Al-Qaoud N, Prakash P
Administration of Food and Nutrition, Ministry of Health, Shuwaikh 70655, Kuwait.
Med Princ Pract. 2009;18(2):111-7. doi: 10.1159/000189808. Epub 2009 Feb 9.
To determine if breastfeeding and its duration are associated with a reduced risk of obesity among Kuwaiti preschool children.
The sample consisted of 2,291 (1,092 males and 1,199 females) preschool children (3-6 years of age) and their mothers. The data were collected from September 2003 to June 2004. Height and weight measurements were used for defining weight status while other data were collected by questionnaire.
There was no significant association of breastfeeding or its duration with either overweight or obesity among preschool children after adjusting for effects of the confounders. The child's gender, age and birth weight were the significant factors influencing current weight. Girls were at 32% higher risk of becoming obese than boys. Children aged 4-5 years were at nearly 3 times higher risk of overweight and obesity than children of less than 4 years. Children with higher birth weight (>or=4 kg) had double the risk of obesity than those of normal birth weight (>or=2.5 to <4.0 kg). Maternal obesity was a strong predictor of obesity in the children. A child with an obese mother had nearly 2 times higher risk of being overweight (BMI between the 85th the 95th percentiles) and 3 times of being obese (BMI >or=95th percentile) compared to a child born to a mother with a normal body weight.
Breastfeeding and its duration are not associated with obesity status. However, there is a positive association between child and maternal obesity.
确定母乳喂养及其持续时间是否与科威特学龄前儿童肥胖风险降低相关。
样本包括2291名（1092名男性和1199名女性）学龄前儿童（3至6岁）及其母亲。数据收集于2003年9月至2004年6月。身高和体重测量用于定义体重状况，其他数据通过问卷调查收集。
在调整混杂因素的影响后，母乳喂养及其持续时间与学龄前儿童超重或肥胖均无显著关联。儿童的性别、年龄和出生体重是影响当前体重的重要因素。女孩肥胖的风险比男孩高32%。4至5岁的儿童超重和肥胖的风险几乎是4岁以下儿童的3倍。出生体重较高（≥4千克）的儿童肥胖风险是正常出生体重（≥2.5至<4.0千克）儿童的两倍。母亲肥胖是儿童肥胖的一个强有力预测因素。与体重正常的母亲所生的孩子相比，母亲肥胖的孩子超重（BMI在第85至第95百分位数之间）的风险几乎高2倍，肥胖（BMI≥第95百分位数）的风险高3倍。
母乳喂养及其持续时间与肥胖状况无关。然而，儿童肥胖与母亲肥胖之间存在正相关。
