Relationship between overweight at 6 years of age and socioeconomic conditions at birth, breastfeeding, initial feeding practices and birth weight

Authors

  • Letícia Cabral Domingos da ROSA Universidade Salvador
  • Eliane TRAEBERT Universidade do Sul de Santa Catarina
  • Rodrigo Dias NUNES Universidade do Sul de Santa Catarina
  • João GHIZZO FILHO Universidade do Sul de Santa Catarina
  • Jefferson TRAEBERT Universidade do Sul de Santa Catarina

Keywords:

Breast feeding, Birth weight, Child. Obesity, Overweight

Abstract

Objective
To review the relationship between overweight at 6 years of age and socioeconomic conditions at birth, breastfeeding, early feeding practices and birth weight.

Methods
A cross-sectional study was carried out involving 473 six-year-old schoolchildren from public and private schools living in a municipality in Southern Brazil. Sociodemographic and breastfeeding data and other initial feeding practices were obtained through interviews with the mothers at home. Birth weight and gestational age were obtained from the child’s health card. Anthropometric data of the schoolchildren were collected during school visits. Bivariate and multivariate analyzes were performed using the Poisson Regression between the independent variables and overweight.

Results
The prevalence of overweight was 33.2%; 83.2% of the children were breastfed and out of these, 48.4% were breastfed only in the first six months. Non-breastfed children exhibited a 20% higher overweight prevalence (PR=1.20; 95%CI 1.13; 1.28). Children with exclusive breastfeeding for six months exhibited a lower overweight prevalence (PR=0.94; 95%CI 0.89; 0.99).

Conclusion
In this study, breastfeeding showed to be a protective factor for overweight.

References

Black RB, Victora CG, Walker SP, Bhutta ZA, Christian P, Onis M, et al. Maternal and child nutrition 1: Maternal and child under nutrition and overweight in low-income and middle-income countries. Lancet. 2013;382:427-51.

Instituto Brasileiro de Geografia e Estatística. Pesquisa de Orçamentos Familiares 2008-2009. Brasília: IBGE; 2009 [citado 9 abr. 2019]. Disponível em: http:www.ibge.gov.br/home/presidencia/noticias/.../0000000108.pdf.

Assis MAA, Rolland-Cachera MF, Grosseman S, Vasconcelos FAG, Luna MEP, Calvo MCM, et al. Obesity, overweight and thinness in schoolchildren of the city of Florianópolis, Southern Brazil. Eur J Clin Nutr. 2005;59(9):1015-21.

Gabriel CG, Santos MV, Vasconcelos FAG. Avaliação de um programa para promoção de hábitos alimentares saudáveis em escolares de Florianópolis, Santa Catarina, Brasil. Rev Bras Saúde Matern Infant. 2008;8(3):299-308.

Bernardo CO, Pudla KJ, Longo GZ, Vasconcelos FAG. Fatores associados ao estado nutricional de escolares de 7 a 10 anos. Rev Bras Epidemiol. 2012;15(3):651-61.

Rivera JA, Cossío TG, Pedraza LS, Aburto TC, Sánchez TG, Martorell R. Childhood and adolescent overweight and obesity in Latin America: A systematic review. Lancet Diabetes Endocrinol. 2014;2:321-32.

Afshin A, Forouzanfar MH, Reitsma MB, Patrick S, Estep K, Lee A, et al. Health effects of overweight and obesity in 195 countries. N Engl J Med. 2017;377:13-27.

Ward ZJ, Long MW, Resch SC, Giles CM, Cradock AL, Gortmaker SL. Simulation of growth trajectories of childhood obesity into adulthood. N Engl J Med. 2017;377:2145-53.

Organização Mundial de Saúde. Organização Pan-Americana da Saúde. Plano de ação para a prevenção de obesidade em crianças e adolescentes. Washington (DC): OMS; 2014.

Goergen IB, Bosco SMD, Adami FS. Relação entre o peso ao nascer e o tempo de aleitamento materno com o estado nutricional atual de crianças. Rev Bras Promo Saúde. 2015;28(3):344-50.

Zarrati M, Shidfar F, Moradof M, Nejad FN, Keyvani H, Hemami MR, et al. Relationship between breast feeding and obesity in children with low birth weight. Iran Red Crescent Med J. 2013;15(8):676-82.

Leary SD, Lawlor DA, Smith GD, Brion MJ, Ness AR. Behavioural early-life exposures and body composition at age 15 years. Nutr Diabetes. 2015;5(2):150-7.

Wang J, Wu Y, Xiong G, Chao T, Jin Q, Liu R, et al. Introduction of complementary feeding before 4 months of age increases the risk of childhood overweight or obesity: A meta-analysis of prospective cohort studies. Nutr Res. 2016;36:759-70.

Fewtrell M, Bronsky J, Campoy C, Domellöf M, Embleton N, Mis NF, et al. Complementary feeding: A position paper by the European Society for Paediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN) Committee on Nutrition. J Pediatr Gastroenterol Nutr. 2017;64:119-32.

Victora CG, Bahl R, Barros AJD, França GVA, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016;387:475-90.

Haisma H, Wells JC, Coward WA, Filho DD, Victora CG, Vonk RJ, et al. Complementary feeding with cow’s milk alters sleeping metabolic rate in breast-fed infants. J Nutr. 2005;135(8):1889-95.

Traebert J, Lunardelli SE, Martins LGT, Santos K, Nunes RD, Lunardelli AN, et al. Methodological description and preliminary results of a cohort study on the influence of the first 1,000 days of life on the children’s future health. An Acad Bras Cienc. 2018;90(3):3105-14.

Programa das Nações Unidas para o Desenvolvimento (Brasil). Athas do desenvolvimento humano no Brasil. Brasília: PNDU; 2013 [citado 10 out. 2018]. Disponível em: http://www.pnud.org.br/IDH/Atlas2013.aspx?indiceAccordion=1&li=li_Atlas2013

Ministério da Saúde (Brasil). Secretaria de Atenção à Saúde. Incorporação das curvas de crescimento da Organização Mundial de Saúde de 2006 e 2007 no SISVAN. Brasília: Ministério da Saúde; 2008 [citado 10 nov. 2018]. Disponível em: http://www.nutricao.saude.gov.br/docs/geral/curvas_oms_2006_2007.pdf

Ministério da Saúde (Brasil). Secretaria de Atenção à Saúde. Orientações para a coleta e análise de dados antropométricos em serviços de saúde: norma técnica do Sistema de Vigilância Alimentar e Nutricional SISVAN. Brasília: Ministério da Saúde; 2011.

World Health Organization. AnthroPlus for personal computers manual. Geneva: WHO; 2019 [cited 2018 Aug. 15]. Available from: http://www.who.int/growthref/tools/who_anthroplus_manual.pdf 22. Intergrowth-21st. Manual entry. Oxford (UK): Orford University; 2019 [cited 2018 Sept. 02]. Available from: http://www.intergrowth21.ndog.ox.ac.uk/en/ManualEntry.

Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the United States, 2011-2012. Jama. 2014;311(8):806-14.

Skinner AC, Perrin EM, Moss LA, Skelton JA. Cardiometabolic risks and obesity severity in children. N Engl J Med. 2015;373:1307-17.

Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of obesity and trends in body mass index among US children and adolescents, 1999-2010. Jama. 2012;307:483-90.

Cunningham SA, Kramer MR. Narayan KMV. Incidence of childhood obesity in the United States. N Engl J Med. 2014;370:403-11.

Matthiessen J, Stockmarr A, Biltoft-Jensen A, Fagt S, Zhang H, Groth MV. Trends in overweight and obesity in Danish children and adolescents: 2000-2008 – Exploring changes according to parental education. Scand J Public Health. 2014;42385-92.

Goergen IB, Bosco SMD, Adami FS. Relação entre o peso ao nascer e o tempo de aleitamento materno com o estado nutricional atual de crianças. Rev Bras Promo Saúde. 2015;28(3):344-50.

Pluymen LPM, Wijga AH, Gehring U, Koppelman GH, Smit HA, Van Rossem L. Early introduction of complementary foods and childhood overweight in breastfed and formula-fed infants in the Netherlands: The PIAMA birth cohort study. Eur J Nutr. 2018;57(5):1985-93.

Huh SY, Rifas-Shiman SL, Taveras EM, Oken E, Gillman MW. Timing of solid food introduction and risk of obesity in preschool-aged children. Pediatrics. 2011;127(3):544-51.

Ministério da Saúde (Brasil). Coordenação Geral de Alimentação e Nutrição. Guia alimentar para crianças menores de 2 anos: versão para consulta pública. Brasília: Ministério da Saúde; 2018.

Ministério da Saúde (Brasil). Secretaria de Atenção à Saúde. Saúde da criança: aleitamento materno e alimentação complementar. 2ed. Brasília: Ministério da Saúde; 2015.

Dewey KG. Is breastfeeding protective against child obesity? J Hum Lact. 2003;19(1):9-18.

World Health Organization. Long-term effects of breastfeeding: A systematic review. Geneva: WHO; 2013.

Scholtens S, Middelbeek L, Rutz SI, Buijs G, Bemelmans WJ. Differences in school environment, school policy and actions regarding overweight prevention between Dutch schools: A nationwide survey. Bmc Public Health. 2010;10:42.

Leary SD, Lawlor DA, Smith GD, Brion MJ, Ness AR. Behavioural early-life exposures and body composition at age 15 years. Nutr Diabetes. 2015;5(2):150-7.

Alexy L, Libuda G, Mersmann S, Kersting M. Convenience foods in children’s diet and association with dietary quality and body weight status. Eur J Clin Nutr. 2011;65(2):160-6.

Sun C, Foskey RJ, Allen KJ, Dharmage SC, Koplin JJ, Ponsonby AL, et al. The impact of timing of introduction of solids on infant body mass index. J Pediatr. 2016;179:104-10.

Published

2023-03-06

How to Cite

Cabral Domingos da ROSA, L. ., TRAEBERT, E. ., Dias NUNES, R. ., GHIZZO FILHO, J., & TRAEBERT, J. . (2023). Relationship between overweight at 6 years of age and socioeconomic conditions at birth, breastfeeding, initial feeding practices and birth weight. Brazilian Journal of Nutrition, 32. Retrieved from https://periodicos.puc-campinas.edu.br/nutricao/article/view/7604

Issue

Section

ORIGINAL ARTICLE