Breastfeeding and obesity among Kuwaiti preschool children.
ABSTRACT To determine if breastfeeding and its duration are associated with a reduced risk of obesity among Kuwaiti preschool children.
The sample consisted of 2,291 (1,092 males and 1,199 females) preschool children (3-6 years of age) and their mothers. The data were collected from September 2003 to June 2004. Height and weight measurements were used for defining weight status while other data were collected by questionnaire.
There was no significant association of breastfeeding or its duration with either overweight or obesity among preschool children after adjusting for effects of the confounders. The child's gender, age and birth weight were the significant factors influencing current weight. Girls were at 32% higher risk of becoming obese than boys. Children aged 4-5 years were at nearly 3 times higher risk of overweight and obesity than children of less than 4 years. Children with higher birth weight (>or=4 kg) had double the risk of obesity than those of normal birth weight (>or=2.5 to <4.0 kg). Maternal obesity was a strong predictor of obesity in the children. A child with an obese mother had nearly 2 times higher risk of being overweight (BMI between the 85th the 95th percentiles) and 3 times of being obese (BMI >or=95th percentile) compared to a child born to a mother with a normal body weight.
Breastfeeding and its duration are not associated with obesity status. However, there is a positive association between child and maternal obesity.
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ABSTRACT: Suboptimal feeding patterns during the first two years of life are key determinants of malnutrition in children and constitute an important predictor of health in later years. Early-childhood nutritional factors, stunting, and obesity have been highlighted as prominent core underlying factors of Non-Communicable Disease (NCD) development whereas the improvement of complementary feeding practices has been cited as one of the most effective preventive strategies for reducing malnutrition and adult NCDs. In the MENA region NCD prevalence shows very high rates and the limited available studies show that current practices fall behind global recommendations. Common to all countries of this region are practices of mixed breast and bottle-feeding as early as the first month, as well as the premature introduction of complementary foods. Early introduction of non-milk fluids, such as sweetened water and herbal teas, has been described as a common practice in the region and the premature introduction of complementary foods has been reported in as high as 80% of infants in several of the countries. Thus, enhancing infant/young child health can significantly reduce morbidities and mortalities, as well as adult-onset diseases, ultimately decreasing the region's overall burden of disease.Nutrition, metabolism, and cardiovascular diseases: NMCD 07/2012; 22(10):793-8. · 3.52 Impact Factor
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ABSTRACT: According to the results of the Global Burden of Disease Study 2010, the burden of non-communicable diseases (cardiovascular disease, cancer, chronic lung diseases, and diabetes) in the Arab world has increased, with variations between countries of diff erent income levels. Behavioural risk factors, including tobacco use, unhealthy diets, and physical inactivity are prevalent, and obesity in adults and children has reached an alarming level. Despite epidemiological evidence, the policy response to non-communicable diseases has been weak. So far, Arab governments have not placed a suffi ciently high priority on addressing the high prevalence of non-communicable diseases, with variations in policies between countries and overall weak implementation. Cost-eff ective and evidence-based prevention and treatment interventions have already been identifi ed. The implementation of these interventions, beginning with immediate action on salt reduction and stricter implementation of tobacco control measures, will address the rise in major risk factors. Implementation of an eff ective response to the non-communicable-disease crisis will need political commitment, multisectoral action, strengthened health systems, and continuous monitoring and assessment of progress. Arab governments should be held accountable for their UN commitments to address the crisis. Engagement in the global monitoring framework for non-communicable diseases should promote accountability for eff ective action. The human and economic burden leaves no room for inaction.The Lancet 01/2014; · 39.21 Impact Factor
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ABSTRACT: Background The highest prevalence rates of childhood obesity have been observed in developed countries, however, its prevalence is increasing in developing countries as well. Objectives To estimate the prevalence of overweight and obesity among primary school children, aged from 6 to 12 years and to estimate risk factors of obesity and overweight, defined by body mass index (BMI). Methods A cross-sectional study was carried out at Port Said city during the second term of school year 2010/2011. The researcher took the anthropometric measurements inside the nurse’s room in the school and gave a questionnaire to the students to be answered by one of the child’s parents. The questionnaire included questions related to socioeconomic status, life style (physical activity and eating habits) and family history of overweight and obesity. Results Eight hundred and fifty-two students participated in this study. Prevalence of overweight and obesity was 17.7% and 13.5% respectively. The rate of obesity was the highest at the age of 7–8 years (grade 2) and decreased with an increase in age, while overweight increased with an increase in age to be the highest at the age of 9–10 (grade 4) and 10–11 (grade 5). Socioeconomic class, faulty dietary habits, sedentary life, low level of physical activity and positive family history of overweight and/or obesity were significantly associated with student’s BMI. Conclusion This study found a relatively high prevalence of overweight and obesity among children aged 6–12 years in Port Said city. Decreased rate of obesity with an increase in age in our study, signifies that faulty feeding habits were the highest at lower ages.The Gazette of the Egyptian Paediatric Association 01/2013; 61(1):31–36.