Gestational diabetes & diabetes in pregnancy

Breastfeeding Intensity and Early Postpartum Lipid Profiles Among Women With Prior Gestational Diabetes

JAMA Netw OpenPublished Prospective cohort study

Authors' conclusion

This study found that HIB was associated with more favorable early postpartum lipid profiles after adjustment for insulin sensitivity among women with prior gestational diabetes

Study context

Population
Japanese women with prior GDM undergoing metabolic evaluation at 6 to 9 weeks post partum, tertiary medical center, December 1, 2014, to November 30, 2020; mean (SD) age 34.0 (4.8) years
Participants
470 women
Exposure
High-intensity breastfeeding vs no high-intensity breastfeeding (HIB)
  • HIBn = 369
Outcome
Fasting lipid profiles and dyslipidemia (Japan Atherosclerosis Society criteria)
Follow-up
6 to 9 weeks post partum
Methodological detailssingle tertiary medical center
  • Single tertiary medical center

Main finding

As reported in the abstract

TG

P < 0.001

Observational data: associations, not effects.

Further findings

OutcomeaOR (95% CI)
HypertriglyceridemiaHIBvs No HIBAdjusted analysis0.25 (0.13–0.51)
Elevated LDL-C to HDL-C ratioHIBvs No HIBAdjusted analysis0.27 (0.15–0.49)
OutcomeHIBP value
HDL-CHIB vs No HIBmean 73.9 (SD 17.8) mg/dLP < 0.001
LDL-C to HDL-C ratioHIB vs No HIBmean 1.8 (SD 0.7)P < 0.001
  • High-density lipoprotein cholesterol (HDL-C): No HIB mean 63.0 (SD 14.0) mg/dL
  • LDL-C to HDL-C ratio: No HIB mean 2.3 (SD 0.7)

Hypertriglyceridemia

Association remained significant after adjustment for insulin sensitivity

Elevated LDL-C to HDL-C ratio

Association remained significant after adjustment for insulin sensitivity

Original publication

Breastfeeding Intensity and Early Postpartum Lipid Profiles Among Women With Prior Gestational Diabetes. JAMA Netw Open. Published 3 August 2026. doi:10.1001/jamanetworkopen.2026.31833

Composed by AI from the published abstract and checked against it. How Briefs are made →

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