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Association between breastfeeding, parents’ body mass index and birth weight with obesity indicators in children

BACKGROUND: Childhood obesity is potentially affected by breastfeeding, parents’ body mass index and birth weight. Thus, this study aimed to verify the association between breastfeeding, parents’ body mass index and birth weight with obesity indicators in children. METHODS: This is a cross-sectional...

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Autores principales: Santos, Maurício dos, Ferrari, Gerson, Drenowatz, Clemens, Estivaleti, José Matheus, de Victo, Eduardo Rossato, de Oliveira, Luis Carlos, Matsudo, Victor
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9578270/
https://www.ncbi.nlm.nih.gov/pubmed/36258166
http://dx.doi.org/10.1186/s12887-022-03641-3
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author Santos, Maurício dos
Ferrari, Gerson
Drenowatz, Clemens
Estivaleti, José Matheus
de Victo, Eduardo Rossato
de Oliveira, Luis Carlos
Matsudo, Victor
author_facet Santos, Maurício dos
Ferrari, Gerson
Drenowatz, Clemens
Estivaleti, José Matheus
de Victo, Eduardo Rossato
de Oliveira, Luis Carlos
Matsudo, Victor
author_sort Santos, Maurício dos
collection PubMed
description BACKGROUND: Childhood obesity is potentially affected by breastfeeding, parents’ body mass index and birth weight. Thus, this study aimed to verify the association between breastfeeding, parents’ body mass index and birth weight with obesity indicators in children. METHODS: This is a cross-sectional study, including data from 402 schoolchildren between 9 and 11 of age in the city of São Caetano do Sul, Brazil. Parents or guardians answered a questionnaire about breastfeeding (month), birth weight (kg), and parental body weight and height (parents’ body mass index [kg/m(2)] was calculated). Body mass index (kg/m(2)), waist circumference (cm) and body fat (%), determined via bio-impedance, were measured and used as obesity indicators. Multi-level linear regression models were used to assess the respective associations adjusted for the potential confounders. RESULTS: Considering body mass index of children, the overall prevalence of eutrophic, overweight and obese were 58.2%, 20.9% and 17.2%, respectively. Significant and positive correlations were observed between breastfeeding, maternal as well as paternal body mass index and the children’s body mass index, body fat and waist circumference. Birth weight was weakly and positively associated with body mass index and body fat but was not associated with waist circumference. After adjusting for school, sex, age, race/ethnicity, annual household income, sedentary time and moderate-to-vigorous physical activity, maternal body mass index and birth weight were positively associated with children’s body mass index (β: 0.228; 95%CI: 0.142; 0.314 and β: 0.001; 95%CI: 0.001; 0.002), body fat (β: 0.484; 95%CI: 0.297; 0.671 and β: 0.002; 95%CI: 0.001; 0.003) and waist circumference (β: 0.509; 95%CI: 0.304; 0.715 and β: 0.003; 95%CI: 0.001; 0.005). Breastfeeding was not associated with any obesity indicators. CONCLUSION: Maternal body mass index and birth weight were associated with children’s obesity indicators. The perinatal environment, therefore, appears to be a critical contributor to childhood obesity and public policies need to address parental obesity in order to tackle childhood obesity. TRIAL REGISTRATION: The International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE) is registered at (Identifier NCT01722500).
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spelling pubmed-95782702022-10-19 Association between breastfeeding, parents’ body mass index and birth weight with obesity indicators in children Santos, Maurício dos Ferrari, Gerson Drenowatz, Clemens Estivaleti, José Matheus de Victo, Eduardo Rossato de Oliveira, Luis Carlos Matsudo, Victor BMC Pediatr Research BACKGROUND: Childhood obesity is potentially affected by breastfeeding, parents’ body mass index and birth weight. Thus, this study aimed to verify the association between breastfeeding, parents’ body mass index and birth weight with obesity indicators in children. METHODS: This is a cross-sectional study, including data from 402 schoolchildren between 9 and 11 of age in the city of São Caetano do Sul, Brazil. Parents or guardians answered a questionnaire about breastfeeding (month), birth weight (kg), and parental body weight and height (parents’ body mass index [kg/m(2)] was calculated). Body mass index (kg/m(2)), waist circumference (cm) and body fat (%), determined via bio-impedance, were measured and used as obesity indicators. Multi-level linear regression models were used to assess the respective associations adjusted for the potential confounders. RESULTS: Considering body mass index of children, the overall prevalence of eutrophic, overweight and obese were 58.2%, 20.9% and 17.2%, respectively. Significant and positive correlations were observed between breastfeeding, maternal as well as paternal body mass index and the children’s body mass index, body fat and waist circumference. Birth weight was weakly and positively associated with body mass index and body fat but was not associated with waist circumference. After adjusting for school, sex, age, race/ethnicity, annual household income, sedentary time and moderate-to-vigorous physical activity, maternal body mass index and birth weight were positively associated with children’s body mass index (β: 0.228; 95%CI: 0.142; 0.314 and β: 0.001; 95%CI: 0.001; 0.002), body fat (β: 0.484; 95%CI: 0.297; 0.671 and β: 0.002; 95%CI: 0.001; 0.003) and waist circumference (β: 0.509; 95%CI: 0.304; 0.715 and β: 0.003; 95%CI: 0.001; 0.005). Breastfeeding was not associated with any obesity indicators. CONCLUSION: Maternal body mass index and birth weight were associated with children’s obesity indicators. The perinatal environment, therefore, appears to be a critical contributor to childhood obesity and public policies need to address parental obesity in order to tackle childhood obesity. TRIAL REGISTRATION: The International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE) is registered at (Identifier NCT01722500). BioMed Central 2022-10-18 /pmc/articles/PMC9578270/ /pubmed/36258166 http://dx.doi.org/10.1186/s12887-022-03641-3 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Santos, Maurício dos
Ferrari, Gerson
Drenowatz, Clemens
Estivaleti, José Matheus
de Victo, Eduardo Rossato
de Oliveira, Luis Carlos
Matsudo, Victor
Association between breastfeeding, parents’ body mass index and birth weight with obesity indicators in children
title Association between breastfeeding, parents’ body mass index and birth weight with obesity indicators in children
title_full Association between breastfeeding, parents’ body mass index and birth weight with obesity indicators in children
title_fullStr Association between breastfeeding, parents’ body mass index and birth weight with obesity indicators in children
title_full_unstemmed Association between breastfeeding, parents’ body mass index and birth weight with obesity indicators in children
title_short Association between breastfeeding, parents’ body mass index and birth weight with obesity indicators in children
title_sort association between breastfeeding, parents’ body mass index and birth weight with obesity indicators in children
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9578270/
https://www.ncbi.nlm.nih.gov/pubmed/36258166
http://dx.doi.org/10.1186/s12887-022-03641-3
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