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Infant feeding practices and prevalence of obesity in eight European countries - the IDEFICS study.
Public Health Nutr 2013; 16(2):219-27PH

Abstract

OBJECTIVE

To assess the association between exclusive breast-feeding and childhood overweight.

DESIGN

Cross-sectional data are from the baseline survey of the longitudinal cohort study IDEFICS. Exclusive rather than partial breast-feeding is the focus of the study due to the theoretical relationship between exclusive breast-feeding and development of dietary self-regulation. Children's measured heights and weights were used to calculate weight status, while waist-to-height ratio (WtHR) and skinfold measures were examined as alternative indicators of adiposity and fat patterning.

SETTING

Examination centres in eight European countries (Italy, Estonia, Cyprus, Belgium, Sweden, Hungary, Germany and Spain).

SUBJECTS

The analysis included 14 726 children aged 2-9 years for whom early feeding practices were reported by parents in standardized questionnaires.

RESULTS

After controlling for education, income and other potential confounders, breast-feeding exclusively for 4-6 months was protective of overweight (including obesity) when compared with children never exclusively breast-fed (OR = 0·73; 95 % CI 0·63, 0·85) across all measures of overweight. Exclusively breast-feeding for 6 months offered slightly more protection than for 4 and 5 months combined (OR = 0·71; 95 % CI 0·58, 0·85). The associations could not be explained by socio-economic characteristics or maternal overweight.

CONCLUSIONS

This multi-country investigation indicated that exclusive breast-feeding for 4-6 months may confer protection against overweight in addition to other known benefits. There was no demonstrated benefit of exclusive breast-feeding for more than 6 months or combination feeding for any duration across all measures of overweight examined.

Authors+Show Affiliations

Public Health Epidemiology Unit, Department of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, PO Box 454 SE-405 30, Gothenburg, Sweden. monica.hunsberger@gu.seNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22916704

Citation

Hunsberger, Monica, et al. "Infant Feeding Practices and Prevalence of Obesity in Eight European Countries - the IDEFICS Study." Public Health Nutrition, vol. 16, no. 2, 2013, pp. 219-27.
Hunsberger M, Lanfer A, Reeske A, et al. Infant feeding practices and prevalence of obesity in eight European countries - the IDEFICS study. Public Health Nutr. 2013;16(2):219-27.
Hunsberger, M., Lanfer, A., Reeske, A., Veidebaum, T., Russo, P., Hadjigeorgiou, C., ... Eiben, G. (2013). Infant feeding practices and prevalence of obesity in eight European countries - the IDEFICS study. Public Health Nutrition, 16(2), pp. 219-27. doi:10.1017/S1368980012003850.
Hunsberger M, et al. Infant Feeding Practices and Prevalence of Obesity in Eight European Countries - the IDEFICS Study. Public Health Nutr. 2013;16(2):219-27. PubMed PMID: 22916704.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Infant feeding practices and prevalence of obesity in eight European countries - the IDEFICS study. AU - Hunsberger,Monica, AU - Lanfer,Anne, AU - Reeske,Anna, AU - Veidebaum,Toomas, AU - Russo,Paola, AU - Hadjigeorgiou,Charalampos, AU - Moreno,Luis A, AU - Molnar,Dénes, AU - De Henauw,Stefaan, AU - Lissner,Lauren, AU - Eiben,Gabriele, Y1 - 2012/08/24/ PY - 2012/8/25/entrez PY - 2012/8/25/pubmed PY - 2013/6/12/medline SP - 219 EP - 27 JF - Public health nutrition JO - Public Health Nutr VL - 16 IS - 2 N2 - OBJECTIVE: To assess the association between exclusive breast-feeding and childhood overweight. DESIGN: Cross-sectional data are from the baseline survey of the longitudinal cohort study IDEFICS. Exclusive rather than partial breast-feeding is the focus of the study due to the theoretical relationship between exclusive breast-feeding and development of dietary self-regulation. Children's measured heights and weights were used to calculate weight status, while waist-to-height ratio (WtHR) and skinfold measures were examined as alternative indicators of adiposity and fat patterning. SETTING: Examination centres in eight European countries (Italy, Estonia, Cyprus, Belgium, Sweden, Hungary, Germany and Spain). SUBJECTS: The analysis included 14 726 children aged 2-9 years for whom early feeding practices were reported by parents in standardized questionnaires. RESULTS: After controlling for education, income and other potential confounders, breast-feeding exclusively for 4-6 months was protective of overweight (including obesity) when compared with children never exclusively breast-fed (OR = 0·73; 95 % CI 0·63, 0·85) across all measures of overweight. Exclusively breast-feeding for 6 months offered slightly more protection than for 4 and 5 months combined (OR = 0·71; 95 % CI 0·58, 0·85). The associations could not be explained by socio-economic characteristics or maternal overweight. CONCLUSIONS: This multi-country investigation indicated that exclusive breast-feeding for 4-6 months may confer protection against overweight in addition to other known benefits. There was no demonstrated benefit of exclusive breast-feeding for more than 6 months or combination feeding for any duration across all measures of overweight examined. SN - 1475-2727 UR - https://www.unboundmedicine.com/medline/citation/22916704/Infant_feeding_practices_and_prevalence_of_obesity_in_eight_European_countries___the_IDEFICS_study_ L2 - https://www.cambridge.org/core/product/identifier/S1368980012003850/type/journal_article DB - PRIME DP - Unbound Medicine ER -