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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Relationship between breastfeeding duration, lifestyle and obesity in children aged 3-16 years: a cross-sectional
1School of Public Health, Capital Medical University, Beijing Key Laboratory of Environment and Aging, China-British Joint Laboratory of Nutrition Prevention and Control of Chronic Diseases, Beijing, China.
Insights
Prolonging breastfeeding duration and adopting healthy lifestyle habits are key to preventing childhood obesity. These factors, especially when combined, significantly reduce obesity risk in children.
Area of Science:
- Pediatrics
- Public Health
- Nutrition Science
Background:
- Childhood obesity is a growing public health concern requiring effective interventions.
- Lifestyle and dietary factors play a crucial role in the development of childhood obesity.
Purpose of the Study:
- To investigate the association between breastfeeding duration and lifestyle habits with childhood obesity.
- To identify protective factors and their synergistic effects against childhood obesity.
Main Methods:
- Analysis of 541 children aged 3-16, categorized into obesity and non-obesity groups.
- Logistic regression and ROC curves to assess the risk and accuracy of models.
- SHapley Additive exPlanation (SHAP) for variable impact analysis.
Main Results:
- Obese children exhibited preferences for meat-based foods, heavy flavors, and pre-meal snacking.
- Recommended breastfeeding duration is 4-12 months.
- Both healthy lifestyle habits and prolonged breastfeeding are protective, with significant synergistic effects.
Conclusions:
- Appropriate prolongation of breastfeeding duration can help prevent childhood obesity.
- Cultivating healthy dietary habits is essential for childhood obesity prevention.
- Combined interventions of breastfeeding and healthy lifestyle show the most significant impact.
Introduction:
Childhood obesity is emerging as an increasingly severe public health problem. Effective lifestyle and dietary interventions are urgently needed to prevent childhood obesity. The study explored the association of breastfeeding duration in early life and lifestyle habits with childhood obesity.
Methods:
A total of 541 children aged 3-16 at Suzhou Science and Technology City Hospital were included in this analysis. The participants were categorized into obesity group and non-obesity group. Assigned and calculated the score of lifestyle habits and the total score of lifestyle habits and breastfeeding. Logistic regression was used to analyze the risk of obesity with breastfeeding and/or lifestyle habits scores, and ROC curves were applied to evaluate the accuracy of the models. SHapley Additive exPlanation (SHAP) was used to explore the specified impact of variables.
Results:
(1) The dietary habits of children with obesity were marked by consuming more meat-based foods, preferring heavier flavors food items, and having a habit of snacking before meals. (2) It is recommended that newborn be breastfed for 4-12 months. (3) Healthy lifestyle habits and prolonged breastfeeding duration are both protective factors for childhood obesity respectively, and the synergistic impact is much more significant.
Discussion:
Prolonging breastfeeding duration appropriately and cultivating healthy dietary habits might contribute to prevention of childhood obesity.
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