Type of delivery and early breastfeeding: impact on the nutritional status of 24-month-old child
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Abstract
ntroduction: the first thousand days of life make up a window of opportunities in which the body is modulated to respond to external stimuli, and can determine health problems in childhood, such as the development of excess weight. Objective: to analyze the impact of the number of prenatal consultations, the type of delivery and early breastfeeding in the anthropometric nutritional status of 24-month-old children. Methods: descriptive, longitudinal and observational study of 58 children who remained in the cohort up to two years. The children were classified by nutritional status and allocated in the groups with and without excess weight. Within the groups, categorical variables that could influence nutritional status were analyzed. A logistic regression model was applied, using overweight as the de pendent variable, and, as independent variables, the number of medical visits, type of delivery, and breastfeeding before six hours of life. Results: from the analyzed variables, only the type of cesarean de
livery and the absence of breastfeeding before six hours of life were positively associated with overweight at two years of age (p: 0.01 and 0.03, respectively). Conclusions: the work indicates that the type of childbirth and early breastfeeding interfere with the health of the child. The importance of these variables is not restricted to nutritional status and may be better explained by future studies.
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