Zarrati Mitra, Shidfar Farzad, Moradof Maryam, Nasiri Nejad Farinaz, Keyvani Hossein, Rezaei Hemami Mohsen, Razmpoosh Elham
Department of Nutrition and Biochemistry, Faculty of Health, Tehran University of Medical Sciences, Tehran, IR Iran.
Department of Exercise Physiology, Islamic Azad University, Tehran, IR Iran.
Iran Red Crescent Med J. 2013 Aug;15(8):676-82. doi: 10.5812/ircmj.11120. Epub 2013 Aug 5.
Breast feeding appears to play a role in determining obesity and abdominal obesity during childhood, specifically in children with a history of low birth weight.
The purpose of this study is to investigate the relation of breast-feeding with either of abdominal obesity and obesity among Iranian school children.
A total of 1184 students (625 girls and 559 boys), aged 10 to 13 years old, were selected from 112 governmental elementary schools in Iran. Height, weight, waist circumference and blood pressure were measured using standard instruments and a pretested standardized questionnaire was performed for compiling information about family economics and educational level, first-degree family history of obesity, history of breast feeding, food pattern and birth weight, as well.
13.68% (n = 160) of students had a history of low birth weight, and 26.41% of them had abdominal obesity. Of all participants, 22.04% were overweight and 5.32% were obese which was more prevalent in girls than in boys (P = 0.03). First-degree family history of obesity (P = 0.001), excessive gestational weight gain (P = 0.001) and birth weight (P = 0.01) were significantly correlated with the prevalence of obesity and abdominal obesity during childhood. Moreover the prevalence of abdominal obesity in children with low birth weight was significantly correlated with breast feeding (P = 0.04); But this relation was not significantly about obesity in our participants (P = 0.9). Furthermore duration of breast feeding was significantly and inversely correlated with obesity and abdominal obesity in schoolchildren with low birth weight (P = 0.01).
The results suggest that Breast feeding and its long-term consequences were important factors for preventing metabolic syndrome criteria in childhood and later years of life span. With regard to the increasing prevalence of obesity in children, more research is urgently needed to clarify whether breast feeding have negative consequences for the risk of chronic disease in children, especially in children with low birth weight.
母乳喂养似乎在决定儿童期肥胖及腹型肥胖方面发挥作用，尤其是对于有低出生体重史的儿童。
本研究旨在调查伊朗学龄儿童母乳喂养与腹型肥胖及肥胖之间的关系。
从伊朗112所政府小学选取了1184名年龄在10至13岁的学生（625名女孩和559名男孩）。使用标准仪器测量身高、体重、腰围和血压，并通过一份预先测试的标准化问卷收集有关家庭经济状况和教育水平、肥胖家族史、母乳喂养史、饮食模式及出生体重等信息。
13.68%（n = 160）的学生有低出生体重史，其中26.41%有腹型肥胖。在所有参与者中，22.04%超重，5.32%肥胖，女孩比男孩更普遍（P = 0.03）。肥胖家族史（P = 0.001）、孕期体重过度增加（P = 0.001）和出生体重（P = 0.01）与儿童期肥胖及腹型肥胖的患病率显著相关。此外，低出生体重儿童的腹型肥胖患病率与母乳喂养显著相关（P = 0.04）；但在我们的参与者中，这种关系与肥胖并不显著相关（P = 0.9）。此外，母乳喂养持续时间与低出生体重学龄儿童的肥胖及腹型肥胖显著负相关（P = 0.01）。
结果表明，母乳喂养及其长期影响是预防儿童期及生命后期代谢综合征标准的重要因素。鉴于儿童肥胖患病率不断上升，迫切需要更多研究来阐明母乳喂养是否会对儿童尤其是低出生体重儿童的慢性病风险产生负面影响。
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