Korean J Community Nutr.  2013 Dec;18(6):644-651. 10.5720/kjcn.2013.18.6.644.

Breast-feeding and Obesity in Early Childhood: Based on the KNHANES 2008 through 2011

Affiliations
  • 1Nutrition Management Service Team, Korea Health Industry Development Institute, Chungbuk, Korea.
  • 2Food Safety Risk Assessment Division, Ministry of Food and Drug Safety, Chungbuk, Korea.
  • 3Department of Anti-ageing Industry & Policy, Korea Health Industry Development Institute, Chungbuk, Korea. kimci@khidi.or.kr

Abstract

Although there has been a significant increase in breast-feeding (BF) rate in Korea, it is plateaued since 2008 and still low compared with that of other countries. Because BF has been related to lower obesity prevalence in many studies and the increase in childhood obesity became evident in Korea, we wondered if a relatively lower BF rate has anything to do with this increase. Therefore, we looked into the relationship between mode & duration of BF during infancy and weight status of toddlers using the data from Korea National Health and Nutrition Examination Survey 2008 through 2011. Number of 2-3 year old toddlers with complete information on BF, anthropometry and normal birth weight was 674. While 87% of them were ever-breastfed, 6.2% each of them were either obese or overweight based on the Standard Growth Chart for Korean Children. Not only the obesity prevalence was different among groups of different mode of feeding, but also the mean duration of BF was significantly longer in normal weight group (9.2 mo.) compared with obese group (5.5 mo.). Accordingly, overweight and obesity prevalence of the toddlers breast-fed for 12 months or longer was significantly lower than that of the toddlers breast-fed for less than 12 months (OR 0.53, 95% CI 0.32-0.87). This study revealed that both BF and duration of BF affect the childhood obesity and, BF for 12 months or longer should be encouraged more aggressively as one of the main strategies to prevent and/or decrease childhood obesity in Korea.

Keyword

childhood obesity; toddler; breast-feeding; duration

MeSH Terms

Anthropometry
Birth Weight
Child
Growth Charts
Humans
Korea
Nutrition Surveys
Obesity*
Overweight
Pediatric Obesity
Prevalence

Figure

  • Fig. 1 Mean duration of breast-feeding by weight status among 2~3 year old toddlers with normal birth-weight in KNHANES 2008~2011. 1) Numbers with different superscripts are significantly different by Duncan's multiple range test (p < 0.05)

  • Fig. 2 Distribution of subjects by mode of feeding and duration of breast-feeding among 2-3 year old toddlers with normal birth-weight in KNHANES 2008-2011.

  • Fig. 3 Mean duration of breast-feeding by mode of feeding among 2~3 year old toddlers with normal birth-weight in KNHANES 2008~2011.


Reference

1. Aguiar H, Silva AI. [Breastfeeding: the importance of intervening]. Acta Med Port. 2011; 24:Suppl 4. 889–896.
2. Arenz S, Rockerl R, Koletzko B, von Kries R. Breast-feeding and childhood obesity-a systematic review. Int J Obes Relat Metab Disord. 2004; 28:1247–1256.
3. Armstrong J, Reilly JJ. The Child Health Information Team. Breastfeeding and lowering the risk of childhood obesity. Lancet. 2002; 359:2003–2004.
4. Bahl R, Frost C, Kirkwood BR, Edmond K, Martines J, Bhandari N, Arthur P. Infant feeding patterns and risks of death and hospitalization in the first half of infancy: multicentre cohort study. Bull WHO. 2005; 83(6):418–425.
5. Bergmann KE, Bergmann RL, Von Kries R, Böhm O, Richter R, Dudenhausen JW, Wahn U. Early determinants of childhood overweight and adiposity in a birth cohort study: role of breast-feeding. Int J Obes Relat Metab Disord. 2003; 27(2):162–172.
6. Bogen DL, Hanusa BH, Whitaker RC. The effect of breast-feeding with and without formula use on the risk of obesity at 4 years of age. Obes Res. 2004; 12(9):1527–1535.
7. Cho KL. A study on the relationship between schoolage obesity and type of feeding in infant period. Pusan National University;2005. 9–13. Dissertation.
8. Crume T, Ogden L, Mayer-Davis E, Hamman R, Norris J, Bischoff K, McDuffie R, Dabelea D. The impact of neonatal breastfeeding on growth trajectories of youth exposed and unexposed to diabetes in utero: The EPOCH study. Int J Obes (Lond). 2012; 36:529–534.
9. Yensel CS, Preud'homme D, Curry DM. Childhood obesity and insulin-resistant syndrome. J Pediatr Nurs. 2004; 19(4):238–246.
10. Deckelbaum R, Williams C. Childhood obesity. Obes Res. 2001; 9:Suppl 4. 239S–240S.
11. Dietz WH. The obesity epidemic in young children: Reduce television viewing and promote playing. BMJ. 2001; 322:313–314.
12. Dietz WH. Breastfeeding may help prevent childhood overweight. JAMA. 2001; 285:2506–2507.
13. DiSantis KI, Hodges EA, Johnson SL, Fisher JO. The role of responsive feeding in overweight during infancy and toddlerhood: a systematic review. Int J Obes (Lond). 2011; 35:480–492.
14. Ebbeling CB, Pawlak DB, Ludwig DS. Childhood obesity: public-health crisis, common sense cure. Lancet. 2002; 360:473–482.
15. Gillman MW, Rifas-Shiman SL, Camargo CA Jr, Berkey CS, Frazier AL, Rockett HR, Field AE, Colditz GA. Risk of overweight among adolescents who were breastfed as infants. JAMA. 2001; 285(19):2461–2467.
16. Harder T, Bergmann R, Kallischnigg G, Plagemann A. Duration of breastfeeding and risk of overweight: a meta-analysis. Am J Epidemiol. 2005; 162(5):397–403.
17. KCDC. 2007 Korean national growth charts. 2008. cited 2013 August 31. Available from http://www.cdc.go.kr/.
18. KCDC/MOHW. Korea health statistics 2008: Korea national health and nutrition examination survey (KNHANES IV-2). 2009. cited 2013 August 31. Available from http://knhanes.cdc.go.kr/.
19. KCDC/MOHW. Korea health statistics 2009: Korea national health and nutrition examination survey (KNHANES IV-3). 2010. cited 2013 August 31. Available from http://knhanes.cdc.go.kr/.
20. KCDC/MOHW. Korea health statistics 2010: Korea national health and nutrition examination survey (KNHANES V-1). 2011. cited 2013 August 31. Available from http://knhanes.cdc.go.kr/.
21. KCDC/MOHW. Korea health statistics 2011: Korea national health and nutrition examination survey (KNHANES V-2). 2012. cited 2013 August 31. Available from http://knhanes.cdc.go.kr/.
22. Kim SH. The relationship between breast feeding and childhood obesity. Yonsei University;2004. 22–23. Dissertation.
23. Krebs NF, Himes JH, Jacobson D, Nicklas TA, Guilday P, Styne D. Assessment of child and adolescent overweight and obesity. Pediatrics. 2007; 120:Suppl 4. S193–S228.
24. Lamb M, Dabelea D, Yin X, Ogden L, Klingensmith G, Rewers M, Norris J. Early-life predictors of higher body mass index in healthy children. Ann Nutr Metab. 2010; 56:16–22.
25. Lim HJ, Park HR, Goo HK. A study on policy of obesity of children and adolescents. National Youth Policy Institute;2009.
26. McCrory C, Layte R. Breastfeeding and risk of overweight and obesity at nine years of age. Soc Sci Med. 2012; 75(2):323–330.
27. Monterrosa EC, Frongillo EA, Vásquez-Garibay EM, Romero-Velarde E, Casey LM, Willows ND. Predominant breast-feeding from birth to six months is associated with fewer gastrointestinal infections and increased risk for iron deficiency among infants. J Nutr. 2008; 138(8):1499–1504.
28. Nader PR, O'Brien M, Houts R, Bradley R, Belsky J, Crosnoe R. Identifying risk for obesity in early childhood. Pediatrics. 2006; 118(3):594–601.
29. Newburg DS, Woo JG, Morrow AL. Characteristics and potential functions of human milk adiponectin. J Pediatr. 2010; 156:2 Suppl. S41–S46.
30. Oddy WH. Infant feeding and obesity risk in the child. Breastfeed Rev. 2012; 20(2):7–12.
31. OECD. OECD Family database. Breastfeeding rates. 2009. cited 2013 August 31. Available from http://www.oecd.org/els/family/43136964.pdf.
32. Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of obesity and trends in body mass index among US children and adolescents, 1999-2010. JAMA. 2012; 307(5):483–490.
33. Oh K, Jang MJ, Lee NY, Moon JS, Lee CG, Yoo MH, Kim YT. Prevalence and trends in obesity among Korean children and adolescents in 1997 and 2005. Korean J Pediatr. 2008; 51(9):950–955.
34. Oh SW. Diagnostic criteria for childhood obesity. Korean J Obes. 2008; 17(4):188–190.
35. Owen CG, Martin RM, Whincup PH, Smith GD, Cook DG. Does breastfeeding influence risk of type 2 diabetes in later life? A quantitative analysis of published evidence. Am J Clin Nutr. 2006; 84(5):1043–1054.
36. Owen CG, Martin RM, Whincup PH, Smith GD, Cook DG. Effect of infant feeding on the risk of obesity across the life course: quantitative review of published evidence. Pediatrics. 2005; 115(5):1367–1377.
37. Papoutsakis C, Priftis KN, Drakouli M, Prifti S, Konstantaki E. Childhood overweight/obesity and asthma: is there a link? A systematic review of recent epidemiologic evidence. J Acad Nutr Diet. 2013; 113(1):77–105.
38. Park JY. Association of predominant breastfeeding and obesity among Korean preschool children. Yonsei University;2011. 29–33. Dissertation.
39. Prentice AM, Jebb SA. Beyond body mass index. Obes Rev. 2001; 2(3):141–147.
40. Savino F, Liguori SA. Update on breast milk hormones: leptin, ghrelin and adiponectin. Clin Nutr. 2008; 27(1):42–47.
41. Savino F, Petrucci E, Nanni G. Adiponectin: an intriguing hormone for paediatricians. Acta Paediatr. 2008; 97(6):701–705.
42. Solomon CG, Manson JE. Obesity and mortality: a review of the epidemiologic data. Am J Clin Nutr. 1997; 66:4 Suppl. 1044S–1050S.
43. Spyrides MH, Struchiner CJ, Barbosa MT, Kac G. Effect of predominant breastfeeding duration on infant growth: a prospective study using nonlinear mixed effect models. J Pediatr (Rio J). 2008; 84(3):237–243.
44. Strbák V, Skultétyová M, Hromadová M, Randusková A, Macho L. Late effects of breast-feeding and early weaning: seven-year prospective study in children. Endocr Regul. 1991; 25(1-2):53–57.
45. Strong G, Lee S. Breastfeeding to combat childhood obesity: the duration required to reduce the risk. Clin Lactation. 2012; 3(4):143–146.
46. Toschke AM, Vignerova J, Lhotska L, Osancova K, Koletzko B, Von Kries R. Overweight and obesity in 6- to 14-year-old Czech children in 1991: protective effect of breast-feeding. J Pediatr. 2002; 141(6):764–769.
47. Twells L, Newhook L. Can exclusive breastfeeding reduce the likelihood of childhood obesity in some regions of Canada? Can J Public Health. 2010; 101(1):36–39.
48. von Kries R, Koletzko B, Sauerwald T. Breast feeding and obesity: cross sectional study. BMJ. 1999; 319:147–150.
49. von Kries R, Koletzko B, Sauerwald T, von Mutius E. Does breast-feeding protect against childhood obesity? Adv Exp Med Biol. 2000; 478:29–39.
50. WBTi. World breastfeeding trends initiatives. 2012. cited 2013 August 31. Available from http://worldbreastfeedingtrends.org/.
51. WHO. Diet, nutrition and the prevention of chronic diseases. 2004. cited 2013 August 31. Available from http://www.who.int/nutrition/topics/obesity/en/.
52. Wieting JM. Cause and effect in childhood obesity: solutions for a national epidemic. J Am Osteopath Assoc. 2008; 108(10):545–552.
53. Yngve A, Sjostrom M. Breastfeeding in countries of the European Union and EFTA: current and proposed recommendations, rationale, prevalence, duration and trends. Public Health Nutr. 2001; 4(2B):631–645.
54. Yon MY, Lee HS, Kim DH, Lee JY, Nam JW, Lee HJ, Kim JY, Kim SY, Kim CI. Obesity pattern of early childhood according to the feeding type and breastfeeding duration in infancy - Based on the KNHANES 2008 through 2011-. Korean J Obes. 2013; 22:S2. 209.
55. Young-Hyman D, Schlundt DG, Herman L, De Luca F, Counts D. Evaluation of the insulin resistance syndrome in 5- to 10-year-old overweight/obese African-American children. Diabetes Care. 2001; 24(8):1359–1364.
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