纯母乳喂养与儿童期及成年早期肥胖风险的关联。

Association of Exclusive Breastfeeding with Risk of Obesity in Childhood and Early Adulthood.

作者信息

Tambalis Konstantinos D, Mourtakos Stamatis, Panagiotakos Demosthenes B, Sidossis Labros S

机构信息

1 Department of Nutrition and Dietetics, Harokopio University , Athens, Greece .

2 Department of Kinesiology and Health, Rutgers University , New Brunswick, New Jersey.

出版信息

Breastfeed Med. 2018 Nov 9. doi: 10.1089/bfm.2018.0117.

DOI:10.1089/bfm.2018.0117

PMID:30411971

Abstract

OBJECTIVE

To explore the effects of exclusive breastfeeding and its duration on the development of childhood and early adulthood obesity.

MATERIALS AND METHODS

A random sample of 5,125 dyad children and their mothers was extracted from a national database. With the use of a standardized questionnaire, telephone interviews were carried out for the collection of maternal lifestyle factors (e.g., breastfeeding). The body mass index was determined based on International Obesity Task Force criteria. Body weight and height of the offspring at the age of 8 was calculated from measurements derived from the national database, while the corresponding body measurements at early adulthood were self-reported.

RESULTS

Mothers who had breastfed or exclusively breastfed ≥6 months were 22.4% and 15.2%, respectively. Exclusive breastfeeding ≥6 months (versus never) was associated with a lower risk of overweight in childhood (8 years old; odds ratio [OR] = 0.89; 95% confidence interval [95% CI], 0.82-0.96) and adolescence/adulthood (15-25 years old; OR = 0.83; 95% CI, 0.68-0.97). Also, exclusive breastfeeding ≥6 months (versus never) was associated with a decreased risk of childhood and adolescence obesity by 30% (95% CI, 0.54-0.91) and 38% (95% CI, 0.40-0.83), respectively.

CONCLUSIONS

Exclusive breastfeeding had a favorable influence on offspring's overweight and obesity not only in childhood but also in adolescence/adulthood.

摘要

目的

探讨纯母乳喂养及其持续时间对儿童期和成年早期肥胖发生发展的影响。

材料与方法

从一个国家数据库中随机抽取5125对儿童及其母亲作为样本。使用标准化问卷，通过电话访谈收集母亲的生活方式因素（如母乳喂养情况）。根据国际肥胖特别工作组的标准确定体重指数。8岁时后代的体重和身高根据国家数据库中的测量数据计算得出，而成年早期相应的身体测量数据则为自我报告。

结果

曾进行母乳喂养或纯母乳喂养≥6个月的母亲分别占22.4%和15.2%。纯母乳喂养≥6个月（与从未纯母乳喂养相比）与儿童期（8岁；比值比[OR]=0.89；95%置信区间[95%CI]，0.82 - 0.96）和青少年期/成年期（15 - 25岁；OR = 0.83；95%CI，0.68 - 0.97）超重风险较低相关。此外，纯母乳喂养≥6个月（与从未纯母乳喂养相比）与儿童期和青少年期肥胖风险分别降低30%（95%CI，0.54 - 0.91）和38%（95%CI，0.40 - 0.83）相关。