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Scientific paper - Original scientific paper
Association between characteristics at birth, breastfeeding and obesity in 22 countries: the WHO European Childhood Obesity Surveillance Initiative – COSI 2015/2017
Obesity Facts, 12 (2019), 2; 226-243. https://doi.org/10.1159/000500425
Rito, Ana Isabel; Buoncristiano, Marta; Spinelli, Angela; Salanave, Benoit; Kunešová, Marie; Hejgaard, Tatjana; García Solano, Marta; Fijałkowska, Anna; Sturua, Lela; Hyska, Jolanda; Kelleher, Cecily; Duleva, Vesselka; Musić Milanović, Sanja; Farrugia Sant’Angelo, Victoria; Abdrakhmanova, Shynar; Kujundzic, Enisa; Peterkova, Valentina; Gualtieri, Andrea; Pudule, Iveta; Petrauskienė, Aušra; Tanrygulyyeva, Maya; Sherali, Rakhmatulloev; Huidumac-Petrescu, Constanta; Williams, Julianne; Ahrens, Wolfgang; Breda, João More authors...

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Rito, A. I., Buoncristiano, M., Spinelli, A., Salanave, B., Kunešová, M., Hejgaard, T. ... Breda, J. (2019). Association between characteristics at birth, breastfeeding and obesity in 22 countries: the WHO European Childhood Obesity Surveillance Initiative – COSI 2015/2017. Obesity Facts, 12. (2), 226-243. doi: 10.1159/000500425

Rito, Ana Isabel, et al. "Association between characteristics at birth, breastfeeding and obesity in 22 countries: the WHO European Childhood Obesity Surveillance Initiative – COSI 2015/2017." Obesity Facts, vol. 12, no. 2, 2019, pp. 226-243. https://doi.org/10.1159/000500425

Rito, Ana Isabel, Marta Buoncristiano, Angela Spinelli, Benoit Salanave, Marie Kunešová, Tatjana Hejgaard, Marta García Solano, et al. "Association between characteristics at birth, breastfeeding and obesity in 22 countries: the WHO European Childhood Obesity Surveillance Initiative – COSI 2015/2017." Obesity Facts 12, no. 2 (2019): 226-243. https://doi.org/10.1159/000500425

Rito, A. I., et al. (2019) 'Association between characteristics at birth, breastfeeding and obesity in 22 countries: the WHO European Childhood Obesity Surveillance Initiative – COSI 2015/2017', Obesity Facts, 12(2), pp. 226-243. doi: 10.1159/000500425

Rito AI, Buoncristiano M, Spinelli A, Salanave B, Kunešová M, Hejgaard T, and sur.. Association between characteristics at birth, breastfeeding and obesity in 22 countries: the WHO European Childhood Obesity Surveillance Initiative – COSI 2015/2017. Obesity Facts [Internet]. 2019 [cited 2024 October 13];12(2):226-243. doi: 10.1159/000500425

A. I. Rito, et al., "Association between characteristics at birth, breastfeeding and obesity in 22 countries: the WHO European Childhood Obesity Surveillance Initiative – COSI 2015/2017", Obesity Facts, vol. 12, no. 2, pp. 226-243, 2019. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:105:038273. [Accessed: 13 October 2024]

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Metadata
Title (english)Association between characteristics at birth, breastfeeding and obesity in 22 countries: the WHO European Childhood Obesity Surveillance Initiative – COSI 2015/2017
AuthorAna Isabel Rito
AuthorMarta Buoncristiano
AuthorAngela Spinelli
AuthorBenoit Salanave
AuthorMarie Kunešová
AuthorTatjana Hejgaard
AuthorMarta García Solano
AuthorAnna Fijałkowska
AuthorLela Sturua
AuthorJolanda Hyska
AuthorCecily Kelleher
AuthorVesselka Duleva
AuthorSanja Musić Milanović
AuthorVictoria Farrugia Sant’Angelo
AuthorShynar Abdrakhmanova
AuthorEnisa Kujundzic
AuthorValentina Peterkova
AuthorAndrea Gualtieri
AuthorIveta Pudule
AuthorAušra Petrauskienė
AuthorMaya Tanrygulyyeva
AuthorRakhmatulloev Sherali
AuthorConstanta Huidumac-Petrescu
AuthorJulianne Williams
AuthorWolfgang Ahrens
AuthorJoão Breda
Author's institutionUniversity of Zagreb
School of Medicine
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Public Health and Health Care
Abstract (english)
Objectives: It was the aim of this paper to investigate the association of early-life factors, namely breastfeeding, exclusive breastfeeding and birth weight, with obesity among children. ----- Method: Data from 22 participating countries in the WHO European COSI study (round 4: 2015/2017) were collected using cross-sectional, nationally representative samples of 6- to 9-year-olds (n = 100,583). The children's standardized weight and height measurements followed a common WHO protocol. Information on the children's birth weight and breastfeeding practice and duration was collected through a family record form. A multivariate multilevel logistic regression analysis regarding breastfeeding practice (both general and exclusive) and characteristics at birth was performed. ----- Results: The highest prevalence rates of obesity were observed in Spain (17.7%), Malta (17.2%) and Italy (16.8%). A wide between-country disparity in breastfeeding prevalence was found. Tajikistan had the highest percentage of children that were breastfed for ≥6 months (94.4%) and exclusively breastfed for ≥6 months (73.3%). In France, Ireland and Malta, only around 1 in 4 children was breastfed for ≥6 months. Italy and Malta showed the highest prevalence of obesity among children who have never been breastfed (21.2%), followed by Spain (21.0%). The pooled analysis showed that, compared to children who were breastfed for at least 6 months, the odds of being obese were higher among children never breastfed or breastfed for a shorter period, both in case of general (adjusted odds ratio [adjOR] [95% CI] 1.22 [1.16-1.28] and 1.12 [1.07-1.16], respectively) and exclusive breastfeeding (adjOR [95% CI] 1.25 [1.17-1.36] and 1.05 [0.99-1.12], respectively). Higher birth weight was associated with a higher risk of being overweight, which was reported in 11 out of the 22 countries. Bulgaria, Croatia, France, Italy, Poland and Romania showed that children who were preterm at birth had higher odds of being obese, compared to children who were full-term babies. ----- Conclusion: The present work confirms the beneficial effect of breastfeeding against obesity, which was highly increased if children had never been breastfed or had been breastfed for a shorter period. Nevertheless, adoption of exclusive breastfeeding is below global recommendations and far from the target endorsed by the WHO Member States at the World Health Assembly Global Targets for Nutrition of increasing the prevalence of exclusive breastfeeding in the first 6 months up to at least 50% by 2025.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleObesity Facts
Numberingvol. 12, no. 2, pp. 226-243
p-ISSN1662-4025
DOIhttps://doi.org/10.1159/000500425
URN:NBNurn:nbn:hr:105:038273
Publication2019
Document URLhttp://doi.org/10.1159/000500425
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2024-03-28 10:35:34