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Effect of Breastfeeding on Childhood BMI and Obesity: The China Family Panel Studies

机译:母乳喂养对儿童体重指数和肥胖的影响:中国家庭小组研究

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Abstract: The objective of this study is to investigate the effect of breastfeeding on childhood obesity in China. We used data collected from the China Family Panel Studies, an ongoing, prospective, and nationwide longitudinal study to explore the extensive and dynamic social changes in China. A total of 7967 children were included in the analysis. Duration of breastfeeding was first treated as a continuous variable and subsequently dichotomized into ever versus never, ≥6 months versus Consistent with findings from recent studies, in both adjusted and adjusted regressions, we did not find any statistically significant effect of breastfeeding on reducing the risk of obesity (unadjusted odds ratio, OR?=?1.02, 95% confidence interval, CI 0.99, 1.05, P?=?0.12; adjusted OR 1.01, 95% CI 0.98, 1.05, P?=?0.36) or excessive weight (unadjusted OR?=?1.01, 95% CI 0.99, 1.03, P?=?0.26; adjusted OR?=?1.00, 95% CI 0.98, 1.02, P?=?0.90). Results were similar using various dichotomization of duration of breastfeeding. Quantile regression revealed that longer duration of breastfeeding is associated with higher BMI among children with small to medium quantile of BMI. Our findings echo recent research and caution against any population-wide strategy in attempting to reduce overweight and obesity through promotion of breastfeeding.
机译:摘要:本研究的目的是研究母乳喂养对中国儿童肥胖的影响。我们使用从中国家庭专家小组研究中收集的数据,该研究是一项持续,前瞻性和全国性的纵向研究,以探索中国广泛而动态的社会变化。分析中总共包括7967名儿童。母乳喂养的持续时间首先被视为一个连续变量,随后被分为两段,即永远≥6个月与从未发生,与最近的研究结果相一致,在校正和校正回归中,我们均未发现母乳喂养对降低风险有任何统计学上的显着影响肥胖(未调整的比值比,OR?=?1.02,95%置信区间,CI 0.99,1.05,P?=?0.12;调整后的OR 1.01,95%CI 0.98,1.05,P?=?0.36)或体重过重(未调整的OR = 1.01,95%CI 0.99,1.03,P 2 = 0.26;调整的OR = 1.00,95%CI 0.98,1.02,P 2 = 0.90。使用母乳喂养时间的二分法,结果相似。分位数回归显示,在小到中等BMI的儿童中,母乳喂养时间越长,BMI越高。我们的发现与最近的研究相呼应,并警告不要尝试通过促进母乳喂养来减少超重和肥胖的任何人群策略。

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