Breastfeeding and obesity at 14 years: A cohort study

Journal of Paediatrics and Child Health - Tập 42 Số 5 - Trang 289-296 - 2006
Linda Shields1,2, Michael O’Callaghan1, Gail Williams3, Jake M. Najman4, William Bor5
1Department of Paediatrics and Child Health,
2Faculty of Health and Social Care, University of Hull, Hull, UK
3School of Population Health
4Schools of Population Health and Social Science, The University of Queensland,
5Child and Youth Mental Health Service, The University of Queensland, Mater Children's Hospital, Brisbane, Queensland, Australia

Tóm tắt

Aim:  To determine the influence of breastfeeding on overweight and obesity in early adolescence.Methods:  Data about breastfeeding duration, BMI of children at 14 years, and confounding variables, were collected from an ongoing longitudinal study of a birth cohort of 7776 children in Brisbane. Prevalence of overweight and obesity at 14 years was assessed according to duration of breastfeeding, with logistic regression being used to adjust for the influence of confounders.Results:  Data were available for 3698 children, and those not included were significantly different in age, educational level, income, race, birthweight, and small‐for‐gestational‐age status. Breastfeeding for longer than six months was protective of obesity (OR 0.6, 95% CI 0.4, 0.96) though not of overweight. When confounding variables were considered the effect size diminished and lost statistical significance OR 0.8 (95% CI 0.5, 1.3). Breastfeeding for less than 6 months had no effect on either obesity or overweight though a trend was found for increased prevalence of overweight at 14 years with shorter periods of breastfeeding.Conclusion:  This investigation contributes to the gathering body of evidence that breastfeeding for longer than 6 months has a modest protective effect against obesity in adolescence.

Từ khóa


Tài liệu tham khảo

The Surgeon‐General.The problem of overweight in children and adolescents.The Surgeon General.Available from URL:http://www.surgeongeneral.gov/topics/obesity/calltoaction/fact_adolescents.htm[accessed 11 October 2005].

10.1038/sj.ejcn.1601414

10.1038/sj.ejcn.1601301

10.1038/sj.ejcn.1601415

10.1093/ajcn/77.1.29

10.1111/j.1753-6405.2001.tb01840.x

10.1542/peds.110.5.e54

10.1136/bmj.319.7203.147

Armstrong J, 2002, Breastfeeding and lowering the risk of childhood obesity, Lancet, 359, 2003, 10.1016/S0140-6736(02)08837-2

10.1067/mpd.2002.128890

10.1038/sj.ijo.0801800

10.1038/sj.ijo.802200

10.1542/peds.113.2.e81

Poulton R, 2001, Breastfeeding and risk of overweight, JAMA, 286, 1449

10.1002/j.1550-8528.1997.tb00574.x

10.1001/jama.285.19.2453

10.1136/adc.88.9.793

10.1136/bmj.327.7420.904

10.1136/bmj.327.7420.901

Kramer MS, 2002, Optimal duration of exclusive breastfeeding, Cochrane Database Syst. Rev., 1, CD003517.

10.1016/S0002-8223(00)00190-5

10.5694/j.1326-5377.2002.tb04696.x

10.1016/S0031-3955(05)70293-5

10.1038/sj.ijo.0802758

10.1001/jama.285.19.2461

10.1111/j.1471-0528.1989.tb02388.x

10.1080/07853890.1999.11904392

10.1111/j.1467-842X.2000.tb00733.x

10.1016/S0002-8223(00)00190-5

10.1038/sj.ijo.0802321

10.1111/j.1440-1754.1997.tb01607.x

10.1136/bmj.320.7244.1240

Thomas D, 2002, Summary Measures of Population Health. Concepts. Ethics, Measurement and Application., 387

10.1038/oby.2005.48

10.1038/oby.2004.190

10.1097/01.ede.0000152900.81355.00