Viviane Gabriela Nascimento , Janaína Paula Costa da Silva , Patrícia Calesco Ferreira , Ciro João Bertoli , Claudio Leone
{"title":"母乳喂养、早期引入非母乳和学龄前超重","authors":"Viviane Gabriela Nascimento , Janaína Paula Costa da Silva , Patrícia Calesco Ferreira , Ciro João Bertoli , Claudio Leone","doi":"10.1016/j.rpped.2016.05.004","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>Investigate associations between excess weight in preschool children, breastfeeding duration and age of non‐breast milk introduction.</p></div><div><h3>Methods</h3><p>Cross‐sectional study of a representative sample of 817 preschool children, aged 2 to 4 years, attending municipal day care centers in the city of Taubaté. The weight and height of children were measured in the day care centers in 2009, 2010 and 2011. The body mass index z‐score (BMIz) was calculated and children were classified as risk of overweight (BMIz≥1 to<2) or excess weight (BMIz≥2). Data analysis was carried out by comparison of proportions, coefficient of correlation and multivariate linear regression.</p></div><div><h3>Results</h3><p>The prevalence of risk of overweight was 18.9% and of excess weight (overweight or obesity) was 9.3%. The median duration of breastfeeding and age of introduction of non‐breast milk was 6 months. The child's BMIz showed direct correlation with birth weight (r=0.154; <em>p</em><0.001) and maternal Body Mass Index (BMI) (r=0.113; <em>p</em>=0.002). The correlation was inverse with the total duration of breastfeeding (r=−0.099; <em>p</em>=0.006) and age at non‐breast milk introduction (r=−0.112; <em>p</em>=0.002). There was no correlation between the child's BMIz with birth length, duration of exclusive breastfeeding and mother's age.</p></div><div><h3>Conclusions</h3><p>The earlier the introduction of non‐breast milk, the higher the correlation with excess weight at preschool age.</p></div>","PeriodicalId":21311,"journal":{"name":"Revista Paulista De Pediatria","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rpped.2016.05.004","citationCount":"0","resultStr":"{\"title\":\"Aleitamento materno, introdução precoce de leite não materno e excesso de peso na idade pré‐escolar\",\"authors\":\"Viviane Gabriela Nascimento , Janaína Paula Costa da Silva , Patrícia Calesco Ferreira , Ciro João Bertoli , Claudio Leone\",\"doi\":\"10.1016/j.rpped.2016.05.004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>Investigate associations between excess weight in preschool children, breastfeeding duration and age of non‐breast milk introduction.</p></div><div><h3>Methods</h3><p>Cross‐sectional study of a representative sample of 817 preschool children, aged 2 to 4 years, attending municipal day care centers in the city of Taubaté. The weight and height of children were measured in the day care centers in 2009, 2010 and 2011. The body mass index z‐score (BMIz) was calculated and children were classified as risk of overweight (BMIz≥1 to<2) or excess weight (BMIz≥2). Data analysis was carried out by comparison of proportions, coefficient of correlation and multivariate linear regression.</p></div><div><h3>Results</h3><p>The prevalence of risk of overweight was 18.9% and of excess weight (overweight or obesity) was 9.3%. The median duration of breastfeeding and age of introduction of non‐breast milk was 6 months. The child's BMIz showed direct correlation with birth weight (r=0.154; <em>p</em><0.001) and maternal Body Mass Index (BMI) (r=0.113; <em>p</em>=0.002). The correlation was inverse with the total duration of breastfeeding (r=−0.099; <em>p</em>=0.006) and age at non‐breast milk introduction (r=−0.112; <em>p</em>=0.002). There was no correlation between the child's BMIz with birth length, duration of exclusive breastfeeding and mother's age.</p></div><div><h3>Conclusions</h3><p>The earlier the introduction of non‐breast milk, the higher the correlation with excess weight at preschool age.</p></div>\",\"PeriodicalId\":21311,\"journal\":{\"name\":\"Revista Paulista De Pediatria\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2016-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.rpped.2016.05.004\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista Paulista De Pediatria\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0103058216300296\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista Paulista De Pediatria","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0103058216300296","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PEDIATRICS","Score":null,"Total":0}
Aleitamento materno, introdução precoce de leite não materno e excesso de peso na idade pré‐escolar
Objective
Investigate associations between excess weight in preschool children, breastfeeding duration and age of non‐breast milk introduction.
Methods
Cross‐sectional study of a representative sample of 817 preschool children, aged 2 to 4 years, attending municipal day care centers in the city of Taubaté. The weight and height of children were measured in the day care centers in 2009, 2010 and 2011. The body mass index z‐score (BMIz) was calculated and children were classified as risk of overweight (BMIz≥1 to<2) or excess weight (BMIz≥2). Data analysis was carried out by comparison of proportions, coefficient of correlation and multivariate linear regression.
Results
The prevalence of risk of overweight was 18.9% and of excess weight (overweight or obesity) was 9.3%. The median duration of breastfeeding and age of introduction of non‐breast milk was 6 months. The child's BMIz showed direct correlation with birth weight (r=0.154; p<0.001) and maternal Body Mass Index (BMI) (r=0.113; p=0.002). The correlation was inverse with the total duration of breastfeeding (r=−0.099; p=0.006) and age at non‐breast milk introduction (r=−0.112; p=0.002). There was no correlation between the child's BMIz with birth length, duration of exclusive breastfeeding and mother's age.
Conclusions
The earlier the introduction of non‐breast milk, the higher the correlation with excess weight at preschool age.
期刊介绍:
The Revista Paulista de Pediatria publishes original contributions, case reports and review of clinical research with methodological approach in the areas of health and disease of neonates, infants, children and adolescents. The objective is to disseminate research with methodological quality on issues that comprise the health of children and adolescents. All articles are freely available online, via SciELO. Its abbreviated title is Rev. Paul. Pediatr., which should be used in bibliographies, footnotes and bibliographical references and strips.