Objective To compare the effects of breast feeding positions of mothers on the timing of adiposity rebound (AR) in offspring,and to provide scientific basis for local children's healthcare policy. Methods A total of 13 kindergartens from Urumqi city,Kelamayi city,Altay city and Yining city were selected as study fields.From April in 2014,height and weight of the children from those kindergartens were measured every six months.A total of four follow-ups were made.AR values of all children were estimated by identifying the lowest point of BMI trending curves in four follow-ups.At baseline,parents of children were investigated by questionnaire to collect data on mode of delivery,birth weight,breast-feeding status in the first four months,and family monthly income,etc. Results A total of 883 children aged from 3 to 6 years old were investigated.Of them,boys 446 and girls 437,Han 426,Uyghur 275 and kazak 182.Prevalence of obesity or overweight among these children was 16.6%.Mean AR age was(5.26±0.91) years old.Breast-feeding was more frequent in mothers of Uyghur and Kazakh ethnicity compared to those of Han ethnicity(P＜0.001).Artificial feeding was more frequent among families with higher monthly income compared to those of lower monthly income(P=0.022).After adjusted for factors above using multi linear regression analysis,the mean AR age of children who were given artificial feeding was lower by 0.165 years than those who were given breast feeding (B=-0.165,t=-2.15,P=0.032). Conclusion Breast feeding may delay the AR age and reduce the occurrence of obesity or overweight in late childhood.
Key words
adiposity rebound /
feeding patterns /
childhood obesity
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References
[1] White B,Nicholls D,Christie D,et al.Childhood psychological function and obesityrisk across the lifecourse:findings from the 1970 british cohort study[J].International Journal of Obesity,2012,36(4):511-516.
[2] Navalpotro L,Regidor E,Ortega P,et al.Area-based socioeconomic environment,obesity risk behaviours,area facilities and childhood overweight and obesity:socioeconomic environment and childhood overweight[J].RevMed,2012,55(2):102-107.
[3] Alina G,Michael S,Ze'Ev H.Predicting pubertal development by infantile andchildhood height,BMI,and adiposity rebound[J].Pediatric Research,2015,78(4):445-450.
[4] Satomi K,Toshimi S,Naoto S,et al.Association between timing of adiposity rebound and body weight gain during infancy[J].Journal of Pediatrics,2015,166(2):309-312.
[5] Kowal M,Kryst L,Woronkowicz A,et al.Time trends in BMI,body fatness,and adiposity rebound among boys from Krakow(Poland) from 1983 to 2010[J].Am J Hum Biol.2015 ,27(5):646-653.
[6] Silve NK,Rokholm B,Kaprio J,et al.The genetic and environmental influences on childhood obesity:a systematic review of twin andadoption studies[J].International Journal of Obesity,2010,34(1):29-40.
[7] 游诚,赵莎,丁大为,等.孕期增重和婴儿喂养方式与儿童肥胖的相关性研究[J].中国中西医结合儿科学,2015,7(5):488-490.
[8] Besharat Pour M,Bergstrom A.Age at adiposity rebound and body mass index trajectory from early childhood to adolescence; differences by breastfeeding and maternal immigration background[J].Pediatr Obes,2016,doi:10.1111/ijpo.12111.
[9] Warrington NM,Howe LD.Association of a body mass index genetic risk score with growth throughout childhood and adolescence[J] PLoS One,2013,8(1):e53897.doi:10.1371.
[10] Vail Vliet M,Heymans MW,von Rosenstiel IA,Cardiometabolic risk varables in overweight and obese children:a worldwild comparison[J].Cardiovasc Diabetol,2011,10:106.
[11] Sun SS,Liang R,Huang TT.Childhood obesity predicts adult metabolicsylldrome:the fels longitudinal study[J].J Pediatr,2008,l52(2):191-200.
[12] 吴洁.新疆维、汉、哈三民族儿童脂肪重聚年龄及儿童超重/肥胖影响因素的研究[D].乌鲁木齐:新疆医科大学,2015.
[13] Estevez-Gonzalez,Santana Del Pino A.Breastfeeding during the first 6 months of life,adiposity rebound and overweight/obesity at 8 years of age[J].International Journal of Obesity,2015,40(1):10-13.
[14] Koyama S,Sairenchi T,Shimura N,et al.Association between timing of adiposity rebound and body weight gain during infancy[J].J Pediatr,2015,166(2):309-312.
[15] Reilly J.Physical activity,sedentary behaviour and energy balance in the preschool cllild:oppotunities for early obesity,prevention[J].Proc Nutr Soc,2008,67(3):317-325.
[16] 张暹,朱美红,花静,等.儿童肥胖与母亲孕期增重及婴儿喂养方式的关系[J].中国儿童保健杂志,2011,19(11):1011-1013.
[17] Claes O,Mattias L,Ensio N,et al.Age at adiposity rebound is associated with fatmass in young adult males-the GOOD study[J].Plos One,2012,7(11):488.
[18] Mt S,Miloevic M.Breastfeeding and time of complementary food introduction aspredictors of obesity in children[J].Central European Journal of Public Health,2015,23(1):26-31.
[19] Chivers P,Hands B,Parker H,et al.Body mass index,adiposity rebound and earlyfeeding in a longitudinal cohort (Raine Study)[J].Int J Obes,2010,34(7):1169-1176.
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