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Breastfeeding attenuates the effect of low birthweight on abdominal adiposity in adolescents: the HELENA study
Authors:Idoia Labayen  Francisco B Ortega  Jonatan R Ruiz  Gerardo Rodriguez  David Jiménez‐Pavón  Vanesa España‐Romero  Kurt Widhalm  Frédéric Gottrand  Luis A Moreno
Affiliation:1. Department of Nutrition and Food Science, University of the Basque Country, UPV/EHU, Vitoria, Spain;2. Department of Physical Education and Sport, School of Sport Sciences, University of Granada, Granada, Spain;3. Department of Biosciences and Nutrition at NOVUM, Unit for Preventive Nutrition, Karolinska Institutet, Huddinge, Sweden;4. Department of Pediatrics, Faculty of Medicine, University of Zaragoza, HCU Lozano Blesa, Zaragoza, Spain;5. Department of Physiotherapy and Nursing, School of Health Sciences, University of Zaragoza, Zaragoza, Spain;6. Department of Physical Education, School of Education, University of Cadiz, Puerto Real, Spain;7. MRC Epidemiology Unit, Cambridge, UK;8. Division of Nutrition and Metabolism, Department of Pediatrics, Medical University of Vienna, Vienna, Austria;9. EA 2694, Nutrition Department, University Lille Nord de France, Lille, France;10. Department of Preventive Medicine, Faculty of Medicine, University of Sao Paulo, Sao Paulo, Brazil
Abstract:The aim of this study was to examine whether breastfeeding may reduce the programming effect of birthweight on abdominal adiposity. Abdominal (in three regions: R1, R2 and R3) adiposity was measured by dual energy x‐ray absorptiometry in 314 adolescents. Breastfeeding duration, birthweight, duration of gestation and maternal educational level were obtained from questionnaire. Physical activity was objectively measured. We detected significant interactions between breastfeeding and birthweight on abdominal adiposity (Ps = 0.02–0.07). We observed that birthweight was associated with abdominal adiposity in the group who had never been breastfed (β = ?0.19 to ?0.23; Ps < 0.05), while no association was found in adolescents who had breastfeeding for ≥3 months (β = ?0.03 to ?0.07). The results were independent of duration of gestation, age, sex, maternal educational level and physical activity. Breastfeeding may reduce the adverse influence conferred by low birthweight on abdominal adiposity in adolescents.
Keywords:breastfeeding  abdominal adiposity  birthweight  programming  infant feeding
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