Duration of Breastfeeding and its Relationship to Consumption of Ultra-Processed Foods and Sugar-Sweetened Beverages: An Early Childhood Prospective Cohort Study
DOI:
https://doi.org/10.14306/renhyd.28.1.2288%20Keywords:
Ultra-processed foods, Sugary drinks, Breastfeeding, Child Nutrition SciencesAbstract
Introduction. Consumption of ultra-processed foods (UPF) and sweet beverages (SB) is determined by several factors. The aim was to investigate the association between breastfeeding duration (BD) and consumption of UPF and SB in children under 6 years of age in Uruguay.
Methods. Analysis of data from a national survey, with 2287 children aged 6-48 months evaluated in 2013 (baseline) and in the same children in 2015 (follow-up). The consumption of UPF and SB was asked qualitatively referred to the previous week. Participants were asked about the number of months that the children received breastfeeding. Associations were assessed by crude and adjusted regression models, considering UPF/BA consumption at baseline and in the follow-up.
Results. At baseline, more than 75% consumed UPF and 20-30% SB. Lower SB consumption (p£0.036) and better overall quality of diet (p£0.028) were observed in those with breastfeeding ³6 months. Consumption of UPF and SB was associated with food insecurity (OR: 2.09-2.44 for UPF; 1.54-3.00 for BA).
At follow-up, almost all children consumed AUP and 15-20% SB. BD ³6 months was associated with lower SB intake in all children (p<0.05). However, lower UPF consumption was associated with longer BD only in children ³4 years old (OR: 0.52). SB consumption at follow-up was associated with SB intake at baseline (OR: 4.5), but this association was not observed with UPF. As in baseline, food insecurity was a risk factor for BA consumption at follow-up (OR: 1.43-1.75).
Conclusions. Duration of breastfeeding is a factor associated with lower consumption of SB in early childhood among Uruguayan children.
Funding: IBTAL Program from the World Bank (Loan 8116-ur).
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