The association of maternal overweight and obesity with breastfeeding duration
Wendy Hazel Oddy1, Jianghong Li, Linda Landsborough
1Telethon Institute for Child Health Research, Centre for Child Health Research, University of Western Australia, PO Box 855, West Perth, Perth, Western Australia 6872, Australia. wendyo@ichr.uwa.edu.au
Insights
Maternal prepregnancy overweight or obesity is linked to shorter breastfeeding duration. This finding holds true even after accounting for socioeconomic and demographic factors, highlighting a significant association.
Area of Science:
- Obstetrics and Gynecology
- Pediatrics
- Public Health Nutrition
Background:
- Maternal prepregnancy body mass index (BMI) is a critical health indicator.
- Understanding factors influencing breastfeeding duration is vital for infant and maternal health outcomes.
Purpose of the Study:
- To investigate the independent effect of maternal prepregnancy overweight and obesity on the duration of breastfeeding.
- To determine if prepregnancy BMI is a significant predictor of breastfeeding cessation.
Main Methods:
- Prospective birth cohort study involving 1803 mother-infant dyads.
- Statistical analyses included unconditional logistic regression, Cox regression, and Kaplan-Meier survival analysis.
- Adjustments were made for numerous infant and maternal confounding factors.
Main Results:
- Overweight and obese women were significantly more likely to discontinue breastfeeding before six months compared to normal weight women (P < .0005).
- The association between prepregnancy overweight/obesity and reduced breastfeeding duration remained significant after adjusting for confounders.
Conclusions:
- Prepregnancy body mass index is independently associated with reduced breastfeeding duration.
- Overweight and obese mothers tend to breastfeed for shorter periods, irrespective of socioeconomic and demographic characteristics.
Objective:
To determine whether maternal prepregnancy overweight or obesity has an independent effect on breastfeeding duration.
Study Design:
A prospective birth cohort study of 1803 live-born children and their mothers ascertained through antenatal clinics at the major tertiary obstetric hospital in Perth, Australia, were followed until 3 years of age. Unconditional logistic, Cox regression, and Kaplan Meier analyses were used to model the association between maternal prepregnancy overweight and obesity and the duration of predominant or any breastfeeding allowing for adjustment of confounders (infant factors: gender, birth weight, gestational age, age solids introduced, and older siblings; maternal factors: smoking, education, age, race, marital status, pregnancy and birth complications, cesarean section, and socioeconomic status).
Results:
Overweight and obese women were more likely to have discontinued breastfeeding at any time before 6 months than normal weight women (P < .0005) following adjustment for potential confounders.
Conclusion:
We have shown that prepregnancy body mass index is associated with reduced breastfeeding duration, and that mothers who are overweight or obese before pregnancy tend to breastfeed their infants for a shorter duration than normal weight mothers independent of maternal socioeconomic and demographic characteristics.
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