The role of exclusive breastfeeding and sugar-sweetened beverage consumption on preschool children's weight gain

Autor(es)

Silveira, J. A. C. ^[1] ; Colugnati, F. A. B. ^[2] ; Poblacion, A. P. ^[1] ; Taddei, J. A. A. C. ^[1]

Afiliação do(s) autor(es)

^[1] Univ Fed Sao Paulo, Dept Pediat, BR-04040032 Sao Paulo, SP - Brazil

^[2] Univ Fed Juiz de Fora, Div Nephrol, Nucleo Interdisciplinar Estudos & Pesquisas Nefro, Juiz De Fora, MG - Brazil

• Tipo de documento: Artigo Científico
• Fonte: PEDIATRIC OBESITY; v. 10, n. 2, p. 91-97, APR 2015.
• Citações Web of Science: 8

Resumo

BackgroundSugar-sweetened beverages (SSBs) and breastfeeding practices have been recognized as important factors linked to children's weight status. However, no other studies have simultaneously investigated the role of each factor on children's conditional weight gain (CWG). ObjectiveTo evaluate the role of exclusive breastfeeding (EB) and the SSBs consumption on CWG from birth to the survey date among Brazilian preschool children (24-59 months old). MethodsA nationally represented cross-sectional survey with complex probability sampling (n=2421) was conducted. The outcome variable - CWG - represents how much an individual has deviated from its expected weight gain, given his or her prior weight. The multivariate linear regression to analyse the effects of EB and the consumption of SSBs on CWG were adjusted for economic status and maternal variables. ResultsThere was a significantly protective effect of EB duration during the first year of life on CWG from birth to the survey date (-0.02 {[}-0.03; 0.00 95% confidence interval]); however, the SSBs intake promoted an effect on the weight gain that was 2.5-fold higher (0.05 {[}0.02; 0.08 95% confidence interval]) than the EB. ConclusionAs hypothesized, the exposure variables acted in opposite directions, but the harmful effect of SSBs intake had greater magnitude than the beneficial effect of EB on children's CWG. (AU)

• Processo FAPESP: 11/17736-4 - Determinantes sócio-biológicos de desvios nutricionais em pré-escolares - Pesquisa Nacional de Demografia e Saúde da Criança e da Mulher (PNDS) - 2006/07.
• Beneficiário: Jonas Augusto Cardoso da Silveira
• Modalidade de apoio: Bolsas no Brasil - Doutorado