Maternal Pre-Pregnancy BMI, Breastfeeding, and Child BMI-Reference-Cited by-同舟云学术

Maternal Pre-Pregnancy BMI, Breastfeeding, and Child BMI

Published:2023-12-19 Issue:1 Volume:153 Page:
ISSN:0031-4005
Container-title:Pediatrics
language:en
Short-container-title:

Author:

Shipp Gayle M.¹,Wosu Adaeze C.²,Knapp Emily A.²,Sauder Katherine A.³,Dabelea Dana⁴,Perng Wei³,Zhu Yeyi⁵,Ferrara Assiamira⁵,Dunlop Anne L.⁶,Deoni Sean⁷,Gern James⁸,Porucznik Christy⁹,Aris Izzuddin M.¹⁰,Karagas Margaret R.¹¹,Sathyanarayana Sheela¹²,O’Connor Tom G.¹³,Carroll Kecia N.¹⁴,Wright Rosalind J.¹⁴,Hockett Christine W.¹⁵¹⁶,Johnson Christine C.¹⁷,Meeker John D.¹⁸,Cordero José¹⁹,Paneth Nigel²⁰²¹,Comstock Sarah S.²²,Kerver Jean M.²⁰²¹,

Affiliation:

1. aCharles Stewart Mott Department of Public Health, Pediatric Public Health Initiative, Michigan State University, Flint, Michigan

2. bDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland

3. cLifecourse Epidemiology of Adiposity and Diabetes (LEAD) Center

4. dLifecourse Epidemiology and Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, Colorado

5. eKaiser Permanente Northern California, Oakland, California

6. fDepartment of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, Georgia

7. gAdvanced Baby Imaging Laboratory, Providence, Rhode Island and Bill & Melinda Gates Foundation, Maternal, Newborn, and Child Health Discovery & Tools, Seattle, Washington

8. hDepartments of Pediatrics and Medicine, University of Wisconsin-Madison, Madison, Wisconsin

9. iDepartment of Family and Preventive Medicine, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, Utah

10. jDepartment of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston Massachusetts

11. kDepartment of Epidemiology, Geisel School of Medicine at Dartmouth, Dartmouth College, Lebanon, New Hampshire

12. lDepartment of Pediatrics and Adjunct Environmental and Occupational Health Sciences, University of Washington and Seattle Children’s Research Institute, Seattle, Washington

13. mDepartment of Psychiatry, University of Rochester Medical Center, Rochester, New York

14. nDepartment of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, New York

15. oAvera Research Institute, Sioux Falls, South Dakota

16. pDepartment of Pediatrics, University of South Dakota School of Medicine, Vermillion, South Dakota

17. qDepartment of Public Health Sciences, Henry Ford Health, Detroit, Michigan

18. rDepartment of Environmental Health Sciences, University of Michigan School of Public Health, Ann Arbor, Michigan

19. sAffiliation for José Cordero; Department of Epidemiology and Biostatistics, University of Georgia, Athens, Georgia

20. uPediatrics and Human Development

21. tDepartments of Epidemiology and Biostatistics

22. vFood Science and Human Nutrition. Michigan State University, East Lansing, Michigan

Abstract

OBJECTIVES Breastfeeding practices may protect against offspring obesity, but this relationship is understudied among women with obesity. We describe the associations between breastfeeding practices and child BMI for age z-score (BMIz), stratified by maternal BMI. METHODS We analyzed 8134 dyads from 21 cohorts in the Environmental Influences on Child Health Outcomes Program. Dyads with data for maternal pre-pregnancy BMI, infant feeding practices, and ≥1 child BMI assessment between the ages of 2 and 6 years were included. The associations between breastfeeding practices and continuous child BMIz were assessed by using multivariable linear mixed models. RESULTS Maternal pre-pregnancy BMI category prevalence was underweight: 2.5%, healthy weight: 45.8%, overweight: 26.0%, and obese: 25.6%. Median child ages at the cessation of any breastfeeding and exclusive breastfeeding across the 4 BMI categories were 19, 26, 24, and 17 weeks and 12, 20, 17, and 12 weeks, respectively. Results were in the hypothesized directions for BMI categories. Three months of any breastfeeding was associated with a lower BMIz among children whose mothers were a healthy weight (−0.02 [−0.04 to 0.001], P = .06), overweight (−0.04 [−0.07 to −0.004], P = .03), or obese (−0.04 [−0.07 to −0.006], P = .02). Three months of exclusive breastfeeding was associated with a lower BMIz among children whose mothers were a healthy weight (−0.06 [−0.10 to −0.02], P = .002), overweight (−0.05 [−0.10 to 0.005], P = .07), or obese (−0.08 [−0.12 to −0.03], P = .001). CONCLUSIONS Human milk exposure, regardless of maternal BMI category, was associated with a lower child BMIz in the Environmental Influences on Child Health Outcomes cohorts, supporting breastfeeding recommendations as a potential strategy for decreasing the risk of offspring obesity.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

Link

https://publications.aap.org/pediatrics/article-pdf/doi/10.1542/peds.2023-061466/1584849/peds.2023-061466.pdf

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