Breastfeeding and Overweight: Longitudinal Analysis in an Australian Birth Cohort

Burke, Valerie; Beilin, Lawrie J.; Simmer, Karen; Oddy, Wendy H.; Blake, Kevin; Doherty, Dorota; Kendall, Garth; Newnham, John P.; Landau, Louis I.; Stanley, Fiona

doi:10.1016/j.jpeds.2005.03.038

Cited by 84 publications

(78 citation statements)

References 20 publications

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“…This observed protective effect of breast-feeding was larger than that reported in previous studies (9,14,18) , and this could be because of the small number of cases in each monthly duration of breast-feeding stratum. We also observed a non-significant trend with increasing duration of breastfeeding.…”

Section: Discussioncontrasting

confidence: 75%

Relationship between breast-feeding and adiposity in infants and pre-school children

Gopinath

Subramanian

Flood

et al. 2012

Public Health Nutr.

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Objectives: We aimed to establish associations of duration of breast-feeding with mean BMI and waist circumference, as well as the likelihood of being overweight/obese, during early childhood. Design: Cross-sectional, population-based study. Height, weight and waist circumference were measured and BMI calculated. Interviewer-administered questionnaire determined whether the child was ever breast-fed and the duration of breast-feeding. Setting: Sydney, Australia. Subjects: Infants and pre-school children (n 2092) aged 1-6 years were examined in the Sydney Paediatric Eye Disease Study during [2007][2008][2009]. Results: Of the children aged 1-6 years, 1270 had been breast-fed compared with 822 who were never breast-fed. After multivariable adjustment, 1-6-year-old children who were ever breast-fed compared with those who were not had significantly lower BMI, 16?7 (SE 0?1) kg/m 2 v. 17?1 (SE 0?2) kg/m 2 (P 5 0?01). Decreasing BMI was associated with increasing duration of breast-feeding (P trend 5 0?002). After multivariable adjustment, each month increase in breastfeeding was associated with an average BMI decrease of 0?04 kg/m 2 (P 5 0?002) and 0?03 kg/m 2 (P 5 0?03) among children aged 1-2 years and 3-4 years, respectively. In 1-2-year-old children, each month increase in breast-feeding duration was associated with a 0?06 cm decrease in waist circumference (P 5 0?04). Significant associations were not observed among 5-6-year-old children. Children who were ever breast-fed v. those never breast-fed were less likely to be overweight/obese 95 % CI 0?36, 0?83). Conclusions: We demonstrated a modest influence of breast-feeding on children's BMI during early childhood, particularly among those aged less than 5 years.

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Section: Discussioncontrasting

confidence: 75%

Relationship between breast-feeding and adiposity in infants and pre-school children

Gopinath

Subramanian

Flood

et al. 2012

Public Health Nutr.

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“…After these recent meta-analyses and systematic reviews, at least 13 additional observational studies were published. Six of them suggested a decreased risk for obesity with breastfeeding, [58][59][60][61][62][63] while five 42,64-67 did not detect any association. One of the largest studies to date showed a protective effect of breastfeeding only in some subgroup analyses.…”

Section: No Data Experimental Reproducibility In Humansmentioning

confidence: 90%

Nature and strength of epidemiological evidence for origins of childhood and adulthood obesity in the first year of life

Stettler

2007

Int J Obes

117

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Increased interest in early life origins of chronic disease, a concept often referred to as programming, has resulted in several studies investigating the origins of childhood or adulthood obesity during infancy. Rapid infancy weight gain as a risk factor and breastfeeding as a protective factor for later obesity have been most thoroughly studied. The association between rapid infancy weight gain and later obesity is supported by several observational studies, but not by the two, relatively small, randomized trials. This association is strong, suggests a dose-response effect and has biological plausibility, but is not consistent between study designs. Rapid infancy weight gain as a risk factor for later obesity has been experimentally reproduced in animal models, but not in humans. The protective effect of breastfeeding on obesity is also supported by several observational studies, but randomized trials are not available. Considering the potential for residual confounding factors, current evidence is insufficient to demonstrate origins of obesity during infancy or to change public health recommendations, but the potential for obesity prevention during infancy is promising.

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“…Of six additional studies not included in these reviews, four reported protective associations adjusted for covariates (31-34), one found that adjustment for paternal attributes abolished the association (35), and another had mixed findings (36). Overall, 21 studies that included 100 or more subjects per feeding group and examined overweight or obesity in children at least 3 years of age provide the most informative estimates (3,10,31-39).…”

Section: Breastfeeding and Development Of Overweight In Offspring In mentioning

confidence: 99%

Breastfeeding After Gestational Diabetes Pregnancy

Gunderson

2007

Diabetes Care

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Breastfeeding and Overweight: Longitudinal Analysis in an Australian Birth Cohort

Cited by 84 publications

References 20 publications

Relationship between breast-feeding and adiposity in infants and pre-school children

Relationship between breast-feeding and adiposity in infants and pre-school children

Nature and strength of epidemiological evidence for origins of childhood and adulthood obesity in the first year of life

Breastfeeding After Gestational Diabetes Pregnancy

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