Title |
Efeito do aleitamento materno sobre a obesidade em escolares: influência da escolaridade da mãe
|
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Published in |
Revista Paulista de Pediatria, June 2015
|
DOI | 10.1016/j.rpped.2015.01.004 |
Pubmed ID | |
Authors |
Katia Jakovljevic Pudla, David Alejandro Gonzaléz‐Chica, Francisco de Assis Guedes de Vasconcelos |
Abstract |
To evaluate the association between duration of breastfeeding (BF) and obesity in schoolchildren of Florianópolis (SC), and the role of possible effect modifiers. Cross-sectional study with a random sample of 2,826 schoolchildren (7-14 years). Weight and height were measured according to standardized procedures. Data concerning BF and sociodemographic variables were obtained from a questionnaire sent to parents/guardians. Children's nutritional status was evaluated by BMI-for-age z-score for gender (WHO reference curves). Adjusted analyses were performed through logistic regression, considering a possible interaction among variables. Prevalence of obesity was 8.6% (95% CI: 7.6-9.7%) and 55.7% (95% CI: 53.8-57.6%) received breastmilk for ≥ 6 months. BF was not associated with obesity, even in the adjusted analysis. Stratified analysis according to maternal schooling showed that, in children aged 7-10 years and children whose mothers had 0-8 years of schooling, the chance of obesity was lower among those breastfeed for >1 month, especially among those who received breastmilk for 1-5 months (OR=0.22; 95% CI 0.08-0.62). Among children of women with higher educational level (> 8 years), the chance of obesity was 44% lower in those who were breastfed for >12 months (p-value for interaction < 0.01). This interaction was not found in older children (11-14 years). Among children of women with lower schooling, BF for any period longer than 1 month is protective against obesity; however, for a higher maternal schooling, BF for less than 12 months increases the odds of obesity. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 45 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 6 | 13% |
Student > Bachelor | 5 | 11% |
Student > Ph. D. Student | 4 | 9% |
Lecturer | 3 | 7% |
Student > Doctoral Student | 2 | 4% |
Other | 10 | 22% |
Unknown | 15 | 33% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 13 | 29% |
Nursing and Health Professions | 9 | 20% |
Biochemistry, Genetics and Molecular Biology | 2 | 4% |
Mathematics | 1 | 2% |
Economics, Econometrics and Finance | 1 | 2% |
Other | 3 | 7% |
Unknown | 16 | 36% |