Gestational diabetes & diabetes in pregnancy

Effect of Breastfeeding Duration on Coagulation in Women With and Without History of Gestational Diabetes Mellitus

J Clin Endocrinol MetabPublished Cohort study

Authors' conclusion

Longer duration of breastfeeding is associated with lower CV risk and an improved coagulation profile. Women with GDM history appear to benefit particularly from prolonged breastfeeding.

Study context

Population
Participants of the German Gestational Diabetes Study (PREG), examined 14 months (IQR 12–26 months) after delivery with 5-point OGTT
Participants
76 participants
Exposure
Breastfeeding duration in women with vs without history of gestational diabetes mellitus (GDM)
Outcome
Effect of breastfeeding duration on plasmatic coagulation (global coagulation tests, prothrombotic and antithrombotic proteins, endothelial markers)
Follow-up
14 months (IQR, 12-26 months) after delivery
Methodological detailssecondary analysis of the PREG study, multivariable linear models
  • Secondary analysis of the PREG study
  • Multivariable linear models

Main finding

As reported in the abstract

Association of breastfeeding duration with coagulation
Overall, longer breastfeeding negatively associated with FIX
P = .018
Interaction between previous GDM and breastfeeding duration for FIX
PInteraction = .017
Only in women with GDM history, breastfeeding duration negatively associated with FIX activity; persisted after adjustment for age, BMI, insulin sensitivity and C-reactive protein
P = .016

Observational data: associations, not effects.

Further findings

10-year CV risk (Framingham risk score)

Longer breastfeeding associated with lower CV risk
P = 0.05

Original publication

Effect of Breastfeeding Duration on Coagulation in Women With and Without History of Gestational Diabetes Mellitus. J Clin Endocrinol Metab. Published 15 March 2024. doi:10.1210/clinem/dgae172

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