Ardic Cuneyt, Usta Oguzer, Omar Esma, Yıldız Cihangir, Memis Erdem
Recep Tayyip Erdogan University, Facultad de Medicina, Departamento de Medicina General. Rize, Turquía.
Arch Argent Pediatr. 2019 Feb 1;117(1):26-33. doi: 10.5546/aap.2019.eng.26.
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.
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.
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.
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).
We concluded.that exclusive breastfeeding time and maternal obesity have a significant effect on childhood overweight and obesity.
儿童期肥胖是一个严重的健康问题,不仅因为它会在儿童期引发严重的健康问题,还因为它会在生命后期带来肥胖风险。
我们研究的目的是确定喂养方式(母乳喂养次数、纯母乳喂养时间、夜间奶瓶喂养情况)和母亲特征(孕期体重增加、体重指数、社会经济地位)对36个月以下儿童超重和肥胖的影响。
2013年11月1日至2014年9月30日在土耳其里泽省出生、出生体重在2500克至4500克之间的婴儿参加了我们的前瞻性队列研究。本研究持续了3年,在此期间对每个婴儿的母亲进行了11次访谈。根据喂养方式将肥胖或超重与喂养方式之间的关系分为两组进行评估。
纳入294名健康儿童。36个月时婴儿的平均体重为14.6千克,6名婴儿(2%)超重,20名婴儿(7%)肥胖,268名婴儿(91%)体重正常。82名婴儿(21%)纯母乳喂养少于6个月,212名婴儿(55%)纯母乳喂养6个月或更长时间。至少纯母乳喂养6个月的儿童中超重和肥胖的发生率较低(p<0.05)。
我们得出结论,纯母乳喂养时间和母亲肥胖对儿童超重和肥胖有显著影响。