Browse > Article
http://dx.doi.org/10.5720/kjcn.2013.18.6.644

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

Yon, Miyong (Nutrition Management Service Team, Korea Health Industry Development Institute)
Lee, Haeng-Shin (Nutrition Management Service Team, Korea Health Industry Development Institute)
Kim, Dohee (Nutrition Management Service Team, Korea Health Industry Development Institute)
Lee, Jeeyeon (Nutrition Management Service Team, Korea Health Industry Development Institute)
Nam, Jiwoon (Nutrition Management Service Team, Korea Health Industry Development Institute)
Moon, Gui-Im (Food Safety Risk Assessment Division, Ministry of Food and Drug Safety)
Hong, Jinhwan (Food Safety Risk Assessment Division, Ministry of Food and Drug Safety)
Kim, Cho-Il (Department of Anti-ageing Industry & Policy, Korea Health Industry Development Institute)
Publication Information
Korean Journal of Community Nutrition / v.18, no.6, 2013 , pp. 644-651 More about this Journal
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.
Keywords
childhood obesity; toddler; breast-feeding; duration;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Aguiar H, Silva AI (2011): Breastfeeding: the importance of intervening. Acta Med Port 24(S4): 889-896
2 Arenz S, Rockerl R, Koletzko B, von Kries R (2004): Breast-feeding and childhood obesity-a systematic review. Int J Obes 28: 1247- 1256   DOI   ScienceOn
3 Armstrong J, Reilly JJ, The Child Health Information Team (2002): Breastfeeding and lowering the risk of childhood obesity. Lancet 359: 2003-2004   DOI   ScienceOn
4 Bahl R, Frost C, Kirkwood BR, Edmond K, Martines J, Bhandari N, Arthur P (2005): Infant feeding patterns and risks of death and hospitalization in the first half of infancy: multicentre cohort study. Bull WHO 83(6): 418-425
5 Bergmann KE, Bergmann RL, Von Kries R, Böhm O, Richter R, Dudenhausen JW, Wahn U (2003): Early determinants of childhood overweight and adiposity in a birth cohort study: role of breast-feeding. Int J Obes Relat Metab Disord 27(2): 162-172   DOI   ScienceOn
6 Bogen DL, Hanusa BH, Whitaker RC (2004): The effect of breastfeeding with and without formula use on the risk of obesity at 4 years of age. Obes Res 12(9): 1527-1535   DOI   ScienceOn
7 Cho KL (2005): A study on the relationship between schoolage obesity and type of feeding in infant period. Dissertation. Pusan National University. pp. 9-13
8 Crume T, Ogden L, Mayer-Davis E, Hamman R, Norris J, Bischoff K, McDuffie R, Dabelea D (2012): The impact of neonatal breastfeeding on growth trajectories of youth exposed and unexposed to diabetes in utero: The EPOCH study. Int J Obes 36: 529-534   DOI   ScienceOn
9 Cynthia SY, Daniel PH, Donna MC (2008): Childhood obesity and insulin-resistant syndrome. J Pediatr Nurs 19(4): 238-246
10 Deckelbaum R, Williams C (2001): Childhood obesity. Obes Res 9: 239-240   DOI
11 Dietz WH (2001a): The obesity epidemic in young children: Reduce television viewing and promote playing. BMJ 322: 313-314   DOI
12 Dietz WH (2001b): Breastfeeding may help prevent childhood overweight. JAMA 285: 2506-2507   DOI   ScienceOn
13 DiSantis KI, Hodges EA, Johnson SL, Fisher JO (2011): The role of responsive feeding in overweight during infancy and toddlerhood: a systematic review. Int J Obes 35: 480-492   DOI   ScienceOn
14 Ebbeling CB, Pawlak DB, Ludwig DS (2002): Childhood obesity: public-health crisis, common sense cure. Lancet 360: 473-482   DOI   ScienceOn
15 Gillman MW, Rifas-Shiman SL, Camargo CA Jr, Berkey CS, Frazier AL, Rockett HR, Field AE, Colditz GA (2001): Risk of overweight among adolescents who were breastfed as infants. JAMA 285(19): 2461-2467   DOI   ScienceOn
16 Harder T, Bergmann R, Kallischnigg G, Plagemann A (2005): Duration of breastfeeding and risk of overweight: a metaanalysis. Am J Epidemiol 162(5): 397-403   DOI   ScienceOn
17 KCDC (2008): 2007 Korean national growth charts. Available from http://www.cdc.go.kr/ [cited 2013 August 31]
18 KCDC/MOHW (2009): Korea health statistics 2008: Korea national health and nutrition examination survey (KNHANES IV-2) Available from http://knhanes.cdc.go.kr/ [cited 2013 August 31]
19 KCDC/MOHW (2010): Korea health statistics 2009: Korea national health and nutrition examination survey (KNHANES IV-3) Available from http://knhanes.cdc.go.kr/ [cited 2013 August 31]
20 KCDC/MOHW (2011): Korea health statistics 2010: Korea national health and nutrition examination survey (KNHANES V-1) Available from http://knhanes.cdc.go.kr/ [cited 2013 August 31]
21 KCDC/MOHW (2012): Korea health statistics 2011: Korea national health and nutrition examination survey (KNHANES V-2) Available from http://knhanes.cdc.go.kr/ [cited 2013 August 31]
22 Kim SH (2004): The relationship between breast feeding and childhood obesity. Dissertation, Yonsei University. pp. 22-23
23 Krebs NF, Himes JH, Jacobson D, Nicklas TA, Guilday P, Styne D (2007): Assessment of child and adolescent overweight and obesity. Pediatrics 120(4): S193-S228   DOI   ScienceOn
24 Lamb M, Dabelea D, Yin X, Ogden L, Klingensmith G, Rewers M, Norris J (2010): Early-life predictors of higher body mass index in healthy children. Ann Nutr Metab 56: 16-22   DOI   ScienceOn
25 Nader PR, O'Brien M, Houts R, Bradley R, Belsky J, Crosnoe R (2006): Identifying risk for obesity in early childhood. Pediatrics 118(3): 594-601   DOI   ScienceOn
26 Lim HJ, Park HR, Goo HK (2009): A study on policy of obesity of children and adolescents. National Youth Policy Institute
27 McCrory C, Layte R (2012): Breastfeeding and risk of overweight and obesity at nine years of age. Soc Sci Med 75(2): 323-330   DOI   ScienceOn
28 Monterrosa EC, Frongillo EA, Vásquez-Garibay EM, Romero- Velarde E, Casey LM, Willows ND (2008): Predominant breastfeeding from birth to six months is associated with fewer gastrointestinal infections and increased risk for iron deficiency among infants. J Nutr 138(8): 1499-1504
29 Newburg DS, Woo JG, Morrow AL (2010): Characteristics and potential functions of human milk adiponectin. J Pediatr 156(S2): 41-46   DOI   ScienceOn
30 Oddy WH (2012): Infant feeding and obesity risk in the child. Breastfeed Rev 20(2): 7-12
31 OECD (2009): OECD Family database. Breastfeeding rates. Available from http://www.oecd.org/els/family/43136964.pdf [cited 2013 August 31]
32 Ogden CL, Carroll MD, Kit BK, Flegal KM (2012): Prevalence of obesity and trends in body mass index among US children and adolescents, 1999-2010. JAMA 307(5): 483-490   DOI
33 Oh K, Jang MJ, Lee NY, Moon JS, Lee CG, Yoo MH, Kim YT (2008): Prevalence and trends in obesity among Korean children and adolescents in 1997 and 2005 Korean J Pediatr 51(9): 950- 955   DOI   ScienceOn
34 Oh SW (2008): Diagnostic criteria for childhood obesity. Korea J Obes 17(4): 188-190
35 Owen CG, Martin RM, Whincup PH, Smith GD, Cook DG (2006): Does breastfeeding influence risk of type 2 diabetes in later life? A quantitative analysis of published evidence. Am J Clin Nutr 84(5): 1043-1054
36 Owen CG, Martin RM, Whincup PH, Smith GD, Cook DG (2005): Effect of infant feeding on the risk of obesity across the life course: quantitative review of published evidence. Pediatrics 115(5): 1367-1377   DOI   ScienceOn
37 Savino F, Liguori SA (2008): Update on breast milk hormones: leptin, ghrelin and adiponectin. Clin Nutr 27(1): 42-47   DOI   ScienceOn
38 Papoutsakis C, Priftis KN, Drakouli M, Prifti S, Konstantaki E (2013): Childhood overweight/obesity and asthma: is there a link? A systematic review of recent epidemiologic evidence. J ADA 113(1): 77-105
39 Park JY (2011): Association of predominant breastfeeding and obesity among Korean preschool children. Dissertation, Yonsei University. pp. 29-33
40 Prentice AM, Jebb SA (2001): Beyond body mass index. Obes Rev 2(3):141-147   DOI   ScienceOn
41 Savino F, Petrucci E, Nanni G (2008): Adiponectin: an intriguing hormone for paediatricians. Acta Paediatr 97(6): 701-705   DOI   ScienceOn
42 Solomon CG, Manson JE (1997): Obesity and mortality: a review of the epidemiologic data. Am J Clin Nutr 66(S): 1044-1050
43 Spyrides MH, Struchiner CJ, Barbosa MT, Kac G (2008): Effect of predominant breastfeeding duration on infant growth: a prospective study using nonlinear mixed effect models. J Pediatr 84(3): 237-243   DOI
44 Strbok V, Skultetyova M, Hromadova M, Randuskova A, Macho L (1991): Late effects of breast-feeding and early weaning: sevenyear prospective study in children. Endocr Regul 25(1-2): 53-57
45 Strong G, Lee S (2012): Breastfeeding to combat childhood obesitythe duration required to reduce the risk. Clin Lactation 3(4): 143-146   DOI
46 Toschke AM, Vignerova J, Lhotska L, Osancova K, Koletzko B, Von Kries R (2002): Overweight and obesity in 6- to 14-year-old Czech children in 1991: protective effect of breast-feeding. J Pediatr 141(6): 764-769   DOI   ScienceOn
47 Twells L, Newhook L (2010): Can exclusive breastfeeding reduce the likelihood of childhood obesity in some regions of Canada? Can J Public Health 101(1): 36-39
48 von Kries R, Koletzko B, Sauerwald T (1999): Breast feeding and obesity: cross sectional study. BMJ 319: 147-150   DOI   ScienceOn
49 WBTi (2012): World breastfeeding trends initiatives. Available from http://worldbreastfeedingtrends.org/ [cited 2013 August 31]
50 von Kries R, Koletzko B, Sauerwald T, von Mutius E (2000): Does breast-feeding protect against childhood obesity? Adv Exp Med Biol 478: 29-39
51 WHO (2004): Diet, nutrition and the prevention of chronic diseases. Available from http://www.who.int/nutrition/topics/obesity/en/ [cited 2013 August 31]
52 Wieting JM (2008): Cause and effect in childhood obesity: solutions for a national epidemic. J Am Osteopath Assoc 108 (10): 545-52
53 Yngve A, Sjostrom M (2001): Breastfeeding in countries of the European Union and EFTA: current and proposed recommendations, rationale, prevalence, duration and trends. Public Health Nutr 4(2B): 631-645
54 Yon MY, Lee HS, Kim DH, Lee JY, Nam JW, Lee HJ, Kim JY, Kim SY, Kim CI (2013): Obesity pattern of early childhood according to the feeding type and breastfeeding duration in infancy - Based on the KNHANES 2008 through 2011-. Korea J Obes 22(S2): 209
55 Young-Hyman D, Schlundt DG, Herman L, De Luca F, Counts D (2001): Evaluation of the insulin resistance syndrome in 5- to 10-year-old overweight/obese African-American children. Diabetes Care 24(8): 1359-64   DOI   ScienceOn