한국 가임기 여성에서 모유수유와 대사증후군 및 대사증후군 요소와의 관련성에 대한 연구: 2010–2016 국민건강영양조사자료
The Study of Relationship between Breastfeeding and Metabolic Syndrome and its Components in Premenopausal Parous Women: From the Korean National Health and Nutrition Examination Survey, 2010-2016
2
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Purpose: Here we aimed to examine the association of breastfeeding (BF) with the metabolic syndrome (Mets) and its components among premenopausal parous Korean women. Methods: We conducted a cross-sectional study on 7,116 Korean women by using nationally representative data from the Korea National Health and Nutrition Examination Survey, between 2010 and 2016. Multivariate logistic regression analysis was performed for examining the association of BF with Mets and its components. Results: A total 7,116 women were selected for this study. Mets was present in 12.9% of the study participants. The prevalence of Mets in the BF group (12.38%) was lower than that of the non-BF group (14.69 %) (p<0.05). The prevalence of hypertension and hypertriglyceridemia was significantly higher in the non-BF group compared to that of the BF group. For each of Mets components, the total cholestrol level and systolic blood pressure were significantly higher in the non-BF group, compared to those of the BF group (p<0.05). The BF group was associated with a decreased risk of Mets (odds ratio [OR], 0.82; 95% confidence interval [CI], 0.68–0.99). and lower risks of hypo-high-density lipoprotein-cholesterolemia (OR, 0.78; 95% CI, 0.62–0.68), compared to those of the non-BF group. Conclusion: BF is an important factor in reducing the risks of Mets. These results provide fundamental evidence for the establishment of policies for promoting BF.
Abstract
Purpose: Here we aimed to examine the association of breastfeeding (BF) with the metabolic syndrome (Mets) and its components among premenopausal parous Korean women. Methods: We conducted a cross-sectional study on 7,116 Korean women by using nationally representative data from the Korea National Health and Nutrition Examination Survey, between 2010 and 2016. Multivariate logistic regression analysis was performed for examining the association of BF with Mets and its components. Results: A total 7,116 women were selected for this study. Mets was present in 12.9% of the study participants. The prevalence of Mets in the BF group (12.38%) was lower than that of the non-BF group (14.69 %) (p<0.05). The prevalence of hypertension and hypertriglyceridemia was significantly higher in the non-BF group compared to that of the BF group. For each of Mets components, the total cholestrol level and systolic blood pressure were significantly higher in the non-BF group, compared to those of the BF group (p<0.05). The BF group was associated with a decreased risk of Mets (odds ratio [OR], 0.82; 95% confidence interval [CI], 0.68–0.99). and lower risks of hypo-high-density lipoprotein-cholesterolemia (OR, 0.78; 95% CI, 0.62–0.68), compared to those of the non-BF group. Conclusion: BF is an important factor in reducing the risks of Mets. These results provide fundamental evidence for the establishment of policies for promoting BF.
참고문헌 (31)
- Alberti KG, "Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention;National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity", Circulation, 120, pp.1640~1645 (2009)
- Baker JL, "Breastfeeding reduces postpartum weight retention", Am J Clin Nutr, 88, pp.1543~1551 (2008)
- Borch-Johnsen K, "The metabolic syndrome in a global perspective. The public health impact--secondary publication", Dan Med Bull, 54, pp.157~159 (2007)
- Butte NF, "Energy requirements of lactating women derived from doubly labeled water and milk energy output", J Nutr, 131, pp.53~58 (2001)
- Catalano PM, "Longitudinal changes in insulin release and insulin resistance in nonobese pregnant women", Am J Obstet Gynecol, 165(6 Pt 1), pp.1667~1672 (1991)
- Chowdhury R, "Breastfeeding and maternal health outcomes : a systematic review and meta-analysis", Acta Paediatr, 104, pp.96~113 (2015)
- Gunderson EP, "Lactation and changes in maternal metabolic risk factors", Obstet Gynecol, 109, pp.729~738 (2007)
- Isomaa B, "Cardiovascular morbidity and mortality associated with the metabolic syndrome", Diabetes Care, 24, pp.683~689 (2001)
- Jameson H, "Oxytocin neuron activation prevents hypertension that occurs with chronic intermittent hypoxia", hypercapnia in rats, 2016, pp.310, H1549~H1557
- Kallio MJ, "Serum cholesterol and lipoprotein concentrations in mothers during and after prolonged exclusive lactation", Metabolism, 41, pp.1327~1330 (1992)
- Hye-Jin Kim, "Differences in Prevalence of Metabolic Syndrome by Breastfeeding Experience of Women in Their 30s and 40s", Asian Nursing Research, 10(2), pp.136~142 (2016), 한국간호과학회[DOI]
- Kim HR, "Association between serum liver enzymes and metabolic syndrome in Korean adults", Int J Environ Res Public Health, 15, pp.1658~ (2018)
- Kramer MS, "Optimal duration of exclusive breastfeeding", Cochrane Database Syst Rev, 2012, pp.CD003517~ (2012)
- Lee SY, "Appropriate waist circumference cutoff points for central obesity in Korean adults", Diabetes Res Clin Pract, 75, pp.72~80 (2007)
- Li Y, "Metabolic syndrome prevalence and its risk factors among adults in China : a nationally representative cross-sectional study", PLoS One, 13, pp.e0199293~ (2018)
- McClure CK, "Maternal visceral adiposity by consistency of lactation", Matern Child Health J, 16, pp.316~321 (2012)
- McClure CK, "Lactation and maternal subclinical cardiovascular disease among premenopausal women", Am J Obstet Gynecol, 207, pp.46.e1~46.e8 (2012)
- Morris EA, "Pregnancy induces persistent changes in vascular compliance in primiparous women", Am J Obstet Gynecol, 212, pp.633.e1~633.e6 (2015)
- Ness RB, "Gravidity, blood pressure, and hypertension among white women in the Second National Health and Nutrition Examination Survey", Epidemiology, 4, pp.303~309 (1993)
- Neville CE, "The relationship between breastfeeding and postpartum weight change--a systematic review and critical evaluation", Int J Obes(Lond), 38, pp.577~590 (2014)
- Ouzounian JG, "Physiologic changes during normal pregnancy and delivery", Cardiol Clin, 30, pp.317~329 (2012)
- Perrine CG, "Lactation and maternal cardio-metabolic health", Annu Rev Nutr, 36, pp.627~645 (2016)
- Prasad DS, "Prevalence and risk factors for metabolic syndrome in Asian Indians : a community study from urban Eastern India", J Cardiovasc Dis Res, 3, pp.204~211 (2012)
- Ranasinghe P, "Prevalence and trends of metabolic syndrome among adults in the asia-pacific region : a systematic review", BMC Public Health, 17, pp.101~ (2017)
- Schwarz EB, "Duration of lactation and risk factors for maternal cardiovascular disease", Obstet Gynecol, 113, pp.974~982 (2009)
- Section on Breastfeeding, "Breastfeeding and the use of human milk", Pediatrics, 129, pp.e827~e841 (2012)
- Stuebe AM, "Duration of lactation and incidence of maternal hypertension : a longitudinal cohort study", Am J Epidemiol, 174, pp.1147~1158 (2011)
- Tørris C, "Duration of lactation, maternal metabolic profile, and body composition in the Norwegian EBBA I-study", Breastfeed Med, 8, pp.8~15 (2013)
- Victora CG, "Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect", Lancet, 387, pp.475~490 (2016)
- "The optimal duration of exclusive breastfeeding: report of an expert consultation" (2001)[URL]
- Zhang BZ, "Breastfeeding and maternal hypertension and diabetes : a populationbased cross-sectional study", Breastfeed Med, 10, pp.163~167 (2015)