256305 Association between breastfeeding and consumption of fruits and vegetables in two year olds

Wednesday, October 31, 2012 : 12:30 PM - 12:50 PM

Emily Sanchez , Breastfeeding Center, Boston Medical Center, Boston, MA
Lauren Sowa, MA , Stritch School of Medicine, Loyola University Chicago, Maywood, IL
Xena Grossman, MS , Division of General Pediatrics, Boston Medical Center, Boston, MA
Rachel Bye, MS, RD , Division of General Pediatrics, Boston University, Boston, MA
Joanna Hull, BA , School of Public Health, Boston University, Boston, MA
Lori Feldman-Winter, MD, MPH , Department of Pediatrics, The Children's Regional Hospital at Cooper-UMDNJ-RWJMS, Camden, NJ
Anne Merewood, PhD, MPH, IBCLC , Division of General Pediatrics, Boston Medical Center, Boston, MA
Background: Breastfeeding is associated with reduced population risk of obesity. One hypothesis suggests breastfed infants may have healthier diets later in life.

Goal: To determine whether breastfed infants in an urban US population were more likely to meet fruits and vegetable intake guidelines than non breastfed infants at age two.

Methods: We enrolled healthy newborns at an urban teaching hospital between 2008-10, and interviewed mothers about their diet at age two. Intakes were analyzed using Nutrition Data System for Research software (2010)(18). “Breastfeeders” breastfed (exclusively or partly) for at least 6 months; “non-breastfeeders” never breasted or breastfed for <6 months. We used USDA recommendations that 1-3 year old consume 1 cup each of fruit and vegetables daily. Statistical tests were ANOVA, linear regression modeling, and backwards stepwise regression. Results: Of 144 infants included, 53% breastfed for equal to or more than 6 months. Mean and standard deviation of fruit and vegetable intake was 1.3 servings ± 1.0 and 1.0 ±.8 respectively. 22% of all infants met daily fruit intake guidelines but only 9% met vegetable guidelines. Among breastfeeders, 22% met fruit intake guidelines and 14.5% met vegetable intake guidelines. No variables were significantly associated with meeting fruit intake guidelines, but breastfeeders were significantly more likely to meet vegetable intake at 2 years, when compared to non breastfeeders (p=0.008).

Conclusion: In our urban, racially diverse cohort, breastfed infants were more likely to consume vegetables at age 2 than non breastfed infants.

Learning Areas:
Chronic disease management and prevention
Public health or related public policy

Learning Objectives:
Describe how breastfeeding is associated with increased vegetable intake at age 2.

Keywords: Breastfeeding, Infant Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was collected and analyzed data for this project, and was involved in all aspects of study design and implementation.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 5180.0: Maternal and Child Nutrition