Amamentação na infância e obesidade na idade escolar em famílias de alto nível socioeconômico

Siqueira, Renata Monteiro; Monteiro, Carlos Augusto

doi:10.1590/s0034-89102007000100002

Cited by 40 publications

(39 citation statements)

References 22 publications

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“…Breastfeeding in the first weeks of life is of great importance, because this is a critical period for the expression of the protective effect of breastfeeding against excessive weight. 25 Siqueira et al 26 found that, during school age, high socioeconomic level Brazilian children who were never breastfed had a higher risk of being obese than those who were breastfed, after adjustment for possible confusing factors. However, as in this work, the association between breastfeeding length and obesity was not investigated.…”

Section: Discussionmentioning

confidence: 99%

Aleitamento materno por trinta ou mais dias é fator de proteção contra sobrepeso em pré-escolares da região semiárida de Alagoas

Ferreira¹,

Vieira²,

Cabral³

et al. 2010

Rev. Assoc. Med. Bras.

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Objective. Assessing the effects of breastfeeding on the occurrence of anthropometric deviations among preschool children of the semiarid region of Alagoas (Brazil) and possible associated factors. MethOds. In a probabilistic sample of 716 1-5 year-old children, anthropometric, socioeconomic, demographic and health data were collected. The dependent variables were stunting (height-for-age < -2 SD) and overweight (weight-for-height > 2 SD) relative to the WHO-2006 standard. Children were categorized into "breastfed" (breastfeeding ≥ 30 days) and "not breastfed" (breastfeeding <30 days). Data were submitted to bivariate (c2) and multivariate (logistic regression) analyses. Results. Prevalence of stunting and overweight were 11.5% and 6.3% respectively. Although 87.3% belonged to the lower economic classes (D and E), 44.3% of mothers had a BMI ≥ 25 kg/m2. Among the 716 children studied, 489 (68.3%) were breastfed, 65 (9.0%) were not breastfed and 162 (22.7%) were still breastfeeding. Among those of the breastfed group, 213 (43.5%) received breast milk for more than 12 months. In bivariate analysis the prevalence of overweight was higher among the not breastfed group (12.7% vs. 6%; CI95% = 1 to 5.5). Factors independently associated with stunting were lower birth weight, living in rural areas and mother not living with a partner. Overweight was associated with no breastfeeding, maternal smoking during pregnancy and birth weight ≥ 4.0 kg. cOnclusiOn. Breastfeeding for a minimum period of 30 days had a protective effect against overweight in preschool children of the semiarid region of Alagoas.

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Section: Discussionmentioning

confidence: 99%

Aleitamento materno por trinta ou mais dias é fator de proteção contra sobrepeso em pré-escolares da região semiárida de Alagoas

Ferreira¹,

Vieira²,

Cabral³

et al. 2010

Rev. Assoc. Med. Bras.

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“…19 This practice has been identified as a possible protective factor against school age obesity, which is an ever-more common cause of concern in the field of public health, due to the increased risk that such children will become obese adults, in view of the range of morbid conditions that are associated with obesity. 20,21 Another significant result is related to the change in pri- The fact that variables which may have contributed to changes Impact of the BFPCI on a basic healthcare center -Cardoso LO et al…”

mentioning

confidence: 99%

Impacto da implementação da Iniciativa Unidade Básica Amiga da Amamentação nas prevalências de aleitamento materno e nos motivos de consulta em uma unidade básica de saúde

Castro¹,

Vicente²,

Damião³

et al. 2008

J. Pediatr. (Rio J.)

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Objective: To compare the prevalence rates of breastfeeding and the principal causes of consultations at the infant and neonatal clinic of a basic healthcare center in the city of Rio de Janeiro, before and after its being accredited by the Breastfeeding Friendly Primary Care Initiative. Methods:Information was analyzed from 121 and 200 children followed-up at the healthcare center before and after certification, respectively. Type of feeding was classified as exclusive breastfeeding, predominant breastfeeding or breastfeeding, and the 10th International Classification of Diseases was used to classify the complaints causing consultations.Results: A statistically significant increase was observed in the prevalence of exclusive breastfeeding, both among those less than 4 months old (68 vs. 88%; p < 0.0001) and among children aged from 4 to 6 months (41 vs. 82%; p < 0.0001). Furthermore, an impressive increase was observed in the prevalence of breastfeeding in children more than 6 months old, especially those aged 9 to 12 months (24 vs. 82%; p < 0.0001). After certification, there was also a reduction in the number of consultations motivated by some type of disease among infants more than 4 months old. Conclusion:Implementation of the Breastfeeding Friendly Primary Care Initiative proved to be an important strategy for increasing the rate of breastfeeding and reducing consultations due to disease among infants less than one year old cared for at this health center.

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“…, 21 Hediger et al,27 in the United States, concluded that the preschoolers that had been breastfed had a lower risk of being obese, but not of being overweight. A longitudinal study of German children demonstrated the protective role of prolonged breastfeeding also for overweight 22.…”

Section: Discussionmentioning

confidence: 99%

Maternal breastfeeding, early introduction of non-breast milk, and excess weight in preschoolers

Nascimento

Silva

Ferreira

et al. 2016

Revista Paulista de Pediatria (English Edition)

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Objective:Investigate associations between excess weight in preschool children, breastfeeding duration and age of non-breast milk introduction.Methods:Cross-sectional study of a representative sample of 817 preschool children, aged 2-4 years, attending municipal day care centers in the city of Taubaté. The weight and height of children were measured in the day care centers in 2009, 2010 and 2011. The body mass index z-score (BMIz) was calculated and children were classified as risk of overweight (BMIz≥1 to<2) or excess weight (BMIz≥2). Data analysis was carried out by comparison of proportions, coefficient of correlation and multivariate linear regression.Results:The prevalence of risk of overweight was 18.9% and of excess weight (overweight or obesity) was 9.3%. The median duration of breastfeeding and age of introduction of non-breast milk was 6 months. The child's BMIz showed direct correlation with birth weight (r=0.154; p<0.001) and maternal body mass index (BMI) (r=0.113; p=0.002). The correlation was inverse with the total duration of breastfeeding (r=−0.099; p=0.006) and age at non-breast milk introduction (r=−0.112; p=0.002). There was no correlation between the child's BMIz with birth length, duration of exclusive breastfeeding and mother's age.Conclusions:The earlier the introduction of non-breast milk, the higher the correlation with excess weight at preschool age.

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Amamentação na infância e obesidade na idade escolar em famílias de alto nível socioeconômico

Cited by 40 publications

References 22 publications

Aleitamento materno por trinta ou mais dias é fator de proteção contra sobrepeso em pré-escolares da região semiárida de Alagoas

Aleitamento materno por trinta ou mais dias é fator de proteção contra sobrepeso em pré-escolares da região semiárida de Alagoas

Impacto da implementação da Iniciativa Unidade Básica Amiga da Amamentação nas prevalências de aleitamento materno e nos motivos de consulta em uma unidade básica de saúde

Maternal breastfeeding, early introduction of non-breast milk, and excess weight in preschoolers

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