Exclusive Breastfeeding and Prevention of Obesity in Children Under Five: A Meta-Analysis


Elma Yopiana1), Bhisma Murti2), Yulia Lanti Retno Dewi3)

 

1)Masters Program in Public Health, Universitas Sebelas Maret

2)Faculty of Medicine, Universitas Sebelas Maret

 

ABSTRACT

Background: In both developed and developing countries, childhood obesity has reached epidemic levels. Obesity is associated with adverse health outcomes in children, including asthma and sleep apnea. The studies showed that breastfeeding is a protective factor of obesity in children. This study aimed to determine exclusive breastfeeding and prevention of obesity in children under five.

Subjects and Method: This was a meta-analysis and systematic review conducted by search online published articles toward exclusive breastfeeding and obesity in children under five.Original studies published from 2003 to 2016 were obtained from PubMed, Science Direct, Springer Link, and Google Scholar databases. Keywords used “Children Under Five” AND “Breast Feeding” AND “non Breast Feeding” OR “Formula milk” OR “Infant Formula” AND “Obesity” OR “Body Mass Index”. The inclusion criteria were full text, in English language, using observational or cohort study design, and reporting adjusted odds ratio. The selected articles were analyzed using PRISMA guideline and Revman 5.3.

Results: 6 studies from California, Massachusetts, China, German, Swedish, and Dutch, reported that exclusive breastfeeding was a protective factor of obesity in children under five (aOR= 0.95; 95% CI= 0.86 to 1.06; p= 0.360) with (I²= 82%, p= 0.001).

Conclusion: Exclusive breastfeeding is a protective factor of obesity in children under five

Keywords: obesity, exclusive breastfeeding, meta-analysis

Correspondence: Elma Yopiana. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: elmayopiana@gmail.com. Mobile: 083867060745.

DOI: https://doi.org/10.26911/the7thicph.03.124

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