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Updated: Sep 7, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Breastfeeding and overweight/obesity among children and adolescents: a cross-sectional study
Fange Liu1, Di Lv2,3, Lumin Wang4
1Pediatric Nephrology and Endocrinology Department, the First Affiliated Hospital of Shandong First Medical University &Shandong Provincial Qianfoshan Hospital, No.16766 Jingshi Road, Lixia District, Jinan, 250014, China. liufe@sdu.edu.cn.
Insights
Extended breastfeeding significantly reduces childhood overweight and obesity. Children breastfed over 12 months, especially boys aged 9-11, show lower BMI and obesity risk.
Area of Science:
- Pediatrics
- Public Health
- Epidemiology
Background:
- Childhood overweight and obesity represent a significant public health concern with substantial economic implications.
- Investigating the link between breastfeeding duration and pediatric obesity is crucial for developing effective health strategies.
Purpose of the Study:
- To examine the association between the duration of breastfeeding and the prevalence of overweight and obesity in children and adolescents.
- To identify specific age groups or demographics that benefit most from prolonged breastfeeding in relation to weight status.
Main Methods:
- A survey was conducted in 2017 involving 10,753 students (aged 6-16 years) in Qingdao, China.
- Data collection included anthropometric measurements and self-administered questionnaires, analyzed using univariate, multivariate, and regression models.
Main Results:
- The study found a significant negative correlation between breastfeeding duration and Body Mass Index (BMI) in children and adolescents.
- Boys breastfed for over 12 months exhibited significantly lower BMI compared to those breastfed for shorter durations.
- Prolonged breastfeeding demonstrated a positive impact on reducing obesity prevalence, particularly in boys aged 9-11 years.
Conclusions:
- Breastfeeding, especially for durations exceeding 12 months, is associated with a reduced prevalence of overweight and obesity in children and adolescents.
- The findings highlight the protective effect of extended breastfeeding against childhood obesity, with a notable benefit for young boys.
Background:
Overweight and obesity are major public health crises among children and adolescents and contribute to a significant economic burden. We aimed to investigate the relationship between breastfeeding duration and overweight and obesity in children and adolescents in Qingdao, China in 2017.
Methods:
This study conducted a survey with 10,753 students (5370 boys and 5383 girls) aged 6 to 16 years from the Shibei District of Qingdao, China in 2017. Anthropometric measurements were taken by well-trained personnel and self-completed questionnaires were used to collect data from students. A variety of statistical methods were used in this study, including univariate and multivariate analyses, as well as linear and nonlinear regression models.
Results:
The prevalence of overweight and obesity was 15.45% and 19.76%, respectively. There was a significant negative correlation between breastfeeding duration and BMI in children and adolescents (β = -0.025, 95% CI: -0.033, -0.005, P < 0.01). Among boys, the BMI in children and adolescences of those who have been breastfed for more than 12 months was significantly lower than that of others whose breastfeeding duration was less than 12 months (β = -0.440, 95%CI -0.655, -0.224, P < 0.01). Breastfeeding has a particularly positive effect on the prevalence of obesity in boys aged 9 to 11 years (OR = 0.978, 95% CI: 0.958,0.999, P < 0.05).
Conclusion:
Breastfeeding can significantly reduce the prevalence of overweight and obesity among children and adolescents aged 6 to 16 years. Those who were breastfed for more than 12 months had a lower risk of developing overweight and obesity, especially boys between the ages of 9 and 11.
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