Prevalence of Overweight and Obesity in Infants and Their Association with Breastfeeding Practices
Ariba Siddiqui1, Rozina Muhammad Iqbal1, Anosha Muhammad Aslam1
1Department of Paediatrics and Child Health, Aga Khan University Hospital, Karachi, Pakistan.
Insights
Non-exclusive breastfeeding significantly increases infant overweight and obesity risk. Promoting exclusive breastfeeding is crucial for preventing early childhood excess weight, according to WHO growth standards.
Area of Science:
- Pediatrics and Child Health
- Public Health and Epidemiology
- Nutrition Science
Background:
- Early childhood overweight and obesity are growing global health concerns.
- Breastfeeding practices are recognized as a key modifiable factor influencing infant growth and development.
- Understanding the specific impact of breastfeeding patterns on infant weight status is essential for public health interventions.
Purpose of the Study:
- To determine the prevalence of overweight and obesity in infants aged 9-12 months.
- To investigate the association between various breastfeeding practices and the risk of overweight/obesity in this age group.
- To identify potential strategies for mitigating early childhood excess weight through breastfeeding promotion.
Main Methods:
- A prospective cross-sectional study was conducted with 211 infants aged 9-12 months in Karachi, Pakistan.
- Data on sociodemographics, breastfeeding, and dietary diversity were collected via questionnaire; anthropometric measurements were taken.
- Infant weight-for-height z-scores were calculated using WHO growth standards, with logistic regression analyzing the link between breastfeeding and excess weight.
Main Results:
- Overweight and obesity were present in 10.9% of the infants studied.
- Non-exclusively breastfed infants showed a significantly higher prevalence of overweight/obesity (18.3%) compared to exclusively breastfed infants (1.1%; p <0.001).
- Exclusive breastfeeding was associated with a 96% reduction in the odds of excess weight (aOR = 0.04; p = 0.002), independent of maternal BMI, birth order, and dietary diversity.
Conclusions:
- Non-exclusive breastfeeding is a significant risk factor for infant overweight and obesity.
- Promoting exclusive breastfeeding practices is a vital strategy for preventing early childhood obesity.
- Public health initiatives should focus on supporting and encouraging exclusive breastfeeding from birth.
Objective:
To find out the prevalence of overweight and obesity and to examine their association with breastfeeding practices among infants aged 9-12 months.
Study Design:
A prospective cross-sectional study. Place and Duration of the Study: Department of Paediatrics and Child Health, Aga Khan University Hospital, Karachi, Pakistan, from March to August 2022.
Methodology:
A total of 211 infants aged 9-12 months were included using non-probability consecutive sampling. Sociodemographic data, breastfeeding practices, and dietary diversity were recorded through a structured questionnaire. Anthropometric measurements were obtained. According to the WHO growth standards, weight-for-height z-scores were computed; scores above +2 standard deviations were categorised as overweight, while scores above +3 standard deviations were classified as obesity. Logistic regression was used to examine the link between breastfeeding practices and overweight/obesity, adjusting for confounders.
Results:
Overweight and obesity were observed in 23 (10.9%) of infants. Overweight and obesity were more prevalent in infants receiving non-exclusive breastfeeding, with 22 out of 120 (18.3%) affected, compared to only 1 out of 91 (1.1%) among exclusively breastfed infants (p <0.001). Logistic regression showed that exclusive breastfeeding was associated with a 96% reduction in the odds of excess weight (aOR = 0.04; 95% CI: 0.01-0.31; p = 0.002). Other variables, including maternal BMI, birth order, and dietary diversity, were not significantly associated.
Conclusion:
Non-exclusive breastfeeding practice was found to be a significant contributing factor for overweight and obesity in infants. Promoting exclusive breastfeeding could be an effective strategy to reduce early childhood obesity.
Key Words:
Overweight, Obesity, Breastfeeding, Infants, Exclusive breastfeeding, WHO growth standards, Maternal BMI.
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