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Breastfeeding and overweight in childhood: evidence from the Pelotas 1993 birth cohort study.
Araújo, C L; Victora, C G; Hallal, P C; Gigante, D P.
Afiliação
  • Araújo CL; Post-graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil.
Int J Obes (Lond) ; 30(3): 500-6, 2006 Mar.
Article em En | MEDLINE | ID: mdl-16276362
OBJECTIVES: The effect of breastfeeding duration on the prevalence of overweight and on mean weight for height z-score (WHZ) was evaluated in Brazilian children. DESIGN: Prospective population-based birth cohort study. SUBJECTS: In total, 1,273 children aged 4 years, corresponding to a follow-up rate of 87.2%. MEASUREMENTS: Three explanatory variables were studied: duration of any breastfeeding, duration of exclusive or predominant breastfeeding, and ever breastfeeding. Weight and height were measured using a digital electronic scale and a portable stadiometer. Overweight was defined as WHZ >2 using the National Center for Health Statistics reference curve. RESULTS: Overweight prevalence at the age of 4 years was 10.2% (95% CI 8.4; 11.8). The lowest prevalence (6.5%) was observed among children breastfed for >11 months. Among those breastfed for less than 3 months, the prevalence of overweight was approximately 9.5%. Mean WHZ ranged from 0.38 among children breastfed for less than 1 month to 0.62 among those breastfed for 9-11.9 months. No linear trends were detected in the association between breastfeeding and anthropometric indicators. None of the three breastfeeding variables was significantly associated with the prevalence of overweight or mean WHZ in multivariable analyses. No interactions were detected between breastfeeding and the variables sex, birth weight, socioeconomic status, skin color and pregestational in body mass index. CONCLUSION: Our results do not support the hypothesis that breastfeeding promotion would reduce overweight or obesity in this population. Existing evidence on many other benefits of breastfeeding for the mother and the child supports its continued promotion, protection and support.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aleitamento Materno / Sobrepeso Tipo de estudo: Etiology_studies / Observational_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Newborn País/Região como assunto: America do sul / Brasil Idioma: En Revista: Int J Obes (Lond) Ano de publicação: 2006 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aleitamento Materno / Sobrepeso Tipo de estudo: Etiology_studies / Observational_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Newborn País/Região como assunto: America do sul / Brasil Idioma: En Revista: Int J Obes (Lond) Ano de publicação: 2006 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido