Can breastfeeding in the first six months prevent childhood obesity?

Can breastfeeding in the first six months prevent childhood obesity?

Obesity’ is defined as a body mass index (BMI) of ≥25kg/m2 (World Health Organisation 2015). In the past decade, throughout much of the world, the rates of obesity in children in particular have increased to epidemic proportions (Lefebvre & John 2012, p. 386).

The World Health Organisation (2015) estimates that 42 million children under the age of 5 years are overweight or obese worldwide and in Britain, overweight and obesity affects nearly one-third of children aged 2 to 15 years (Health and Social Care Information Centre 2009).

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Since obesity in childhood is strongly correlated with serious disease and increased risk of mortality throughout life (Yan et al. 2014, p. 3), and because of the significant direct costs of obesity on health services and societies globally (Department of Health 2011), strategies to prevent childhood obesity are of paramount importance.

Research has suggested that breastfeeding for the first six months may be protective against and, therefore, prevent obesity in childhood (Lefebvre & John 2012, p. 386).

Through a critical evaluation of this research, this paper will answer the question of whether breastfeeding in the first six months can prevent childhood obesity.

The beneficial effects of breastfeeding for children are well-established in the literature. High-quality studies have demonstrated that children who are breastfed have a reduced risk of ear infections (Duncan et al. 1993, p. 867), respiratory infections

necrotizing enterocolitis (Lucas & Cole 1990, p. 1519), gastroenteritis (Chien 2001, p. 69), diabetes (Owen et al. 2006, p. 1043), atopic dermatitis (Gdalevich et al 2001, p. 520) and sudden infant death syndrome (SIDS) (Vennemann et al. 2005, p. 655).

Breast milk is not only rich in protective antibodies and beneficial bacteria, it is nutritionally-balanced and adapts to meet an infant’s changing needs (National Health Service 2015). Research has therefore suggested that another significant benefit of breastfeeding may be that is acts as a protective factor against obesity in childhood.

Kramer was the first to report that breastfeeding,,,,,,,,

Part of the problem underpinning these marked differences in study results can be explained by the quality of the studies themselves. Randomised-controlled trials – the gold standard of research trials – investigating the effects of breastfeeding are rare, because the well-established benefits of breastfeeding means allocating children into ‘breastfeeding’ and ‘non-breastfeeding’ cohorts would raise justifiable ethical concerns (Grube et al. 2015, p. 2).

In studies where groups are not randomised, a spurious relationship between breastfeeding and reduced risk of obesity may result as a result of confounding if, for example, mothers who breastfeed also adopt a healthier lifestyle involving a nutritious diet and adequate physical activity for themselves and their children .

Reasons for these marked differences in study results can also be explained by the diverse sociocultural context in which both breastfeeding and obesity are grounded. Essentially, sociocultural factors have a significant impact on both breastfeeding and obesity which confounds the relationship between these two variables. For example………..

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