Association between Maternal Pre-pregnancy Body Mass Index and Breastfeeding Duration in Taiwan: A Population-Based Cohort Study
An association between high pre-pregnancy body mass index (BMI) and early breastfeeding cessation has been previously observed, but studies examining the effect of underweight are still scant and remain inconclusive. This study analyzed data from a nationally representative cohort of 18,312 women (m...
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| Format: | Article |
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MDPI AG
2020-08-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/12/8/2361 |
| _version_ | 1797559670865395712 |
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| author | Chi-Nien Chen Hung-Chen Yu An-Kuo Chou |
| author_facet | Chi-Nien Chen Hung-Chen Yu An-Kuo Chou |
| author_sort | Chi-Nien Chen |
| collection | DOAJ |
| description | An association between high pre-pregnancy body mass index (BMI) and early breastfeeding cessation has been previously observed, but studies examining the effect of underweight are still scant and remain inconclusive. This study analyzed data from a nationally representative cohort of 18,312 women (mean age 28.3 years; underweight 20.1%; overweight 8.2%; obesity 1.9%) who delivered singleton live births in 2005 in Taiwan. Comprehensive face-to-face interviews and surveys were completed at 6 and 18 months postpartum. BMI status and breastfeeding duration were calculated from the self-reported data in the questionnaires. In the adjusted ordinal logistic regression model, maternal obesity and underweight had a higher odds of shorter breastfeeding duration compared with normal-weight women. The risk of breastfeeding cessation was significantly higher in underweight women than in normal-weight women after adjustments in the logistic regression model (2 m: aOR = 1.11, 95% CI = 1.03–1.2; 4 m: aOR = 1.32, 95% CI = 1.21–1.43; 6 m: aOR = 1.3, 95% CI = 1.18–1.42). Our findings indicated that maternal underweight and obesity are associated with earlier breastfeeding cessation in Taiwan. Optimizing maternal BMI during the pre-conception period is essential, and future interventions to promote and support breastfeeding in underweight mothers are necessary to improve maternal and child health. |
| first_indexed | 2024-03-10T17:49:34Z |
| format | Article |
| id | doaj.art-1fa9199905ea4c0dbc252c6a918bc085 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T17:49:34Z |
| publishDate | 2020-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-1fa9199905ea4c0dbc252c6a918bc0852023-11-20T09:24:36ZengMDPI AGNutrients2072-66432020-08-01128236110.3390/nu12082361Association between Maternal Pre-pregnancy Body Mass Index and Breastfeeding Duration in Taiwan: A Population-Based Cohort StudyChi-Nien Chen0Hung-Chen Yu1An-Kuo Chou2Department of Pediatrics, National Taiwan University Hospital Hsin-Chu Branch, Hsin-Chu 30059, TaiwanSchool of Nursing, College of Medicine, National Taiwan University, Taipei 10051, TaiwanDepartment of Pediatrics, National Taiwan University Hospital Hsin-Chu Branch, Hsin-Chu 30059, TaiwanAn association between high pre-pregnancy body mass index (BMI) and early breastfeeding cessation has been previously observed, but studies examining the effect of underweight are still scant and remain inconclusive. This study analyzed data from a nationally representative cohort of 18,312 women (mean age 28.3 years; underweight 20.1%; overweight 8.2%; obesity 1.9%) who delivered singleton live births in 2005 in Taiwan. Comprehensive face-to-face interviews and surveys were completed at 6 and 18 months postpartum. BMI status and breastfeeding duration were calculated from the self-reported data in the questionnaires. In the adjusted ordinal logistic regression model, maternal obesity and underweight had a higher odds of shorter breastfeeding duration compared with normal-weight women. The risk of breastfeeding cessation was significantly higher in underweight women than in normal-weight women after adjustments in the logistic regression model (2 m: aOR = 1.11, 95% CI = 1.03–1.2; 4 m: aOR = 1.32, 95% CI = 1.21–1.43; 6 m: aOR = 1.3, 95% CI = 1.18–1.42). Our findings indicated that maternal underweight and obesity are associated with earlier breastfeeding cessation in Taiwan. Optimizing maternal BMI during the pre-conception period is essential, and future interventions to promote and support breastfeeding in underweight mothers are necessary to improve maternal and child health.https://www.mdpi.com/2072-6643/12/8/2361maternal underweightmaternal obesitybreastfeedingpopulation cohortpre-pregnancy body mass index |
| spellingShingle | Chi-Nien Chen Hung-Chen Yu An-Kuo Chou Association between Maternal Pre-pregnancy Body Mass Index and Breastfeeding Duration in Taiwan: A Population-Based Cohort Study Nutrients maternal underweight maternal obesity breastfeeding population cohort pre-pregnancy body mass index |
| title | Association between Maternal Pre-pregnancy Body Mass Index and Breastfeeding Duration in Taiwan: A Population-Based Cohort Study |
| title_full | Association between Maternal Pre-pregnancy Body Mass Index and Breastfeeding Duration in Taiwan: A Population-Based Cohort Study |
| title_fullStr | Association between Maternal Pre-pregnancy Body Mass Index and Breastfeeding Duration in Taiwan: A Population-Based Cohort Study |
| title_full_unstemmed | Association between Maternal Pre-pregnancy Body Mass Index and Breastfeeding Duration in Taiwan: A Population-Based Cohort Study |
| title_short | Association between Maternal Pre-pregnancy Body Mass Index and Breastfeeding Duration in Taiwan: A Population-Based Cohort Study |
| title_sort | association between maternal pre pregnancy body mass index and breastfeeding duration in taiwan a population based cohort study |
| topic | maternal underweight maternal obesity breastfeeding population cohort pre-pregnancy body mass index |
| url | https://www.mdpi.com/2072-6643/12/8/2361 |
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