Maternal Prepregnancy Body Mass Index, Gestational Weight Gain, and Cessation of Breastfeeding: A Systematic Review and Meta-Analysis

Huang, Yi; Ouyang, Yan‐Qiong; Redding, Sharon R.

doi:10.1089/bfm.2018.0138

Cited by 55 publications

(35 citation statements)

References 42 publications

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“…However, their study hypotheses differ from ours; one study [120] not only included maternal weight status, but diet and supplement use as determinants of breastfeeding and complementary feeding; the other [14] investigated BF cessation associated with maternal BMI and gestational weight gain. The study conducted by Huang et al [14] is similar to ours, but does not include cross-sectional studies, and thus includes only 30 studies. The exclusion of these studies may overlook the true association of interest because most studies that focused on breastfeeding initiation are cross-sectional studies.…”

Section: Discussionmentioning

confidence: 79%

“…There are two previous meta-analysis studies [14,120] that investigated an association between maternal weight status and BF non-initiation and cessation which agree that obesity may be associated with an increased risk of BF non-initiation or cessation compared to normal weight mothers. However, their study hypotheses differ from ours; one study [120] not only included maternal weight status, but diet and supplement use as determinants of breastfeeding and complementary feeding; the other [14] investigated BF cessation associated with maternal BMI and gestational weight gain. The study conducted by Huang et al [14] is similar to ours, but does not include cross-sectional studies, and thus includes only 30 studies.…”

Section: Discussionmentioning

confidence: 96%

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Maternal Body Mass Index and Breastfeeding Non-Initiation and Cessation: A Quantitative Review of the Literature

et al. 2020

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This study aims to investigate which maternal body mass index (BMI) categories are associated with the non-initiation or cessation of breastfeeding (BF) based on a quantitative review of the literature. We searched Ovid MEDLINE and EBSCO CINAHL for peer-reviewed articles published between 1946 (MEDLINE) or 1981 (CINAHL), and 2019. Selected studies were either cross-sectional or cohort studies, of healthy mothers and infants, that reported nutrition method (exclusive/full or any) and period (initiation/duration/cessation) of breastfeeding according to maternal BMI levels. Pairwise meta-analyses of 57 studies demonstrated that the pooled odds risks (OR) of not initiating BF among overweight and obese mothers compared to normal weight mothers were significant across 29 (OR 1.33, 95% confidence interval (CI), 1.15–1.54, I2 = 98%) and 26 studies (OR 1.61, 95% CI, 1.33–1.95, I2 = 99%), respectively; the pooled risks for BF cessation were inconsistent in overweight and obese mothers with substantial heterogeneity. However, we found that overweight mothers (n = 10, hazard ratio (HR) 1.16, 95% CI, 1.07–1.25; I2 = 23%) and obese mothers (n = 7, HR 1.45, 95% CI: 1.27–1.65; I2 = 44%) were both associated with an increased risk of not continuing any BF and exclusive BF, respectively. Overweight and obese mothers may be at increased risk of not initiating or the cessation of breastfeeding.

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Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 96%

Maternal Body Mass Index and Breastfeeding Non-Initiation and Cessation: A Quantitative Review of the Literature

et al. 2020

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“…Sin embargo, la inadecuada ganancia de peso gestacional también se relaciona con desenlaces maternos: la menor probabilidad de iniciar o continuar la lactancia materna (49) , el incremento de la retención del peso posparto (50) , el riesgo de obesidad, diabetes, enfermedades cardíacas, enfermedades endocrinas y enfermedades psiquiátricas en años posteriores (51) . En tanto, en el recién nacido se asocia con un incremento del riesgo de obesidad, enfermedades metabólicas y cardiovasculares en los años de vida posteriores (52) .…”

Section: Discussionunclassified

Ganancia de peso gestacional como predictor de macrosomía y bajo peso al nacer: revisión sistemática

Santos-Antonio

Alvis-Chirinos

Aguilar-Esenarro

et al. 2020

Rev Peru Med Exp Salud Publica

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Objetivos: Evaluar la capacidad predictiva de las recomendaciones de ganancia de peso gestacional respecto del bajo peso al nacer (BPN) y la macrosomía neonatal, propuestas por el Institute of Medicine (IOM) y el Centro Latinoamericano de Perinatología (CLAP). Materiales y métodos: La búsqueda bibliográfica se realizó en PubMed, Embase (vía Ovid), Cochrane Library, EBSCOhost, Scopus, LILACS y SciELO. La calidad metodológica se evaluó utilizando QUADAS 2. Resultados: Se obtuvieron 1192 artículos, cinco cumplieron los criterios de inclusión, ningún estudio evaluó las recomendaciones CLAP. La sensibilidad y especificidad para predecir el BPN y la macrosomía variaron largamente según el país de realización del estudio. En las cohortes de América Latina, la sensibilidad para predecir el BPN varió entre 62,8% y 74%, y la especificidad, entre 61,7% y 68%, mientras que la sensibilidad para predecir macrosomía fue 28,8%, y la especificidad, 43,8%. En la mayoría de estudios el valor predictivo positivo fue inferior al 25%, y el valor predictivo negativo, superior al 90%. La mayoría de los estudios tuvo alto riesgo de sesgo y problemas de aplicabilidad en la selección de pacientes. Conclusiones: La limitada calidad metodológica y representatividad de las cohortes estudiadas, probables factores de confusión no ajustados y modestos valores de sensibilidad y especificidad sugieren la necesidad de desarrollar estudios para establecer recomendaciones que se ajusten a las características epidemiológicas de la población peruana.

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“…Women with obesity are less likely to initiate and maintain breastfeeding 144 . They should therefore receive appropriate advice and support antenatally and postnatally regarding the benefits of breastfeeding, considering the cultural and other needs of the woman 46 .…”

Section: Figo Guidance For Postpartum Obesitymentioning

confidence: 99%

Management of prepregnancy, pregnancy, and postpartum obesity from the FIGO Pregnancy and Non‐Communicable Diseases Committee: A FIGO (International Federation of Gynecology and Obstetrics) guideline

McAuliffe

Killeen

Jacob

et al. 2020

Intl J Gynecology & Obste

114

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Obstetricians and gynecologists are well positioned to influence population health through maternity and women's health services. Obesity is common in women of reproductive age and the prevalence is rising in both low-/middle-income and high-income countries 1. Obesity affects requirements for assessment, monitoring, and intervention and can impact maternal and child outcomes. Obstetricians and gynecologists require guidance on the care of women of reproductive age with obesity at all time points related to pregnancy, including how to address modifiable risk factors such as diet and physical activity. Many guidelines have been developed to date, although they vary in scope, methodology, and individual recommendations. FIGO's Committee Guideline for the Management of Prepregnancy, Pregnancy, and Postpartum Obesity (Table 1) reviews good clinical practice recommendations (Table 2-4) from previously published international documents. It serves as a practical resource to support obstetricians and gynecologists in the management of This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Maternal Prepregnancy Body Mass Index, Gestational Weight Gain, and Cessation of Breastfeeding: A Systematic Review and Meta-Analysis

Cited by 55 publications

References 42 publications

Maternal Body Mass Index and Breastfeeding Non-Initiation and Cessation: A Quantitative Review of the Literature

Maternal Body Mass Index and Breastfeeding Non-Initiation and Cessation: A Quantitative Review of the Literature

Ganancia de peso gestacional como predictor de macrosomía y bajo peso al nacer: revisión sistemática

Management of prepregnancy, pregnancy, and postpartum obesity from the FIGO Pregnancy and Non‐Communicable Diseases Committee: A FIGO (International Federation of Gynecology and Obstetrics) guideline

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