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Published on: July 29, 2020
Breastfeeding and dietary habits in childhood and adolescence: the PASOS study
Silvia García1,2,3, Marina Ródenas-Munar1,2,3, Luis Carmona-Rosado4
1Research Group on Community Nutrition and Oxidative Stress, University of Balearic Islands-IUNICS, Palma de Mallorca, E-07122, Spain.
Insights
Longer breastfeeding duration is linked to healthier eating habits in children and adolescents. This association may be influenced by broader family and socioeconomic factors, not just breastfeeding itself.
Area of Science:
- Pediatric Nutrition
- Public Health
- Dietary Epidemiology
Background:
- Breastfeeding (BF) is recognized for its health benefits.
- Understanding the long-term impact of BF duration on children's dietary habits is crucial for public health initiatives.
- Previous research suggests a link between early life nutrition and later dietary patterns.
Purpose of the Study:
- To investigate the association between the duration of breastfeeding and the dietary habits of children and adolescents.
- To determine if longer breastfeeding is correlated with adherence to a Mediterranean diet (MD).
Main Methods:
- Cross-sectional analysis of two waves (2019, 2022) of the nationally representative PASOS study.
- Inclusion of 6397 children and adolescents aged 8-16 years with sociodemographic, BF, and dietary data.
- Assessment of BF duration (no BF, ≤6 months, >6 months) and dietary habits using the KIDMED index for MD adherence.
- Statistical analysis including ANOVA, Chi-squared tests, and logistic regression.
Main Results:
- Longer BF duration was significantly associated with higher adherence to the MD in both study waves (p<0.001).
- Children breastfed for >6 months showed lower odds of skipping breakfast and higher odds of consuming cereals, vegetables, rice, or pasta.
- These associations persisted after adjusting for exclusive BF, parental education, employment, and age, though effect sizes were reduced.
Conclusions:
- Extended breastfeeding duration correlates with healthier dietary patterns and greater MD adherence in children and adolescents.
- The observed associations might be influenced by underlying family and socioeconomic factors rather than a direct causal effect of BF.
- Further research is needed to elucidate the complex interplay between early feeding practices and long-term dietary behaviors.
Objectives:
To assess the association between breastfeeding (BF) duration and dietary habits among children and adolescents.
Design:
Cross-sectional analyses were conducted using data from two waves of the PASOS study (2019 and 2022), both multicenter observational studies nationally representative.
Methods:
A total of 3588 participants from PASOS-2019-2020 and 2809 from PASOS-2022-2023, aged 8-16 years, with sociodemographic, BF, and dietary data were included. BF history was reported by caregivers and categorized into three groups: no BF, BF≤6 months, and BF>6 months. Dietary habits were assessed through a Mediterranean diet (MD) adherence validated index: the KIDMED. Associations between BF duration and KIDMED items were assessed using ANOVA, Chi-squared tests, and logistic regression models.
Results:
Longer BF duration was associated with higher adherence to MD in both surveys. In 2019-2020, mean (SD) KIDMED scores were: no BF 6.5 (2.4), BF≤6 months 6.7 (2.4), and BF >6 months 7.0 (2.4), (p<0.001); in 2022-2023, corresponding values were 6.2 (2.4), 6.4 (2.5), and 6.7 (2.4), (p<0.001). Logistic regression analyses showed that in both 2019-2020 and 2022-2023, BF>6 months was associated with lower odds of skipping breakfast and higher odds of consuming cereals at breakfast, vegetables, and rice or pasta. Several associations remained significant after adjustment for exclusive BF and parents' education, employment status, and age, although effect sizes were attenuated.
Conclusions:
Longer BF duration was associated with healthier dietary habits and higher adherence to the MD in children and adolescents, but these associations may reflect broader early-life family and socio-educational contexts rather than a direct causal effect of BF itself.
Clinical Trial Registration:
The trial was officially recorded in 2019 with the International Standard Randomized Controlled Trial (ISRCT), bearing the identification number 34,251,612 accessed on 08/08/2019 https//www.isrctn.com/ISRCTN34251612 (21).
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