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

Nascimento, Viviane Gabriela; Silva, Janaína Paula Costa da; Ferreira, Patrícia Calesco; Bertoli, Ciro João; Leone, Cláudio

doi:10.1016/j.rppede.2016.05.002

Cited by 9 publications

(11 citation statements)

References 22 publications

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“…Maternal parity has also been associated with a lower risk of childhood overweight (26) , although this maybe dependent on breast-feeding (27) . Exclusive breast-feeding and later age of introduction of non-breast milk have shown protective effects on preschool overweight/obesity in some (28)(29)(30) but not all studies. Despite the well-established relationship between perinatal and early life factors with overweight and obesity at preschool years, their effect on BMI changes in this age group remains to be thoroughly investigated.…”

mentioning

confidence: 99%

Prospective BMI changes in preschool children are associated with parental characteristics and body weight perceptions: the ToyBox-study

Μanios

Lambert

Mavrogianni

et al. 2021

Public Health Nutr.

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Objective: To examine the effect of the intervention implemented in the ToyBox study on changes observed in age and sex specific BMI percentile and investigate the role of perinatal factors, parental perceptions and characteristics on this change. Design: A multicomponent, kindergarten-based, family-involved intervention with a cluster-randomized design. A standardized protocol was used to measure children’s body weight and height. Information was also collected from parents/caregivers via the use of validated questionnaires. Linear mixed effect models with random intercept for country, socio-economic status and school were used. Setting: Selected preschools within the provinces of Oost-Flanders and West-Flanders (Belgium), Varna (Bulgaria), Bavaria (Germany), Attica (Greece), Mazowieckie (Poland) and Zaragoza (Spain). Participants: A sample of 6,268 pre-schoolers aged 3.5-5.5 (51.9% boys). Results: There was no intervention effect on the change in children’s BMI percentile. However, parents’ underestimation of their children’s actual weight status, parental overweight and mothers’ pre-pregnancy overweight/obesity were found to be significantly and independently associated with increases in children’s BMI percentile in multivariate modelling. Conclusion: Before or as part of the implementation of any childhood obesity intervention initiative, it is important to assist parents/caregivers to correctly perceive their own and their children’s weight status. Recognition of excessive weight by parents/caregivers can increase their readiness to change and as such facilitate higher adherence to favourable behavioural changes within the family.

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mentioning

confidence: 99%

Prospective BMI changes in preschool children are associated with parental characteristics and body weight perceptions: the ToyBox-study

Μanios

Lambert

Mavrogianni

et al. 2021

Public Health Nutr.

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“…Grandmaternal influence on breastfeeding practices may have long‐term health consequences, as several studies have shown an association of shorter duration of breastfeeding with obesity, body fatness and the metabolic syndrome in childhood and adolescence (Ejlerskov et al, 2015 ; Grummer‐Strawn & Mei, 2004 ; Horta et al, 2013 ; Martorell et al, 2001 ; Nascimento et al, 2016 ; Wisnieski et al, 2018 ), though other studies find no such associations (Harder et al, 2005 ; Kramer et al, 2007 ; Sanchez‐Escobedo et al, 2020 ; Schwartz et al, 2015 ). Moreover, there is evidence that infant feeding mode may shape children's subsequent eating behaviors (Li et al, 2014 ; Mariscal Rizo et al, 2017 ).…”

Section: Discussionmentioning

confidence: 99%

Do maternal grandmothers influence breastfeeding duration and infant nutrition? Evidence from Merida, Mexico

Vázquez‐Vázquez

Fewtrell

Chan‐García

et al. 2022

American Journal of Biological Anthropology

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Objectives: Breast-feeding is sensitive to somatic, hormonal, behavioral and psychological components of maternal capital. However, through grandmothering, older women may also influence breast-feeding by transferring informational resources to their daughters. We hypothesized that mothers with prolonged instrumental support from their own mother are more likely to have received advice and to have favorable attitudes/practices regarding breastfeeding, compared to those lacking such support, with implications for the grandchild's somatic capital. Methods:We recruited 90 mother-infant dyads (52 with grandmaternal support, 38 without) in Merida, Yucatan, Mexico. All children were first-borns, aged $2 years.Anthropometry and body composition were assessed. Data on grandmother's breastfeeding advice and maternal breastfeeding duration were obtained by questionnaire. Maternal attitudes to breast-feeding were assessed using the Iowa Infant Feeding Attitude Scale.Results: Women with instrumental support were more likely to have received grandmaternal advice during pregnancy/infancy on exclusive breast-feeding duration (60% vs. 37%, p = 0.033) and the type of first complementary food (81% vs. 47%, p = 0.001). However, women with support had a less favorable attitude to breastfeeding than those without and breastfed their children for less time (median 5 vs. 10.5 months, p = 0.01). No group differences were found in children's length, weight, skinfolds or lean mass z-score.Discussion: Although grandmothers providing instrumental support provided advice regarding breastfeeding, their attitudes may reflect issues beyond nutritional health.Advice of maternal grandmothers did not promote extended breastfeeding, however the differences in breastfeeding attitudes were not associated with the children's Federico Dickinson and Jonathan C. K. Wells are joint senior authors.

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“…Pesquisas apontam que crianças que receberam alimentos antes do período adequado foram mais suscetíveis a doenças 7 , desnutrição 2 e obesidade 8 . Além dos prejuízos que são notados em curto prazo, de acordo com a OMS existem consequências em longo prazo, tais como, fraco desempenho escolar, produtividade diminuída e menor desenvolvimento intelectual e social 9 .…”

Section: Introductionunclassified

Aspectos influenciadores da introdução alimentar infantil

et al. 2021

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Introdução: O Ministério da Saúde recomenda que a introdução alimentar infantil seja feita aos 6 meses de idade, porém, observa-se que muitas famílias introduzem alimentos antes dessa faixa etária, o que pode prejudicar a saúde da criança. Isso pode ocorrer devido às crenças existentes, experiências prévias da família, entre outros fatores de ordem social e cultural. Objetivo: Investigar aspectos influenciadores da introdução alimentar de crianças. Métodos: O presente estudo trata-se de uma pesquisa transversal, quantitativa, com amostra não probabilística, de conveniência. Foram incluídos no estudo 22 pais ou responsáveis de crianças com idade até 24 meses. Foi aplicado um questionário com os pais ou responsáveis que continha perguntas relacionadas à criança, à família e aos fatores socioculturais; introdução alimentar; e crenças e conhecimentos sobre introdução alimentar. Resultados: Houve prevalência de aleitamento materno exclusivo até os 6 meses de 31,8% e introdução alimentar em tempo oportuno de 45%. Os resultados demonstram correlação entre escolaridade, renda, presença de plano de saúde e ocupação dos pais fora de casa com conhecimento sobre alimentação complementar. Encontrou-se também correlação entre o conhecimento dos pais e tempo de aleitamento materno exclusivo e tempo em que foi introduzida alimentação complementar. Conclusão: A partir dos resultados pode-se inferir que o nível de instrução, a ocupação e a renda familiar exercem influência no conhecimento dos pais sobre introdução alimentar. E que este conhecimento influencia a duração do aleitamento materno exclusivo e a época da introdução alimentar.

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

Cited by 9 publications

References 22 publications

Prospective BMI changes in preschool children are associated with parental characteristics and body weight perceptions: the ToyBox-study

Prospective BMI changes in preschool children are associated with parental characteristics and body weight perceptions: the ToyBox-study

Do maternal grandmothers influence breastfeeding duration and infant nutrition? Evidence from Merida, Mexico

Aspectos influenciadores da introdução alimentar infantil

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