Type 2 & other diabetes

Lifetime Duration of Breastfeeding and Cardiovascular Risk in Women With Type 2 Diabetes or a History of Gestational Diabetes: Findings From Two Large Prospective Cohorts

Diabetes CarePublished Prospective cohort study

Authors' conclusion

Longer duration of breastfeeding was associated with lower risk of CVD in women with type 2 diabetes or GDM.

Study context

Population
Parous women with T2D from the Nurses' Health Study I and II (15,146) and women with a history of gestational diabetes mellitus (GDM) from NHS II (4,537)two cohorts
Exposure
Lifetime breastfeeding duration >18 months vs 0 months
Outcome
Incident CVD: stroke or coronary heart disease (CHD) (MI, coronary revascularization)
Follow-up
By 2017
Methodological detailstwo large prospective cohorts, Cox models
  • Two large prospective cohorts
  • Cox models

Main finding

As reported in the abstract

Incident CVD in women with T2D
Pooled adjusted hazard ratio (95% CI)
>18 monthsvs 0 months
0.68(0.54–0.85)
Per 6-month increment in breastfeeding
0.94(0.91–0.98)
Incident cardiovascular disease (CVD) cases among women with T2D
1,159 during 188,874 person-years

Observational data: associations, not effects.

Further findings

OutcomeEstimate
CHD in women with T2Dpooled aHR 0.93 (CI 0.88–0.97)
Stroke in women with T2DaHR 0.96 (CI 0.91–1.02)
Total CVD in women with GDM historyaHR 0.49 (CI 0.28–0.86)
Total CVD in women with GDM history — Incident CVD cases among women with GDM history
132 during 100,218 person-years

Original publication

Lifetime Duration of Breastfeeding and Cardiovascular Risk in Women With Type 2 Diabetes or a History of Gestational Diabetes: Findings From Two Large Prospective Cohorts. Diabetes Care. Published 20 February 2024. doi:10.2337/dc23-1494

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

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