The association of breastfeeding duration on metabolic syndrome among children and adolescents, stratified by birth weight for gestational age
Authors' conclusion
Prolonged breastfeeding may increase children's MetS risks. SGA synergies with prolonged breastfeeding increased MetS burden in children and adolescents, while LGA mitigated the risks. This reminds us that intensive attention should be paid to both early birth weight and subsequent living environment for children and adolescents' lifelong health.
Study context
- Population
- Children and adolescents aged 7 to 18 years from a Chinese national survey
- Participants
- 10,275 children
- Exposure
- Breastfeeding duration, stratified by birth weight for gestational age (GA)
- Outcome
- MetS
Methodological detailsmultistage cluster random sampling, national survey
- Multistage cluster random sampling
- National survey
Main finding
As reported in the abstract
Prolonged breastfeeding duration and MetS and its components
Metabolic syndrome (MetS), β
0.08 (0.03, 0.13) (95% CI)
WC, β
3.49 (2.82, 4.16) (95% CI)
SBP, β
2.34 (1.80, 2.89) (95% CI)
Observational data: associations, not effects.
Further findings
Breastfeeding duration distribution
- Breastfeeding duration distribution — Prevalence of small for GA (SGA)
- 11.9%
- Breastfeeding duration distribution — Prevalence of large for GA (LGA)
- 12.7%
MetS by birth weight for GA
- SGA and prolonged breastfeeding synergistically increased MetS risks
- LGA appeared to offset the adverse effects of prolonged breastfeeding
Original publication
The association of breastfeeding duration on metabolic syndrome among children and adolescents, stratified by birth weight for gestational age. Pediatr Obes. Published 18 June 2024. doi:10. 1111/ ijpo. 13145
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