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Eating behavior and dietary intake in obesity prone normal weight children may be related to duration of exclusive breastfeeding
Ist Teil von
Revue d'épidémiologie et de santé publique, 2018-07, Vol.66, p.S233-S234
Ort / Verlag
Elsevier Masson SAS
Erscheinungsjahr
2018
Quelle
Elsevier ScienceDirect Journals Complete
Beschreibungen/Notizen
Infants who are breastfed are introduced to a variety of flavors from the maternal milk and thus the transition from maternal milk to complementary foods seems easier for these children. Our aim was to investigate if duration of exclusive breastfeeding was associated with pickiness or dietary intake of vegetables, fruit, starch or sugar sweetened beverages in obesity prone normal weight children aged 2–6 years.
This cohort study was based on data from the Healthy Start primary intervention study, the Danish Medical Birth registry and the Danish Health Visitor's Child Health Database. Infant feeding was registered by health nurses while visiting the mother and child up to four times within the first year. Information on eating behaviour at age 2–6 years and the child's dietary intake were obtained by parents. Crude and adjusted logistic regression and general linear models were used to investigate associations.
A total of 236 children had complete information on all variables. Data showed a tendency towards a higher risk of developing picky eating behaviour when breastfeed for<4 months compared to exclusively breastfeed for≥4 months (OR=1.78, 95CI=0.99; 3.23, P=0.06). Children breastfeed<6 months did not show higher risk of pickiness compared to children breastfeed for≥6 months. In the crude analysis, breastfeed for≥4 months was associated with a higher daily intake of vegetables (P=0.04). However, in both crude and adjusted analysis, children breastfed for≥6 months compared to children breastfeed for<6 months had a higher daily intake of vegetables, corresponding to 23.3g (12.9–34.5g) in the adjusted analysis. These associations were not mediated by maternal education or degree of pickiness. Children breastfeed for<6 months drank 30g (15.3–44.7g, P=0.05) more sugar sweetened beverages per day.
This study documents evidence that exclusive breastfeeding duration may influence pickiness and potentially facilitate the consumption of a healthier diet in later childhood in obesity prone normal weight children, which also have been reported in studies of children in general.