Funding agencies: Funding for this study was provided by First 5 LA, and start-up funds to Dr Davis from the University of Texas at Austin.
Association of infant feeding and dietary intake on obesity prevalence in low-income toddlers
Article first published online: 5 DEC 2013
Copyright © 2013 The Obesity Society
Volume 22, Issue 4, pages 1103–1111, April 2014
How to Cite
Davis, J. N., Koleilat, M., Shearrer, G. E. and Whaley, S. E. (2014), Association of infant feeding and dietary intake on obesity prevalence in low-income toddlers. Obesity, 22: 1103–1111. doi: 10.1002/oby.20644
Disclosure: The authors declare no conflict of interest.
Author Contributions: The author's responsibilities were as follows: JND: formulated the research question, analyzed and interpreted the data, and prepared the manuscript, GES and MK: assisted with data analyses and interpretation and helped prepare the manuscript; and SEW: designed the study, oversaw the data collection, interpreted the data, and helped prepare the manuscript.
- Issue published online: 26 MAR 2014
- Article first published online: 5 DEC 2013
- Accepted manuscript online: 12 OCT 2013 11:12AM EST
- Manuscript Accepted: 6 OCT 2013
- Manuscript Received: 12 JUN 2013
This cross-sectional study assesses the independent and combined effects of breastfeeding (BF) and dietary intake, specifically sugar-sweetened beverages (SSB), on obesity prevalence in low-income, primarily Hispanic toddlers.
The following data were collected in 2011 via phone surveys with caregivers of 2295 low-income children (2-4 years) from Los Angeles County Women, Infants, and Children (WIC) programs: infant feeding, dietary intake, gestational diabetes status, birth weight, gestational age, and mother's BMI. WIC staff measured children's height and weight. Chi-square tests and binary logistic regressions assessed the independent and combined effects of BF and dietary intake on obesity prevalence.
Compared to no BF, BF ≥ 12 mos was associated with a 47% reduction in obesity prevalence (AOR = 0.53, 95% CI 0.4-0.8, P = 0.004). Compared to 2 + SSB/d, no SSB/d intake was associated with a 28% reduction in obesity prevalence (AOR = 0.72, 95% CI 0.5-1.0, P = 0.03). High intake of soda, diet soda, and fruit drinks were linked to increases in obesity prevalence. There was no effect of 100% juice, milk (plain or flavored) fruit, vegetable, fast food, or sweetened grain intake on obesity prevalence.
These findings support encouragement of BF ≥ 12 mos and no SSB intake to prevent obesity in low-income, primarily Hispanic, toddlers.