Exclusive breastfeeding to reduce the risk of childhood overweight and obesity
Overweight and obese children are at higher risk of developing serious health problems including type 2 diabetes, high blood pressure, asthma and other respiratory problems, sleep disorders and liver disease. They may also suffer from psychological effects, such as low self-esteem, depression and social isolation. Childhood obesity also increases the risk of obesity, noncommunicable diseases, premature death and disability in adulthood.
In addition to providing all the nutrients an infant needs in the first six months of life and protecting against common childhood diseases (i.e. diarrhoea and pneumonia), mounting evidence indicates that breastfeeding may have longer-term benefits such as reducing the risk of overweight and obesity in childhood and adolescence. Limited evidence also suggests a link between breastfeeding and reduced risk of type 2 diabetes, lower blood pressure and higher scores on intelligence tests.
WHO recommendations
To achieve optimal growth, development and health, infants should be exclusively breastfed for the first six months of life.
Thereafter, to meet their evolving nutritional requirements, infants should receive nutritionally adequate and safe complementary foods, while continuing to breastfeed for up to two years or beyond.
WHO documents
GRC-approved guidelines
-
WHO recommendations on postnatal care of the mother and newborn
Publication date: 2013
Other guidance documents
-
Baby-Friendly Hospital Initiative
Publication date: 2009 -
Acceptable medical reasons for use of breast-milk substitutes
Publication date: 2009 -
The optimal duration of exclusive breastfeeding: report of an expert consultation
Publication date: 2001
Evidence
Related Cochrane reviews
-
Optimal duration of exclusive breastfeeding
Kramer MS, Kakuma R.
Cochrane Database of Systematic Reviews. 2012; Issue 8. Art. No.: CD003517. - Summary of this review
Other related systematic reviews
-
Long-term consequences of breastfeeding on cholesterol, obesity, systolic blood pressure and type 2 diabetes: a systematic review and meta-analysis
Horta BL, Loret de Mola C, Victora CG.
Acta Paediatrica. 2015; 104: 30–37. -
The association between breastfeeding and childhood obesity: a meta-analysis
Yan J, Liu L, Zhu Y, Huang G, Wang PP.
BMC Public Health. 2014; 14:1267. -
Systematic review and meta-analyses of risk factors for childhood overweight identifiable during infancy
Weng SF, Redsell SA, Swift JA, Yang M, Glazebrook CP.
Archives of Disease in Childhood. 2012; 97(12):1019-26.