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Published on: February 2, 2017
Obesity during Adolescence and Feeding Practices during Infancy: Cross-Sectional Study
Reem Sharaf-Alddin1, Radhia Almathkoori2, Hara Kostakis3
1CONRAD, Eastern Virginia Medical School, Norfolk, VA 23507, USA.
Insights
Breastfeeding in infancy showed no significant link to adolescent obesity in Kuwait, despite high obesity rates. Continued encouragement of breastfeeding is vital for infant and maternal health benefits.
Area of Science:
- Pediatric Nutrition
- Public Health
- Epidemiology
Background:
- Kuwait faces a severe childhood obesity crisis, with 45% of adolescents overweight or obese.
- Breastfeeding rates in Kuwait are notably low, especially exclusive breastfeeding.
- Limited research exists on the breastfeeding-obesity link in the Middle East.
Purpose of the Study:
- To determine the prevalence of overweight/obesity among female adolescents in Kuwait.
- To investigate the association between infant breastfeeding practices and adolescent overweight/obesity.
Main Methods:
- A cross-sectional study involving 775 high school girls in Kuwait.
- Assessed breastfeeding in the first four months as the primary exposure.
- Utilized multivariable logistic regression to analyze the relationship with adolescent overweight/obesity, controlling for confounders.
Main Results:
- The prevalence of overweight/obesity among adolescent girls was approximately 45%.
- No statistically significant association was found between any form of breastfeeding (exclusive, mixed, or none) and adolescent overweight/obesity in univariable or multivariable analyses.
- Crude and adjusted prevalence ratios did not indicate a protective effect of breastfeeding against obesity.
Conclusions:
- Infant breastfeeding was not significantly associated with overweight/obesity in Kuwaiti adolescent girls.
- Despite the lack of a significant association in this study, breastfeeding is strongly recommended for its established health benefits.
- Further prospective research is necessary to fully understand the long-term relationship between breastfeeding and obesity in this population.
Background:
Breastfeeding is proposed to play a role in reducing the risk of obesity throughout life. Kuwait has an extremely high prevalence of childhood obesity (45% of adolescents are overweight/obese) and extremely low breastfeeding indicators, particularly exclusive breastfeeding. In fact, little is known about the association between breastfeeding and obesity from Kuwait and the broader Middle East.
Aims:
To estimate the prevalence of overweight/obesity in female adolescents in Kuwait and assess its association with breastfeeding during infancy.
Methods:
This is a cross-sectional study that included 775 girls randomly selected from public and private high schools in Kuwait. The primary exposure was breastfeeding in the first four months of life, and the outcome was overweight/obesity during adolescence. Multivariable logistic regression was used to assess the association between breastfeeding and overweight/obesity while adjusting for potential confounders.
Results:
Approximately 45% of adolescent girls were either overweight/obese. We found no significant association between breastfeeding (exclusive/mixed breastfeeding and formula feeding/no breastfeeding) and overweight/obesity neither in univariable analysis (Crude Prevalence Ratio: 1.14, 95%CI [0.92-1.36] & Crude Prevalence Ratio: 1.29, 95%CI [0.86-1.68]; p = 0.293) for mixed feeding and no breastfeeding respectively, nor in multivariable analysis (Adjusted Prevalence Ratio: 1.14, 95%CI [0.85-1.42] & Adjusted Prevalence Ratio: 1.20, 95%CI [0.68-1.68]; p = 0.589) for mixed feeding and no breastfeeding respectively.
Conclusion:
Breastfeeding during infancy was not significantly associated with overweight/obesity during adolescence. However, breastfeeding should be encouraged for its indisputable benefits for infants and their mothers alike. Further prospective studies are needed to assess the association.
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