Szoptatás és cukorbetegség

Long-term effects of breastfeeding - A systematic review

Breastfeeding has well-established short-term benefits, particularly the reduction of morbidity and mortality due to infectious diseases in childhood. A pooled analysis of studies carried out in middle/ low income countries showed that breastfeeding substantially lowers the risk of death from infectious diseases in the first two years of life.

Based on data from the United Kingdom Millennium Cohort, Quigley et al estimated that optimal breastfeeding practices could prevent a substantial proportion of hospital admissions due to diarrhea and lower respiratory tract infection. A systematic review by Kramer et al confirmed that exclusive breastfeeding in the first 6 months decreases morbidity from gastrointestinal and allergic diseases, without any negative effects on growth. Given such evidence, it has been recommended that in the first six months of life, every child should be exclusively breastfed, with partial breastfeeding continued until two years of age.

Timing of introduction of gluten into the infant diet

Scientific Advisory Committee on Nutrition (SACN) and the Committee on Toxicity of Chemicals in Food, Consumer Products and the Environment (COT) Join Statement, March 2011

Background
In 2010, the Department of Health and Food Standards Agency asked the Scientific Advisory Committee on Nutrition (SACN) and the Committee on Toxicity of Chemicals in Food, Consumer Products and the Environment (COT) to assess the evidence on timing of introduction of gluten into the infant diet and subsequent risk of developing coeliac disease or type 1 diabetes mellitus (T1DM). The request was made in response to the publication of a European Food Safety Authority (EFSA) Panel on Dietetic Products, Nutrition and Allergies (NDA) Scientific Opinion on the appropriate age for the introduction of complementary food into infant diets in the EU; this included conclusions that were inconsistent with UK infant feeding advice.

Parity, Breastfeeding and the Subsequent Risk of Maternal Type 2 Diabetes

Liu B, Jorm L, Banks E.
Diabetes Care. 2010 Mar 23. [Epub ahead of print]

Abstract

Objective: To examine the effect of childbearing and maternal breastfeeding on a woman's subsequent risk of developing type 2 diabetes.

Research Design and Methods: Using information on parity, breastfeeding and diabetes collected from 52,731 women recruited into a cohort study, we estimated the risk of type 2 diabetes using multivariate logistic regression.

Duration of lactation is associated with lower prevalence of the metabolic syndrome in midlife

Kavitha T. Ram, Paul Bobby, Susan M. Hailpern, Joan C. Lo, Miriam Schocken, Joan Skurnick, Nanette Santoro

American Journal of Obstetrics & Gynecology 2008; 198:3 268.e1-e6

Abstract

Objective
The objective of the study was to evaluate whether lactation duration is associated with lower prevalence of metabolic syndrome (MetSyn) in midlife, parous women.

Duration of breast-feeding and the incidence of type 2 diabetes mellitus in the Shanghai Women’s Health Study

R. Villegas, Y.-T. Gao, G. Yang, H. L. Li, T. Elasy, W. Zheng and X.-O. Shu

Diabetologia. 2007 Nov 27 [Epub ahead of print]

Abstract

Aims/hypothesis The aim of this study was to examine the association between lifetime breast-feeding and the incidence of type 2 diabetes mellitus in a large population-based cohort study of middle-aged women.

Breastfeeding and Maternal and Infant Health Outcomes in Developed Countries

Stanley Ip, M.D., Mei Chung, M.P.H., Gowri Raman, M.D., Priscilla Chew, M.P.H., Nombulelo Magula, M.D., Deirdre DeVine, M.Litt., Thomas Trikalinos, M.D., Ph.D., Joseph Lau, M.D.

Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services, April 2007

Structured Abstract

Objectives: We reviewed the evidence on the effects of breastfeeding on short- and long-term infant and maternal health outcomes in developed countries.

Does breastfeeding influence risk of type 2 diabetes in later life? A quantitative analysis of published evidence

Christopher G Owen, Richard M Martin, Peter H Whincup, George Davey Smith and Derek G Cook

American Journal of Clinical Nutrition, Vol. 84, No. 5, 1043-1054, November 2006

Abstract

Background: Observational evidence suggests that having been breastfed in infancy may reduce the prevalence of type 2 diabetes in later life.

Objective: The objective was to examine the influence of initial breastfeeding on type 2 diabetes and blood glucose and insulin concentrations.

Infant feeding and adult glucose tolerance, lipid profile, blood pressure, and obesity

BACKGROUND - It is generally accepted that breast feeding has a beneficial effect on the health of infants and young children. Recently, a few studies have shown that the method of infant feeding is also associated with cardiovascular disease and its risk factors in adult life.
AIMS - To examine the association between the method of infant feeding in the first weeks after birth and glucose tolerance, plasma lipid profile, blood pressure, and body mass in adults aged 48-53 years.
Arch Dis Child 2000;82:248-252 ( March )

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