Protective Influence of Breastfeeding on Cardiovascular Risk Factors in Women With Previous Gestational Diabetes Mellitus and Their Children: A Systematic Review and Meta-Analysis

Pathirana, Maleesa M.; Alı̀, Anna; Lassi, Zohra S; Arstall, Margaret; Roberts, Claire T.

doi:10.1177/08903344211034779

Cited by 16 publications

(10 citation statements)

References 48 publications

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“…Currently, UPF represent more than 60% of the daily caloric intake among school-age children in the United Kingdom and in the United States (39,40). A populational study with Brazilian children found that 74% of children under 24 months had already consumed some type of UPF (41). UPF early exposure may cause a low diet quality, since these food products have lower amounts of fiber, vitamins and higher energy density, free sugars, total fats and sodium (29).…”

Section: Discussionmentioning

confidence: 99%

“…Breastfeeding provides benefits for both mother and child. Children who are breastfed for longer periods have a lower risk of being affected by infectious diseases, mortality, dental problems and have better levels of intelligence quotient (IQ) than those who are breastfed for shorter periods, or not breastfed (41,42). Increasing evidence also suggests that breastfeeding may protect against overweight and diabetes.…”

Section: Discussionmentioning

confidence: 99%

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Impacts of Consumption of Ultra-Processed Foods on the Maternal-Child Health: A Systematic Review

et al. 2022

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Background and AimsChanges in eating patterns have been leading to an increase in the consumption of ultra-processed foods (UPF), negatively impacting the quality of the diet and generating risk of harm to the health of the adult population, however, there is no systematized evidence of the impact of UPF in maternal-child health. Thus, in this study we aimed to evaluated the association between UPF consumption and health outcomes in the maternal-child population.MethodsSystematic review registered on the International Prospective Register of Systematic Reviews (PROSPERO) (CRD42021236633), conducted according to the PRISMA diagram in the following databases: PubMed, Medline, Scopus, Web of Science, Scielo, and CAPES thesis and dissertation directory. We included original cross-sectional, case-control and cohort studies in any language. Eligibility criteria were (a) food consumption assessment by the NOVA classification, (b) health outcome (nutritional or diseases), and (c) maternal-child population (pregnant, lactating women and infants/children). All data were analyzed and extracted to a spreadsheet structured by two independent reviewers. We evaluated the methodological quality of the studies included using the Newcastle-Otawa Scale and RoB 2.ResultsSearches retrieved 7,801 studies and 15 contemplated the eligibility criteria. Most studies included were cohort studies (n = 8, 53%), had children as their population (n = 9, 60%) and only one study evaluated UPF consumption in infants and lactating women. Panoramically, we observed that a higher participation of UPF in children’s diet has been associated with different maternal-child outcomes, such as increase of weight gain, adiposity measures, overweight, early weaning, lower diet quality, metabolic alterations, diseases, and consumption of plastic originated from packaging. Only one of the studies included did not present high methodological quality.ConclusionDespite the limited literature on UPF consumption and health outcomes in the maternal-child population, the highest UPF consumption negatively impacted nutrition and disease development indicators in pregnant, lactating women and children. Considering the expressive participation of these foods in the diet, other studies should be conducted to further investigate the impact of UPF consumption on different health indicators, especially in the lactation phase for this was the one to present the most important knowledge gap.Systematic Review Registration[https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021236633], identifier [CRD42021236633].

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Impacts of Consumption of Ultra-Processed Foods on the Maternal-Child Health: A Systematic Review

et al. 2022

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“…Indeed, BF has been shown to improve the glycemic status of women with previous GDM through lowered rates of impaired glucose tolerance and lower fasting plasma glucose (35). Such women have a lower risk of developing type 2 DM than those who had GDM but did not breastfeed (36,37). Similarly, BF is associated with a lower risk of maternal hypertension, especially when practiced for more than 1 month (38), and exerts a protective effect against migraine attacks, a condition closely related to hypertensive disorders (39).…”

Section: Discussionmentioning

confidence: 99%

Exclusive Breastfeeding and Factors Influencing Its Abandonment During the 1st Month Postpartum Among Women From Semi-rural Communities in Southeast Mexico

et al. 2022

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IntroductionIn this study we describe breastfeeding practices among women from semi-rural communities in southeast Mexico, and explore which factors, modifiable or not, are associated with such practices.Materials and MethodsThis was a formative cross-sectional study that included 143 mothers with infants 4–6 months old, from semi-rural communities in Tabasco, Mexico. We collected data on two categories of factors: (1) women's sociodemographic characteristics, and (2) maternal / infant factors. We first analyzed the frequency of various breastfeeding practices. Then, we classified participants into the up to 1 month of exclusive breastfeeding group ( ≤ 1 m-EBF) and the beyond 1 month EBF group (>1 m-EBF), if they practiced EBF for less or more than 1 month, respectively. We compared the two categories of factors between groups and then, using logistic regression models, explored which factors were associated with practicing >1 m-EBF.ResultsBy the end of the 1st month postpartum, 51.7% of participants had abandoned EBF, introduced milk formula (35%), other food (9.1%), non-nutritive liquids (7.7%), or had stopped breastfeeding completely. In the next months, EBF practice fell sharply and mixed feeding grew importantly.Logistic regression models showed that women were more likely to be in the >1 m-EBF group if they lived with the baby's father, had complications during pregnancy, delivered vaginally and attended a health center at least three times postpartum. To the contrary, women were less likely to be practice >1 m-EBF if they gave infants other liquids during their hospital stay; experienced pain or discomfort in breasts/nipples, or used a pacifier after hospitalization; had larger bodies (i.e., higher BMI); and believed that you should give the infant powdered milk or some other food when the baby is not full.ConclusionMany factors associated with abandoning EBF, particularly in the early postpartum period, are modifiable and can be altered through timely interventions that include giving correct information and ensuring its comprehension; assertive personal counseling and accompaniment must be provided to mothers; and reinforcement during the early postpartum at health facilities and other settings.

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“…Breastfeeding reduces the risk of developing type 2 diabetes in mothers with previous GDM. It may improve the metabolic risk factors of offspring, but more studies are needed (141). However, lactation can increase the risk of overnight hypoglycemia, and insulin dosing may need to be adjusted.…”

Section: Lactationmentioning

confidence: 99%

15. Management of Diabetes in Pregnancy:Standards of Care in Diabetes—2023

ElSayed¹,

Aroda²,

Bannuru³

et al. 2022

Diabetes Care

184

122

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The American Diabetes Association (ADA) “Standards of Care in Diabetes” includes the ADA’s current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care. Members of the ADA Professional Practice Committee, a multidisciplinary expert committee, are responsible for updating the Standards of Care annually, or more frequently as warranted. For a detailed description of ADA standards, statements, and reports, as well as the evidence-grading system for ADA’s clinical practice recommendations and a full list of Professional Practice Committee members, please refer to Introduction and Methodology. Readers who wish to comment on the Standards of Care are invited to do so at professional.diabetes.org/SOC.

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Protective Influence of Breastfeeding on Cardiovascular Risk Factors in Women With Previous Gestational Diabetes Mellitus and Their Children: A Systematic Review and Meta-Analysis

Cited by 16 publications

References 48 publications

Impacts of Consumption of Ultra-Processed Foods on the Maternal-Child Health: A Systematic Review

Impacts of Consumption of Ultra-Processed Foods on the Maternal-Child Health: A Systematic Review

Exclusive Breastfeeding and Factors Influencing Its Abandonment During the 1st Month Postpartum Among Women From Semi-rural Communities in Southeast Mexico

15. Management of Diabetes in Pregnancy:Standards of Care in Diabetes—2023

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