Abstract
Background:
Whereas a recently published meta-analysis showed that ever breastfeeding reduces the risk of obesity in childhood significantly, the recent literature describing the relationship between duration of breastfeeding and risk of overweight or obesity in childhood remains inconclusive.
Methods:
Between November 2000 and November 2001, all mothers and their newborns were recruited after delivery at the Department of Gynecology and Obstetrics at the University of Ulm, Germany. Active follow-up was performed at the age of 12 months and 24 months.
Results:
Of the 1066 children included in the baseline examination, information on body mass index was available for 855 (80%) at the 2-year follow-up. At this age 72 children (8.4%) were overweight and 24 (2.8%) were severely overweight. Whereas 76 children (8.9%) were never breastfed, 533 children (62.3%) were breastfed for at least 6 months, and 322 children (37.7%) were exclusively breastfed for at least 6 months. Compared to children who were breastfed for less than 3 months, the adjusted odds ratio (OR) for overweight was 0.4 (95% confidence interval (CI) 0.2–0.8) in children who were breastfed for at least 6 months. When considering the time of exclusive breastfeeding, the adjusted OR for overweight was 0.8 (95% CI 0.4; 1.5) in children who were exclusively breastfed for at least 3 but less than 6 months and 0.4 (95% CI 0.2; 0.9) in children who were exclusively breastfed for at least 6 months compared to children who were exclusively breastfed less than 3 months.
Conclusion:
These results highlight the importance of prolonged breastfeeding for the prevention of overweight in children.
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References
World Health Organization. (eds.) Obesity: Preventing and Managing the Global Epidemic: Report of a WHO consultation on obesity. WHO: Geneva, 1998.
James PT, Rigby N, Leach R, International Task Force. The obesity epidemic, metabolic syndrome and future prevention strategies. Eur J Cardiovasc Prev Rehabil 2004; 11: 3–8.
Arenz S, Rückerl R, Koletzko B, von Kries R . Breast-feeding and childhood obesity – a systematic review. Int J Obes Relat Metab Disord 2004; 28: 1247–1256.
Von Kries R, Koletzko B, Sauerwald T, von Mutius E, Barnert D, Grunert V et al. Breast feeding and obesity: cross sectional study. BMJ 1999; 319: 147–150.
Gillman MW, Rifas-Shiman SL, Camargo Jr CA, Berkey CS, Frazier AL, Rockett HR et al. Risk of overweight among adolescents who were breastfed as infants. JAMA 2001; 285: 2461–2467.
Liese AD, Hirsch T, von Mutius E, Keil U, Leupold W, Weiland SK . Inverse association of overweight and breast feeding in 9–10-y-old children in Germany. Int J Obes Relat Metab Disord 2001; 25: 1644–1650.
Toschke AM, Vignerova J, Lhotska L, Osancova K, Koletzko B, Von Kries R . Overweight and obesity in 6- to 14-year-old Czech children in 1991: protective effect of breast-feeding. J Pediatr 2002; 141: 764–769.
Poulton R, Williams S . Breastfeeding and risk of overweight. JAMA 2001; 286: 1449–1450.
O’Callaghan MJ, Williams GM, Andersen MJ, Bor W, Najman JM . Prediction of obesity in children at 5 years: a cohort study. J Pediatr Child Health 1997; 33: 311–316.
Hediger ML, Overpeck MD, Kuczmarski RJ, Ruan WJ . Association between infant breastfeeding and overweight in young children. JAMA 2001; 285: 2453–2460.
Li L, Parsons TJ, Power C . Breast feeding and obesity in childhood: cross sectional study. BMJ 2003; 327: 904–905.
Wadsworth M, Marshall S, Hardy R, Paul A . Breast feeding and obesity. Relation may be accounted for by social factors. BMJ 1999; 319: 1576.
Tietze KW, Trumann B, Schlaud M, Kleemann WJ, Poets CF . Acceptance of breast feeding and public discussion – evaluation of health campaigns for breast feeding between 1991 and 1995. Gesundheitswesen 1998; 60: 154–158.
Kersting M, Dulon M . Assessment of breast-feeding promotion in hospitals and follow-up survey of mother–infant pairs in Germany: the SuSe Study. Public Health Nutr 2002; 5: 547–552.
Abou-Dakn M, Strecker JR . Influence of the birth clinic on breastfeeding. Zentralbl Gynakol 2003; 125: 386–392.
Hebebrand J . Breast feeding and obesity. Prolonging breast feeding to reduce obesity may be a burden. BMJ 1999; 319: 1576.
Butte NF . The role of breastfeeding in obesity. Pediatr Clin North Am 2001; 48: 189–198.
Gillman MW . Comment on: Breast-feeding and obesity. J Pediatr 2002; 141: 749–750.
Kromeyer-Hausschild K, Wabisch M, Kunze D, Geller F, Geiß HC, Hesse V et al. Perzentile für den Body-Mass-Index für das Kindes- und Jugendalter unter Heranziehung verschiedener deutscher Stichproben. Monatsschr Kinderheilkunde 2001; 149: 807–818.
German National Breastfeeding Committee. http://www.bgvv.de/cd420 (last assessed July 25, 2005).
Danielzik S, Czerwinski-Mast M, Langnäse K, Dilba B, Müller MJ . Parental overweight, socioeconomic status and high birth weight are the major determinants of overweight and obesity in 5–7 y-old children: baseline data of the Kiel Obesity Prevention Study (KOPS). Int J Obes Relat Metab Disord 2004; 28: 1494–1502.
Bergmann KE, Bergmann RL, von Kries R, Böhm O, Richter R, Dudenhausen JW et al. Early determinants of childhood overweight and adiposity in a birth cohort study: role of breast-feeding. Int J Obes Relat Metab Disord 2003; 27: 162–172.
Von Kries R, Koletzko B, Sauerwald T, von Mutius E . Does breast-feeding protect against childhood obesity? Adv Exp Med Biol 2000; 478: 29–39.
Baker JL, Michaelsen KF, Rasmussen KM, Sorensen TI . Maternal prepregnant body mass index, duration of breastfeeding, and timing of complementary food introduction are associated with infant weight gain. Am J Clin Nutr 2004; 80: 1579–1588.
Dewey KG . Is breastfeeding protective against child obesity? J Hum Lact 2003; 19: 9–18.
Acknowledgements
This study was supported by grants of the German Research Foundation (BR 1704/3-1, 2, 3).
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Weyermann, M., Rothenbacher, D. & Brenner, H. Duration of breastfeeding and risk of overweight in childhood: a prospective birth cohort study from Germany. Int J Obes 30, 1281–1287 (2006). https://doi.org/10.1038/sj.ijo.0803260
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DOI: https://doi.org/10.1038/sj.ijo.0803260
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