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Published on: June 20, 2020
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.
Background:
Obesity is a major public health crisis among both children and adults and contributes to significant physical, psychological, and economic burden. We aim to investigate the effect of duration of breastfeeding on excessive weight and obesity at 6 years of age.
Subjects/Methods:
Data on breastfeeding and child anthropometric measurements were collected in a birth-cohort study in Murcia, Spain (n = 350). Breastfeeding status and body mass index (BMI) were established according to WHO definitions. Other factors potentially related to children's weight were considered. Multiple log-linear and ordinal regressions were used to analyze the effects of breastfeeding on overweight and obesity when considering potential confounders.
Results:
33% and 17.3% of children in the study were of excess weight and obesity, respectively. Univariate predictors of BMI in children aged 6 were as follows: pregestational maternal BMI (kg/m2) (R2 = 0.127, p < 0.01); full breastfeeding (weeks) R2 = -0.035, p < 0.01); infant weight gain (kg) (R2 = 0.348, p < 0.01); and maternal alcohol consumption during pregnancy (g/day) (R2 = 0.266, p < 0.01) at age 6. In the ordinal logistic regression, full breastfeeding was associated with a significant decrease in obesity -0.052 (95% CI, -0.10 to -0.003).
Conclusions:
The delay of bottle feeding introduction may have a protective effect against obesity at 6 years of age. Our findings reinforce the need for greater support of breastfeeding and to promote a healthy environment and antipoverty interventions during pregnancy and infancy, alongside other strategies for obesity prevention.
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