1 / 21

the relationship between breastfeeding and maternal postpartum weight change

the relationship between breastfeeding and maternal postpartum weight change. A Literature Review Tava Sternberg. Organization of Literature Review. Background Methods Results Characteristics of studies Studies not measuring exclusivity of BF Studies measuring exclusivity of BF

arlo
Download Presentation

the relationship between breastfeeding and maternal postpartum weight change

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. the relationship between breastfeeding and maternal postpartum weight change A Literature Review Tava Sternberg

  2. Organization of Literature Review • Background • Methods • Results • Characteristics of studies • Studies not measuring exclusivity of BF • Studies measuring exclusivity of BF • Discussion • Conclusion

  3. Important Abbreviations • GWG – Gestational Weight Gain • PP – Post-partum • PPWR – Post-partum weight retention • BF – Breastfeeding

  4. Background: • Obesity is a major public health crisis • Health implications of obesity include heart disease, stoke, type II diabetes and some cancers • Adults aged 25 to 32 have the highest incidence of weight gain • GWG combined with PPWR can lead to obesity • 31.9% of women at the child baring age (20-39) are obese in the U.S.

  5. Background • 75% of women try to breastfeed in the US which meets the Healthy People 2010 goals • Theoretically breastfeeding should promote PP weight loss due to the increased energy cost of lactation • Pre-pregnancy BMI, GWG, age, education, parity and income are some of the predictors of PPWR

  6. Purpose This literature review aims to critically access the research that examines the relationship between breastfeeding and maternal postpartum weight retention.

  7. Methods:

  8. Study Characteristics • 8-Prospective cohort, 3 –Longitudinal, 1- Cross sectional, 1- Phenomenological qualitative, 1- Retrospective, 1-Randomized clinical trial • 5- U.S, 2- India, 2-Mexico, 2- Norway, 2-Brazil, 1-Australia, 1-Ghana, 1-Oman, 1-Finland, 1-Denmark • 10 of the studies carried out multiple weight measuring points • Measuring points ranged from 14 days PP to 3 years PP

  9. Not measuring exclusivity

  10. Studies that measured exclusivity

  11. Studies that measured exclusivity

  12. Studies that measured exclusivity

  13. DISCUSSION • Associations in these studies depended on time of measurements, BF duration, BF intensity and Pre-preg BMI • Confounding factors varied between studies but the majority adjusted for pre-preg BMI, GWG and parity • In the stronger studies longer duration and exclusivity of BF contributed to lower PPWR • Many of the studies had retrospective recall on infant feeding data • Future research should find reliable ways to assess direct impact of BF on PP weight management and to explore further reasons why not all BF women lose weight

  14. Conclusion: • Breastfeeding is associated with lower postpartum weight retention more often when it is exclusive and in longer durations. While short duration of breastfeeding may induce weight retention, breastfeeding as recommended for at least 6 months could eliminate weight retention by 6 months and for as long as three years postpartum in many women, resulting in reduced obesity. Further studies are needed that include physical activity, energy consumption and cultural factors as contributors to weight retention during breastfeeding.

  15. QUESTIONS?

  16. Bibliography 1. Rooney B. L., Schauberger, C. W. Excess pregnancy weight gain and long-term obesity: One decade later. Obstetrics and Gynecology. 2002; 100:245-252. 2. Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of obesity in the United States, 2009–2010. NCHS data brief, no 82. Hyattsville, MD: National Center for Health Statistics. 2012. 3. Kulie T, Slattengen A, Redmer J, et al. (2011) Obesity and women’s health: an evidence based review. Journal of the American Board of Family Medicine; 24 (1): 75-85 4. Gunderson E.P., Abrams B. & Selvin S. (2001) Does the pattern of postpartum weight change differ according to pregravid body size? International Journal of Obesity 25, 853–862. 5. Centers for Disease Control and Prevention. (2010). Three out of Four New Moms Initiate Breastfeeding. Retrievedfrom http://www.cdc.gov/nutrition/ 6. Stuebe AM, Kleinmas K, Rich-Edwards J. (2010) Duration of lactation and maternal metabolism at 3 years postpartum. Jour of Womens Health; 19(5):941-950 7. Brawarsky P, Stotland NE, Jackson RA, et al. Pre-pregnancy and pregnancy-related factors and the risk of excessive or inadequate gestational weight gain. International Journal of Gynaecology and Obstetrics 2005; 91(2): 125-31. Epub October 3

  17. Bibliography Continued… 8. Lipsky LM, Strawderman MS, Olson CM. Maternal weight change between 1 and 2 years postpartum: The importance of 1 year weight retention. Obesity (Silver Spring). 2012;20(7):1496-1502. 9. Caire-Juvera G, Casanueva E, Bolanos-Villar AV, et al. No changes in weight and body fat in lactating adolescent and adult women in Mexico. American Journal of Human Biology. 2012; 24:425-431 10. Kulkarni B, Shatugna V, Nagalla B, et al. Regional body composition changes during lactation in Indian women and the low-income group and their relationship of the growth of their infants. Journal of the American College of Nutrition. 2011;30(1):57-62 11. Torris C, Thune I, Emaus A, et al (2010) Duration of lactation, maternal metabolic profile and body composition in the Norwegian EEBA I-study. 12. Bandhagen M, Lissner L, Brantsaeter AL, et al. Breast-feeing in relation to weight retention up to 36 months postpartum in the Norwegian mother and child cohort study: modification by socio-economic status. Public Health Nutr. 2012 13. da Silva, Maria da Conceição,M., Oliveira Assis AM, Pinheiro SMC, de Oliveira L,Pereira Magalh, da Cruz TR,P. Breastfeeding and maternal weight changes during 24 months post-partum: A cohort study. Matern Child Nutr. 2013. 14. Chapman DJ. Breastfeeding inversely associated with postpartum weight retention. J Hum Lact. 2009;25: 242

  18. Bibliography Continued… 15. Montgomery KS, Best M, Aniello TB, et al. Postpartum weight loss: weight struggles, eating, exercise, and breast-feeding. J Holist Nurs, 2013. 16. Murnane PM, Arpadi SM, Sinkala M, et al. Lactation-associated postpartum weight changes among HIV-infected women in zambia. Int J Epidemiol. 2010;39(5):1299-1310. 17. Onyango AW, Nommsen-Rivers L, Siyam A, et al. Post-partum weight change patterns in the WHO multicentre growth reference study. Matern Child Nutr. 2011;7(3):228-240. 18. Sámano R, Martínez-Rojano H, Godínez Martínez E, et al. Effects of breastfeeding on weight loss and recovery of pregestational weight in adolescent and adult mothers. Food Nutr Bull. 2013;34(2):123-130. 19. Wiklund P, Xu L, Lyytikäinen A, et al. Prolonged breast-feeding protects mothers from later-life obesity and related cardio-metabolic disorders. Public Health Nutr. 2012;15(1):67-74. 20. Martin JE, Hure AJ, Macdonald-Wicks L, Smith R, Collins CE. Predictors of post-partum weight retention in a prospective longitudinal study. Matern Child Nutr. 2012. 21. Østbye T, Krause KM, Swamy GK, Lovelady CA. Effect of breastfeeding on weight retention from one pregnancy to the next: Results from the north carolina WIC program. Prev Med. 2010;51(5):368-372.

More Related