{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T01:20:38Z","timestamp":1773278438462,"version":"3.50.1"},"reference-count":29,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2017,10,13]],"date-time":"2017-10-13T00:00:00Z","timestamp":1507852800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["www.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1368980017002580_abs1\" sec-type=\"general\"><jats:title>Objective<\/jats:title><jats:p>To investigate whether pre-gestational obesity interferes with the duration of breast-feeding.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980017002580_abs2\" sec-type=\"general\"><jats:title>Design<\/jats:title><jats:p>A cross-sectional study was carried out with a population-based probabilistic sample. The dependent variables were exclusive breast-feeding (EBF) and breast-feeding (BF), as defined by the WHO. The classification of pre-gestational nutritional status was based on the pre-gestational BMI category.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980017002580_abs3\" sec-type=\"subjects\"><jats:title>Subjects<\/jats:title><jats:p>A sample of 418 mother\u2013infant pairs from the state of Alagoas, Brazil.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980017002580_abs4\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>The median duration of EBF was 1\u00b79 months (60d), while that of BF was 8\u00b72 months (250d). According to multiple linear regression analysis, the factors that negatively and independently affected the duration of EBF were pre-gestational BMI\u226530\u00b70 kg\/m<jats:sup>2<\/jats:sup> (\u221251\u00b79d, 95 % CI \u221280\u00b74, \u221223\u00b74), maternal schooling\u22649 years (\u221230\u00b78d, 95 % CI \u221254\u00b77, \u22126\u00b79), no prior lactation experience (\u221229\u00b70d, 95 % CI \u221245\u00b76, \u221211\u00b75) and infant pacifier use (\u221241\u00b74d; 95 % CI 54\u00b75, \u221228\u00b72). For BF, a higher weaning rate was observed during the first days after birth among children of pre-gestational obese mothers.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980017002580_abs5\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>The results suggest that higher pre-gestational BMI is associated with shorter duration of EBF and BF. Prenatal care provides a privileged opportunity to promote nutritional education, better nutritional status of pregnant woman, and greater success with EBF up to 6 months of age and with longer BF.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1368980017002580","type":"journal-article","created":{"date-parts":[[2017,10,13]],"date-time":"2017-10-13T04:34:58Z","timestamp":1507869298000},"page":"309-316","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":3,"title":["Pre-gestational excessive weight and duration of bre<b>ast-feeding<\/b>"],"prefix":"10.1017","volume":"21","author":[{"given":"Andr\u00e9a M","family":"Sotero","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haroldo da S","family":"Ferreira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monica L","family":"Assun\u00e7\u00e3o","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro Israel C","family":"de Lira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2017,10,13]]},"reference":[{"key":"S1368980017002580_ref2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2008.1343"},{"key":"S1368980017002580_ref22","doi-asserted-by":"publisher","DOI":"10.1002\/dvdy.21947"},{"key":"S1368980017002580_ref23","doi-asserted-by":"publisher","DOI":"10.1590\/S1519-38292006000100012"},{"key":"S1368980017002580_ref26","doi-asserted-by":"publisher","DOI":"10.1177\/0890334406293163"},{"key":"S1368980017002580_ref15","volume-title":"Nutrition During Lactation. Report of the Subcommittee on Nutrition during Lactation, Committee on Nutritional Status during Pregnancy and Lactation, Food and Nutrition Board","year":"2009"},{"key":"S1368980017002580_ref19","doi-asserted-by":"publisher","DOI":"10.1590\/S0102-311X2012000400018"},{"key":"S1368980017002580_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.jped.2014.06.009"},{"key":"S1368980017002580_ref1","first-page":"348","article-title":"Sobrepeso e obesidade pr\u00e9-gestacionais: preval\u00eancia e desfechos associados \u00e0 gesta\u00e7\u00e3o (Pre-gestational overweight and obesity: prevalence and outcomes associated with pregnancy)","volume":"33","author":"Seabra","year":"2011","journal-title":"Rev Bras Ginecol Obstet"},{"key":"S1368980017002580_ref9","doi-asserted-by":"publisher","DOI":"10.1177\/0890334415605303"},{"key":"S1368980017002580_ref8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.2009.01021.x"},{"key":"S1368980017002580_ref24","first-page":"241","article-title":"Fatores associados com a dura\u00e7\u00e3o do aleitamento materno (Factors associated with the duration of breastfeeding)","volume":"83","author":"Chaves","year":"2007","journal-title":"J Pediatr (Rio J)"},{"key":"S1368980017002580_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)01024-7"},{"key":"S1368980017002580_ref29","doi-asserted-by":"publisher","DOI":"10.1590\/S1415-52732004000400004"},{"key":"S1368980017002580_ref6","doi-asserted-by":"publisher","DOI":"10.1177\/0890334403261345"},{"key":"S1368980017002580_ref16","doi-asserted-by":"publisher","DOI":"10.1590\/S0104-42302010000100020"},{"key":"S1368980017002580_ref3","volume-title":"Pesquisa de Or\u00e7amentos Familiares 2008\u20132009: Antropometria e An\u00e1lise do Estado Nutricional de Crian\u00e7as, Adolescentes e Adultos no Brasil","year":"2010"},{"key":"S1368980017002580_ref10","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-015-0518-z"},{"key":"S1368980017002580_ref27","doi-asserted-by":"publisher","DOI":"10.1177\/0890334405275831"},{"key":"S1368980017002580_ref21","doi-asserted-by":"publisher","DOI":"10.1590\/S1415-790X2013000100017"},{"key":"S1368980017002580_ref5","doi-asserted-by":"publisher","DOI":"10.1038\/ejcn.2015.232"},{"key":"S1368980017002580_ref14","volume-title":"Indicators for Assessing Infant and Young Child Feeding Practices. Part 1: Definitions. Conclusions of Consensus Meeting held 6\u20138 November 2007 in Washington, DC, USA","year":"2008"},{"key":"S1368980017002580_ref25","doi-asserted-by":"publisher","DOI":"10.5712\/rbmfc8(27)241"},{"key":"S1368980017002580_ref28","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.92.7.1107"},{"key":"S1368980017002580_ref7","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1093\/ajcn\/86.2.404","article-title":"High prepregnant body mass index is associated with early termination of full and any breastfeeding in Danish women","volume":"86","author":"Baker","year":"2007","journal-title":"Am J Clin Nutr"},{"key":"S1368980017002580_ref11","first-page":"85","article-title":"Protective effect of breastfeeding against overweight can be detected as early as the second year of life: a study of children from one of the most socially-deprived areas of Brazil","volume":"33","author":"Assun\u00e7\u00e3o","year":"2015","journal-title":"J Health Popul Nutr"},{"key":"S1368980017002580_ref17","volume-title":"Pesquisa Nacional de Demografia e Sa\u00fade da Crian\u00e7a e da Mulher \u2013 PNDS 2006: Dimens\u00f5es do Processo Reprodutivo e da Sa\u00fade da Crian\u00e7a","year":"2009"},{"key":"S1368980017002580_ref13","volume-title":"Desenvolvimento Humano nas Macrorregi\u00f5es Brasileiras","year":"2016"},{"key":"S1368980017002580_ref18","volume-title":"II Pesquisa de preval\u00eancia de aleitamento materno nas capitais Brasileiras e Distritos Federais","year":"2009"},{"key":"S1368980017002580_ref12","doi-asserted-by":"publisher","DOI":"10.2223\/JPED.2203"}],"container-title":["Public Health Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1368980017002580","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,15]],"date-time":"2019-04-15T16:17:58Z","timestamp":1555345078000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1368980017002580\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,10,13]]},"references-count":29,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,2]]}},"alternative-id":["S1368980017002580"],"URL":"https:\/\/doi.org\/10.1017\/s1368980017002580","relation":{},"ISSN":["1368-9800","1475-2727"],"issn-type":[{"value":"1368-9800","type":"print"},{"value":"1475-2727","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,10,13]]},"assertion":[{"value":"Copyright \u00a9 The Authors 2017\u00a0","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}