth parameters against CDC 2000 growth standards and calculation of weight-for-length z-scores.
Main Results:
- Most infants exceeded CDC growth standards for body mass and length.
- Breastfed infants exhibited the lowest weight gain throughout the first year.
- At 12 months, exclusively breastfed infants had a lower risk of being overweight (4%) compared to mixed milk fed (7.6%) and all infants (6.4%).
Conclusions:
- Breastfeeding appears to have a preventive effect on infant obesity development.
- Rural Croatian infants' growth generally surpasses established growth standards.
- Feeding mode significantly influences infant weight gain and obesity risk during the first year.
Abstract:
The aim of the paper was to compare the growth of rural Croatian infants with 2000 Centers for Disease Control and Prevention (CDC) growth standards and to evaluate the potential preventive influence of breastfeeding on the development of obesity in infancy. Two hundred three infant-mother pairs from Baranja, an Eastern region of Croatia, were enrolled into this study. Retrospective evaluation of infants' medical charts was used to obtain anthropometric data recorded at the birth, 1, 3, 6, 9 and 12 months of age. Infant feeding mode was self-reported by mothers. Breastfed infants gained the least weight of all observed groups. Up to 6 months of age, formula fed infants had the highest weight gain and after 6 months of age, mixed milk fed infants had the highest weight gain. At 12 months of age, 6.4% of all study infants and 7.6% of mixed milk fed infants were at risk of overweight, while the same risk for the group of breastfed infants was 4%. Most of the study infants achieved higher values of body mass and length than the child growth standards. Exclusively breastfed infants, in comparison with other study groups (formula fed infants, mixed milk fed infants and cow's milk fed infants), had lower weight-for-length z-scores during the first year, which suggests that breastfeeding may have a preventive impact on obesity development.
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