Association of gestational diabetes and breastfeeding on obesity prevalence in predominately Hispanic low‐income youth. Issue 3 (7th July 2014)

• Record Type: Journal Article
• Authors: Shearrer, G. E.; Whaley, S. E.; Miller, S. J.; House, B. T.; Held, T.; Davis, J. N.
• Is Part Of: Pediatric obesity. Volume 10:Issue 3(2015:Jun.)
• Page Start: 165
• Page End: 171
• Publication Date: 2014-07-07
• Subjects: Obesity in children -- Periodicals; Obesity in adolescence -- Periodicals; Obesity -- Periodicals; Overweight children -- Periodicals; 618.92398
• DOI: 10.1111/ijpo.247
• Languages: English
• ISSNs: 1747-7174

Abstract

<abstract abstract-type="main"> <title>Summary</title> <sec id="ijpo247-sec-0001" sec-type="section"> <title>Objective</title> <p>The goal of this study was to examine if breastfeeding duration by gestational diabetes mellitus status impacted the prevalence of obesity in offspring.</p> </sec> <sec id="ijpo247-sec-0002" sec-type="section"> <title>Methods</title> <p>Data were obtained from a 2011 phone survey with caregivers of low‐income children (2–4 years) participating in the Women, Infants and Children programme in Los Angeles County. The final sample included 2295 children, 84% Hispanic and 48% female. Chi‐square and binary logistic regression were used to assess gestational diabetes status and breastfeeding duration on the prevalence of obesity, with the following <italic>a priori</italic> covariates: child's ethnicity, birth weight, age in months and sex.</p> </sec> <sec id="ijpo247-sec-0003" sec-type="section"> <title>Results</title> <p>Breastfeeding and gestational diabetes were significantly associated with obesity prevalence (<italic>P</italic> < 0.01). Using gestational diabetes mellitus and no breastfeeding as the referent category, gestational diabetes mellitus offspring who were breastfed ≥12 months had a 72% decrease in obesity prevalence (adjusted odds ratio = 0.28, confidence interval 0.89–0.03, <italic>P</italic> = 0.05).</p> </sec> <sec id="ijpo247-sec-0004" sec-type="section"> <title>Conclusions</title> <p>These findings suggest that > 12 months of breastfeeding duration in the gestational diabetes mellitus group and any duration of breastfeeding in the non‐gestational diabetes mellitus mothers is needed to reduce obesity levels in a primarily Hispanic population.</p> </sec> </abstract>