Elsie M. Taveras|Sheryl L. Rifas?Shiman|Kelley S. Scanlon|Laurence M. Grummer?Strawn|Bettylou Sherry|Matthew W. Gillman
To What Extent Is the Protective Effect of Breastfeeding on Future Overweight Explained by Decreased Maternal Feeding Restriction?
Harvard Pilgrim Health Care|Harvard University|Harvard Pilgrim Health Care|Harvard University|National Center for Chronic Disease Prevention and Health Promotion|Centers for Disease Control and Prevention|National Center for Chronic Disease Prevention and Health Promotion|Centers for Disease Control and Prevention|National Center for Chronic Disease Prevention and Health Promotion|Centers for Disease Control and Prevention|Harvard Pilgrim Health Care|Harvard University
objective previous studies found breastfeeding may protect infants future overweight one proposed mechanism breastfeeding opposed bottle feeding promotes maternal feeding styles less controlling responsive infant cues hunger satiety thereby allowing infants greater selfregulation energy intake objective study determine extent protective effect breastfeeding future overweight explained decreased maternal feeding restriction patients methods studied 1012 motherinfant pairs project viva ongoing prospective cohort study pregnant mothers children main exposure breastfeeding duration assessed 1 year postpartum 3 years age main outcomes age genderspecific bmi z score sum subscapular triceps skinfold thicknesses overweight defined bmi 95th percentile defined maternal restriction infants access food strongly agreeing agreeing following question child feeding questionnaire careful feed child much examine association breastfeeding duration outcomes used multivariate linear logistic models adjusting several potential confounders subsequent models also adjusted maternal restriction infants access food results mean duration breastfeeding 65 months 12 women strongly agreed agreed restriction question age 3 mean bmi z score 047 3month increment breastfeeding duration associated reduction 0045 bmi z score adjusting maternal restriction estimate 0039 13 attenuation conclusion protective effect breastfeeding future overweight seems explained partially decreased maternal feeding restriction