College of Nursing, Chungnam National University, DaeJeon, Republic of Korea.
College of Nursing, Chungnam National University, DaeJeon, Republic of Korea.
Asian Nurs Res (Korean Soc Nurs Sci). 2020 Aug;14(3):173-177. doi: 10.1016/j.anr.2020.07.003. Epub 2020 Jul 13.
This study aims to determine whether breastfeeding may have any beneficial effects on metabolic syndrome in a cohort of postmenopausal Korean women.
A cross-sectional study with secondary data analysis was conducted using the cohort in the Korean Genome and Epidemiology Study. Data from 1,983 postmenopausal women were analyzed by logistic regression analysis. Controlled covariates were chosen based on a biopsychosocial model and included age, family history of hypertension; type 2 diabetes mellitus; and cerebro-cardiovascular diseases, body mass index, age of menarche, parity, socioeconomic status of family, educational level, past or current smoking experience, and current alcohol consumption experience.
Breastfeeding experience and duration were not significantly associated with a decreased likelihood of metabolic syndrome among postmenopausal women. However, breastfeeding experience (adjusted odds ratio [AOR]: 0.52 [p = .010]) and a total duration of breastfeeding exceeding 3 months were significantly associated with decreased likelihood of abdominal obesity (≥3 and < 6 months: AOR: 0.49 [p = .014]; ≥6 and < 12 months: AOR: 0.51 [p = .009]; ≥12 months: AOR: 0.56 [p = .024]).
Our findings indicate that breastfeeding might have beneficial effects on reducing abdominal obesity in postmenopausal women. Health-care providers should publicize beneficial long-term effects of breastfeeding on the prevention of abdominal obesity, a component of metabolic syndrome.
本研究旨在确定母乳喂养是否对韩国绝经后女性的代谢综合征有任何有益影响。
使用韩国基因与流行病学研究的队列进行了一项横断面研究和二次数据分析。通过逻辑回归分析对 1983 名绝经后女性的数据进行了分析。根据生物心理社会模型选择了对照协变量，包括年龄、高血压家族史、2 型糖尿病和心脑血管疾病、体重指数、初潮年龄、产次、家庭社会经济状况、教育程度、既往或当前吸烟经历以及当前饮酒经历。
母乳喂养经历和持续时间与绝经后女性代谢综合征的可能性降低无关。然而，母乳喂养经历（调整后的优势比 [AOR]：0.52 [p =.010]）和母乳喂养总时长超过 3 个月与腹部肥胖的可能性降低显著相关（≥3 个月且<6 个月：AOR：0.49 [p =.014]；≥6 个月且<12 个月：AOR：0.51 [p =.009]；≥12 个月：AOR：0.56 [p =.024]）。
我们的研究结果表明，母乳喂养可能对降低绝经后女性的腹部肥胖有有益影响。医疗保健提供者应宣传母乳喂养对预防代谢综合征组成部分之一的腹部肥胖的长期有益影响。
