The Role of Children's Dietary Pattern and Physical Activity in the Association Between Breastfeeding and BMI at Age 5: The GECKO Drenthe Cohort.
Objectives: Breastfeeding is protective against childhood obesity, but the role of childhood lifestyle in this association is unclear. We investigated whether physical activity and dietary pattern at age 5 differed between breastfed and non-breastfed children, and how they relate to Body Mass Index...
| Publicado en: | Maternal & Child Health Journal Vol. 25; no. 2; pp. 338 - 349 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=148566114&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 148566114 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: 2021 vid: 25 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 148566114 147304383 148566114 148566114 10.1007/s10995-020-03063-6 148566114 ppf: 338 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The Role of Children's Dietary Pattern and Physical Activity in the Association Between Breastfeeding and BMI at Age 5: The GECKO Drenthe Cohort. aug: au: Vinke, Petra Corianne Tigelaar, Carolien Küpers, Leanne Karen Corpeleijn, Eva affil: Department of Epidemiology, University Medical Center Groningen, University of Groningen, P.O. Box 30 001, 9700 RB, Groningen, The Netherlands sug: subj: Diet Food Habits Physical Activity Breast Feeding Body Mass Index In Infancy and Childhood Child Prospective Studies Questionnaires Sweetened Beverages Bread Fruit Sedentary Behavior Screen Time Linear Regression Health Literacy Pediatric Obesity Child, Preschool Infant Formula Anthropometry Socioeconomic Factors Descriptive Statistics Mann-Whitney U Test Fisher's Exact Test Spearman's Rank Correlation Coefficient Maternal Age Sex Factors Data Analysis Software Multivariate Analysis Male Female Regression Human Funding Source Child: 6-12 years Child, Preschool: 2-5 years Male Female ab: Objectives: Breastfeeding is protective against childhood obesity, but the role of childhood lifestyle in this association is unclear. We investigated whether physical activity and dietary pattern at age 5 differed between breastfed and non-breastfed children, and how they relate to Body Mass Index (BMI) Z-scores. Methods: 1477 children of the Dutch GECKO Drenthe birth cohort were included. At one month, children were categorized as breastfed (receiving breast milk exclusively or in combination with formula milk) or non-breastfed (receiving formula milk exclusively). At age 5, height and weight were objectively measured, physical activity was measured by ActiGraph GT3x and dietary patterns were assessed with a parent-reported food pattern questionnaire, assessing the consumption frequency of selected food items at seven occasions over the day. Results: Non-breastfed children had higher BMI Z-scores (0.36 ± 0.90 vs. 0.20 ± 0.80 SD, p = 0.002), more frequently consumed sugar-sweetened beverages (25.0 ± 10.5 vs. 22.5 ± 9.71 times per week, p < 0.001), and consumed relatively less whole-wheat or brown bread (p = 0.007). Differences in sugar-sweetened beverage consumption were most pronounced during main meals. Total fruit consumption, sedentary time and moderate-to-vigorous physical activity levels did not differ between the groups. Multivariable adjusted linear regression analyses showed that the differences in BMI-z score between non-breastfed and breastfed children were not explained by the differences in sugar-sweetened beverages or type of bread consumed. Conclusions: Infant breastfeeding itself is indicative of healthy dietary behaviors in early life, and is also more likely to be followed by a favorable dietary pattern at toddler age. However, the differences in dietary habits between breastfed and non-breastfed children did not explain the difference in BMI Z-score at the age of 5. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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