Please use this identifier to cite or link to this item: https://doi.org/10.3945/ajcn.2009.28021
Title: Health and development outcomes in 6.5-y-old children breastfed exclusively for 3 or 6 mo
Authors: Kramer, M.S 
Matush, L
Bogdanovich, N
Aboud, F
Mazer, B
Fombonne, E
Collet, J.-P
Hodnett, E
Mironova, E
Igumnov, S
Chalmers, B
Dahhou, M
Platt, R.W
Keywords: adult
anthropometric parameters
article
body mass
breast feeding
child
child development
controlled study
female
human
infant
intelligence quotient
male
outcome assessment
preschool child
skinfold thickness
waist hip ratio
Belarus
body size
clinical trial
controlled clinical trial
growth
health promotion
obesity
prospective study
randomized controlled trial
Adiposity
Adult
Body Mass Index
Body Size
Breast Feeding
Byelarus
Child
Female
Growth
Health Promotion
Humans
Infant
Prospective Studies
Skinfold Thickness
Issue Date: 2009
Citation: Kramer, M.S, Matush, L, Bogdanovich, N, Aboud, F, Mazer, B, Fombonne, E, Collet, J.-P, Hodnett, E, Mironova, E, Igumnov, S, Chalmers, B, Dahhou, M, Platt, R.W (2009). Health and development outcomes in 6.5-y-old children breastfed exclusively for 3 or 6 mo. American Journal of Clinical Nutrition 90 (4) : 1070-1074. ScholarBank@NUS Repository. https://doi.org/10.3945/ajcn.2009.28021
Rights: Attribution 4.0 International
Abstract: Background: Despite the current World Health Organization recommendation that infants be exclusively breastfed for 6 mo, this practice remains unusual in both developed and developing countries. Objective: The objective was to compare health and development outcomes at age 6.5 y in children who were exclusively breastfed for 3 mo (EBF3) or for 6 mo (EBF6); in the EBF3 group, the children continued partial breastfeeding for ?6 mo. Design: This was a prospective cohort study nested within a large, cluster-randomized trial of a breastfeeding promotion intervention in the Republic of Belarus. Outcomes compared at 6.5 y included anthropometric measurements, systolic and diastolic blood pressure, intelligence quotient, teachers' ratings of academic performance, parent- and teacher-rated behavior, atopic symptoms, allergen skin-prick tests, and dental caries. All statistical analyses were adjusted for cluster- and individual-level covariates and for clustering of outcomes within the clinics at which the children were examined. Results: The 2427 EBF3 and 524 EBF6 children who were followed up represented 84.7% and 89.4%, respectively, of those followed for the first year of life. The only significant differences observed between the 2 groups were in mean body mass index, triceps skinfold thickness, and hip circumference, all of which were higher in the EBF6 group. Conclusions: We observed no demonstrable beneficial or adverse long-term effects on child health of exclusive breastfeeding for 6 mo. Higher adiposity measures in the EBF6 group probably reflect reverse causality rather than a causal effect of prolonged exclusive breastfeeding. Established benefits appear to be limited to the period of exclusive breastfeeding. © 2009 American Society for Nutrition.
Source Title: American Journal of Clinical Nutrition
URI: https://scholarbank.nus.edu.sg/handle/10635/181005
ISSN: 00029165
DOI: 10.3945/ajcn.2009.28021
Rights: Attribution 4.0 International
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