Programa de Pós-Graduação em Epidemiologia, Universidade Federal de Pelotas, Rua Marechal Deodoro 1160 - 3° andar, Pelotas, 96020-220, Brazil.
Curr Diab Rep. 2019 Jan 14;19(1):1. doi: 10.1007/s11892-019-1121-x.
Breastfeeding has short- and long-term benefits for child health. In this systematic review, we updated a review on the association between breastfeeding and type 2 diabetes.
A meta-analysis published in 2015 reported that breastfeeding protects against type 2 diabetes (pooled odds ratio, 0.65 (95% confidence interval, 0.48; 0.86)). In the present update, we identified three recently published studies. An internet-based study reported that at a mean age of 25.6 years, exclusive breastfeeding in the first 6 months protected against type 2 diabetes (odds ratio, 0.63 (95% confidence interval, 0.41; 0.95)). In a retrospective cohort, those subjects who had been breastfed before hospital discharge were less likely of presenting diabetes (odds ratio, 0.83 (95% confidence interval, 0.69; 0.99)). In a case-control study, the odds of type 2 diabetes in adolescents was lower for those exclusively breastfed at hospital discharge (odds ratio, 0.52 (95% confidence interval, 0.36; 0.74)). In the meta-analysis, the pooled odds ratio was 0.67 (95% confidence interval, 0.56; 0.80). The updated systematic review and meta-analysis suggests that breastfeeding protects from type 2 diabetes.
母乳喂养对儿童健康具有短期和长期益处。在本次系统综述中，我们更新了一篇关于母乳喂养与 2 型糖尿病之间关联的综述。
2015 年发表的一项荟萃分析报告称，母乳喂养可预防 2 型糖尿病（汇总优势比，0.65（95%置信区间，0.48；0.86））。在本次更新中，我们发现了三项最近发表的研究。一项基于互联网的研究报告称，在平均 25.6 岁时，前 6 个月的纯母乳喂养可预防 2 型糖尿病（比值比，0.63（95%置信区间，0.41；0.95））。在回顾性队列研究中，那些在出院前接受过母乳喂养的受试者发生糖尿病的可能性较低（比值比，0.83（95%置信区间，0.69；0.99））。在一项病例对照研究中，出院时纯母乳喂养的青少年患 2 型糖尿病的几率较低（比值比，0.52（95%置信区间，0.36；0.74））。在荟萃分析中，汇总优势比为 0.67（95%置信区间，0.56；0.80）。本次更新的系统综述和荟萃分析表明，母乳喂养可预防 2 型糖尿病。
