[Breastfeeding, complementary feeding and risk of childhood obesity]
Luis Sandoval Jurado1, María Valeria Jiménez Báez1, Sibli Olivares Juárez2
1Coordinación Auxiliar Médica de Investigación en Salud, Cancún, Quintana Roo, México.
Insights
Exclusive breastfeeding for less than three months significantly increases the risk of obesity in preschool children. This finding highlights the importance of adequate breastfeeding duration for preventing childhood obesity.
Area of Science:
- Pediatric Nutrition
- Public Health
- Childhood Obesity Research
Background:
- Childhood obesity is a growing global health concern with long-term implications.
- Breastfeeding practices are recognized as a crucial factor influencing infant and child health outcomes.
- Understanding the relationship between breastfeeding patterns and obesity risk in early childhood is vital for preventive strategies.
Purpose of the Study:
- To investigate the association between breastfeeding and weaning patterns and the risk of obesity in preschool children.
- To analyze the duration of breastfeeding and the timing of complementary feeding introduction in relation to nutritional status.
Main Methods:
- A cross-sectional analytical study was conducted in Cancun, Quintana Roo, Mexico.
- Participants included 116 preschool children aged 2-4 years from a Primary Care Unit.
- Data collected included breastfeeding duration, age of complementary feeding, and nutritional status assessed by Body Mass Index (BMI) percentiles. Statistical analyses included prevalence ratios, odds ratios, and logistic regression.
Main Results:
- Obesity was prevalent in 62.1% of the studied children.
- Exclusive breastfeeding was reported in 72.4% of cases, with a mean duration of 2.3 months.
- A prevalence ratio of 3.9 indicated that exclusive breastfeeding of less than three months was associated with a nearly fourfold increased risk of obesity.
Conclusions:
- Exclusive breastfeeding for less than three months is a significant risk factor for obesity in preschool children.
- Differences in complementary feeding age and breastfeeding duration were observed between obese and non-obese children.
- These findings underscore the importance of promoting adequate breastfeeding duration for obesity prevention in early childhood.
Objective:
To evaluate the pattern of breastfeeding and weaning as a risk of obesity in pre-school children from a Primary Care Unit.
Design:
Cross-sectional analytical study LOCATION: Cancun, Quintana Roo (Mexico).
Participants:
Children from 2-4 years of age from a Primary Care Unit.
Main Measurements:
Duration of total and exclusive breastfeeding, age and food utilized for complementary feeding reported by the mother or career of the child and nutritional status assessment evaluated by body mass index (BMI) ≥ 95 percentile. Determination of prevalence ratio (PR), odds ratio (OR), chi squared (x2), and binary logistic regression.
Results:
The study included 116 children (55.2% girls) with a mean age of 3.2 years, with obesity present in 62.1%, Exclusive breastfeeding in 72.4% with mean duration of 2.3 months, and age at introducing solids foods was 5.0 months. There was a difference for breastfeeding and complementary feeding by gender sex (P<.05). A PR=3.9 (95% CI: 1.49-6.34) was calculated for exclusive breastfeeding and risk of obesity. The model showed no association between these variables and obesity in children CONCLUSIONS: Exclusive breastfeeding of less than three months is associated with almost 4 more times in obese children. There was a difference in age of complementary feeding, duration of breastfeeding, and formula milk consumption time for obese and non-obese children.
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