The Role of Maternal Prepregnancy Body Mass Index in Breastfeeding Outcomes: A Systematic Review

Achike, Mya; Akpinar‐Elci, Muge

doi:10.1089/bfm.2020.0376

Cited by 17 publications

(7 citation statements)

References 30 publications

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“…41 Because the duration of breastfeeding in the studied population was short, we were unable to assess the impact of being breastfed as recommended by international agencies. 42 Our findings reinforce the relevance of promoting and specifically supporting breastfeeding among overweight mothers, since breastfeeding may mitigate the consequences of intrauterine exposure to maternal overweight on offspring body composition.…”

Section: Discussionsupporting

confidence: 76%

Breastfeeding moderates the association of maternal pre-pregnancy nutritional status with offspring body composition at 30 years

Horta,

Coca,

Desai

et al. 2024

J Dev Orig Health Dis

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Maternal pre-pregnancy body mass index is positively associated with offspring obesity, even at adulthood, whereas breastfeeding decreases the risk of obesity. The present study was aimed at assessing whether breastfeeding moderates the association of maternal pre-pregnancy body mass index with offspring body composition at adulthood, using data from 3439 subjects enrolled in a southern Brazilian birth cohort. At 30 years of age, maternal pre-pregnancy body mass index was positively associated with offspring prevalence of obesity, abdominal obesity, as well as body mass index and fat and lean mass index. Breastfeeding moderated the association of maternal pre-pregnancy obesity with offspring adiposity at 30 years of age. For those breastfed<6 months, body mass index was 4.13 kg/m2 (95% confidence interval: 2.98; 5.28) higher among offspring of obese mothers, in relation to offspring of normal weight mothers, whereas among those breastfed≥6 months the magnitude of the difference was small [2.95 kg/m2 (95% confidence interval: 1.17; 4.73)], p-value for interaction = 0.03. Concerning obesity, among those who had been breastfed < 6 months, the prevalence of obesity was 2.56 (95% confidence interval: 1.98; 3.31) times higher among offspring of obese mothers. On the other hand, among those who were breastfed ≥ 6 months, the prevalence of obesity was 1.82 (95% confidence interval: 1.09; 3.04) times higher among offspring of obese mothers. Therefore, among overweight mothers breastfeeding for more than 6 months should be supported, as it may mitigate the consequences of maternal overweight on offspring body composition.

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Section: Discussionsupporting

confidence: 76%

Breastfeeding moderates the association of maternal pre-pregnancy nutritional status with offspring body composition at 30 years

Horta,

Coca,

Desai

et al. 2024

J Dev Orig Health Dis

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“…44 Lower rates of breastfeeding have been observed in individuals with obesity, and those who do breastfeed tend to do so for shorter durations compared with individuals without obesity. 45 Postpartum depression is also positively correlated with increasing BMI. 46 With the current rates of obesity in pregnancy-capable individuals, gynecologic and preconception health care encounters are an opportunity to discuss obesity in relation to reproductive health.…”

Section: Obesity and Reproductive Healthmentioning

confidence: 98%

“…During the postpartum period, individuals with obesity are at increased risk for hemorrhage, infection, and thrombosis 44 . Lower rates of breastfeeding have been observed in individuals with obesity, and those who do breastfeed tend to do so for shorter durations compared with individuals without obesity 45 . Postpartum depression is also positively correlated with increasing BMI 46 …”

Section: Health Risks Associated With Obesitymentioning

confidence: 99%

Updates in Medical and Surgical Weight Loss

Davis,

Sanders

2024

J Midwife Womens Health

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The number of individuals with obesity is at an all‐time high, and the rate of obesity continues to climb each year. Obesity is a chronic disease with widespread effects throughout the body. Midwives and perinatal care providers need an understanding of the etiology, pathophysiology, and interventions for obesity. A review of evidence‐based diet and lifestyle modifications, medications, and surgical procedures is presented.

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“…Infants also have increased risks, such as large-for-gestational-age (LGA) or macrosomia, neonatal hypoglycaemia and admission to neonatal intensive care units (13) . Postnatally, there is reduced breastfeeding, and increased depression (14)(15)(16) and weight retention (17) . The intrauterine environment can impact on fetal development, the results of which persist across the life course through fetal programming (18) .…”

Section: Pregnancymentioning

confidence: 99%

Addressing inequalities and improving maternal and infant outcomes: the potential power of nutritional interventions across the reproductive cycle

2023

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Maternal nutrition is essential for optimal health and well-being of women and their infants. This review aims to provide a critical overview of the evidence-base relating to maternal weight, obesity-related health inequalities and dietary interventions encompassing the reproductive cycle: preconception, pregnancy, postnatal and interpregnancy. We provide an overview of UK data showing that overweight and obesity affects half of UK pregnancies, with increased prevalence among more deprived and minoritised ethnic populations, and with significant health and cost implications. The existing intervention evidence-base primarily focuses on the pregnancy period, where extensive evidence demonstrates the power of interventions to improve maternal diet behaviours, and minimise gestational weight gain and postnatal weight retention. There is a lack of consistency in the intervention evidence-base relating to interventions improving pregnancy health outcomes, although there is evidence of the potential power of the Mediterranean and low glycaemic index diets in improving short- and long-term health of women and their infants. Postnatal interventions focus on weight loss, with some evidence of cost-effectiveness. There is an evidence gap for preconception and interpregnancy interventions. We conclude by identifying that interventions do not address cumulative maternal obesity inequalities and overly focus on individual behaviour change. There is a lack of a joined-up approach for interventions throughout the entire reproductive cycle, with a current focus on specific stages (i.e. pregnancy) in isolation. Moving forward, the potential power of nutritional interventions using a more holistic approach across the different reproductive stages is needed to maximise the benefits on health for women and children.

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The Role of Maternal Prepregnancy Body Mass Index in Breastfeeding Outcomes: A Systematic Review

Cited by 17 publications

References 30 publications

Breastfeeding moderates the association of maternal pre-pregnancy nutritional status with offspring body composition at 30 years

Breastfeeding moderates the association of maternal pre-pregnancy nutritional status with offspring body composition at 30 years

Updates in Medical and Surgical Weight Loss

Addressing inequalities and improving maternal and infant outcomes: the potential power of nutritional interventions across the reproductive cycle

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