title: Does breastfeeding help to reduce the risk of childhood overweight and obesity? A propensity score analysis of data from the KiGGS study.
abstract: BACKGROUND
  Current studies suggest that the beneficial effect of breastfeeding on overweight and obesity may have been largely overestimated. We examined the relationship between >4 months of full breastfeeding and overweight/obesity in children living in Germany.
  
  
  METHODS
  We analyzed retrospectively collected data on breastfeeding from children aged 3-17 years who participated in the German Health Interview and Examination Survey for Children and Adolescents (KiGGS baseline study) between 2003 and 2006 (n = 13163). To minimize confounding, we applied propensity score matching and multivariate logistic regression analyses to estimate the effect of breastfeeding on childhood overweight and obesity.
  
  
  RESULTS
  Adjusted analyses of the matched dataset (n = 8034) indicated that children who were breastfed for >4 months had a significant reduction in the odds of overweight (OR 0.81 [95% CI 0.71–0.92]) and obesity (OR 0.75 [95% CI 0.61–0.92]) compared to children who were not breastfed or who were breastfed for a shorter duration [corrected].Further analyses stratified by age group showed that the association was strongest in children aged 7-10 years (OR 0.67 [95% CI 0.53-0.84] for overweight and OR 0.56 [95% CI 0.39-0.81] for obesity), while no significant effect could be seen in other age groups.
  
  
  CONCLUSIONS
  Our findings support the hypothesis that breastfeeding does have a beneficial effect on childhood overweight and obesity, although the effect seems to be strongest in children of primary school age.
authors: Department of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany.
authors: Maike Miriam
authors: MM
authors: Grube
authors: Department of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany.
authors: Elena
authors: E
authors: von der Lippe
authors: Department of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany.
authors: Martin
authors: M
authors: Schlaud
authors: Department of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany.
authors: Anna-Kristin
authors: AK
authors: Brettschneider
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001942:Breast Feeding; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D009765:Obesity / Q000453:epidemiology* / Q000209:etiology* / Q000517:prevention & control; D016017:Odds Ratio; D050177:Overweight / Q000453:epidemiology* / Q000209:etiology* / Q000517:prevention & control; D012189:Retrospective Studies; D012307:Risk Factors; D055815:Young Adult