Breastfeeding is protective to diabetes risk in young adults: a longitudinal study.

Abstract:

AIM:It is unclear whether any breastfeeding or a certain duration of breastfeeding is protective against the development of diabetes in adult offspring. METHODS:We followed a sub-sample of 3,595 offspring born in the Mater Hospital in Brisbane, Australia between 1981 and 1983 and for whom we had doctor diagnosed self-reported diabetes at age 21 years and maternal reported duration of breastfeeding at 6-month post-natal follow-up. Multiple logistic regression was used to examine the independent associations of duration of breastfeeding (never breastfeed, breastfed <4 months and breastfed ≥4 months) with offspring diabetes by age 21 years. RESULTS:Of 3,595 young adults, 45 (1.25 %) developed diabetes by age 21 years. The odds ratio of experiencing diabetes was 0.58 (95 % CI 0.29, 1.16) for offspring who were breastfed <4 months, and it was 0.29 (95 % CI 0.13, 0.63), for offspring who were breastfed at least 4 months compared to the never breastfed offspring. Adjusting for potential confounding and mediating factors including maternal age, education, pre-pregnancy body mass index (BMI), smoking, offspring sports, TV and their BMI at 21 years did not substantially alter this association. CONCLUSIONS:Findings of this study suggest that infants who are breastfed for longer than 4 months have a substantial protective effect against the development of diabetes in young adulthood, which is independent of current BMI. Promoting breastfeeding for a minimum of 4 months may be a useful strategy for the prevention of diabetes among young adults.

journal_name

Acta Diabetol

journal_title

Acta diabetologica

authors

Al Mamun A,O'Callaghan MJ,Williams GM,Najman JM,Callaway L,McIntyre HD

doi

10.1007/s00592-014-0690-z

subject

Has Abstract

pub_date

2015-10-01 00:00:00

pages

837-44

issue

5

eissn

0940-5429

issn

1432-5233

pii

10.1007/s00592-014-0690-z

journal_volume

52

pub_type

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