Inverse association of overweight and breast feeding in 9 to 10-y-old children in Germany
Inverse association of overweight and breast feeding in 9 to 10-y-old children in Germany
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DOI：
10.1038/sj.ijo.0801800
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发表时间：
2001-11-01
影响因子：
4.9
通讯作者：
Weiland, SK
中科院分区：
文献类型：
--
作者：
Liese, AD;Hirsch, T;Weiland, SK
目的：评估母乳喂养是否与青春期前儿童普遍超重有关。方法：根据国际儿童哮喘和过敏研究（ISAAC）II期方案，对1995/1996年在德累斯顿（n = 1046）和慕尼黑（n = 1062）、德国的9至10岁四年级儿童进行横断面研究。由孩子的父母填写一份全面的问卷，包括详细的母乳喂养史。身高和体重是在一个随机子样本的儿童进行肺功能测定。超重被定义为身体质量指数大于或等于第90个年龄和性别特异性百分位数的德国reference.RESULTS：虽然德累斯顿（女孩9.1%，男孩12.5%）和慕尼黑（均为17%）之间的超重的患病率有很大的不同，我们观察到一个显着较低的超重患病率母乳喂养比非母乳喂养的儿童在这两个城市。控制年龄、性别和城市，母乳喂养的儿童在9 - 10岁时超重的可能性大大降低（OR 0.55，95%CI 0.41 - 0.74）。调整国籍、社会经济地位、兄弟姐妹数量、父母吸烟后，结果略有减弱（OR 0.66，95%CI 0.52 - 0.87）。一个较长的整体持续时间和持续时间的纯母乳喂养显着降低超重患病率。结论：结果突出的重要性和可能的预防潜力，早期营养在儿童超重的发展。母乳喂养与儿童超重之间的负相关关系可能与哺乳期婴儿获得的喂养行为和代谢效应有关。
OBJECTIVE: To evaluate whether breast feeding is associated with prevalent overweight in pre-adolescent children.METHODS: Cross-sectional studies of 9 to 10-y-old children attending fourth grade in 1995/1996 in Dresden (n = 1046) and Munich (n = 1062), Germany, according to the International Study of Asthma and Allergies in Childhood (ISAAC) Phase II protocol. A comprehensive questionnaire including detailed breast feeding history was filled out by the child's parent. Height and weight were measured in a random subsample of children undergoing spirometry. Overweight was defined as body mass index greater than or equal to 90th age- and sex-specific percentile of the German reference.RESULTS: While the prevalence of overweight differed substantially between Dresden (girls 9.1%, boys 12.5%) and Munich (17% both), we observed a markedly lower overweight prevalence among breast fed than non-breast fed children in both cities. Controlling for age, sex and city, breast-fed children were substantially less likely to be overweight at 9 - 10y (OR 0.55, 95% Cl 0.41 - 0.74). Results were slightly attenuated after adjustment for nationality, socio-economic status, number of siblings, parental smoking (OR 0.66, 95% Cl 0.52 - 0.87). A longer overall duration and duration of exclusive breast feeding was associated significantly with decreasing prevalence of overweight.CONCLUSION: The results highlight the importance and possible preventive potential of early nutrition in the development of overweight in children. Both feeding behaviors acquired by the nursing infant and metabolic effects may contribute to the observed inverse association of breast feeding and overweight in children.