Breastfeeding and decreased risk for childhood obesity
Keywords:
breastfeeding, children, obesity, Indonesia
Abstract
Background Breast milk promotes infant growth and appropriateweight gain, minimizing the risk for malnutrition, and possibly
for obesity.
Objective To determine the influence of infant breastfeeding
practices on the risk for obesity in children aged 6 to 8 years.
Methods We conducted a case-control study comparing
breastfeeding practices between obese and non-obese children.
Subjects were selected from two elementary schools in Yogyakarta.
Case subjects had body mass index (BMI)-for-age <::: + 2 SD
(WHO 2007 growth reference curve). Control subjects had BMIfor-
age SD between-2and+1 SD, and were matched for age and
gender to the case subjects. Subjects' mothers filled questionnaires
on their breastfeeding practices.
Results We recruited 68 pairs of obese and non-obese subjects,
4 7 (69%) pairs of boys and 21 (31 %) pairs of girls. The mean
duration of breastfeeding in the obese group was shorter than
that of the non-obese group, 12.9 months (SD 9.78) vs. 16.1
months (8.39), respectively, a mean difference of 3.24 months
(95% CI 0.14 to 6.32). Partially breastfed and formula-fed children
had significantly higher odds for obesity compared to that of
exclusively breastfed children, OR4.70 (95% CI 3.96 to 5.43) for
partial breastfeeding and 6.20 (95% CI 4.67 to 7.73) for formula
feeding. The risk for obesity also declined with longer durations
of breastfeeding.
Conclusion Exclusive infant breastfeeding and longer duration
of breastfeeding lowered the risk for childhood obesity in children
aged 6-8 years. [Paediatr lndones. 2012;52: 1-5].
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References
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effect of breastfeeding on future overweight explained
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from the centers for disease control and prevention pediatric
nutrition surveillance system. Pediatrics. 2004;113:81-6.
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Frazier AL, Rockett HRH, et al. Risk of overweight among
adolescents who had been breastfed as infants. JAMA.
2001;285:2461-7.
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with and without formula use on the risk of obesity
at 4 years of age. Obes Res. 2004;12:1527-35.
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childhood: cross-sectional study. BMJ. 2003;327:904-5.
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Association between infant breastfeeding and overweight
in young children. JAMA. 2001;285:2453-60.
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school-aged children and adolescents. Bulletin of the WHO.
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Duration of breastfeeding and risk of overweight: a metaanalysis.
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breastfeeding duration by elderly women. Am J Epidemiol.
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protecting children from malnutrition: a comparative study
of nutritional status in children under two years of age in two
districts in Indonesia. Paediatr Indones. 2002;42: 106-12.
Riset kesehatan dasar (RISKESDAS) 2007. Jakarta: Laporan
nasional; 2007. p. 36-7.
2. Julia M, van Weissenbruch MM, PrawirohartonoEP, Surjono
A, Delemarre-van de Waal HA. Tracking for underweight,
overweight and obesity from childhood to adolescence: A
5-year follow-up study in urban Indonesian children. Horm
Res. 2008;69:301-6.
3. Von Kries R, Koletzko B, Saurwald T, Von Mutius E, Bamert
D, Grunert V, et al. Breastfeeding and obesity: a crosssectional
study. BMJ. 1999;319: 147-50.
4. Araujo CL, Victoria CG, Halla! PC, Gigante DP. Breastfeeding
and overweight in childhood: evidence from the
Pelotas 1993 birth cohort study. Int J Obes. 2006;30:500-6.
5. Taveras EM, Rifas-Shiman SL, Scanlon KS, Grummer-Strawn
LM, Sherry B, Gillman MW. To what extent is the protective
effect of breastfeeding on future overweight explained
by decreased maternal feeding restriction? Pediatrics.
2006; ll 8:2341-8.
6. Grummer-Strawn LM, Mei Z. Does breastfeeding protect
against pediatric overweight? Analysis of longitudinal data
from the centers for disease control and prevention pediatric
nutrition surveillance system. Pediatrics. 2004;113:81-6.
7. Gillman MW, Rifas-Shiman SL, Camargo CA, Berkey CS,
Frazier AL, Rockett HRH, et al. Risk of overweight among
adolescents who had been breastfed as infants. JAMA.
2001;285:2461-7.
8. Bogen DL, Hanusa BH, Whitaker RC. The effect of breastfeeding
with and without formula use on the risk of obesity
at 4 years of age. Obes Res. 2004;12:1527-35.
9. Li L, Parsons TJ, Power C. Breast feeding and obesity in
childhood: cross-sectional study. BMJ. 2003;327:904-5.
10. Hediger ML, Overpeck MD, Kuczmarski RJ, Ruan WJ.
Association between infant breastfeeding and overweight
in young children. JAMA. 2001;285:2453-60.
11. Dewey KG. Is breastfeeding protective against child obesity?
J Hum Lact. 2003;19:9-18.
12. U.S. Department of Health and Human Services. The
comprehensive benefits of breastfeeding. Washington,
DC: US Department of Health and Human Services,
Office on Women's Health; [Cited 2008 November]
Available from: http://eclkc.ohs.acfhhs.gov/hslc/tta- system/
family /For%2 0Parents /Expectant%2 OMothers/B reastf eeding/
The Comprehensive .htm
13. Badan Penelitian dan Pengembangan Kesehatan-Depkes RI.
Laporan SKRT 2001: Studi kesehatan ibu dan anak (SKIA).
Jakarta: Tim surkenas; 2001. p. 24-6.
14. UNICEF. UNICEF promotes exclusive breastfeeding to
save children's lives in Indonesia. [Cited 2006 October 17]
Available from: http://www.uniceforg/Indonesia/breastfeeding
15. WHO. Development of a WHO growth reference for
school-aged children and adolescents. Bulletin of the WHO.
2007;85:660-7. [Cited 2007 September] Available from:
http://www.who.int/bulletin/volumes/85/9/07-043497/en
16. Madiyono B, Moeslichan S, Sastroasmoro S, Budiman I,
Purwanto SH. Perkiraan besar sampel. In: Sastroasmoro S,
Ismael S, editors. Dasar-dasar metodologi penelitian klinis.
Jakarta: Sagung Seto; 2002. p. 259-87.
17. Arenz S, Rucker! R, Koletzko B, Von Kries R. Breastfeeding
and childhood obesity: a systematic review. Int J Obes.
2004;28:1247-56.
18. Harder T, Bergmann R, Kallischnigg G, Plagemann A.
Duration of breastfeeding and risk of overweight: a metaanalysis.
Am J Epidemiol. 2005; 162 :397 -403.
19. Promislow JHE, Gladen BC, Sandler DP. Maternal recall of
breastfeeding duration by elderly women. Am J Epidemiol.
2005;161:289-96.
20. Julia M, Surjono A, Hakimi M. Role of breastfeeding in
protecting children from malnutrition: a comparative study
of nutritional status in children under two years of age in two
districts in Indonesia. Paediatr Indones. 2002;42: 106-12.
Published
2012-03-30
How to Cite
1.
Sulanto A, Wandita S, Julia M. Breastfeeding and decreased risk for childhood obesity. PI [Internet]. 30Mar.2012 [cited 25Nov.2024];52(1):1-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/290
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Received 2016-08-21
Accepted 2016-08-21
Published 2012-03-30
Accepted 2016-08-21
Published 2012-03-30
