Title Effect of Breastfeeding on Childhood BMI and Obesity The China Family Panel Studies
Authors Jing, Huiquan
Xu, Hongwei
Wan, Junmin
Yang, Yang
Ding, Hua
Chen, Minyan
Li, Lizhuo
Lv, Ping
Hu, Jingwei
Yang, Jingyun
Affiliation Peking Univ, Inst Social Sci Survey, Beijing 100871, Peoples R China.
Shenyang Med Coll, Dept Social Sci, Shenyang 110034, Liaoning, Peoples R China.
Shenyang Med Coll, Sect Discipline Construct & Dev Planning, Shenyang 110034, Liaoning, Peoples R China.
China Med Univ, Emergency Dept, Shengjing Hosp, Shenyang, Liaoning, Peoples R China.
Univ Michigan, Inst Social Res, Ann Arbor, MI USA.
Fukuoka Univ, Grad Sch Econ, Fukuoka 81401, Japan.
Rush Univ, Med Ctr, Rush Alzheimers Dis Ctr, Chicago, IL 60612 USA.
Rush Univ, Med Ctr, Dept Neurol Sci, Chicago, IL 60612 USA.
Shenyang Med Coll, Dept Social Sci, 146 Huanghe North St, Shenyang 110034, Liaoning, Peoples R China.
Keywords CARDIOVASCULAR RISK-FACTORS
LARGE RANDOMIZED-TRIAL
BODY-MASS INDEX
COGNITIVE-DEVELOPMENT
PRESCHOOL-CHILDREN
PUBLISHED EVIDENCE
YOUNG ADULTHOOD
BLOOD-PRESSURE
BIRTH COHORT
OVERWEIGHT
Issue Date 2014
Publisher medicine
Citation MEDICINE.2014,93,(10).
Abstract The objective of this study is to investigate the effect of breastfeeding on childhood obesity in China. We used data collected from the China Family Panel Studies, an ongoing, prospective, and nationwide longitudinal study to explore the extensive and dynamic social changes in China. A total of 7967 children were included in the analysis. Duration of breastfeeding was first treated as a continuous variable and subsequently dichotomized into ever versus never, >= 6 months versus < 6 months, >= 8 months versus < 8 months, and >= 12 months versus < 12 months. Multiple imputation was conducted and regressions with propensity score matching were performed. We also performed quantile regression to examine whether breastfeeding has an effect on childhood obesity among children with a specific quantile of body mass index (BMI). Consistent with findings from recent studies, in both adjusted and adjusted regressions, we did not find any statistically significant effect of breastfeeding on reducing the risk of obesity (unadjusted odds ratio, OR=1.02, 95% confidence interval, CI 0.99, 1.05, P=0.12; adjusted OR 1.01, 95% CI 0.98, 1.05, P=0.36) or excessive weight (unadjusted OR=1.01, 95% CI 0.99, 1.03, P=0.26; adjusted OR=1.00, 95% CI 0.98, 1.02, P=0.90). Results were similar using various dichotomization of duration of breastfeeding. Quantile regression revealed that longer duration of breastfeeding is associated with higher BMI among children with small to medium quantile of BMI. Our findings echo recent research and caution against any population-wide strategy in attempting to reduce overweight and obesity through promotion of breastfeeding.
URI http://hdl.handle.net/20.500.11897/342260
ISSN 0025-7974
DOI 10.1097/MD.0000000000000055
Indexed SCI(E)
PubMed
Appears in Collections: 社会科学调查中心

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