Promoting Breastfeeding Among Obese Women and Women with Gestational Diabetes Mellitus
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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.
KeywordsBreastfeeding Obesity Gestational diabetes Metabolic syndrome
The authors would like to thank Joanna McGrath, MSN, RN, for her editorial assistance in the preparation of this manuscript.
No potential conflicts of interest relevant to this article were reported.
Papers of particular interest, published recently, have been highlighted as: •• Of major importance
- 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.CrossRefPubMedGoogle Scholar
- 8.O’Sullivan JB: Diabetes mellitus after GDM. Diabetes 1991, 29(Suppl 2):131–135.Google Scholar
- 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.Google Scholar
- 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.Google Scholar
- 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.Google Scholar
- 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.CrossRefPubMedGoogle Scholar
- 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.CrossRefGoogle Scholar
- 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.Google Scholar
- 28.Klaus, MH, Fanaroff AA: Care of the High Risk Neonate, edn 5. Philadelphia: W.B. Saunders; 2001.Google Scholar
- 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.Google Scholar
- 41.World Health Organization: Evidence for the Ten Steps to Successful Breastfeeding. Geneva: WHO; 1998.Google Scholar
- 45.Food and Nutrition Service: Policy and Guidance. Available at http://www.fns.usda.gov/wic/policyandguidance/breastfeedingguidance.htm. Accessed September 2010.