哺乳和母婴心脏代谢结果在分娩后的10-14年
Yiwen Cui1, Kartik K Venkatesh2, Anna Palatnik3,4
1Orlando Health Women's Institute Center for Fetal Care, Orlando, Florida, USA.
概括
母乳养与儿童中较低的葡萄糖代谢障碍和肥胖的风险有关. 虽然母亲的葡萄糖代谢风险没有变化,但母乳养减少了母亲的脂质不良和后代的肥胖.
科学领域:
- 心血管科学 心血管科学
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 哺乳提供了长期的心脏代谢益处,但许多结果需要进一步研究.
- 了解这些好处对于母婴健康至关重要.
- 以前的研究强调了一些好处,但长期影响需要更多的研究.
研究的目的:
- 调查母乳养与产后10-14年母亲和儿童心脏代谢健康之间的关联.
- 分析葡萄糖代谢障碍,高血压和脂质失调的风险.
- 为了评估与母乳养状况相关的儿童脂肪.
主要方法:
- 对前性高血糖和不良妊娠结果随访研究 (2013-2016) 的二次分析.
- 暴露:任何哺乳期. 结果:母亲/婴儿葡萄糖代谢障碍,高血压,脂质不良和儿童肥胖.
- 多变量逻辑回归分析了母乳养与心脏代谢结果之间的关联.
主要成果:
- 哺乳与儿童葡萄糖代谢障碍的风险较低有关 (aRR:0.76).
- 母乳养的母亲表现出较低的脂质失调率 (aRR:0.88),后代的脂肪率较低 (aRR:0.82).
- 在孕期糖尿病的母亲中,母乳养降低了儿童高血压 (aRR:0.66) 和肥胖 (aRR:0.67).
结论:
- 哺乳与后代心脏代谢风险的降低有关,包括葡萄糖代谢障碍和肥胖.
- 哺乳也有利于母亲的健康,因为它降低了脂质失调症的风险.
- 对孕期糖尿病的母亲进行有针对性的干预可以增强这些保护作用.
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