Wagner Carol L
Shawn Jenkins Children's Hospital, Medical University of South Carolina, Charleston, South Carolina, USA.
Breastfeed Med. 2025 Mar;20(3):163-169. doi: 10.1089/bfm.2025.0003. Epub 2025 Feb 14.
Breastfeeding medicine and lifestyle medicine are grounded in preventive health and holistic care, emphasizing early interventions that foster long-term wellness. Dr. Ruth Lawrence, a pioneer in breastfeeding medicine, recognized breastfeeding as a cornerstone of preventive care, advocating for its profound impact on maternal and infant health. Her seminal work, Breastfeeding: A Guide for the Medical Profession, and her role in founding the journal Breastfeeding Medicine have been instrumental in shaping the field, emphasizing both the nutritional and psychosocial benefits of breastfeeding. Breastfeeding provides optimal nutrition, immune protection, and metabolic programming, reducing the risk of acute infections, chronic diseases, and maternal conditions such as postpartum depression and cancer. Similarly, lifestyle medicine focuses on modifiable factors-nutrition, physical activity, stress management, and sleep hygiene-to improve lifelong health outcomes. These fields converge in their shared emphasis, for example, on the gut microbiome, a critical determinant of immune and metabolic health. Breastfed infants have more diverse and beneficial gut microbiota, which reduce the risk of obesity and metabolic disorders, a focus paralleled by lifestyle medicine's advocacy for plant-based, fiber-rich diets. This review explores the parallels between breastfeeding and lifestyle medicine, advocating for research that moves beyond isolated nutrient analysis to examining whole dietary patterns in breastfeeding mothers. Maternal diet during lactation enhances the bioactive components of breast milk, including prebiotics, probiotics, and immune factors, amplifying its preventive effects. By integrating Dr. Lawrence's forward-thinking principles with insights from lifestyle medicine, breastfeeding medicine can advance its understanding of how maternal nutrition and modifiable lifestyle factors optimize health outcomes for both mother and infant, underscoring the transformative potential of early interventions in shaping lifelong health.
母乳喂养医学和生活方式医学都以预防保健和整体护理为基础,强调促进长期健康的早期干预措施。母乳喂养医学的先驱露丝·劳伦斯博士将母乳喂养视为预防保健的基石,倡导其对母婴健康的深远影响。她的开创性著作《母乳喂养:医学专业指南》以及她在创办《母乳喂养医学》杂志中所发挥的作用,对塑造该领域起到了至关重要的作用,强调了母乳喂养在营养和心理社会方面的益处。母乳喂养提供了最佳营养、免疫保护和代谢编程,降低了急性感染、慢性疾病以及产后抑郁和癌症等母体疾病的风险。同样,生活方式医学关注可改变的因素——营养、体育活动、压力管理和睡眠卫生——以改善终身健康状况。例如,这些领域在共同强调肠道微生物群方面相互融合,肠道微生物群是免疫和代谢健康的关键决定因素。母乳喂养的婴儿拥有更多样化且有益的肠道微生物群,这降低了肥胖和代谢紊乱的风险,这一点与生活方式医学倡导的以植物性、富含纤维的饮食相呼应。本综述探讨了母乳喂养和生活方式医学之间的相似之处,倡导开展超越孤立营养素分析、转而研究母乳喂养母亲整体饮食模式的研究。哺乳期母亲的饮食会增强母乳中的生物活性成分,包括益生元、益生菌和免疫因子,从而增强其预防效果。通过将劳伦斯博士具有前瞻性的原则与生活方式医学的见解相结合,母乳喂养医学能够深化对母体营养和可改变的生活方式因素如何优化母婴健康结局的理解,凸显早期干预在塑造终身健康方面的变革潜力。