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Public Health Nutrition Public Health Nutrition

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Breast-feeding duration for the prevention of excess body weight of mother–child pairs concurrently: a 2-year cohort study

Published online by Cambridge University Press:  19 June 2017

Marco Fabio Mastroeni Open the ORCID record for Marco Fabio Mastroeni[Opens in a new window] ,
Silmara Salete de Barros Silva Mastroeni ,
Sandra Ana Czarnobay ,
John Paul Ekwaru ,
Sarah A Loehr  and
Paul J Veugelers
Marco Fabio Mastroeni*
Affiliation:
Population Health Intervention Research Unit, School of Public Health, University of Alberta, Edmonton, Alberta, Canada Postgraduate Program in Health and Environment, University of Joinville Region, Rua Paulo Malschitzki no. 10, Joinville, Santa Catarina, CEP 89.219-710, Brazil
Silmara Salete de Barros Silva Mastroeni
Affiliation:
Population Health Intervention Research Unit, School of Public Health, University of Alberta, Edmonton, Alberta, Canada Department of Physical Education, University of Joinville Region, Joinville, Santa Catarina, Brazil
Sandra Ana Czarnobay
Affiliation:
Postgraduate Program in Health and Environment, University of Joinville Region, Rua Paulo Malschitzki no. 10, Joinville, Santa Catarina, CEP 89.219-710, Brazil
John Paul Ekwaru
Affiliation:
Population Health Intervention Research Unit, School of Public Health, University of Alberta, Edmonton, Alberta, Canada
Sarah A Loehr
Affiliation:
Population Health Intervention Research Unit, School of Public Health, University of Alberta, Edmonton, Alberta, Canada
Paul J Veugelers
Affiliation:
Population Health Intervention Research Unit, School of Public Health, University of Alberta, Edmonton, Alberta, Canada
*
* Corresponding author: Email marco.mastroeni@univille.br
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Abstract

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Objective

To examine the association between breast-feeding duration and the risk of excess body weight (children >85th percentile, mothers BMI≥25·0 kg/m2) concurrently in mother–child pairs two years after delivery.

Design

Prospective cohort study in Joinville, Brazil. Multivariable logistic regression was used to examine the independent relationship between breast-feeding duration and risk of excess body weight.

Setting

Brazilian public maternity hospital.

Subjects

Three hundred and five mother–child pairs.

Results

At 2-year follow-up, 23·6 % of mother–child pairs had excess body weight. Children breast-fed for <2 months were more likely to have excess body weight than children breast-fed for ≥6 months (OR=2·4; 95 % CI 1·1, 5·1). Breast-feeding for <2 months was also associated with a greater likelihood of maternal excess body weight compared with those who breast-fed for ≥6 months (OR=2·9; 95 % CI 1·1, 8·1). There was a progressive increase in the likelihood of mother–child pairs having excess body weight as breast-feeding duration decreased. In addition to breast-feeding duration, other independent determinants of excess body weight were pre-pregnancy weight, gestational weight gain and number of pregnancies in mothers, and birth weight in children.

Conclusions

Breast-feeding for a longer duration has a parallel protective effect on the risk of excess body weight in mother–child pairs two years after birth. Since members of the same family could be influenced by the same risk factors, continued promotion and support of breast-feeding may help to attenuate the rising prevalence of overweight in mother–child pairs.

Keywords

Breast-feedingOverweightChildhood obesityBirth cohortPostpartum weightMaternal obesity
Type
Research Papers
Information
Public Health Nutrition , Volume 20 , Issue 14 , October 2017 , pp. 2537 - 2548
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Copyright
Copyright © The Authors 2017 

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