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Contributo in rivista
Tipo: Articolo in rivista
Titolo: Infant feeding practices and prevalence of obesity in eight European countries-the IDEFICS study.
Anno di pubblicazione: 2013
Autori: Hunsberger M, Lanfer A, Reeske A, Veidebaum T, Russo P, Hadjigeorgiou C, Luis A. Moreno, Molnar D, De Henauw S, Lissner L, Eiben G.
Affiliazioni autori: Public Health Epidemiology Unit, Department of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, PO Box 454 SE-405 30, Gothenburg, Sweden a2 Bremen Institute for Prevention Research and Social Medicine, Bremen, Germany a3 National Institute for Health Development, Tallinn, Estonia a4 Institute for Food Sciences, Unit of Epidemiology and Population Genetics, National Research Council, Avellino, Italy a5 Research and Education Institute of Child Health, Strovolos, Cyprus a6 Growth, Exercise, Nutrition and Development (GENUD) Research Group, University of Zaragoza, Zaragoza, Spain a7 Department of Pediatrics, Medical Faculty, University of Pécs, Budapest, Hungary a8 Department of Public Health, Ghent University, Ghent, Belgium a9 University College Ghent, Department of Nutrition and Dietetics, Faculty of Health Care 'Vesalius', Ghent, Belgium
Abstract: OBJECTIVE: To assess the association between exclusive breast-feeding and childhood overweight. DESIGN: Cross-sectional data are from the baseline survey of the longitudinal cohort study IDEFICS. Exclusive rather than partial breast-feeding is the focus of the study due to the theoretical relationship between exclusive breast-feeding and development of dietary self-regulation. Children's measured heights and weights were used to calculate weight status, while waist-to-height ratio (WtHR) and skinfold measures were examined as alternative indicators of adiposity and fat patterning. SETTING: Examination centres in eight European countries (Italy, Estonia, Cyprus, Belgium, Sweden, Hungary, Germany and Spain). SUBJECTS: The analysis included 14 726 children aged 2-9 years for whom early feeding practices were reported by parents in standardized questionnaires. RESULTS: After controlling for education, income and other potential confounders, breast-feeding exclusively for 4-6 months was protective of overweight (including obesity) when compared with children never exclusively breast-fed (OR = 0ˇ73; 95 % CI 0ˇ63, 0ˇ85) across all measures of overweight. Exclusively breast-feeding for 6 months offered slightly more protection than for 4 and 5 months combined (OR = 0ˇ71; 95 % CI 0ˇ58, 0ˇ85). The associations could not be explained by socio-economic characteristics or maternal overweight. CONCLUSIONS: This multi-country investigation indicated that exclusive breast-feeding for 4-6 months may confer protection against overweight in addition to other known benefits. There was no demonstrated benefit of exclusive breast-feeding for more than 6 months or combination feeding for any duration across all measures of overweight examined.
Lingua abstract: inglese
Pagine da: 219
Pagine a: 227
Public health nutrition
Cambridge University Press
Numero volume: 16
Referee: Sě: Internazionale
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