Beneficial Effects of Breastfeeding on the Prevention of Metabolic Syndrome Among Postmenopausal Women

다국어 초록 (Multilingual Abstract)

Purpose: This study aims to determine whether breastfeeding may have any beneficial effects on metabolic syndrome in a cohort of postmenopausal Korean women.
Methods: A cross-sectional study with secondary data analysis was conducted using the cohort in the Korean Genome and Epidemiology Study. Data from 1,983 postmenopausal women were analyzed by logistic regression analysis. Controlled covariates were chosen based on a biopsychosocial model and included age, family history of hypertension; type 2 diabetes mellitus; and cerebro-cardiovascular diseases, body mass index, age of menarche, parity, socioeconomic status of family, educational level, past or current smoking experience, and current alcohol consumption experience.
Results: Breastfeeding experience and duration were not significantly associated with a decreased likelihood of metabolic syndrome among postmenopausal women. However, breastfeeding experience (adjusted odds ratio [AOR]: 0.52 [p ¼ .010]) and a total duration of breastfeeding exceeding 3 months were significantly associated with decreased likelihood of abdominal obesity (≥3 and < 6 months: AOR: 0.49 [p ¼ .014]; ≥6 and < 12 months: AOR: 0.51 [p ¼ .009]; ≥12 months: AOR: 0.56 [p ¼ .024]).
Conclusion: Our findings indicate that breastfeeding might have beneficial effects on reducing abdominal obesity in postmenopausal women. Health-care providers should publicize beneficial long-term effects of breastfeeding on the prevention of abdominal obesity, a component of metabolic syndrome.

참고문헌 (Reference)

1 한명석, "폐경으로 인한 대사증후군" 대한폐경학회 17 (17): 127-135, 2011

2 김성희, "중년 여성에서 모유수유와 대사증후군의 관련성" 한국모자보건학회 15 (15): 166-174, 2011

3 윤영숙, "여성의 비만: 임신과 폐경을 중심으로" 대한가정의학회 23 (23): 1-564, 2002

4 Geum Joon Cho, "The relationship between reproductive factors and metabolic syndrome in Korean postmenopausal women: Korea National Health and Nutrition Survey 2005. Menopause" Ovid Technologies (Wolters Kluwer Health) 16 (16): 998-1003, 2009

5 Young-Joo Park, "The Age at Menopause and Related Factors in Korean Women" 한국간호과학회 32 (32): 1024-1031, 2002

6 Wiklund P, "Prolonged breast-feeding protects mothers from later-life obesity and related cardiometabolic disorders" 15 (15): 67-74, 2012

7 Aguilar M, "Prevalence of the metabolic syndrome in the United States, 2003-2012" 313 (313): 1973-1974, 2015

8 Moradi S, "Parity, duration of lactation and prevalence of maternal metabolic syndrome : a crosssectional study" 201 : 70-74, 2016

9 Liu PJ, "Normal-weight central obesity is associated with metabolic disorders in Chinese postmenopausal women" 26 (26): 692-697, 2017

10 Innes KE, "Menopause, the metabolic syndrome, and mindbody therapies" 15 (15): 1005-1013, 2008

11 Natland ST, "Maternal recall of breastfeeding duration twenty years after delivery" 12 (12): 179-190, 2012

12 Williams CM, "Lipid metabolism in women" 63 (63): 153-160, 2004

13 Butte NF, "Leptin in human reproduction : serum leptin levels in pregnant and lactating women" 82 (82): 585-589, 1997

14 Chung S, "Korean and Caucasian overweight premenopausal women have different relationship of body mass index to percent body fat with age" 99 (99): 103-107, 2005

15 라진숙, "Influence of Physical Activity on Metabolic Syndrome according to Smoking Intensity" 한국보건간호학회 32 (32): 319-330, 2018

16 Hoffman MA, "Handbook of counseling psychology" John Wiley and Sons Inc 532-567, 2000

17 Manson JE, "Estrogen plus progestin and the risk of coronary heart disease" 349 (349): 523-534, 2003

18 Ram KT, "Duration of lactation is associated with lower prevalence of the metabolic syndrome in midlife-SWAN, the study of women's health across the nation" 198 (198): 268.e1-268.e6, 2008

19 Gunderson EP, "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)" 59 (59): 495-504, 2010

20 Stuebe AM, "Duration of lactation and incidence of maternal hypertension : a longitudinal cohort study" 174 (174): 1147-1158, 2011

21 Hye-Jin Kim, "Differences in Prevalence of Metabolic Syndrome by Breastfeeding Experience of Women in Their 30s and 40s" 한국간호과학회 10 (10): 136-142, 2016

22 Grundy SM, "Diagnosis and management of the metabolic syndrome" 112 (112): 2735-2752, 2005

23 Oh SW, "Cut-off point of BMI and obesityrelated comorbidities and mortality in middle-aged Koreans" 12 (12): 2031-2040, 2004

24 Broussard DL, "Coronary heart disease risk and bone mineral density among US women and men" 17 (17): 479-490, 2008

25 Straughen JK, "Changes in adipose tissue distribution during pregnancy in overweight and obese compared with normal weight women" 3 (3): 1-5, 2013

26 Liu Y, "Can body mass index, waist circumference, waist-hip ratio and waist-height ratio predict the presence of multiple metabolic risk factors in Chinese subjects" 11 : 35-44, 2011

27 McClure CK, "Breastfeeding and subsequent maternal visceral adiposity" 19 : 2205-2213, 2011

28 Nguyen B, "Breastfeeding and maternal cardiovascular risk factors and outcomes : a systematic review" 12 (12): e0187923-, 2017

29 Armenta RF, "Association of breastfeeding with postmenopausal visceral adiposity among three racial/ethnic groups" 23 (23): 475-480, 2015

30 Lupton SJ, "Association between parity and breastfeeding with maternal high blood pressure" 208 (208): 454.e1-454.e7, 2013

31 Choi SR, "Association between duration of breast feeding and metabolic syndrome : the Korean national health and nutrition examination surveys" 26 (26): 361-367, 2017

32 라진숙, "Associated Factors of Ischemic Heart Disease Identified Among Post-Menopausal Women" 질병관리본부 10 (10): 56-63, 2019

33 라진숙, "40세 이상 성인 남녀의 대사증후군 관련 심리사회적 요인" 한국보건간호학회 33 (33): 20-32, 2019

34 김미경, "2014 Clinical Practice Guidelines for Overweight and Obesity in Korea" 대한내분비학회 29 (29): 405-409, 2014