PLoS ONE (Jan 2022)

Associations of breastfeeding history with metabolic syndrome and cardiovascular risk factors in community-dwelling parous women: The Japan Multi-Institutional Collaborative Cohort Study.

  • Takashi Matsunaga,
  • Yuka Kadomatsu,
  • Mineko Tsukamoto,
  • Yoko Kubo,
  • Rieko Okada,
  • Mako Nagayoshi,
  • Takashi Tamura,
  • Asahi Hishida,
  • Toshiro Takezaki,
  • Ippei Shimoshikiryo,
  • Sadao Suzuki,
  • Hiroko Nakagawa,
  • Naoyuki Takashima,
  • Yoshino Saito,
  • Kiyonori Kuriki,
  • Kokichi Arisawa,
  • Sakurako Katsuura-Kamano,
  • Nagato Kuriyama,
  • Daisuke Matsui,
  • Haruo Mikami,
  • Yohko Nakamura,
  • Isao Oze,
  • Hidemi Ito,
  • Masayuki Murata,
  • Hiroaki Ikezaki,
  • Yuichiro Nishida,
  • Chisato Shimanoe,
  • Kenji Takeuchi,
  • Kenji Wakai

DOI
https://doi.org/10.1371/journal.pone.0262252
Journal volume & issue
Vol. 17, no. 1
p. e0262252

Abstract

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ObjectiveThe aim of the present study was to investigate the associations between breastfeeding and the prevalence of metabolic syndrome in community-dwelling parous women and to clarify whether the associations depend on age.MethodsThe present cross-sectional study included 11,118 women, aged 35-69 years. Participants' longest breastfeeding duration for one child and their number of breastfed children were assessed using a self-administered questionnaire, and their total breastfeeding duration was approximated as a product of the number of breastfed children and the longest breastfeeding duration. The longest and the total breastfeeding durations were categorized into none and tertiles above 0 months. Metabolic syndrome and cardiovascular risk factors (obesity, hypertension, dyslipidemia, and hyperglycemia) were defined as primary and secondary outcomes, respectively. Associations between breastfeeding history and metabolic syndrome or each cardiovascular risk factor were assessed using multivariable unconditional logistic regression analysis.ResultsAmong a total of 11,118 women, 10,432 (93.8%) had ever breastfed, and 1,236 (11.1%) had metabolic syndrome. In participants aged ConclusionsBreastfeeding history may be related to lower prevalence of metabolic syndrome in middle-aged parous women.