Related Experiment Video
Updated: Apr 5, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Breastfeeding and Childhood Obesity Among African Americans: A Systematic Review
Camber Hess1, Agatha Ofei, Alicia Mincher
1Camber Hess is a family nurse practitioner at Premier Family Medical, Pleasant Grove, UT. She can be reached via e-mail at camberhess@gmail.com Agatha Ofei is a family nurse practitioner at Calvary Medical Clinic, Charlotte, NC. Alicia Mincher is a staff nurse at Cincinnati Children's hospital in Cincinnati, OH.
Insights
Breastfeeding may protect African American children from obesity. More research is needed, but current evidence suggests a benefit, highlighting the need for healthcare providers to discuss breastfeeding with African American women.
Area of Science:
- Public Health
- Pediatrics
- Nutrition
Background:
- African Americans experience lower breastfeeding rates and higher obesity rates compared to other US ethnicities.
- Childhood obesity is a significant public health concern with long-term health implications.
Purpose of the Study:
- To systematically review the correlation between breastfeeding practices and childhood obesity among African Americans in the United States.
- To synthesize existing evidence on the impact of breastfeeding on obesity risk in this specific demographic.
Main Methods:
- Systematic review of studies identified through CINAHL, PubMed, and Google Scholar.
- Inclusion criteria focused on studies examining breastfeeding and childhood/adolescent obesity in African Americans.
- Twelve observational studies met the inclusion criteria.
Main Results:
- Eight of the twelve observational studies indicated a protective effect of breastfeeding against childhood obesity in African Americans.
- Four studies yielded inconclusive results regarding the association.
- No randomized-controlled trials or meta-analyses were identified.
Conclusions:
- Current evidence suggests a potential protective effect of breastfeeding against childhood obesity in the African American population.
- Limitations include the observational nature of studies and the inclusion of other ethnicities.
- Further research is necessary to generalize findings; healthcare providers should address breastfeeding benefits and barriers.
Purpose:
Among African Americans, breastfeeding rates are lower and obesity rates higher than other ethnicities in the United States. The objective of this systematic review was to examine the correlation between breastfeeding practices and childhood obesity rates among African Americans in the United States.
Study Data Source And Eligibility Criteria:
The Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, and Google Scholar were searched using the key words African Americans OR Blacks, Breastfeeding, Childhood Obesity OR Overweight, and Adolescent Obesity OR Overweight. Twelve articles met inclusion criteria and are discussed.
Results:
No randomized-controlled trials or meta-analyses were found. All studies were observational only. Eight studies found a protective effect of breastfeeding against childhood obesity among African Americans, whereas four other studies were inconclusive.
Limitations:
Only 12 studies met inclusion criteria for this review, and all studies included other ethnicities in addition to African Americans. More evidence is needed to effectively generalize the results to this population.
Conclusions And Implications:
More research is needed on the topic; however, current research does suggest a protective effect of breastfeeding against childhood obesity in this high-risk population. Primary care providers and other healthcare workers need to address breastfeeding benefits and barriers among African American women across the continuum of care.
More Related Videos
Related Concept Videos
Obesity
Bias in Epidemiological Studies
Drug Dosing: Obese Patients
Pharmacokinetics in Obese Patients: Drug Metabolism and Excretion
Pharmacokinetics in Obese Patients: Drug Absorption and Distribution
Drug Dosing: Infants and Children

