Full Breastfeeding and Obesity in Children: A Prospective Study from Birth to 6 Years

Juan Antonio Ortega-García1, Nicole Kloosterman1, Lizbeth Alvarez1

  • 11 Pediatric Environmental Health Speciality Unit, Laboratory of Environmental and Human Health (A5), Department of Paediatrics, Institute of Biomedical Research, IMIB-Arrixaca, Virgen de la Arrixaca University Hospital, University of Murcia , Murcia, Spain .

Insights

Exclusive breastfeeding may protect children from obesity. This study found that longer durations of breastfeeding were associated with a reduced risk of obesity at age six, highlighting the importance of supporting breastfeeding practices.

Area of Science:

  • Pediatrics
  • Public Health
  • Nutrition Science

Background:

  • Obesity is a significant global health issue affecting both children and adults.
  • It imposes substantial physical, psychological, and economic burdens on individuals and society.
  • Investigating modifiable factors like breastfeeding is crucial for effective obesity prevention strategies.

Purpose of the Study:

  • To examine the relationship between the duration of breastfeeding and the prevalence of overweight and obesity in children at six years of age.
  • To identify potential protective effects of breastfeeding against childhood obesity.

Main Methods:

  • A birth-cohort study was conducted in Murcia, Spain, with 350 participants.
  • Data included breastfeeding status, anthropometric measurements (including Body Mass Index - BMI), and other relevant factors.
  • Statistical analyses, including multiple log-linear and ordinal regressions, were employed to assess the impact of breastfeeding on obesity, controlling for confounders.

Main Results:

  • At age six, 33% of children were overweight and 17.3% were obese.
  • Full breastfeeding duration was a significant univariate predictor of lower BMI (R² = -0.035, p < 0.01).
  • Ordinal logistic regression revealed that full breastfeeding was associated with a significant decrease in obesity (coefficient = -0.052, 95% CI: -0.10 to -0.003).

Conclusions:

  • Prolonged breastfeeding, potentially with delayed introduction of bottle feeding, may offer a protective effect against childhood obesity.
  • Findings underscore the importance of promoting and supporting breastfeeding.
  • Comprehensive strategies, including healthy environment promotion and antipoverty interventions during pregnancy and infancy, are vital for obesity prevention.
Abstract

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