Association of Breast Feeding and Birth Weight with Anthropometric Measures and Blood Pressure in Children and Adolescents: The CASPIAN-IV Study

Noncommunicable diseases (NCDs) and their risk factors are major health threats especially for developing countries. The aim of this study was to assess the association between breast feeding (BF) and birth weight (BW) with anthropometric measures and blood pressure (BP) in a nationally–representati...

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Main Authors: Shirin Djalalinia, Mostafa Qorbani, Ramin Heshmat, Mohammad Esmaeil Motlagh, Gelayol Ardalan, Nima Bazyar, Majzoubeh Taheri, Hamid Asayesh, Roya Kelishadi
Format: Article
Language:English
Published: Elsevier 2015-10-01
Series:Pediatrics and Neonatology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1875957215000261
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author Shirin Djalalinia
Mostafa Qorbani
Ramin Heshmat
Mohammad Esmaeil Motlagh
Gelayol Ardalan
Nima Bazyar
Majzoubeh Taheri
Hamid Asayesh
Roya Kelishadi
author_facet Shirin Djalalinia
Mostafa Qorbani
Ramin Heshmat
Mohammad Esmaeil Motlagh
Gelayol Ardalan
Nima Bazyar
Majzoubeh Taheri
Hamid Asayesh
Roya Kelishadi
author_sort Shirin Djalalinia
collection DOAJ
description Noncommunicable diseases (NCDs) and their risk factors are major health threats especially for developing countries. The aim of this study was to assess the association between breast feeding (BF) and birth weight (BW) with anthropometric measures and blood pressure (BP) in a nationally–representative sample of Iranian children and adolescents. Methods: In this national survey, 14,880 children and adolescents, aged 6–18 years, were selected using a multistage, cluster sampling method from rural and urban areas of 30 provinces of Iran. BF duration and BW were assessed by validated questionnaires completed by parents. Results: The study participants were 13,486 students (participation rate of 90.6%). They consisted of 49.24% girls, 75.6% urban residents, with a mean age of 12.5 years (95% confidence interval: 12.3–12.6). The family history of obesity had a significant association with BW (p < 0.001). A substantial association was found between BF duration and the order of children in the family, both in boys (p < 0.001) and girls (p < 0.001). The mean values for height, weight, body mass index, as well as waist, wrist, and hip circumferences were higher in those with higher BW categories (p for trend < 0.001). As BW increased, there was a linear decrease in underweight (p for trend < 0.001) and a linear increase in the prevalence of generalized obesity (p for trend < 0.001) was documented. Conclusion: BW was associated with a higher prevalence in general obesity and a lower prevalence of being underweight. Duration of BF had no significant association with anthropometric measures and BP. Future longitudinal studies are necessary to determine the clinical implications of these findings.
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spelling doaj.art-af5bf27f0f1f4808b4abd7b5a52c87be2022-12-21T18:37:19ZengElsevierPediatrics and Neonatology1875-95722015-10-0156532433310.1016/j.pedneo.2015.01.004Association of Breast Feeding and Birth Weight with Anthropometric Measures and Blood Pressure in Children and Adolescents: The CASPIAN-IV StudyShirin Djalalinia0Mostafa Qorbani1Ramin Heshmat2Mohammad Esmaeil Motlagh3Gelayol Ardalan4Nima Bazyar5Majzoubeh Taheri6Hamid Asayesh7Roya Kelishadi8Non-communicable Diseases Research Center, Endocrinology and Metabolism Population Science Institute, Tehran University of Medical Sciences, Tehran, IranDepartment of Community Medicine, School of Medicine, Alborz University of Medical Sciences, Karaj, IranChronic Diseases Research Center, Endocrinology and Metabolism Population Science Institute, Tehran University of Medical Sciences, Tehran, IranAhvaz Jundishapur University of Medical Sciences, Ahvaz, IranChild Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, IranChronic Diseases Research Center, Endocrinology and Metabolism Population Science Institute, Tehran University of Medical Sciences, Tehran, IranChild Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, IranDepartment of Medical Emergencies, Qom University of Medical Sciences, Qom, IranChild Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, IranNoncommunicable diseases (NCDs) and their risk factors are major health threats especially for developing countries. The aim of this study was to assess the association between breast feeding (BF) and birth weight (BW) with anthropometric measures and blood pressure (BP) in a nationally–representative sample of Iranian children and adolescents. Methods: In this national survey, 14,880 children and adolescents, aged 6–18 years, were selected using a multistage, cluster sampling method from rural and urban areas of 30 provinces of Iran. BF duration and BW were assessed by validated questionnaires completed by parents. Results: The study participants were 13,486 students (participation rate of 90.6%). They consisted of 49.24% girls, 75.6% urban residents, with a mean age of 12.5 years (95% confidence interval: 12.3–12.6). The family history of obesity had a significant association with BW (p < 0.001). A substantial association was found between BF duration and the order of children in the family, both in boys (p < 0.001) and girls (p < 0.001). The mean values for height, weight, body mass index, as well as waist, wrist, and hip circumferences were higher in those with higher BW categories (p for trend < 0.001). As BW increased, there was a linear decrease in underweight (p for trend < 0.001) and a linear increase in the prevalence of generalized obesity (p for trend < 0.001) was documented. Conclusion: BW was associated with a higher prevalence in general obesity and a lower prevalence of being underweight. Duration of BF had no significant association with anthropometric measures and BP. Future longitudinal studies are necessary to determine the clinical implications of these findings.http://www.sciencedirect.com/science/article/pii/S1875957215000261adolescentsanthropometric measurementsbirth weightblood pressurebreast feedingchildren
spellingShingle Shirin Djalalinia
Mostafa Qorbani
Ramin Heshmat
Mohammad Esmaeil Motlagh
Gelayol Ardalan
Nima Bazyar
Majzoubeh Taheri
Hamid Asayesh
Roya Kelishadi
Association of Breast Feeding and Birth Weight with Anthropometric Measures and Blood Pressure in Children and Adolescents: The CASPIAN-IV Study
Pediatrics and Neonatology
adolescents
anthropometric measurements
birth weight
blood pressure
breast feeding
children
title Association of Breast Feeding and Birth Weight with Anthropometric Measures and Blood Pressure in Children and Adolescents: The CASPIAN-IV Study
title_full Association of Breast Feeding and Birth Weight with Anthropometric Measures and Blood Pressure in Children and Adolescents: The CASPIAN-IV Study
title_fullStr Association of Breast Feeding and Birth Weight with Anthropometric Measures and Blood Pressure in Children and Adolescents: The CASPIAN-IV Study
title_full_unstemmed Association of Breast Feeding and Birth Weight with Anthropometric Measures and Blood Pressure in Children and Adolescents: The CASPIAN-IV Study
title_short Association of Breast Feeding and Birth Weight with Anthropometric Measures and Blood Pressure in Children and Adolescents: The CASPIAN-IV Study
title_sort association of breast feeding and birth weight with anthropometric measures and blood pressure in children and adolescents the caspian iv study
topic adolescents
anthropometric measurements
birth weight
blood pressure
breast feeding
children
url http://www.sciencedirect.com/science/article/pii/S1875957215000261
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