Breastfeeding patterns of mothers with type 1 diabetes: results from an infant feeding trial.

Breastfeeding patterns of mothers with type 1 diabetes: results from an infant feeding trial.
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1型糖尿病母亲的母乳喂养模式:婴儿喂养试验的结果。

DOI:
10.1002/dmrr.1074
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发表时间:
2010-03
影响因子:
8
通讯作者:
Virtanen, Suvi M.
Virtanen, Suvi M.
中科院分区:
医学2区
文献类型:
--
作者:
Sorkio, Susa;Cuthbertson, David;Barlund, Sonja;Reunanen, Antti;Nucci, Anita M.;Berseth, Carol L.;Koski, Katriina;Ormisson, Anne;Savilahti, Erkki;Uusitalo, Ulla;Ludvigsson, Johnny;Becker, Dorothy J.;Dupre, John;Krischer, Jeffrey P.;Knip, Mikael;Akerblom, Hans K.;Virtanen, Suvi M.

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据报道,母乳喂养的开始和维持都受到母亲1型糖尿病(T1D)的负面影响。前瞻性研究参加大型国际随机婴儿喂养试验(TRIGR)的T1D和非T1D母亲的母乳喂养模式。有T1D成员和新生儿的家庭被邀请参加研究。那些具有HLA赋予的T1D遗传易感性的人在出生时和妊娠时进行了测试。35周且健康的患者有资格继续参加试验。在2160名参与儿童中,1096名为T1D妇女所生,1064名为未受影响的妇女所生。通过频繁的前瞻性饮食访谈,从家庭获得有关婴儿喂养的信息。患有和未患有T1D的母亲的大多数(>90%)婴儿最初都是母乳喂养的。在6个月时,患有T1D的母亲的母乳喂养率比没有T1D的母亲下降得更快,分别为50%和72%。与其他母亲相比,患有T1D的母亲更年轻,受教育程度更低,分娩更早,剖腹产率更高(p<0.01)。在调整了所有这些与终止母乳喂养相关的因素后,患有和不患有T1D的母亲之间的母乳喂养持续时间没有差异。母亲本身的糖尿病状态与母乳喂养时间较短无关。T1D母亲母乳喂养持续时间较短的主要原因是她们更频繁地剖腹产,分娩更早,年龄和教育程度更低。
Both the initiation and maintenance of breastfeeding have been reported to be negatively affected by maternal type 1 diabetes (T1D). To prospectively examine the breastfeeding patterns among mothers with and without T1D participating in a large international randomized infant feeding trial (TRIGR). Families with a member affected by T1D and with a newborn infant were invited into the study. Those who had HLA-conferred genetic susceptibility for T1D tested at birth with gestation.> 35 weeks and were healthy were eligible to continue in the trial. Among the 2160 participating children, 1096 were born to women with T1D and 1064 to unaffected women. Information on infant feeding was acquired from the family by frequent prospective dietary interviews. Most (>90%) of the infants of mothers with and without T1D were initially breastfed. Breastfeeding rates declined more steeply among mothers with than without T1D being 50% and 72% at 6 months respectively. Mothers with T1D were younger, less educated and delivered earlier and more often by caesarean section than other mothers (p<0.01). After adjusting for all these factors associated with the termination of breastfeeding, there was no difference in the duration of breastfeeding amongst mothers with and without T1D. Maternal diabetes status per se was not associated with shorter breast feeding. The lower duration of breastfeeding in mothers with T1D is largely explained by their more frequent caesarean sections, earlier delivery and lower age and education.
DOI: 10.1542/peds.2004-0481
发表时间: 2005-01-01
期刊: PEDIATRICS
影响因子: 8
作者:
Li, RW;Darling, N;Grummer-Strawn, LM
通讯作者: Grummer-Strawn, LM
DOI: 10.2337/diacare.29.04.06.dc05-1103
发表时间: 2006-04-01
期刊: DIABETES CARE
影响因子: 16.2
作者:
Stage, E;Norg책rd, H;Mathiesen, E
通讯作者: Mathiesen, E
DOI: 10.1111/j.1651-2227.1994.tb13082.x
发表时间: 1994-06-01
期刊: ACTA PAEDIATRICA
影响因子: 3.8
作者:
MICHAELSEN, KF;LARSEN, PS;SAMUELSON, G
通讯作者: SAMUELSON, G
DOI: 10.1038/sj.ejcn.1602045
发表时间: 2005-01-01
影响因子: 4.7
作者:
Erkkola, M;Pigg, HM;Virtanen, SM
通讯作者: Virtanen, SM
DOI: 10.1111/j.1399-5448.2007.00239.x
发表时间: 2007-06-01
期刊: PEDIATRIC DIABETES
影响因子: 3.4
作者:
Krischer, Jeffrey
通讯作者: Krischer, Jeffrey