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Breastfeeding and body composition in early adolescence: Is the relationship mediated by ultra-processed food
Leonardo Pozza Santos1, Renata M Bielemann1, Caroline S Costa2
1Postgraduate Program in Nutrition and Foods, Federal University of Pelotas, Pelotas, Brazil; Department of Nutrition, Federal University of Pelotas, Pelotas, Brazil.
Insights
Breastfeeding impacts child body composition, affecting fat and lean mass differently in boys and girls by age 11. Ultra-processed food consumption did not mediate these long-term effects.
Area of Science:
- Pediatrics
- Nutritional Science
- Human Development
Background:
- Breastfeeding is recognized for its health benefits, but its long-term impact on body composition requires further investigation.
- Understanding how breastfeeding influences overall and regional body composition is crucial for public health initiatives.
Purpose of the Study:
- To examine the associations between breastfeeding duration and patterns with overall and regional body composition at 11 years of age.
- To determine if ultra-processed food (UPF) consumption mediates the relationship between breastfeeding and body composition.
Main Methods:
- Prospective cohort study (2004 Pelotas Birth Cohort) with breastfeeding data from early childhood and body composition assessed at 11 years.
- Multiple linear regression and mediation analysis (G-computation) were used to analyze associations with BMI z-score, FMI, FFMI, AFM, GFM, and ALST, considering UPF consumption at 6 years.
Main Results:
- Sex-specific associations were observed: longer exclusive breastfeeding linked to lower android fat mass in boys.
- In boys, any breastfeeding at 3 months and longer total duration correlated with higher BMI z-score, FFMI, and regional lean/gynoid mass.
- In girls, longer exclusive breastfeeding and continued breastfeeding at 12 months were associated with higher BMI z-score, FMI, FFMI, GFM, and ALST.
Conclusions:
- Breastfeeding is associated with significant differences in overall and regional body composition at age 11, varying by sex and breastfeeding type.
- Findings highlight breastfeeding's potential role in shaping adiposity, fat distribution, and lean mass development.
- Ultra-processed food consumption did not mediate the observed breastfeeding-body composition associations.
Objective:
To investigate the associations of breastfeeding with overall and regional body composition at 11 years of age, and to assess whether ultra-processed food (UPF) consumption mediates these associations.
Methods:
This prospective cohort study included participants from the 2004 Pelotas Birth Cohort, Brazil. Breastfeeding data were collected in early childhood, and overall and regional body composition were assessed at 11 years of age. Multiple linear regression models were used to examine the associations of exclusive and total breastfeeding duration, as well as breastfeeding patterns at 3 and 12 months, with overall (BMI z-score, fat mass index [FMI], and fat-free mass index [FFMI]) and regional body composition (android fat mass [AFM], gynoid fat mass [GFM], and appendicular lean soft tissue [ALST]). Mediation analysis was performed using the G-computation formula, considering UPF consumption at 6 years of age.
Results:
Associations between breastfeeding and body composition were sex-specific and varied according to the breastfeeding indicator. Among boys, longer exclusive breastfeeding was associated with lower AFM, whereas receiving any breast milk at 3 months and longer total breastfeeding duration were associated with higher BMI z-score, FFMI, and regional lean and gynoid mass. Among girls, longer exclusive breastfeeding was associated with higher BMI z-score, FMI, GFM, and ALST, while continued breastfeeding at 12 months was associated with higher BMI z-score, FMI, FFMI, GFM, and ALST. UPF consumption did not mediate the associations between breastfeeding and body composition.
Conclusion:
Breastfeeding was associated with body composition at 11 years of age, particularly with regional fat distribution and lean mass, although the direction and magnitude of associations differed by sex and breastfeeding indicator. The findings suggest that breastfeeding may influence not only adiposity but also fat distribution and lean mass development.
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