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Pediatr Obes. 2019 Aug 6:e12569. doi: 10.1111/ijpo.12569. [Epub ahead of print]

Association of breastfeeding and early exposure to sugar-sweetened beverages with obesity prevalence in offspring born to mothers with and without gestational diabetes mellitus.

Author information

1
Department of Nutritional Sciences, The University of Texas, Austin, Texas, USA.
2
Department of Research and Evaluation, Public Health Foundation Enterprises Special Supplemental Nutrition Program for Women, Infants, and Children Program, Irwindale, California, USA.

Abstract

BACKGROUND:

The relationship of gestational diabetes mellitus (GDM), exclusive breastfeeding (EBF), and sugar-sweetened beverages (SSBs) on obesity prevalence in children has rarely been evaluated.

OBJECTIVE:

This study examined the association of GDM status, EBF, and SSB with obesity prevalence in children (1-5 y).

METHODS:

Data are from the 2014 Los Angeles County WIC Survey, which included 3707 mothers and their children (1-5 y).

RESULTS:

Compared with GDM offspring who were not EBF, GDM offspring who were EBF had lower odds of obesity, as did non-GDM offspring who were and were not EBF. Compared with GDM offspring with high-concurrent SSB intake (>3 servings/d) and no EBF, GDM offspring with high SSB intake and EBF did not have lower odds of obesity, whereas those with GDM, low SSB (≤1 serving/d), and EBF had lower odds of obesity. Using non-GDM, EBF, and low SSB as referent, non-GDM offspring who were not EBF, with either high or low SSB, had approximately a fourfold increase in odds of obesity.

CONCLUSIONS:

In GDM offspring, EBF is only associated with lower obesity levels if later SSB intake is also low, whereas EBF is protective against obesity in non-GDM offspring regardless of high or low later SSBs intake.

KEYWORDS:

exclusive breastfeeding; gestational diabetes mellitus; obesity; sugar-sweetened beverages

PMID:
31389196
DOI:
10.1111/ijpo.12569

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