Breastfeeding and Obesity among Kuwaiti Preschool Children

Administration of Food and Nutrition, Ministry of Health, Shuwaikh 70655, Kuwait.
Medical Principles and Practice (Impact Factor: 1.34). 02/2009; 18(2):111-7. DOI: 10.1159/000189808
Source: PubMed


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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    • "Water, herbal water 6e9 Fruits Canned wheat & rice Weaning foods -Primi pregnancy -Mother's health status -Child refusal to feed (not satisfied) -Mother's work Egypt [35] 4e6 Water, sweetened water, flavored tea 6e9 Rice, tea and biscuit -New pregnancy -Child old enough -Scanty milk -Contraceptive use -High income & high education KSA [36] 4e6 4 e6 Rice -Insufficiency or non-availability of breast milk -Child reaching suitable age -Mother not having enough milk -Pregnancy of mother Kuwait [33] [37] [38] 3e5 Water, herbs, fruit juices 4e<6 Cereal products (biscuit, baby cereals) -Insufficiency of mother's milk -Lack of professional support to breastfeeding mothers during the early days after delivery. -Mother's desire -Infant refusal of the breast -Onset of a new pregnancy -The use of contraceptive pills Lebanon [29] [39] <4 "
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    • "In Kuwait, it was reported that neither breastfeeding nor duration of breastfeeding was associated with childhood obesity at 3–6 years when potential confounders were controlled for. However, introduction of solid foods to the infants before two months was significantly associated with obesity, as children received solid foods before 2 months of age were two times at risk of being overweight than those who received solid foods between 4 and 6 months (odd ratio 2.39, P < 0.01) [76]. "
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