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does breastfeeding protect against childhood obesity.ppt

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does breastfeeding protect against childhood obesity

Breastfeeding and risk of child obesity Kathryn G. Dewey, PhD Program in International and Community Nutrition University of California, Davis Study selection criteria N 100 per feeding group Age at follow-up 3 y Outcome = % overweight or obese Studies in preschool children Studies in school-aged children Studies in older adolescents Breastfeeding and childhood obesity – a systematic review. Arenz et al. Intl J Obes, 2004; 28:1247-56. Effect of infant feeding on the risk of obesity across the life course: a quantitative review of published evidence. Owen et al. Pediatrics 2005;115:1367-77. Reviewed 61 studies; 28 with odds ratio estimates OR for any BF, all studies: 0.87 (0.85-0.89) For infants: OR = 0.50 (0.26-0.94) For young children: OR = 0.90 (0.87-0.92) For older children: OR = 0.66 (0.60-0.72) For adults: OR = 0.80 (0.71-0.91) Adjusted for SES, parental BMI maternal smoking) for any BF, all studies: AOR = 0.93 (0.88-0.99) Protective effect of BF stronger in 4 studies in which initial feeding groups were exclusive: OR = 0.76 (0.70-0.83) Stronger relationship with longer duration of BF: OR = 0.81 (0.77-0.84) for BF 2 mo OR = 0.89 (0.86-0.91) for any BF duration Bergmann et al. (Germany)N=480; BMI at 0-6 y Poulton Williams (New Zealand)N=1,037, born 1972-73BMI at 3, 5, 7, 9, 11, 13, 15, 18, 21, 26 y In those BF 6 mo, a lower risk of obesity was observed at 9-18 years of age, but not at younger ages (3-8 years) or in adulthood ( 18 years) Is puberty / adolescence a critical period, when the influence of infant feeding mode is most clearly expressed? Breastfeeding duration and obesity at 4 y among white children whose mothers did not smoke during pregnancy [Bogen et al., 2004] BF duration AOR Never 1.00 8 wk 0.97 8-15 wk w/ FF 0.84 8-15 wk w/o FF 0.80 16-26 wk w/ FF 0.86 16-26 wk w/o FF 0.71* 26 wk w/ FF 0.70* 26 wk w/o FF 0.55* * p 0.05, adjusted for maternal age, education, parity, marital status, pregnancy conditions,