[Breastfeeding prevalence during the first year of life in Aragon. CALINA study]
L Cuadrón Andrés1, M P Samper Villagrasa, M L Álvarez Sauras
1Departamento de Pediatría, Radiología y Medicina Física, Universidad de Zaragoza, Hospital Clínico Universitario Lozano Blesa, Zaragoza, España.
Insights
Breastfeeding (BF) is prevalent in Aragon, Spain, with over half of infants breastfeeding at six months and a quarter at 12 months. Key factors influencing BF include delivery method, maternal education, origin, weight, and smoking habits.
Area of Science:
- Public Health
- Maternal and Child Health
- Nutritional Epidemiology
Context:
- Breastfeeding (BF) rates in Aragon, Spain, were examined in a cohort of 1,602 infants born between March 2009 and March 2010.
- The study tracked infant feeding practices up to 12 months of age, analyzing demographic, perinatal, and social factors.
Purpose:
- To determine the current prevalence of breastfeeding in Aragon, Spain, during the first year of life.
- To identify demographic, perinatal, and social factors influencing breastfeeding initiation and maintenance.
Summary:
- Exclusive or predominant breastfeeding was common in the first four months. Overall breastfeeding prevalence was 82.5% at 1 month, 71.8% at 3 months, 54.3% at 6 months, and 27.8% at 12 months.
- Significant factors associated with continued breastfeeding included vaginal delivery, higher maternal education, African origin, normal/overweight maternal BMI, and not smoking during pregnancy.
Impact:
- Breastfeeding prevalence in Aragon is high and has increased compared to previous data.
- Findings highlight the influence of maternal factors on breastfeeding duration, providing insights for public health interventions.
Objectives:
To study the current prevalence of breastfeeding (BF) in Aragon (Spain) during the first 12 months of life, and analyse its demographic, perinatal and social influential factors.
Material And Methods:
Obstetric, perinatal and feeding aspects were evaluated in a longitudinal and observational study, in a representative cohort of infant population from Aragon born between March 2009 to March 2010, controlled until 12 months of age (N=1.602).
Results:
Exclusive or predominant BF was more frequent than the rest of feeding modalities during the first 4 months of life. Maintenance prevalence of any BF modality was 82.5% at 1(st) month of age, 71.8% at 3(rd), 54.3% at 6(th), and 27.8% at 12 months of age. Maternal variables that were significantly associated with BF maintenance both at 1 and 6 months of age were: delivery modality (higher probability in case of vaginal delivery), academic level (higher probability if university studies), origin (higher probability in mothers from Africa), adiposity (higher probability of normal weight or overweight mothers compared with obese ones), and not to smoke during gestation.
Conclusions:
BF prevalence in Aragon (Spain) during the first 12 months of age is high and has increased compared with previous data. BF continues in more than half of infants at six months and in a quarter of infants at 12 months of age. Maternal factors that significantly influence BF initiation and maintenance are, delivery modality, academic level, origin (immigration), adiposity and smoking habit.
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