TOS Scientific Position Statement: Breastfeeding and Obesity

Oken, Emily; Fields, David A.; Lovelady, Cheryl A.; Redman, Leanne M.

doi:10.1002/oby.22024

Cited by 13 publications

(9 citation statements)

References 30 publications

(30 reference statements)

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“…The primary limitation of this secondary analysis is that observational studies cannot fully account for differences in sociodemographic factors, physiology, and behaviors between participants. 12 Although this analysis attempted to statistically adjust for measures associated with breastfeeding and child health outcomes, unique differences among participants likely remain and may affect our findings. 24 In addition, FBS participants were more likely to be white, college educated, married and to have private insurance than women aged 18–36 delivering their first child in the State of Pennsylvania.…”

Section: Discussionmentioning

confidence: 99%

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Breastfeeding initiation and duration and child health outcomes in the first baby study

Pattison

Kraschnewski

Lehman

et al. 2019

Preventive Medicine

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Despite the known benefits of breastmilk, associations between breastfeeding and child overall health outcomes remain unclear. We aimed to understand associations between breastfeeding and health outcomes, including child weight, through age 3. Analysis included women (N=3,006) in the longitudinal, prospective First Baby Study from 2009 to 2014. For this analysis, breastfeeding initiation and duration were measured using self-reported data from the 1-, 6- and 12-month surveys; child illnesses were analyzed from the 6-, 12-, and 24-month interviews; height and weight at age 3 were used to determine overweight/obese (≥85th percentile) and obese (≥95th percentile). Adjusted logistic regressions were utilized to determine significance. Greater duration of breastfeeding was associated with fewer reported acute illnesses at 6 months (p<0.001) and fewer diarrheal illness/constipation episodes at 6, 12, and 24 months (p=0.05) in adjusted analyses. Fewer breastfed children, compared to non-breastfed children, were overweight/obese (23.5% vs. 37.8%; p=0.032) or obese (9.1% vs. 21.6%; p=0.012) at age 3. Breastfeeding duration was negatively associated with overweight/obese (never breastfed: 37.8%, 0–6 months: 26.9%, >6 months: 20.2%; p=0.020) and obesity (never breastfed: 21.6%, 06 months: 11.0%, >6 months: 7.3%; p=0.012). Overall, our findings support the hypothesis that duration of breastfeeding is associated with fewer reported acute illnesses at 6-months of age and diarrheal illness and/or constipation episodes at 6-,12- and 24-months. Additionally, results from our study suggest a protective effect of breastfeeding from childhood overweight/obesity, as children who received breastmilk for 6 months or longer had lower odds of overweight/obesity at age 3 years.

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Section: Discussionmentioning

confidence: 99%

“…11 Furthermore, information on duration of breastfeeding is not always reported, thus the optimal duration of breastfeeding necessary to reduce the likelihood of a child being overweight/obese remains unknown. 12…”

Section: Introductionmentioning

confidence: 99%

Breastfeeding initiation and duration and child health outcomes in the first baby study

Pattison

Kraschnewski

Lehman

et al. 2019

Preventive Medicine

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“… 63 Sufficient duration of breastfeeding is critical for maternal and child health 64 and also facilitates obesity prevention, especially for children at high biological risk of excess weight gain. 65 66 67 Breastfeeding may also help to break the cycle of intergenerational transmission by facilitating maternal postpartum weight loss, 68 69 70 decreasing the mother’s risk of being more overweight in a subsequent pregnancy. This applies especially in HICs but is becoming relevant to those LMICs where the majority of women of reproductive age are overweight or obese.…”

Section: Strategies For Tackling Undernutrition and Overweightmentioning

confidence: 99%

Nutrition disparities and the global burden of malnutrition

Pérez‐Escamilla¹,

Bermúdez

Buccini³

et al. 2018

BMJ

175

148

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“…Exclusive breastfeeding for the first 6 months of life is recommended by the World Health Organization for its protection against infant morbidity [106], benefits to maternal health [106] and potential to reduce childhood obesity [107,108].…”

Section: Breastfeedingmentioning

confidence: 99%

Developmental overnutrition and obesity and type 2 diabetes in offspring

2019

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Childhood obesity has reached pandemic proportions, and youth-onset type 2 diabetes is following suit. This review summarises the literature on the influence of developmental overnutrition, resulting from maternal diabetes, obesity, maternal dietary intake during pregnancy, excess gestational weight gain, and infant feeding practices, on the aetiology of obesity and type 2 diabetes risk during childhood and adolescence. Key goals of this review are: (1) to summarise evidence to date on consequences of developmental overnutrition; (2) describe shared and distinct biological pathways that may link developmental overnutrition to childhood obesity and youth-onset type 2 diabetes; and (3) to translate current knowledge into clinical and public health strategies that not only target primary prevention in youth, but also encourage primordial prevention during the perinatal period, with the aim of breaking the intergenerational cycle of obesity and diabetes.

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TOS Scientific Position Statement: Breastfeeding and Obesity

Cited by 13 publications

References 30 publications

Breastfeeding initiation and duration and child health outcomes in the first baby study

Breastfeeding initiation and duration and child health outcomes in the first baby study

Nutrition disparities and the global burden of malnutrition

Developmental overnutrition and obesity and type 2 diabetes in offspring

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