Breastfeeding may lessen prediabetes, metabolic syndrome risk in offspring
[Healio, 2/2/19] Children of mothers with gestational diabetes who were breastfed for at least 6 months were less likely to develop prediabetes or metabolic syndrome in early adolescence vs. children exposed to gestational diabetes who were not breastfed, according to findings published in Pediatric Obesity.
Studies have suggested that women with gestational diabetes are less likely to exclusively breastfeed in the first hour postpartum, are more likely to formula feed their children and are more likely to have a delayed onset of lactation mainly due to diabetes, insulin treatment and obesity vs. women without gestational diabetes, Jaimie N. Davis, PhD, associate professor in the department of nutritional sciences at the University of Texas at Austin, and colleagues wrote in the study background.
“There is debate on whether or not mothers with gestational diabetes should breastfeed,” Davis told Endocrine Today. “Our data suggest mothers with gestational diabetes who breastfeed for at least 6 months decrease the prevalence of prediabetes and metabolic syndrome in their offspring who are adolescents.”
Davis and colleagues analyzed data from 229 Hispanic children aged 8 to 13 years between 2004 and 2013 with overweight or obesity and a family history of diabetes who attended an average of four annual visits as part of the Study of Latino Adolescents at Risk for Diabetes (mean age, 11 years; 60% boys; 80.1% with obesity). Researchers assessed data on family history of diabetes, maternal gestational diabetes status, child’s birth weight and breastfeeding initiation. Researchers categorized children into four groups: mothers without gestational diabetes and breastfed; mothers without gestational diabetes and not breastfed; mothers with gestational diabetes and breastfed; and mothers with gestational diabetes and not breastfed. Children underwent a 2-hour oral glucose tolerance test, and metabolic syndrome was categorized using pediatric cutoffs for the Adult Treatment Panel III definition. Prediabetes was defined according to American Diabetes Association criteria. Researchers used logistic regression analyses to evaluate the effects of breastfeeding, gestational diabetes and an interaction between the two variables on the prevalence of metabolic syndrome and prediabetes over time……
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