Association of breastfeeding duration, birth weight, and current weight status with the risk of elevated blood pressure in preschoolers

Sun, Jiahong; Wu, Lijuan; Zhang, Yuanyuan; Li, Chunan; Wang, Yake; Mei, Wenhua; Zhang, Jianduan

doi:10.1038/s41430-020-0608-5

Cited by 8 publications

(10 citation statements)

References 33 publications

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“…However, high calorie intake in infancy and large appetite from 1 year were reported to be related to a higher incidence of subsequent childhood obesity [ 23 ]. Children who were breastfed until 12 m/o were reported to be 2.7 times less likely to develop childhood obesity [ 24 , 25 ]. We demonstrated that breastfeeding until 6 m/o is a protective factor against childhood OWOB (OR: 0.96).…”

Section: Discussionmentioning

confidence: 99%

Factors affecting the growth of children till the age of three years with overweight whose mothers have diabetes mellitus: A population-based cohort study

et al. 2021

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Background The prevalence of diabetes mellitus (DM) during pregnancy and childhood obesity is increasing worldwide. Factors affecting the growth of children with overweight whose mothers had DM are complicated and inconclusive. Few longitudinal studies have focused on the growth of infants with macrosomia born to mothers with DM and the factors influencing their overweight. This study explored risk factors for childhood overweight/obesity (OWOB) among children of mothers with DM. Perinatal, maternal socio-demographic, infant care, and maternal body weight characteristics as well as child growth until age 3 years were analyzed using a longitudinal design. Methods In total, 24,200 pairs of mothers and their children from the Taiwan Birth Cohort Study were included. Combined Taiwan Children Growth Curve report classifications were analyzed for infant growth at birth and at 6, 12, 18, 24, and 36 months old (m/o). A multiple logistic regression analysis with different model settings was used to assess factors affecting the growth of high birth weight children of mothers with diabetic mellitus (HODM). Results Children in the HODM group had a higher average body weight than did those in the non-DM group at different age stages. Relative to the non-DM group, weight gain in the HODM group was slower before 18 m/o but faster from 18 to 36 m/o, particularly after 24 m/o. Maternal DM was a major risk factor for childhood OWOB (odds ratio [OR]: 3.25–3.95). After adjustment for related confounders, the OR was 2.19–3.17. Maternal overweight or obesity and higher gestational weight gain were greater risk factors for childhood OWOB at 3 years old after adjusted maternal DM and other selected confounders (OR: 1.45 and 1.23, respectively). Breastfeeding until 6 m/o was a protective factor against childhood OWOB (OR: 0.95). The HODM and non-DM groups did not differ significantly in perinatal, maternal socio-demographic, or infant care characteristics. Conclusions Maternal DM is a major factor of childhood OWOB. Maternal body weight before and after pregnancy affects childhood OWOB, and this effect increases with the child’s age.

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Section: Discussionmentioning

confidence: 99%

Factors affecting the growth of children till the age of three years with overweight whose mothers have diabetes mellitus: A population-based cohort study

et al. 2021

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“…To our knowledge, this is the first line of evidence demonstrating that this practice is capable of directly opposing a factor that promotes, or is strongly linked to, unhealthy weight gain. In related research, Goetz et al 34 observed that breastfeeding decelerated weight gain in infants with high birth weights, and Sun et al 35 found breastfeeding beyond 6 months minimized the impact of this weight status on high blood pressure in pre‐schoolers, thereby indicating it also has the potential to correct obesity directly and attenuate its comorbidities. Previously, reasons for the benefits of breastfeeding on weight management have often been attributed to prevention, rather than treatment, of excess adiposity 12‐14 .…”

Section: Discussionmentioning

confidence: 99%

High intake of added sugars is linked to rapid weight gain in infancy, breastfeeding ≥12 months may protect against this: A preliminary investigation

et al. 2020

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Summary Background Consumption of added sugars is linked to excess adiposity in older age groups and breastfeeding has been shown to protect against later obesity. Objectives This investigation aimed to determine whether intake of added sugars associates with rapid weight gain in individuals under 2 years of age, if intake of added sugars associates with breastfeeding duration, and how both influence body weight. Methods A cross‐sectional analysis of data from three 24‐hours dietary recalls collected from 141 infants/toddlers (age 11.9 ± 1.9 months, 44.7% male) was performed. Multivariable regressions assessed relationships between added sugar intakes, breastfeeding duration, and weight status. Hierarchical regressions examined added variance accounted for in rapid weight gain (specifically, upward weight‐for‐age percentile [WFA %tile] crossing) through the interaction of added sugars * breastfeeding duration. Results Added sugars correlated positively with upward WFA %tile crossing (r = 0.280, P < .001) and negatively with breastfeeding duration (r = −0.468, P < .001). Consumption of added sugars was a significant predictor of rapid weight gain when breastfeeding duration was short (<12 months, β = 0.020, P = .029), but not long (≥12 months, β = 0.001, P = .875). Conclusions A high intake of added sugars in individuals below age 2 associates with rapid weight gain, though breastfeeding ≥12 months appears protective against this. Further studies are necessary to substantiate these findings and provide insight into underlying mechanisms.

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Section: Introductionmentioning

confidence: 99%

“…Findings on the effect of a high birthweight on elevated BP in early life are inconsistent [ 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 ]. Statistical adjustment of current weight in analyses of the association between a high birthweight and subsequent BP remain controversial [ 7 , 9 , 10 , 11 , 12 , 13 , 15 , 16 , 17 ]. Some studies have shown an independent effect of a high birthweight on BP after adjusting for current weight, given the relationship between the birthweight and current weight [ 7 , 12 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Association of Birthweight with Overweight, Obesity, and Blood Pressure among Adolescents

Fan

Guan²,

Zhang

2023

Children

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We investigated the association of birthweight with overweight, obesity, and blood pressure (BP) among adolescents. This cross-sectional study included 857 participants aged 11–17 years from Liangshan, southwest China. Birthweight information was collected from the participants’ parents. The participants’ height, weight, and BP were measured. High birthweight was defined as a value greater than the sex-specific upper quartile. Participants were classified into four groups based on their weight change at birth and adolescence: normal weight at both time points, weight loss, weight gain, and high weight at both time points. High birthweight was positively associated with overweight and obesity in adolescence [odds ratio (95% confidence interval), OR (95% CI): 1.93 (1.33, 2.79)]. Compared with participants with normal weight at both time points, those with high weight at both time points were more likely to have elevated BP in adolescence (OR [95% CI]: 3.02 [1.65, 5.53]), while those with weight loss had similar odds of elevated BP. The sensitivity analysis results did not change significantly when high birthweight was defined alternatively as birthweight > 4 kg. This study showed that the association between high birthweight and elevated BP in adolescence is influenced by current weight.

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Association of breastfeeding duration, birth weight, and current weight status with the risk of elevated blood pressure in preschoolers

Cited by 8 publications

References 33 publications

Factors affecting the growth of children till the age of three years with overweight whose mothers have diabetes mellitus: A population-based cohort study

Factors affecting the growth of children till the age of three years with overweight whose mothers have diabetes mellitus: A population-based cohort study

High intake of added sugars is linked to rapid weight gain in infancy, breastfeeding ≥12 months may protect against this: A preliminary investigation

Association of Birthweight with Overweight, Obesity, and Blood Pressure among Adolescents

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