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Clinical Pediatrics, Vol. 43, No. 6, 535-540 (2004)
DOI: 10.1177/000992280404300605

Is Late Bottle-Weaning Associated with Overweight in Young Children? Analysis of NHANES III Data

Karen Bonuck, PhD

Department of Epidemiology and Population Health, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY

Richard Kahn, MS, RD

Morrisania WIC Program in the Bronx, NY, the Department of Epidemiology and Population Health, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY

Clyde Schechter, MD, MA

Department of Family Medicine and Community Health, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY

To determine whether age of bottle-weaning is associated with overweight in young children, National Health and Nutrition Examination Survey III data for 3027 children aged 3-5 years were analyzed. The main outcome measure, the child’s body mass index (BMI), was measured as: <85%, 85-95%, >95%. Mean bottle-weaning age was 18.78 months. After adjustment for potential confounders, each additional month of bottle use corresponded to a 3% increase in the odds of being in a higher BMI category (95% CI 0.0099-0.0535). Prolonged bottle use in young children is associated with increased risk of overweight. From a preventive medicine standpoint, decreasing exposure to this potential risk for childhood overweight is indicated.


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R. Kahn, K. Bonuck, and M. Trombley
Randomized Controlled Trial of Bottle Weaning Intervention: A Pilot Study
Clinical Pediatrics, March 1, 2007; 46(2): 163 - 174.
[Abstract] [PDF]