Prolonged bottle use and its association with iron deficiency anemia and overweight: a preliminary study

Clin Pediatr (Phila). 2002 Oct;41(8):603-7. doi: 10.1177/000992280204100808.


To determine the prevalence of prolonged bottle feeding practices in young children, and its association with body mass index (BMI) and iron deficiency anemia (IDA), we conducted a cross-sectional survey study at 3 Bronx, NY, WIC sites. Caregivers of 95 predominantly Hispanic and African-American WIC-enrolled children aged 18-56 months presenting for recertification completed questionnaires. Half were overweight (>85th% BMI) and 36% were obese (>95th% BMI); 21% met CDC criteria for anemia. Two thirds (63%) received daily bottles of milk or sweet liquids. Daily bottle use ranged from 3 to 10 (mean=3.3, median=3). Bottle use was significantly associated with obesity (>95th% BMI, p<0.0005), not significant with overweight (>85th% BMI, p<0.06) and statistically significant with IDA.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Anemia, Iron-Deficiency / epidemiology*
  • Black or African American
  • Body Mass Index
  • Bottle Feeding / statistics & numerical data*
  • Child, Preschool
  • Cross-Sectional Studies
  • Female
  • Hispanic or Latino
  • Humans
  • Infant
  • Infant Nutritional Physiological Phenomena
  • Male
  • New York / epidemiology
  • Obesity / epidemiology*
  • Poverty
  • Risk Factors
  • Social Welfare
  • United States / epidemiology