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The association of breast feeding for at least six months with hemodynamic and metabolic health of women and their children aged three years: an observational cohort study

BACKGROUND: Breastfeeding is important for both mother and child in reducing risk of future cardiovascular disease. Therefore, it may be an effective method to improve cardio-metabolic health, particularly those who are exposed to pregnancy complications which increase later CVD risk for both mother...

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Autores principales: Pathirana, Maleesa M., Andraweera, Prabha H., Aldridge, Emily, Harrison, Madeline, Harrison, Jade, Leemaqz, Shalem, Arstall, Margaret A., Dekker, Gustaaf A., Roberts, Claire T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10357869/
https://www.ncbi.nlm.nih.gov/pubmed/37468924
http://dx.doi.org/10.1186/s13006-023-00571-3
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author Pathirana, Maleesa M.
Andraweera, Prabha H.
Aldridge, Emily
Harrison, Madeline
Harrison, Jade
Leemaqz, Shalem
Arstall, Margaret A.
Dekker, Gustaaf A.
Roberts, Claire T.
author_facet Pathirana, Maleesa M.
Andraweera, Prabha H.
Aldridge, Emily
Harrison, Madeline
Harrison, Jade
Leemaqz, Shalem
Arstall, Margaret A.
Dekker, Gustaaf A.
Roberts, Claire T.
author_sort Pathirana, Maleesa M.
collection PubMed
description BACKGROUND: Breastfeeding is important for both mother and child in reducing risk of future cardiovascular disease. Therefore, it may be an effective method to improve cardio-metabolic health, particularly those who are exposed to pregnancy complications which increase later CVD risk for both mother and child. The aim of this study is to assess differences in cardiometabolic health at three years postpartum in mothers who breastfed for at least six months and their children compared to those who did not. METHODS: Women and children from the Screening Tests to Predict Poor Outcomes of Pregnancy (STOP) study (2015–2017) were invited to attend a health check-up at three years postpartum. Women’s breastfeeding status at least six months postpartum was ascertained through their child health record. Anthropometric and hemodynamic measurements were taken from women and their children. A fasting blood sample was taken from women to measure blood glucose and lipids. RESULTS: A total of 160 woman-child dyads were assessed in this study. Women who breastfed for at least six months had significantly lower maternal BMI, systolic blood pressure, diastolic blood pressure, mean arterial pressure, central systolic blood pressure, and central diastolic blood pressure than those who did not and this did not change after adjusting for BMI and socioeconomic index in early pregnancy, prenatal smoking and maternal age in early pregnancy. Subgroup analysis on women who had one or more pregnancy complications during the index pregnancy (i.e. preeclampsia, gestational hypertension, delivery of a small for gestational age infant, delivery of a preterm infant, and/or gestational diabetes mellitus) demonstrated that women who breastfed for at least six months had significantly lower maternal systolic and diastolic blood pressures, serum insulin and triglycerides, and higher HDL cholesterol. There were no differences in child anthropometric or hemodynamic variables at three years of age between those children who had been breastfed for at least six months and those who had not. CONCLUSION: Breastfeeding for at least six months may reduce some maternal; cardiovascular risk factors in women at three years postpartum, in particular, in those who have experienced a complication of pregnancy. TRIAL REGISTRATION: ACTRN12614000985684 (12/09/2014). SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13006-023-00571-3.
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spelling pubmed-103578692023-07-21 The association of breast feeding for at least six months with hemodynamic and metabolic health of women and their children aged three years: an observational cohort study Pathirana, Maleesa M. Andraweera, Prabha H. Aldridge, Emily Harrison, Madeline Harrison, Jade Leemaqz, Shalem Arstall, Margaret A. Dekker, Gustaaf A. Roberts, Claire T. Int Breastfeed J Research BACKGROUND: Breastfeeding is important for both mother and child in reducing risk of future cardiovascular disease. Therefore, it may be an effective method to improve cardio-metabolic health, particularly those who are exposed to pregnancy complications which increase later CVD risk for both mother and child. The aim of this study is to assess differences in cardiometabolic health at three years postpartum in mothers who breastfed for at least six months and their children compared to those who did not. METHODS: Women and children from the Screening Tests to Predict Poor Outcomes of Pregnancy (STOP) study (2015–2017) were invited to attend a health check-up at three years postpartum. Women’s breastfeeding status at least six months postpartum was ascertained through their child health record. Anthropometric and hemodynamic measurements were taken from women and their children. A fasting blood sample was taken from women to measure blood glucose and lipids. RESULTS: A total of 160 woman-child dyads were assessed in this study. Women who breastfed for at least six months had significantly lower maternal BMI, systolic blood pressure, diastolic blood pressure, mean arterial pressure, central systolic blood pressure, and central diastolic blood pressure than those who did not and this did not change after adjusting for BMI and socioeconomic index in early pregnancy, prenatal smoking and maternal age in early pregnancy. Subgroup analysis on women who had one or more pregnancy complications during the index pregnancy (i.e. preeclampsia, gestational hypertension, delivery of a small for gestational age infant, delivery of a preterm infant, and/or gestational diabetes mellitus) demonstrated that women who breastfed for at least six months had significantly lower maternal systolic and diastolic blood pressures, serum insulin and triglycerides, and higher HDL cholesterol. There were no differences in child anthropometric or hemodynamic variables at three years of age between those children who had been breastfed for at least six months and those who had not. CONCLUSION: Breastfeeding for at least six months may reduce some maternal; cardiovascular risk factors in women at three years postpartum, in particular, in those who have experienced a complication of pregnancy. TRIAL REGISTRATION: ACTRN12614000985684 (12/09/2014). SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13006-023-00571-3. BioMed Central 2023-07-19 /pmc/articles/PMC10357869/ /pubmed/37468924 http://dx.doi.org/10.1186/s13006-023-00571-3 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Pathirana, Maleesa M.
Andraweera, Prabha H.
Aldridge, Emily
Harrison, Madeline
Harrison, Jade
Leemaqz, Shalem
Arstall, Margaret A.
Dekker, Gustaaf A.
Roberts, Claire T.
The association of breast feeding for at least six months with hemodynamic and metabolic health of women and their children aged three years: an observational cohort study
title The association of breast feeding for at least six months with hemodynamic and metabolic health of women and their children aged three years: an observational cohort study
title_full The association of breast feeding for at least six months with hemodynamic and metabolic health of women and their children aged three years: an observational cohort study
title_fullStr The association of breast feeding for at least six months with hemodynamic and metabolic health of women and their children aged three years: an observational cohort study
title_full_unstemmed The association of breast feeding for at least six months with hemodynamic and metabolic health of women and their children aged three years: an observational cohort study
title_short The association of breast feeding for at least six months with hemodynamic and metabolic health of women and their children aged three years: an observational cohort study
title_sort association of breast feeding for at least six months with hemodynamic and metabolic health of women and their children aged three years: an observational cohort study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10357869/
https://www.ncbi.nlm.nih.gov/pubmed/37468924
http://dx.doi.org/10.1186/s13006-023-00571-3
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