Infant feeding practices and prevalence of obesity in eight European countries – the IDEFICS study

Hunsberger, Monica; Lanfer, A; Reeske, Anna; Veidebaum, Toomas; Russo, Paola; Hadjigeorgiou, Charalampos; Moreno, Luís A.; Molnár, Denés; Henauw, Stefaan De; Lissner, Lauren; Eiben, Gabriele

doi:10.1017/s1368980012003850

Cited by 35 publications

(29 citation statements)

References 34 publications

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“…Furthermore, breastfeeding (BF) compared to milk formula feeding is associated with a decreased risk of overweight in childhood and a dose dependent decreased risk has been suggested (Harder, Bergmann, Kallischnigg, & Plagemann, ; Hörnell, Lagström, Lande, & Thorsdottir, ). In a previous report of the IDEFICS (identification and prevention of dietary and life style induced health effects in children and infants) study, it was revealed that exclusive breastfeeding (EBF), for 4 to 6 months, protects from obesity later in life (Hunsberger et al, ). The World Health Organization (WHO) recommends EBF for the first 6 months of life followed by the introduction of nutritionally adequate complementary foods, whereas infants continue to being breastfed up to 2 years of age or more (WHO, ).…”

Section: Introductionmentioning

confidence: 99%

Timing of solid food introduction and association with later childhood overweight and obesity: The IDEFICS study

Παπούτσου¹,

Savva²,

Hunsberger

et al. 2017

Maternal & Child Nutrition

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Section: Introductionmentioning

confidence: 99%

Timing of solid food introduction and association with later childhood overweight and obesity: The IDEFICS study

Παπούτσου¹,

Savva²,

Hunsberger

et al. 2017

Maternal & Child Nutrition

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“…For example, in Belgium 46·1 % of the children were never breastfed whereas in Estonia only 9·9 % of the children were never breastfed (28) . The mean duration of exclusive breastfeeding was 3·2 months across all survey centres.…”

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confidence: 99%

Early feeding practices and family structure: associations with overweight in children

Hunsberger

2013

Proc. Nutr. Soc.

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The aim of this review is to examine two factors that may be associated with development of childhood overweight: early feeding, namely exclusive breastfeeding practices; family structure. Findings from the Identification and prevention of Dietary- and lifestyle-induced health EFfects In Children and infantS (IDEFICS) study are presented in the context of the literature. IDEFICS is a multi-centre European study exploring the risks for overweight and obesity in children, which recruited 16 224 children aged 2–9 years from September 2007 to June 2008 at survey centres in Italy, Estonia, Cyprus, Belgium, Sweden, Hungary, Germany and Spain. Among the IDEFICS sample, after controlling for confounders, exclusive breastfeeding for 4–6 months was protective of overweight (including obesity) when compared with children never exclusively breastfed (OR 0·73, 95 % CI 0·63, 0·85). Family structure and number of siblings may also be associated with overweight. IDEFICS children without siblings were more likely (OR 1·52, 95 % CI 1·34, 1·72) to be overweight than their peers with siblings when controlling for factors related to childhood overweight such as country, parental education, parental weight, maternal age, child's age, birth weight and gender. Both early feeding practices and family structure play a role in the future development of obesity. The impact of breastfeeding on future development of overweight is dependent upon the dose. Exclusive breastfeeding for the recommended 6 months appears to be protective of overweight. Family structure is also an important component and emerging research suggests only children are at increased risk for overweight in comparison with those with siblings. In European countries, approximately 22 million children are overweight. Early dietary exposures, genetic, environmental and social factors have all been proposed as potential causal factors. Two such factors include exclusive breastfeeding and the impact of being an only child. We have investigated these two factors for associations with overweight; our studies, in the context of previous findings, are the focus of this review.

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“…; Franklin ; Hunsberger et al . ; Urban ). However, these studies failed to report whether continuous breastfeeding occurred up to 24 months (Table ).…”

Section: Resultsmentioning

confidence: 99%

Impact of adherence to WHO infant feeding recommendations on later risk of obesity and non‐communicable diseases: systematic review

Martin¹,

Bland

Connelly

et al. 2015

Maternal & Child Nutrition

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Adherence to WHO infant feeding recommendations has short-term benefits and may also help in the prevention of non-communicable diseases (NCDs). This study reviewed the evidence on whether adherence to all elements of the WHO infant feeding recommendations (comparison group those exclusively breastfed to 6 months, introduced to appropriate complementary feeding from 6 months, with continued breastfeeding to at least 24 months; exposure group characterised by non-adherence to any of the three recommendations) is associated with reduced risk of later obesity or cardiometabolic disease. The population of interest was children not classified as very low weight (weight-for-age z-score >-3.0). MEDLINE, EMBASE, Global Health, CINAHL plus, ProQuest Dissertations and Thesis were systematically searched from 2001 to July 2014, manual reference searching of a birth cohort register (http://www.birthcohorts.net/) as well as papers identified in the search and selected journals was carried out. The database search yielded 9050 records, 275 English-language full-text articles were screened, but no studies were eligible, failing to meet the following criteria: comparison (213); exposure (14); population (3); relevant outcome (5); outcome before 24 months (9); insufficient information provided (30); plus one study was qualitative. Eight studies met the inclusion criterion of exclusive breastfeeding to 6 months, but did not meet the other inclusion criteria. The present study has revealed an important gap in the evidence on NCD prevention, and suggestions for addressing this evidence gap are provided.

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Infant feeding practices and prevalence of obesity in eight European countries – the IDEFICS study

Cited by 35 publications

References 34 publications

Timing of solid food introduction and association with later childhood overweight and obesity: The IDEFICS study

Timing of solid food introduction and association with later childhood overweight and obesity: The IDEFICS study

Early feeding practices and family structure: associations with overweight in children

Impact of adherence to WHO infant feeding recommendations on later risk of obesity and non‐communicable diseases: systematic review

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