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Literature review for - Flourish Paediatrics

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Results<br />

Any breastfeeding reduced<br />

the risk of obesity in<br />

childhood. Adjusted OR<br />

0.78 (0.71,0.85)<br />

Breastfeeding vs. not<br />

breastfeeding reduced the<br />

risk of obesity in later life.<br />

Pooled OR 0.78 (0.72,0.84)<br />

Breastfeeding duration was<br />

inversely and linearly<br />

associated with the risk of<br />

being overweight.<br />

Regression coefficient 0.94<br />

(0.89, 0.98) Each month of<br />

breastfeeding up until 9<br />

months was found to be<br />

associated<br />

with a 4 percent decrease in<br />

risk up. OR<br />

0.96/month of<br />

breastfeeding, (0.94, 0.98).<br />

Effect on risk Negative Negative Negative Negative<br />

Clinical 1 1 1 1<br />

importance<br />

Clinical 1 1 1 1<br />

relevance<br />

Generalisability Y Y Y Y<br />

Applicability Y Y Y Y<br />

Emphasized how<br />

sensitivity analyses carried<br />

out by Arenz and Owen<br />

showed a continuous<br />

reduction of the effect of<br />

breastfeeding on<br />

overweight and obesity<br />

when more factors were<br />

accounted <strong>for</strong> in the<br />

analysis.<br />

Reference Owen et al. 2005 (Ped) Owen et al. 2005 (Am J Clin Monasta et al. 2010 Kramer et al. 2007<br />

Nutr)<br />

Type of study SLR & meta-analysis SLR & meta-analysis SLR Randomized trial<br />

Level of evidence I (aetiology) I (aetiology) I (aetiology) II (intervention)<br />

Definition of<br />

breastfeeding<br />

Definitions of breastfeeding<br />

differed across <strong>review</strong>s<br />

Followed WHO<br />

definitions<br />

Few studies stated their<br />

definition of exclusive<br />

breastfeeding there<strong>for</strong>e the<br />

Few studies stated their<br />

definition of exclusive<br />

breastfeeding there<strong>for</strong>e the<br />

428

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