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.
Abstract

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