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Breastfeeding and Sugar-Sweetened Beverages What’s the Connection?

Breastfeeding and Sugar-Sweetened Beverages What’s the Connection?. Shannon E. Whaley, Ph.D. PHFE WIC Jaimie Davis, Ph.D. University of Texas, Austin. Breastfeeding and Obesity. Breastfeeding protects against early childhood obesity in the WIC population .

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Breastfeeding and Sugar-Sweetened Beverages What’s the Connection?

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  1. Breastfeeding and Sugar-Sweetened BeveragesWhat’s the Connection? Shannon E. Whaley, Ph.D. PHFE WIC Jaimie Davis, Ph.D. University of Texas, Austin

  2. Breastfeeding and Obesity • Breastfeeding protects against early childhood obesity in the WIC population. • Breastfeeding at enrollment into WIC is associated with a 23% reduction in obesity at age 4. • Want to learn more about this? • WIC WORKS Webinar: November 15, 2011 • Breastfeeding and Obesity Policy Brief • www.calwic.org

  3. What about Sugar Sweetened Beverages? (SSBs) • Growing literature on the contribution of SSBs to obesity. • Limited research on SSB intake among young children < 5. • Limited understanding of the role of SSBs in obesity of young children.

  4. LA County WIC Surveys 2005, 2008, 2011 • 5000-6000 participants per survey answered questions on topics such as: • food and SSB intake • breastfeeding practices • household food security • child care and preschool utilization patterns • home literacy practices • maternal emotional well-being • developmental concerns of early childhood • Survey instruments available at www.phfewic.org

  5. WIC Survey 2008: SSB question • On an average day, about how many sodas, such as Coke or Mountain Dew, or sweetened drinks, such as Gatorade, Red Bull or Sunny Delight, does <child’s name> drink? Do not include diet sodas or sugar-free drinks.

  6. Daily SSB consumption by age (%)

  7. Breastfeeding, SSBs and Obesity:How are they related? Study Goal: To examine the separate and combined effects of breastfeeding in the first year of life and SSB intake at ages 2-4 on the prevalence of obesity in early childhood.

  8. Breastfeeding, SSBs and Obesity:How are they related? Variables for Analysis • From 2008 WIC Survey: • SSB intake • Breastfeeding history • WIC measures child height and weight every six months. We recently validated WIC ht/wt and BMI measurements of 2-5 year olds. (Crespiet al., 2012, Ped Res) • Obesity status of 2-4 year olds in the survey sample Sample for Analysis: • 1483 children aged 2-4 (full-term, complete data, Hispanic)

  9. BF status and SSB intake (n=1483) **BF status was NOT related to SSB intake

  10. Obesity* by BF status and SSB intake (n=1483) *BMI>95th percentile for age and sex

  11. Protective Effect of BF vs SSB Obesity Prevalence at age 3-4 (%) Davis, Whaley & Goran (2012), American Journal of Clinical Nutrition

  12. Protective Effect of BF vs SSB Obesity Prevalence at age 3-4 (%) Davis, Whaley & Goran (2012), American Journal of Clinical Nutrition

  13. Protective Effect of BF vs SSB Obesity Prevalence at age 3-4 (%) Davis, Whaley & Goran (2012), American Journal of Clinical Nutrition

  14. Protective Effect of BF vs SSB Obesity Prevalence at age 3-4 (%) Davis, Whaley & Goran (2012), American Journal of Clinical Nutrition

  15. Protective Effect of BF vs SSB Obesity Prevalence at age 3-4 (%) Davis, Whaley & Goran (2012), American Journal of Clinical Nutrition

  16. Conclusions • Children breastfed for 12+ months had 45% lower odds of obesity at age 2-4. • Children consuming no SSBs had 31% lower odds of obesity at age 2-4. • The combined effect of 12+m BF and no SSB intake conferred a >60% reduction in odds of obesity at age 2-4.

  17. Conclusions • SSB intake affected obesity prevalence only in children who were breastfed less than 12 months.

  18. Limitations & Next Steps • Hispanic sample, replication in other populations is needed. • More extensive questions about SSB intake would be helpful – the 2011 survey expanded questions on SSB and sweetened food intake. • This study doesn’t address the question of WHY breastfeeding is protective against SSB intake.

  19. For more information: • Shannon E. Whaley, Ph.D. Shannon@phfewic.org • Jaimie N. Davis, Ph.D. Jaimie.davis@austin.utexas.edu • Davis, Whaley & Goran (2012). Effects of breastfeeding and low sugar-sweetened beverage intake on Hispanic toddlers. Am J Clin Nut, 95, 3-8. • Many thanks to our funder. http://www.first5la.org/files/Sugar-Sweetened_Drink_Policy_Brief.pdf

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