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  • Title: Effects of infant feeding practices and maternal characteristics on early childhood obesity.
    Author: Ardic C, Usta O, Omar E, Yıldız C, Memis E.
    Journal: Arch Argent Pediatr; 2019 Feb 01; 117(1):26-33. PubMed ID: 30652443.
    Abstract:
    INTRODUCTION: Early childhood obesity is a serious health problem not only because it causes serious health problems in children, but also because it poses a risk of obesity in the later stages of life. OBJECTIVE: The aim of our study was to determine the effect of feeding (breastfeeding times, exclusive breastfeeding times, instances of night-time bottle feeding) and maternal characteristics (weight gain during pregnancy, BMI, socioeconomic status) on childhood overweight and obesity in children up to 36 months old. POPULATION AND METHODS: Babies born in the province of Rize (Turkey) between the dates of November 1, 2013 and September 30, 2014 whom birth weights between 2500gr and 4500gr participated in our prospective cohort study. The present study lasted for 3 years and 11 interviews were conducted with each mother of the infants during this period. Relationship between obesity or overweight and feeding practices evaluated into two groups according to their feeding practices. RESULTS: 294 healthy children were included. Mean weight of the babies at 36 months were 14.6 kilograms, 6 babies (2 %) were overweight, 20 babies (7 %) were obese, and 268 babies (91 %) were at an normal weight. 82 babies (21 %) exclusive breastfed less than six months and 212 babies (55 %) exclusive breastfed six months or more. Overweight and obesity is less frequent among children who were exclusively breastfed for at least six months (p<0.05). CONCLUSION: We concluded.that exclusive breastfeeding time and maternal obesity have a significant effect on childhood overweight and obesity. Introducción. La obesidad infantil es un problema de salud grave en los niños e implica un riesgo posterior de obesidad. Objetivo. El objetivo fue determinar el efecto de la alimentación (tiempo de lactancia materna, de lactancia materna exclusiva, lactancia artificial nocturna) y de las características maternas (aumento de peso durante el embarazo, IMC, situación socioeconómica) en el sobrepeso y la obesidad en niños hasta 36 meses. Población y métodos. Se incorporaron al estudio bebés nacidos en Rize (Turquía) entre el 1 de noviembre de 2013 y el 30 de septiembre de 2014, con pesos al nacer entre 2500 g y 4500 g. En tres años, se hicieron 11 entrevistas con las madres. Los niños se asignaron a dos grupos para evaluar la relación entre la obesidad o el sobrepeso y las prácticas alimentarias. Resultados. Se incluyeron 294 niños sanos. El peso medio de los bebés a los 36 meses fue 14,6 kg; 6 (2 %) tenían sobrepeso; 20 (7 %) eran obesos y 268 (91 %) tenían peso normal. De ellos, 82 (21 %) habían recibido exclusivamente leche materna durante menos de seis meses y 212 (55 %) solo leche materna durante seis meses o más. El sobrepeso y la obesidad fueron menos frecuentes entre los niños que recibieron exclusivamente leche materna durante al menos seis meses (p< 0,05). Conclusión. El tiempo de lactancia materna exclusiva y la obesidad materna tienen un efecto importante en el sobrepeso y la obesidad infantiles.
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