Durasi menyusu dan kejadian overweight pada remaja

https://doi.org/10.22146/ijcn.15379

Nurlaili Ramli(1*), Madarina Julia(2), Toto Sudargo(3)

(1) Jurusan Kebidanan Politeknik Kesehatan Kementerian Kesehatan Aceh
(2) Bagian Ilmu Kesehatan Anak Rumah Sakit Umum Pusat Dr. Sardjito/Fakultas Kedokteran Universitas Gadjah Mada
(3) Program Studi Gizi Kesehatan, Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Background: Statistic showed an increasing number of overweight incidences among children in Aceh Province. However, relationship between breastfeeding and risk of overweight and obesity is still controversial due to strong confounding factors. Hence, the relationship between breastfeeding and obesity is unclear. To reduce the confounding factors, siblings analysis can be undertaken as children live in the same environment.

Objective: To investigate the influence of siblings overweight status on breastfeeding duration and overweight incidence among adolescents and to explore other environmental and genetic factors related to overweight incidence in adolescents.

Method: This was an observational-analytical study with a matched case control design. There were 50 subjects for each group. Subjects in the case group were taken from existing cases, while the control group was selected by purposive sampling by matching in age and gender. Paired t test, McNemar test and conditional logistic regression were performed to analyse the data.

Results: Overweight adolescents have shorter breastfeeding duration than non-overweight adolescents. Multiple conditional logistic regression tests on overweight status in siblings showed that breastfeeding duration could reduce overweight incidence among adolescents (OR=0.81; 95%CI:0.69-0.96).

Conclusion: Overweight adolescents have shorter duration of breastfeeding than those who were not overweight. Factors that affect the risk of overweight among adolescents in this study were mother’s education, adolescent’s eating behavior, mother’s overweight status and sibling’s overweight status.


Keywords


breastfeeding duration; overweight; adolescents; siblings

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References

WHO. Fact sheet: obesity and overweight. Geneva: WHO Press Office; 2006.

Dinkes Provinsi NAD. Pemantauan status gizi. Banda Aceh: Dinkes Provinsi NAD; 2008.

Kemenkes RI. Riset kesehatan dasar (Riskesdas) 2010. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Departemen Kesehatan Republik Indonesia; 2010.

BPS, Macro International. Survei demografi kesehatan Indonesia. Calverton, Maryland, USA: Macro International; 2007.

Dinas Kesehatan Aceh. Profil kesehatan Aceh tahun 2011. Banda Aceh: Dinas Kesehatan Aceh; 2012.

Araujo C, Victoria C, Hallal P, Gigante D. Breastfeeding and overweight in childhood: evidence from the Pelotas 1993 birth cohort study. Int J Obes 2006;30:500-6.

Semba RD. Handbook of nutrition and ophthalmology. New Jersey: Humana Pres; 2007.

WHO. Obesity and overweight. Geneva: World Health Organization; 2006.

Strawn LMG, Mei Z. Does breastfeeding protect against pediatric overweight? analysis of longitudinal data from the Centers for Disease Control and Prevention Pediatric Nutrition Surveillance System. Pediatrics 2004;113(2):e81-6.

Procter SB, Holcomb CA. Breastfeeding duration and childhood overweight among low income children in Kansas, 1998-2002. Am J Public Health 2008;98(1):106-10.

Cope MB, Allison DB. Critical review of the World Health Organization's (WHO) 2007 report on 'evidence of the long-term effects of breastfeeding: systematic reviews and meta-analysis with respect to obesity. Obes Rev 2008;9:594-605.

Metzger MW, Mc.Dade TW. Breastfeeding as obesity prevention in the united states: a sibling difference model. Am J Hum Biol 2010;22(3):291-6.

Gillman MW, Shiman SLR, Berkey CS, Frazier AL, Rockett HR, Camargo Jr CA, Field AE, Colditz GA. Breastfeeding and overweight in adolescence: within-family analysis. Epidemiology 2006;17(1):112-4.

Nelson MC, Larsen PG, Adair LS. Are adolescents who were breast-fed less likely to be overweight?: analyses of sibling pairs to reduce confounding. Epidemiology 2005;16(2):247-53.

Onis Md, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bulletin of the World Health Organization 2007;85(9):660-67.

Hintze JL, NCCS. Power analysis and sample size. Kaysville: Utah; 2008.

Shields L, Callaghan O, Michael W, Gail M, Najman JM, Bor W. Breastfeeding and obesity at 14 years: a cohort study. J Paediatr Child Health 2006;42:289-96.

WHO. The Asia-Pacific perspective: redefining obesity and its treatment. Geneva: International Obesity Taskforce; 2000.

Gibson RS. Principless of nutrition assesment. USA: Oxford University Press; 2005.

Sajogjo. Garis kemiskinan dan kebutuhan minimum pangan. Bogor: LPPM Institut Pertanian Bogor; 1996.

Aday LA, Cornelius LJ. Designing and conducting health survey: a comprehensive guide. Third ed. San Fransisco: Jossey-Bass Pub; 2006.

Vittinghoff E, Shiboski SC, Glidden DV, McCulloch CE. Regression methods in biostatistics: linear, logistic, survival, and repeated measures models. Dietz K, Gail M, Krickeberg K, Samet J, Tsiatis A, editors. New York: Springer Science&Business Media, Inc; 2005.

Smoller SW. Biostatistics and epidemiology: a primer for health and biomedical professionals. Third ed. New York: Springer; 2004.

Kleinbaum DG, Klein M. Logistic regression: a self learning text. Dietz K, Gail M, Krickeberg K, Tsiatis A, Samet J, editors. New York: Spinger; 2002.

Harder T, Bergmann R, Kallischnigg G, Plagemann A. Duration of breastfeeding and risk of overweight: a meta-analysis. Am J Epidemiol 2005;162(5):397-403.

Arenz S, Ruckerl R, Koletzko B, Kries R. Breast-feeding and childhood obesity - a systematic review. Int J Obes Relat Metab Disord 2004;28(10):1247-56.

Fallahzadeh H, Golestan M, Rezvanian T, Ghasemian Z. Breastfeeding history and overweight in 11 to 13 year-old children in Iran. World J Pediatr 2009;5(1):36-41.

Siquera RS, Monteiro CA. Breastfeeding and obesity in school-age children from families of high sosioeconomic status. Rev Saude Publica 2007;41(1):1-7.

Shields L, Mamun AA, O’Callaghan M, Williams GM, Najman JM. Breastfeeding and obesity at 21 years: a cohort study. J Clin Nurs 2010;19(11-12):1612–7.

Li R, Grummer-Strawn L. Racial and ethnic disparities in breastfeeding among United States infants: Third National Health and Nutrition Examination Survey (1988-1994). Birth 2002;29(4):251-7.

Strauss RS, Pollack HA. Epidemic increase in childhood overweight, 1986-1998. JAMA 2001;286(22):2845-8.

Sabanayagam C, Shankar A, Chong Y-S, Wong TY, Saw SM. Breast-feeding and overweight in Singapore school children. Pediatr Int 2009;51(5):650-6.

Srivastava N, Lakhan R, Mittal B. Pathophysiology and genetics of obesity. Indian J Exp Biol 2007;45:929-36.

Antipatis VJ, Gill TP. Obesity as a global problem. In: Bjorntorp P, editor. International textbook of obesity. Sweden: John Wiley & Sons,LTD; 2001.

WHO. Obesity: preventing and managing the global epidemic. Geneva: World Health Organization; 2000.

Chan RSM, Woo J. Prevention of overweight and obesity: how effective is the current public health approach. Int J Environ Res Public Health 2010;7(3):765-83.

Cho Y-G, Kang J-H, Kim K-A, Song J-H. The relationship between low maternal education level and children’s overweight in the Korean society. Obes Res Clin Pract 2009;3(3):133-40.

Laxmaiah A, Nagalla B, Vijayaraghavan K, Nair M. Factors affecting prevalence of overweight among 12 to 17-year-old urban adolescents in Hyderabad, India. Obesity 2007;15(6):1384-90.

Shi Z, Lien N, Kumar BN, Dalen I, Ottesen GH. The sociodemographic correlates of nutritional status of school adolescents in Jiangsu Province, China. J Adolesc Health 2005;37(4):313-22.

Serra-Majem L, Aranceta BJ, Pérez-Rodrigo C, Ribas-Barba L, Delgado-Rubio A. Prevalence and deteminants of obesity in Spanish children and young people. Br J Nutr 2006;96(1):S67-72.

Gibson LY, Byrne SM, Davis EA, Blair E, Jacoby P, Zubrick SR. The role of family and maternal factors in childhood obesity. MJA 2007;186(11):591-5.

Grøholt E-K, Stigum H, Nordhagen R. Overweight and obesity among adolescents in Norway: cultural and socio-economic differences. J Public Health 2008;30(3):258-65.

Burton BT. Human nutrition: a textbook of nutrition in health and disease. third ed. New York: A Blakiston Publication; 1976.

Caballero B, Allen L, Prentice A. Encyclopedia of human nutrition. second ed. Oxford: Elsevier Academic press; 2005.

Jingxiong J, Rosenqvist U, Huishan W, Koletzko B. Relationship of parental characteristics and feeding practices to overweight in infants and young children in Beijing, China. Public Health Nutr 2008;12(7):973-8.

Kersey M, Lipton R, Rosado MS, Kumar J, This ted R, Lantos JD. Breast-feeding history and overweight in Latino preschoolers. Ambul Pediatr 2005;5(6):355-8.

Neutzling MB, Tadde JAA, Gigante DP. Risk factors of obesity among Brazilian adolescents: a case–control study. Public Health Nutr 2003;6(8):743-49.

Chou Y-C, Pei J-S. Risk factors of adolescent obesity in Taiwan and its association with physical activity, blood pressure and waist circumference. Asian J Sports Med 2010;1(4):214-22.

Ramesh K. Prevalence of overweight and obesity among high school students of Thiruvananthapuram City Corporation, Kerala, India. AMJ 2010;3(10):650-61.

Dubois L, Farmer A, Girard M, Peterson K, Tokuda FT. Problem eating behaviors related to social factors and body weight in preschool children: a longitudinal study. Int J Behav Nutr Phys Act 2007;4(9):1-10.

Delva J, Johnston LD, O’Malley PM. The epidemiology of overweight and related lifestyle behaviors: racial/ethnic and socioeconomic status differences among American youth. Am J Prev Med 2007;33(4S):S178-86.

Estourgie-van Burk GF, Bartels M, Boomsma DI, Delemarre-van de Waal HA. Body size of twins compared with siblings and the general population: from birth to late adolescence. J Pediatr 2010;156(4):586-91.



DOI: https://doi.org/10.22146/ijcn.15379

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