The Protective Effect of Exclusive Breastfeeding on Overweight/Obesity in Children with High Birth Weight
- 주제(키워드) Exclusive Breastfeeding , Overweight , Obesity , High Birth Weight , Children
- 주제(기타) Medicine, General & Internal
- 설명문(일반) [Lee, Jung Won; Kim, Hae Soon] Ewha Womans Univ, Coll Med, Dept Pediat, Med Ctr, 1071 Anyangcheon Ro, Seoul 07985, South Korea; [Lee, Myeongjee; Lee, Jueun; Ha, Eunhee] Ewha Womans Univ, Coll Med, Dept Occupat & Environm Med, Med Ctr, Seoul, South Korea; [Kim, Young Ju] Ewha Womans Univ, Coll Med, Dept Obstet & Gynecol, Med Ctr, Seoul, South Korea
- OA유형 gold, Green Published, Green Submitted
- 발행기관 KOREAN ACAD MEDICAL SCIENCES
- 발행년도 2019
- URI http://www.dcollection.net/handler/ewha/000000159803
- 본문언어 영어
- Published As http://dx.doi.org/10.3346/jkms.2019.34.e85
- PubMed https://pubmed.ncbi.nlm.nih.gov/30886551
초록/요약
Background: A positive association between birth weight (BW) and body mass index (BMI) has been shown among children in many populations. The aim of this study was to investigate BMI trajectory according to BW status and the protective effect of breastfeeding on the prevalence of overweight/obesity in children 6 years of age. Methods: A retrospective cohort study was conducted between January 1, 2008 and December 31, 2016 utilizing data from the National Health Information Database of Korea. The 38,049 subjects were followed until the end of 2016, providing that subjects were completely eligible for all health check-ups from birth to 6 years of age. At each check-up period, multiple logistic regressions were used to investigate the association between BW status (low birth weight [LBW], normal birth weight [NBW], high birth weight [HBW]) and growth development. Results: HBW infants were highly likely to be overweight/obese compared to NBW infants (odds ratio [OR], 1.70-2.35) and LBW infants were highly likely to be underweight (OR, 1.69-2.20) through 6 years of age. The risk of overweight/obesity decreased significantly if HBW infants were breast-fed for 6 months (OR, 0.54-0.76). Conclusion: HBW status is associated with overweight/obesity during early childhood. Exclusive breastfeeding is a significant protective factor against overweight/obesity in children with HBW.
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