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Current Diabetes Reports
Published in: Current Diabetes Reports 1/2011

01-02-2011

Promoting Breastfeeding Among Obese Women and Women with Gestational Diabetes Mellitus

Authors: Kimberly K. Trout, Tali Averbuch, Meghan Barowski

Published in: Current Diabetes Reports | Issue 1/2011

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Abstract

Breastfeeding has many health benefits for women and their babies, but particularly if the woman is obese and/or had a pregnancy affected with gestational diabetes mellitus (GDM). Women who have had GDM are at high risk for developing metabolic syndrome or type 2 diabetes, and their offspring are at greater risk for these metabolic disorders both in childhood and later in adulthood. There is considerable evidence that breastfeeding may attenuate these risks. The aim of this article is to present the most recent evidence on what is known about how breastfeeding can mitigate the adverse metabolic effects of obesity and GDM on both mother and child, and describe best practices that can support and sustain breastfeeding, particularly in racial/ethnic communities at risk.
Literature
1.••
Gunderson EP, Jacobs DR, Chiang V, et al.: Duration of lactation and incidence of the metabolic syndrome in women of reproductive age according to gestational diabetes mellitus status: a 20-year prospective study in CARDIA (Coronary Artery Risk Development in Young Adults). Diabetes 2010, 59:495–504. This is a prospective study that found with longer duration of lactation, women with previous GDM had lower incidence of metabolic syndrome.CrossRefPubMed
2.
Steube AM, Rich-Edwards JW, Willett WC, et al.: Duration of lactation and incidence of type 2 diabetes. JAMA 2005, 294:2601–2610.CrossRef
3.
McManus RM, Cunningham I, Watson A, et al.: Beta-cell function and visceral fat in lactating women with a history of gestational diabetes. Metabolism 2001, 50:715–719.CrossRefPubMed
4.
5.
Nohr EA, Timpson NJ, Andersen CS, et al.: Severe obesity in young women and reproductive health: the Danish national birth cohort. PLoS One 2009, 4:e8444.CrossRefPubMed
6.
Torloni MR, Betrán AP, Horta BL, et al.: Prepregnancy BMI and the risk of gestational diabetes: a systematic review of the literature with meta-analysis. Obes Rev 2008, 10:194–203.CrossRefPubMed
7.
Bellamy L, Casas JP, Hingorani AD, Williams D: Type 2 diabetes mellitus after gestational diabetes: a systematic review and meta-analysis. Lancet 2009, 373:1773–1779.CrossRefPubMed
8.
O’Sullivan JB: Diabetes mellitus after GDM. Diabetes 1991, 29(Suppl 2):131–135.
9.
Boersschmann H, Pfluger M, Henneberger L, et al.: Prevalence and predictors of overweight and insulin resistance in offspring of mothers with gestational diabetes mellitus. Diabetes Care 2010, 33:1845–1849.CrossRef
10.
Catalano PM, Presley L, Minium J, et al.: Fetuses of obese mothers develop insulin resistance in utero. Diabetes Care 2009, 32:1076–1080.CrossRefPubMed
11.
Metzger MW, McDade TW: Breastfeeding as obesity prevention in the United States: a sibling difference model. Am J Human Biol 2010, 22:291–296.
12.
Donath SM, Amir LH: Maternal obesity and initiation and duration of breastfeeding: data from the longitudinal study of Australian children. Matern Child Nutr 2008, 4:163–170.CrossRefPubMed
13.
Baker JL, Michaelsen, KF, Sørensen TIA, Rasmussen KM: High prepregnant body mass index is associated with early termination of full and any breastfeeding in Danish women. Am J Clin Nutr 2007, 86:404–411.PubMed
14.
Rasmussen KM, Kjolhede CL: Prepregnant overweight and obesity diminish the prolactin response to suckling in the first week postpartum. Pediatrics 2004, 113:e465–e471.CrossRefPubMed
15.
Flegal KM, Carroll MD, Ogden CL, Curtin LR: Prevalence and trends in obesity among US adults, 1999–2008. JAMA 2010, 303:235–241.CrossRefPubMed
16.
Centers for Disease Control and Prevention (CDC): Differences in prevalence of obesity among black, white, and Hispanic adults—United States, 2006–2008. MMWR Morb Mortal Wkly Rep 2009, 58:740–744.
17.
Ferrara A: Increasing prevalence of gestational diabetes mellitus: a public health perspective. Diabetes Care 2007, 30:S141–S146.CrossRefPubMed
18.
Centers for Disease Control and Prevention (CDC): Racial and ethnic differences in breastfeeding initiation and duration, by state—National Immunization Survey, United States, 2004–2008. MMWR Morb Mortal Wkly Rep 2010, 59:327–334.
19.••
Retnakaran R, Qi Y, Sermer M, et al.: Beta-cell function declines within the first year postpartum in women with recent glucose intolerance in pregnancy. Diabetes Care 2010, 33:1798–1802. This study demonstrated marked decline in β-cell function in the first year postpartum in women with previous GDM.CrossRefPubMed
20.
Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults: Executive Summary of the Third Report of The National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, And Treatment of High Blood Cholesterol In Adults (Adult Treatment Panel III). JAMA 2001, 285:2486–2497.CrossRef
21.
Sohlström A, Forsum E: Changes in adipose tissue volume and distribution during reproduction in Swedish women as assessed by magnetic resonance imaging. Am J Clin Nutr 1995, 61:287–295.PubMed
22.
Sadurskis A, Kabir N, Wager J, Forsum E: Energy metabolism, body composition, and milk production in healthy Swedish women during lactation. Am J Clin Nutr 1998, 49:259–265.
23.
Knopp RH, Bergelin RO, Wahl PW, Walden CE: Effects of pregnancy, postpartum lactation, and oral contraceptive use on the lipoprotein cholesterol/triglyceride ratio. Metabolism 1985, 34:893–899.CrossRefPubMed
24.
Butte NF, Hopkinson JM: Body composition changes during lactation are highly variable among women. J Nutr 1998, 128:381S–385S.PubMed
25.
Wosje KS, Kalkwarf HJ: Lactation, weaning, and calcium supplementation: effects on body composition in postpartum women. Am J Clin Nutr 2004, 80:423–429.PubMed
26.
McGuire W, Dyson L, Renfrew M: Maternal obesity: consequences for children, challenges for clinicians and carers. Semin Fetal Neonatal Med 2009, 15:108–112.CrossRefPubMed
27.
Poobalan AS, Aucott LS, Gurung T, et al.: Obesity as an independent risk factor for elective and emergency caesarean delivery in nulliparous women—systematic review and meta-analysis of cohort studies. Obes Rev 2009, 10:28–35.CrossRefPubMed
28.
Klaus, MH, Fanaroff AA: Care of the High Risk Neonate, edn 5. Philadelphia: W.B. Saunders; 2001.
29.
Chertok IR, Raz I, Shoham I, et al.: Effects of early breastfeeding on neonatal glucose levels of term infants born to women with gestational diabetes. J Hum Nutr Diet 2009, 22:166–169.CrossRefPubMed
30.
Harder T, Bergmann R, Kallischnigg G, Plagemann A: Duration of breastfeeding and risk of overweight: a meta-analysis. Am J Epidemiol 2005, 162:397–403.CrossRefPubMed
31.
Owen CG, Martin RM, Whincup PH, et al.: Effect of infant feeding on the risk of obesity across the life course: a quantitative review of published evidence. Pediatrics 2005, 115:1367–1377.CrossRefPubMed
32.
Grummer-Strawn LM, Mei Z: Does breastfeeding protect against pediatric overweight? Analysis of longitudinal data from the Centers for Disease Control and Prevention Pediatric Nutrition Surveillance System. Pediatrics 2004, 113:e81–e86.CrossRefPubMed
33.
Yajnik CS, Deshmukh US: Maternal nutrition, intrauterine programming and consequential risks in the offspring. Rev Endocr Metab Disord 2008, 9:203–211.CrossRefPubMed
34.
Harder T, Rodekamp E, Schellong K, et al.: Birth weight and subsequent risk of type 2 diabetes: a meta-analysis. Am J Epidemiol 2007, 165:849–857.CrossRefPubMed
35.
Mennella JA, Jagnow CP, Beauchamp GK: Prenatal and postnatal flavor learning by human infants. Pediatrics 2001, 107:E88–E93.CrossRefPubMed
36.
Azziz R: Reproductive endocrinologic alterations in female asymptomatic obesity. Fertil Steril 1989, 52:703–725.PubMed
37.
Jevitt C, Hernandez I, Groer M: Lactation complicated by overweight and obesity: supporting the mother and newborn. J Midwifery Womens Health 2007, 52:606–613.CrossRefPubMed
38.
Davidson MR, Ladewig PA, London ML, eds: Newborn nutrition. In Olds’ Maternal-Newborn Nursing & Women’s Health Across the Lifespan, edn 8. Upper Saddle River, NJ: Pearson Prentice Hall; 2008:890–927.
39.
Reader DR, Franz MJ: Lactation, diabetes and nutrition recommendations. Curr Diab Rep 2004, 4:370–376.CrossRefPubMed
40.
Righard L, Alade MO: Effect of delivery room routines on success of first breast-feed. Lancet 1990, 336:1105–1107.CrossRefPubMed
41.
World Health Organization: Evidence for the Ten Steps to Successful Breastfeeding. Geneva: WHO; 1998.
42.
Gartner LM, Morton J, Lawrence RA, et al.: Breastfeeding and the use of human milk. Pediatrics 2005, 115:496–506.CrossRefPubMed
43.
Ryan AS, Zhou W: Lower breastfeeding rates persist among the Special Supplemental Nutrition Program for Women, Infants, and Children participants, 1978–2003. Pediatrics 2006, 117:1136–1146.CrossRefPubMed
44.
Chatterji P, Brooks-Gunn J: WIC participation, breastfeeding practices, and well-child care among unmarried, low-income mothers. Am J Public Health 2004, 94:1324–1327.CrossRefPubMed
45.
46.
Pugh LC, Serwint JR, Frick KD, et al.: A randomized controlled community-based trial to improve breastfeeding rates among urban low-income mothers. Acad Pediatr 2010, 10:14–20.CrossRefPubMed
47.
Olson BH, Haider SJ, Vangjel L, et al.: A quasi-experimental evaluation of a breastfeeding support program for low income women in Michigan. Matern Child Health J 2010, 14:86–93.CrossRefPubMed
48.
McCarter-Spaulding D, Gore R: Breastfeeding self-efficacy in women of African descent. J Obstet Gynecol Neonatal Nurs 2009, 38:230–243.CrossRefPubMed
49.
Cricco-Lizza R: Black non-Hispanic mothers’ perceptions about the promotion of infant-feeding methods by nurses and physicians. J Obstet Gynecol Neonatal Nurs 2006, 35:173–180.CrossRefPubMed
50.
Savage CL, Anthony J, Lee R, et al.: The culture of pregnancy and infant care in African-American women: an ethnographic study. J Transcult Nurs 2007, 18:215–223.CrossRefPubMed
51.
Bartick M, Reinhold A: The burden of suboptimal breastfeeding in the United States: a pediatric cost analysis. Pediatrics 2010, 125:e1048–e1056.CrossRefPubMed
Metadata
Title
Promoting Breastfeeding Among Obese Women and Women with Gestational Diabetes Mellitus
Authors
Kimberly K. Trout
Tali Averbuch
Meghan Barowski
Publication date
01-02-2011
Publisher
Current Science Inc.
Published in
Current Diabetes Reports / Issue 1/2011
Print ISSN: 1534-4827
Electronic ISSN: 1539-0829
DOI
https://doi.org/10.1007/s11892-010-0159-6

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