Duration of lactation is associated with lower prevalence of the metabolic syndrome in midlife--SWAN, the study of women's health across the nation
- PMID: 18191796
- PMCID: PMC2395466
- DOI: 10.1016/j.ajog.2007.11.044
Duration of lactation is associated with lower prevalence of the metabolic syndrome in midlife--SWAN, the study of women's health across the nation
Abstract
Objective: The objective of the study was to evaluate whether lactation duration is associated with lower prevalence of metabolic syndrome (MetSyn) in midlife, parous women.
Study design: This was a cross-sectional cohort analysis of 2516 parous, midlife women using multivariable logistic regression to determine the independent association of lactation and lactation duration on prevalence of MetSyn.
Results: One thousand six hundred twenty women (64.4%) reported a history of breast-feeding, with average lifetime duration of lactation of 1.16 (+/- 1.04) years. MetSyn was present in 536 women (21.3%). Adjusting for age, smoking history, parity, ethnicity, socioeconomic status, study site, physical activity, caloric intake, and high school body mass index, women with prior lactation had significantly lower odds of MetSyn (odds ratio [OR] 0.79, 95% confidence interval [CI] 0.63 to 0.99). Furthermore, increasing duration of lactation was similarly associated with lower odds of MetSyn (OR 0.88, 95% CI 0.77 to 0.99).
Conclusion: Duration of lactation is associated with lower prevalence of MetSyn in a dose-response manner in midlife, parous women.
Comment in
-
Lactation and midlife metabolic syndrome: Ram et al.Am J Obstet Gynecol. 2008 Mar;198(3):338-9; discussion e1-6. doi: 10.1016/j.ajog.2008.01.031. Am J Obstet Gynecol. 2008. PMID: 18313457 No abstract available.
Similar articles
-
Association of adolescent obesity and lifetime nulliparity--the Study of Women's Health Across the Nation (SWAN).Fertil Steril. 2010 Apr;93(6):2004-11. doi: 10.1016/j.fertnstert.2008.12.059. Epub 2009 Jan 30. Fertil Steril. 2010. PMID: 19185860 Free PMC article.
-
Duration of lactation and incidence of the metabolic syndrome in women of reproductive age according to gestational diabetes mellitus status: a 20-Year prospective study in CARDIA (Coronary Artery Risk Development in Young Adults).Diabetes. 2010 Feb;59(2):495-504. doi: 10.2337/db09-1197. Epub 2009 Dec 3. Diabetes. 2010. PMID: 19959762 Free PMC article.
-
Elucidating the Multidimensionality of Socioeconomic Status in Relation to Metabolic Syndrome in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).Int J Behav Med. 2020 Apr;27(2):188-199. doi: 10.1007/s12529-020-09847-y. Int J Behav Med. 2020. PMID: 31933127 Free PMC article.
-
Duration of Lactation and Maternal Risk of Metabolic Syndrome: A Systematic Review and Meta-Analysis.Nutrients. 2020 Sep 5;12(9):2718. doi: 10.3390/nu12092718. Nutrients. 2020. PMID: 32899507 Free PMC article.
-
The menopause transition and women's health at midlife: a progress report from the Study of Women's Health Across the Nation (SWAN).Menopause. 2019 Oct;26(10):1213-1227. doi: 10.1097/GME.0000000000001424. Menopause. 2019. PMID: 31568098 Free PMC article. Review.
Cited by
-
Maternal recall of breastfeeding duration twenty years after delivery.BMC Med Res Methodol. 2012 Nov 23;12:179. doi: 10.1186/1471-2288-12-179. BMC Med Res Methodol. 2012. PMID: 23176436 Free PMC article.
-
Influence of Breastfeeding on the State of Meta-Inflammation in Obesity-A Narrative Review.Curr Issues Mol Biol. 2023 Nov 11;45(11):9003-9018. doi: 10.3390/cimb45110565. Curr Issues Mol Biol. 2023. PMID: 37998742 Free PMC article. Review.
-
Lactation intensity and postpartum maternal glucose tolerance and insulin resistance in women with recent GDM: the SWIFT cohort.Diabetes Care. 2012 Jan;35(1):50-6. doi: 10.2337/dc11-1409. Epub 2011 Oct 19. Diabetes Care. 2012. PMID: 22011407 Free PMC article.
-
Impact of a Formal Lactation Curriculum for Residents on Breastfeeding Rates Among Low-Income Women.J Perinat Educ. 2020 Apr 1;29(2):83-89. doi: 10.1891/J-PE-D-18-00018. J Perinat Educ. 2020. PMID: 32308357 Free PMC article.
-
Duration of lactation and maternal metabolism at 3 years postpartum.J Womens Health (Larchmt). 2010 May;19(5):941-50. doi: 10.1089/jwh.2009.1660. J Womens Health (Larchmt). 2010. PMID: 20459331 Free PMC article.
References
-
- Haffner SM, Valdez RA, Hazuda HP, Mitchell BD, Morales PA, Stern MP. Prospective analysis of the insulin-resistance syndrome (syndrome X) Diabetes. 1992;41:715–22. - PubMed
-
- Kip KE, Marroquin OC, Kelley DE, Johnson BD, Kelsey SF, Shaw LJ, Rogers WJ, Reis SE. Clinical Importance of obesity versus MetSyn in cardiovascular risk in women: a report from the Women’s Ischemia Syndrome Evaluation (WISE) study. Circulation. 2004;109:706–13. - PubMed
-
- Trevisan M, Liu J, Bahsas FB, Menotti A. Syndrome X and mortality: a population- based study. Risk Factor and Life Expectancy Research Group. Am J of Epidemiology. 1998;148(10):958–966. - PubMed
-
- Brewer MM, Bates MR, Vannoy LP. Postpartum changes in maternal weight and body fat depots in lactating vs. nonlactating women. Am J Clinical Nutrition. 1989;49:259–265. - PubMed
-
- Sichieri R, Field AE, Rich-Edwards J, Willett WC. Prospective assessment of exclusive breastfeeding in relation to weight change in women. Int J Obes Relat Metab Disord. 2003;27:815–820. - PubMed
Publication types
MeSH terms
Grants and funding
- AG012553/AG/NIA NIH HHS/United States
- AG012554/AG/NIA NIH HHS/United States
- AG012539/AG/NIA NIH HHS/United States
- AG012531/AG/NIA NIH HHS/United States
- U01 AG012495/AG/NIA NIH HHS/United States
- U01 AG012505/AG/NIA NIH HHS/United States
- AG012535/AG/NIA NIH HHS/United States
- AG012546/AG/NIA NIH HHS/United States
- NR004061/NR/NINR NIH HHS/United States
- U01 AG012554/AG/NIA NIH HHS/United States
- U01 AG012535/AG/NIA NIH HHS/United States
- U01 AG012553/AG/NIA NIH HHS/United States
- U01 NR004061/NR/NINR NIH HHS/United States
- U01 AG012539/AG/NIA NIH HHS/United States
- AG012495/AG/NIA NIH HHS/United States
- U01 AG012546/AG/NIA NIH HHS/United States
- U01 AG012531/AG/NIA NIH HHS/United States
- U01 AG017719/AG/NIA NIH HHS/United States
- AG012505/AG/NIA NIH HHS/United States