Evidence map›Paper›PMID 30287329›Full record

ArticlePreventive medicine2019

Breastfeeding initiation and duration and child health outcomes in the first baby study.

Krista L Pattison, Jennifer L Kraschnewski, Erik Lehman, Jennifer S Savage, Danielle Symons Downs, Krista S Leonard, Elizabeth L Adams, Ian M Paul, Kristen H Kjerulff

Abstract read
In one paragraph

Article in Preventive medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.

  1. Risk Factors in the First 1000 Days of Life Associated With Childhood Obesity: A Systematic Review and Risk Factor Quality Assessment.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Pooled it
  2. Early Childhood Obesity: Multifactorial Influences with a Prominent Familial ContributionJournal of clinical research in pediatric endocrinology · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Article
  14. Associations Between Breastfeeding, Maternal Emotional Availability, and Infant-Mother Attachment: The Role of Coparenting.Journal of human lactation : official journal of International Lactation Consultant Association · 2024
    Article
  15. Review
  16. Article
  17. Association of Infant Feeding Characteristics With Dietary Patterns and Obesity in Korean Childhood.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2023
    Article
  18. Article
  19. Breastfeeding Experiences During the COVID-19 Lockdown in the United Kingdom: An Exploratory Study Into Maternal Opinions and Emotional States.Journal of human lactation : official journal of International Lactation Consultant Association · 2021
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Krista L PattisonPenn State PRO Wellness, Department of Pediatrics, Penn State College of Medicine, United States of America. Electronic address: kpattison@pennstatehealth.psu.edu.
Jennifer L KraschnewskiPenn State PRO Wellness, Department of Pediatrics, Penn State College of Medicine, United States of America; Department of Public Health Sciences, Penn State College of Medicine, United States of America; Department of Medicine, Penn State College of Medicine, United States of America.
Erik LehmanDepartment of Public Health Sciences, Penn State College of Medicine, United States of America.
Jennifer S SavageCenter of Childhood Obesity Research, Department of Nutritional Sciences, The Pennsylvania State University, United States of America.
Danielle Symons DownsExercise Psychology Laboratory, Department of Kinesiology, The Pennsylvania State University, United States of America; Department of Obstetrics and Gynecology, Penn State College of Medicine, United States of America.
Krista S LeonardExercise Psychology Laboratory, Department of Kinesiology, The Pennsylvania State University, United States of America.
Elizabeth L AdamsCenter of Childhood Obesity Research, Department of Nutritional Sciences, The Pennsylvania State University, United States of America.
Ian M PaulDepartment of Public Health Sciences, Penn State College of Medicine, United States of America; Department of Pediatrics, Penn State College of Medicine, United States of America.
Kristen H KjerulffDepartment of Public Health Sciences, Penn State College of Medicine, United States of America; Department of Obstetrics and Gynecology, Penn State College of Medicine, United States of America.
Pennsylvania State University · US

Funding

Mode of First Delivery and Subsequent Child-BearingR01HD052990 · NICHD · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KJERULFF, KRISTEN HAWTHORNE · 2008 to 2012
$3.9M
NICHD NIH HHS R01 HD052990
6 · The paper itself

Abstract

Despite the known benefits of breastmilk, associations between breastfeeding and child overall health outcomes remain unclear. We aimed to understand associations between breastfeeding and health outcomes, including child weight, through age 3. Analysis included women (N = 3006) in the longitudinal, prospective First Baby Study from 2009 to 2014. For this analysis, breastfeeding initiation and duration were measured using self-reported data from the 1-, 6- and 12-month surveys; child illnesses were analyzed from the 6-, 12-, and 24-month interviews; height and weight at age 3 were used to determine overweight/obese (≥85th percentile) and obese (≥95th percentile). Adjusted logistic regressions were utilized to determine significance. Greater duration of breastfeeding was associated with fewer reported acute illnesses at 6 months (p < 0.001) and fewer diarrheal illness/constipation episodes at 6, 12, and 24 months (p = 0.05) in adjusted analyses. Fewer breastfed children, compared to non-breastfed children, were overweight/obese (23.5% vs. 37.8%; p = 0.032) or obese (9.1% vs. 21.6%; p = 0.012) at age 3. Breastfeeding duration was negatively associated with overweight/obese (never breastfed: 37.8%, 0-6 months: 26.9%, >6 months: 20.2%; p = 0.020) and obesity (never breastfed: 21.6%, 0-6 months: 11.0%, >6 months: 7.3%; p = 0.012). Overall, our findings support the hypothesis that duration of breastfeeding is associated with fewer reported acute illnesses at 6 months of age and diarrheal illness and/or constipation episodes at 6, 12, and 24 months. Additionally, results from our study suggest a protective effect of breastfeeding from childhood overweight/obesity, as children who received breastmilk for 6 months or longer had lower odds of overweight/obesity at age 3 years.

Indexed as

Body Mass IndexBody WeightChild HealthAdultBreast FeedingChildChild, PreschoolFemaleHumansInfantLongitudinal StudiesMothersPediatric ObesityProspective StudiesTime FactorsBody mass indexBreastfeedingChildhood obesity

Identifiers

PMID30287329
PMCPMC6322935
OpenAlexW2895026952

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.