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ORIGINAL CONTRIBUTION Effects of Promoting Longer-term and Exclusive Breastfeeding on Adiposity and Insulin-like Growth Factor-I at Age 11.5 Years A Randomized Trial Richard M. Martin, PhD Importance Evidence that longer-term and exclusive breastfeeding reduces child obe- Rita Patel, MSc sity risk is based on observational studies that are prone to confounding. Michael S. Kramer, MD Objective To investigate effects of an intervention to promote increased duration and exclusivity of breastfeeding on child adiposity and circulating insulin-like growth Lauren Guthrie, MSc factor (IGF)-I, which regulates growth. Konstantin Vilchuck, MD Design, Setting, and Participants Cluster-randomized controlled trial in 31 Be- Natalia Bogdanovich, MD larusian maternity hospitals and their affiliated clinics, randomized into 1 of 2 groups: breastfeeding promotion intervention (n=16) or usual practices (n=15). Participants Natalia Sergeichick, PhD were 17 046 breastfeeding mother-infant pairs enrolled in 1996 and 1997, of whom Nina Gusina, PhD 13 879 (81.4%) were followed up between January 2008 and December 2010 at a Ying Foo, PhD median age of 11.5 years. Intervention Breastfeeding promotion intervention modeled on the WHO/ Tom Palmer, PhD UNICEF Baby-Friendly Hospital Initiative (World Health Organization/United Nations Sheryl L. Rifas-Shiman, MPH Children’s Fund). Matthew W. Gillman, MD Main Outcome Measures Body mass index
JAMA – American Medical Association
Published: Mar 13, 2013
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