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- Title
Postpartum Breastfeeding and Cardiovascular Risk Assessment in Women Following Pregnancy Complications.
- Authors
Julie Yu; Pudwell, Jessica; Dayan, Natalie; Smith, Graeme N.
- Abstract
Background: Breastfeeding is associated with lower cardiovascular (CV) risk over the long-term, however, less is known about its immediate effects among women with a recent complicated pregnancy. The objective of this study is to investigate the short-term effects of breastfeeding on markers of cardiovascular disease risk among women Ëœ6 months after a pregnancy complicated by a hypertensive disorder, gestational diabetes, intrauterine growth restriction, abruption, or preterm birth. Materials and Methods: Our cross-sectional analysis includes 622 women seen at 6 months postpartum (interquartile range: 5.7–6.7) between November 2011 and December 2017 at a tertiary care center. Self-reported breastfeeding status and measured CV risk factors were assessed at the same visit. CV risk factors were compared between women who did not breastfeed (n=100, 16%), those who breastfed for less than 6 months (n=315, 51%), and those who breastfed for 6 months or more (n=207, 33%) using multivariate logistic and linear regression. Results: Increased breastfeeding duration signiï¬cantly decreased the likelihood of metabolic syndrome (adjusted odds ratio [95% conï¬dence interval; CI]: 0.89 [0.79–0.99]), abnormal fasting glucose (0.79 [0.64–0.96]), and ratio of total cholesterol to high-density lipoprotein-cholesterol (HDL-C) (0.86 [0.78–0.95]). Furthermore, body mass index (estimated beta coefï¬cients [95% CI] -0.10 [-0.18 to -0.02]), fasting glucose (-0.05 [-0.08 to -0.02]), triglycerides (-0.07 [-0.10 to -0.04]), and ratio of total cholesterol to HDL-C (-0.06 [-0.10 to -0.03]) also decreased with increased breastfeeding duration, while HDL-C increased (0.02 [-0.01 to -0.04]). Conclusions: Our ï¬ndings suggest that breastfeeding is associated with decreased indicators of CV risk in a cohort of women with recent pregnancy complication.
- Subjects
BLOOD sugar analysis; METABOLIC syndrome diagnosis; BREASTFEEDING; CARDIOVASCULAR diseases risk factors; CHOLESTEROL; CONFIDENCE intervals; GESTATIONAL diabetes; FASTING; FETAL growth retardation; HIGH density lipoproteins; HYPERTENSION in pregnancy; PREMATURE infants; PREGNANCY complications; PUERPERIUM; RISK assessment; SELF-evaluation; TIME; TRIGLYCERIDES; WOMEN'S health; MULTIPLE regression analysis; BODY mass index; CROSS-sectional method; ABRUPTIO placentae; TERTIARY care; ODDS ratio; DISEASE complications
- Publication
Journal of Women's Health (15409996), 2020, Vol 29, Issue 5, p627
- ISSN
1540-9996
- Publication type
Article
- DOI
10.1089/jwh.2019.7894