Breastfeeding and obesity among Kuwaiti preschool children.

Administration of Food and Nutrition, Ministry of Health, Shuwaikh 70655, Kuwait.
Medical Principles and Practice (Impact Factor: 0.96). 02/2009; 18(2):111-7. DOI: 10.1159/000189808
Source: PubMed

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.

  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The objective of this paper was to explore the prevalence of overweight and obesity among various age groups as well as discuss the possible factors that associated with obesity in the Eastern Mediterranean Region (EMR). A systematic review of published papers between 1990 and 2011 was carried out. Obesity reached an alarming level in all age groups of the EMR countries. The prevalence of overweight among preschool children(<5 years) ranged from 1.9% to 21.9%, while the prevalence of overweight and obesity among school children ranged from 7% to 45%. Among adults the prevalence of overweight and obesity ranged from 25% to 81.9%. Possible factors determining obesity in this region include: nutrition transition, inactivity, urbanization, marital status, a shorter duration of breastfeeding, frequent snacking, skipping breakfast, a high intake of sugary beverages, an increase in the incidence of eating outside the home, long periods of time spent viewing television, massive marketing promotion of high fat foods, stunting, perceived body image, cultural elements and food subsidize policy. A national plan of action to overcome obesity is urgently needed to reduce the economic and health burden of obesity in this region.
    Journal of obesity 01/2011; 2011:407237.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Postnatal growth patterns in children are associated with various factors within the birth and infancy periods. The aim of the present study was to examine the correlation between growth patterns and parameters including gestational age (GA), birthweight (BW), sex, and feeding method in the records of 61,631 children aged 6-72 months. The data were obtained from the 2007 Korean National Growth Charts provided by the Korean Centers for Disease Control. Data were analyzed using descriptive statistics, Pearson's correlation, and multiple linear regression. BW and sex were highly correlated with weight and height by 72 months (P < 0.01), with BW being the primary predictor (P < 0.001). Sex was the second predictor of weight and height in children by 66 months (P < 0.01). Feeding method was the predictor of weight in children aged 12-48 months and 60 months (P < 0.05), and was also influential in the height of children by 48 months (P < 0.05). GA was the predictor of weight at 12 months and from 30 to 42 months (P < 0.05). GA, BW, sex and feeding method were the predictors of weight and height among children at different times. Therefore, the present population-based study strengthens the consideration of these factors for routine monitoring of growth patterns in Korean children.
    Pediatrics International 04/2011; 53(6):832-8. · 0.88 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    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; · 39.06 Impact Factor