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Breastfeeding duration is associated with offspring’s adherence to prudent dietary pattern in adulthood: results from the Nutritionist’s Health Study

Part of: DOHaD on International Women's Day 2020

Published online by Cambridge University Press:  06 June 2019

Ilana Eshriqui ,
Luciana Dias Folchetti ,
Angélica Marques Martins Valente ,
Bianca de Almeida-Pititto  and
Sandra Roberta G. Ferreira
Ilana Eshriqui
Affiliation:
Graduation Program in Public Health Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil
Luciana Dias Folchetti
Affiliation:
School of Public Health, University of São Paulo, Brazil
Angélica Marques Martins Valente
Affiliation:
Graduation Program in Epidemiology, School of Public Health, University of São Paulo, São Paulo, Brazil
Bianca de Almeida-Pititto
Affiliation:
Department of Preventive Medicine, Federal University of São Paulo, São Paulo, Brazil
Sandra Roberta G. Ferreira*
Affiliation:
Department of Epidemiology, School of Public Health, University of São Paulo, São Paulo, Brazil
*
Address for correspondence: Sandra Roberta G. Ferreira, Department of Epidemiology, School of Public Health, University of São Paulo, São Paulo, Brazil. Email: [email protected]
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Abstract

Little is known about the long-term effect of breastfeeding on dietary habits. We examined the association between breastfeeding duration and adherence to current dietary patterns of young women. This was a cross-sectional analysis of 587 healthy women aged ≤45 years, undergraduates or nutrition graduates. Maternal characteristics and breastfeeding duration [<6; 6–<12; ≥12 months (reference)] were recalled. Diet was assessed using a food frequency questionnaire and patterns were identified using factor analysis by principal component. Adherence to patterns was categorized in tertiles; the first (T1 = reference) was compared to T2 + T3 (moderate-to-high adherence). Logistic regression was performed considering the minimal sufficient adjustment recommended by the directed acyclic graph. Median age was 22 (interquartile range (IQR) 20; 27) years and body mass index (BMI) 22.2 (IQR 20.4; 25.0) kg/m2. The four dietary patterns identified (Processed, Prudent, Brazilian and Lacto-vegetarian) explained 27% of diet variance. Women breastfed for <6 months showed lower chance of moderate-to-high adherence to the Prudent pattern (odds ratio (OR) = 0.53, p = 0.04). Breastfeeding was not associated with the other patterns. Maternal pre-pregnancy BMI was directly associated with moderate-to-high adherence to the Processed pattern (OR = 2.01, p = 0.03) and inversely to the Prudent pattern (OR = 0.52, p = 0.02). Higher adherence to the Brazilian pattern was associated with proxies of low socioeconomic status and the Lacto-vegetarian pattern with the opposite. Confirmation in prospective studies of the association found in this study between breastfeeding with the Prudent pattern in adult offspring could suggest that early feeding practices influence long-term dietary habits, which could then affect the risk of nutrition-related diseases.

Keywords

Dietary patternsbreastfeedingDevelopment Origins of Health and Disease Theory
Type
Original Article
Information
Journal of Developmental Origins of Health and Disease , Volume 11 , Issue 2 , April 2020 , pp. 136 - 145
Copyright
© Cambridge University Press and the International Society for Developmental Origins of Health and Disease 2019

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