Estévez-González M D, Santana Del Pino A, Henríquez-Sánchez P, Peña-Quintana L, Saavedra-Santana P
Department of Nursing, University of Las Palmas de Gran Canaria, Las Palmas, Spain.
Department of Mathematics, University of Las Palmas de Gran Canaria, Las Palmas, Spain.
Int J Obes (Lond). 2016 Jan;40(1):10-3. doi: 10.1038/ijo.2015.228. Epub 2015 Oct 26.
The question of whether breastfeeding protects the child from obesity is a still debated issue; however, the relationship between early adiposity rebound and higher risk of obesity is well known. This study was aimed at evaluating whether breastfeeding (without formula supplement) during the first 6 months of life delays the time of adiposity rebound and consequently reduces the rates of obesity at the age of 8.
This retrospective cohort study included 1812 children born in Gran Canaria in 2004, with follow-up until they were 8 years of age. Anthropometrical data had been taken during routine visits to the doctor and were extracted from medical record databases. Only children with breastfeeding for the first 6 months of life (173 children) and children without breastfeeding (192 children) were included. Children with mixed feeding and children whose data were not available were excluded.
No body mass index (BMI) differences were found between children with breastfeeding (17.7) or without breastfeeding (17.3) during the first 6 months of life. The percentages of children with normal weight, overweight and obesity were similar in both groups, as well as the age of adiposity rebound breastfeeding 3.61 years; formula 3.64 years). Early adiposity rebound was associated with increased BMI at the age of 8, both in male and female children.
Breastfeeding during the first 6 months of life was not demonstrated to delay the age of the adiposity rebound, in our study.
母乳喂养是否能保护儿童免于肥胖仍是一个存在争议的问题;然而,早期肥胖反弹与较高肥胖风险之间的关系是众所周知的。本研究旨在评估出生后前6个月纯母乳喂养是否会延迟肥胖反弹时间,从而降低8岁时的肥胖率。
这项回顾性队列研究纳入了2004年在大加那利岛出生的1812名儿童,随访至他们8岁。人体测量数据是在常规就医时采集的,并从医疗记录数据库中提取。仅纳入出生后前6个月纯母乳喂养的儿童(173名)和非母乳喂养的儿童(192名)。排除混合喂养的儿童以及数据缺失的儿童。
出生后前6个月纯母乳喂养的儿童(体重指数为17.7)与非母乳喂养的儿童(体重指数为17.3)之间未发现体重指数差异。两组中体重正常、超重和肥胖儿童的百分比相似,肥胖反弹年龄也相似(母乳喂养组为3.61岁;配方奶喂养组为3.64岁)。无论男女,早期肥胖反弹都与8岁时体重指数增加有关。
在我们的研究中,未证明出生后前6个月纯母乳喂养会延迟肥胖反弹年龄。