Abstract
Objective: To examine the influence of infant feeding practices on weight gain in children at 24 months of age. Method: Study data were from 4,245 children from the Prospective Cohort study of Thai Children conducted in 2000-2002. Information on breast feeding duration and timing of specific types of complementary foods introduction was collected in infancy. Overweight (BMI-for-age >2 SD from WHO standard median) and weight gain (weight at birth minus body weight at 24-months) were evaluated. Results: Breastfeeding for 12 months or more reduced the weight gain (s=-0.0101, p Conclusion: This study concluded that longer duration of breastfeeding and late introduction of animal source foods, fruit juices and vegetables decreased weight gain or overweight risk in children at 24 months of age. (Keywords: Breastfeeding duration, complementary food introduction, weight gain, obesity) Sri Lanka Journal of Child Health, 2017; 46 (2): 108-116
Highlights
Obesity starts early and tends to persist into childhood and adulthood[1]
In light of specific types of foods, overweight risk decreased with increasing age at introduction of animal source foods, vegetables, and fruit juices, whereas weight gain had an inverse association with animal source foods (p=0.0004) and vegetables (p
This study concluded that longer duration of breastfeeding and late introduction of animal source foods, fruit juices and vegetables decreased weight gain or overweight risk in children at 24 months of age
Summary
Obesity starts early and tends to persist into childhood and adulthood[1]. Research has focused on identifying the factors attributable to the development of obesity with emphasis on the first year of life as a critical period to target[2]. There are many studies on the effects of proper infant feeding on the child development. Effects of breastfeeding (BF) and timing of complementary food (CF) introduction on the development of obesity are not conclusive even today. The effect in low- and middle-income countries is questionable, because most studies were evaluated in high income countries[4,5,6]. Infant feeding practice, such as types of CF when stopping BF between high- and low-income countries is different. Studies on the effect of infant feeding practice, such as BF and timing of CF introduction in low- and middle-income countries were suggested[7]. Only one Danish study has evaluated the effect of timing of complementary food introduction, in terms of specific types of foods
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