Is breastfeeding associated with later child eating behaviours?
Wei Wei Pang1, Keri McCrickerd2, Phaik Ling Quah2
1Department of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore and National University Health System, 119228, Singapore.
Insights
High breastfeeding exposure was linked to less picky eating and feeding difficulties in children at age 3. However, these associations were not consistent across all eating behaviors or over time, suggesting breastfeeding alone may not have lasting impacts.
Area of Science:
- Pediatrics
- Child Nutrition
- Developmental Psychology
Background:
- Individual differences in children's eating behaviors are evident early in life.
- Breastfeeding is widely recognized for its potential health benefits, but its long-term impact on specific eating behaviors requires further investigation.
- Understanding factors influencing children's eating patterns is crucial for promoting healthy development.
Purpose of the Study:
- To examine the relationship between the duration and exclusivity of breastfeeding and subsequent eating behaviors in children.
- To assess associations between breastfeeding exposure and reported and observed eating behaviors from infancy through early childhood.
- To investigate potential long-term effects of breastfeeding on food fussiness, feeding difficulties, and objective eating measures.
Main Methods:
- A prospective cohort study involving 970 children from the Growing Up in Singapore Towards healthy Outcomes (GUSTO) cohort.
- Children were categorized into high, intermediate, and low breastfeeding exposure groups based on duration and exclusivity.
- Eating behaviors were assessed using maternal questionnaires (Child Eating Behaviour Questionnaire, Infant Feeding Questionnaire, Preschooler Feeding Questionnaire) and laboratory-based measures (meal size, eating speed, bite size, eating in absence of hunger) from 15 months to 6 years.
Main Results:
- High breastfeeding exposure was significantly associated with lower reported food fussiness at 3 years and less reported difficulty in child feeding compared to low breastfeeding exposure.
- These positive associations were not consistently observed at 6 years or for other reported eating behaviors.
- No significant associations were found between breastfeeding exposure and laboratory-based measures of eating behavior at any time point.
Conclusions:
- While high breastfeeding exposure showed some benefits regarding reduced food fussiness and feeding difficulties at age 3, these effects were not robust or sustained.
- The findings do not strongly support the hypothesis that increased breastfeeding exposure alone leads to consistent, long-lasting positive changes in children's eating behaviors.
- Further research is needed to explore the interplay of breastfeeding with other factors influencing children's eating habits.
Abstract:
Individual differences in children's eating behaviours emerge early. We examined the relationship between breastfeeding exposure and subsequent eating behaviours among children from the Growing Up in Singapore Towards healthy Outcomes (GUSTO) cohort. Children (n = 970) were grouped according to their breastfeeding exposure: high (full breastfeeding ≥ 4 months with continued breastfeeding ≥ 6 months), low (any breastfeeding < 3 months or no breastfeeding) and intermediate (between low and high breastfeeding categories). Aspects of eating behaviour from ages 15 months to 6 years were captured using a combination of maternal reports (Child Eating Behaviour Questionnaire; Infant Feeding Questionnaire; Preschooler Feeding Questionnaire) and laboratory-based measures of meal size, oral processing behaviours (e.g. average eating speed and bite size) and tendency to eat in the absence of hunger. Most children had low (44%) or intermediate (44%) breastfeeding exposure; only 12% had high exposure. After adjusting for confounders, multivariable linear regression analyses indicated the high (but not intermediate) breastfeeding group was associated with significantly lower reported food fussiness at 3 years compared to low breastfeeding group (-0.38 [-0.70, -0.06]), with similar but non-significant trends observed at 6 years (-0.27 [-0.66, 0.11]). At 3 years, mothers in the high breastfeeding group also reported the least difficulty in child feeding compared to low breastfeeding group (-0.22 [-0.43, -0.01]). However, high breastfeeding was not associated with any other maternal-reports of child feeding or eating behaviours, and no significant associations were observed between breastfeeding exposure and any of the laboratory measures of eating behaviour at any of the time points. These results do not strongly support the view that increased breastfeeding exposure alone has lasting and consistent associations with eating behaviours in early childhood.
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