Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Pediatr Obes. 2024 Jan;19(1):e13086. doi: 10.1111/ijpo.13086. Epub 2023 Nov 23.
Breastfeeding during infancy is associated with healthier beverage consumption later in childhood, but little is known about this relation during infancy. This was a longitudinal study of breastfeeding and less healthy beverage consumption during the first year of life, in a birth cohort study conducted 2013-2018 in the Southeastern United States (n = 666).
We estimated monthly rates of 100% juice and sugar-sweetened beverage (SSB) consumption comparing infants who were exclusively or partially breastfed, versus those who were not, in multivariable adjusted models.
Mothers had a median age of 26.5 years, 71% identified as Black/African-American, and 61% reported household incomes <$20 000/year. The prevalence of any breastfeeding during the first month was 78.2% and 18.7% at month 12. By age 12 months, infants consumed juice a mean (SD) 9.1 (10.1) times per week and SSBs 3.6 (9.5) times per week. Breastfed infants had a 38% lower incidence rate of weekly juice consumption (95% CI 52%, 15%, p = 0.003) and a 57% lower incidence rate of weekly SSB consumption (95% CI 76%, 22%, p = 0.006), compared with infants who were not breastfed.
Research on early-life correlates of dietary health should focus on the earliest beverages, given evidence that consumption of obesogenic beverages may begin prior to age 1 year.
婴儿期母乳喂养与儿童后期更健康的饮料消费有关，但对婴儿期的这种关系知之甚少。这是一项在 2013 年至 2018 年在美国东南部进行的出生队列研究中进行的纵向研究，调查了婴儿期母乳喂养与 1 岁以内更不健康的饮料消费之间的关系（n=666）。
我们在多变量调整模型中比较了纯母乳喂养和部分母乳喂养的婴儿与非母乳喂养的婴儿，估计了 100%果汁和含糖饮料（SSB）的每月消费率。
母亲的中位年龄为 26.5 岁，71%为黑人/非裔美国人，61%报告家庭收入<20000 美元/年。第一个月的母乳喂养率为 78.2%，12 个月时为 18.7%。12 月龄时，婴儿平均每周饮用果汁（SD）9.1（10.1）次，每周饮用 SSB 3.6（9.5）次。与未母乳喂养的婴儿相比，母乳喂养的婴儿每周饮用果汁的发生率降低了 38%（95%CI 52%，15%，p=0.003），每周饮用 SSB 的发生率降低了 57%（95%CI 76%，22%，p=0.006）。
鉴于肥胖相关饮料的消费可能在 1 岁之前开始，因此关于饮食健康的早期生活相关因素的研究应集中在最早的饮料上。
