Association between maternal pre-pregnancy body mass index and breastfeeding duration in Taiwan: A population-based cohort study
Journal
Nutrients
Journal Volume
12
Journal Issue
8
Pages
1-11
Date Issued
2020
Author(s)
Abstract
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. ? 2020 by the authors. Licensee MDPI, Basel, Switzerland.
Subjects
Breastfeeding; Maternal obesity; Maternal underweight; Population cohort; Pre-pregnancy body mass index
SDGs
Other Subjects
adult; Article; body mass; breast feeding; cesarean section; child health; cohort analysis; female; fetus death; first trimester pregnancy; head circumference; human; live birth; major clinical study; male; maternal care; maternal obesity; mental health; pregnancy; prenatal care; prevalence; questionnaire; risk factor; Taiwan; waist circumference; breast feeding; longitudinal study; obesity; pregnancy; pregnancy complication; prospective study; time factor; underweight; Adult; Body Mass Index; Breast Feeding; Female; Humans; Longitudinal Studies; Obesity; Overweight; Pregnancy; Pregnancy Complications; Prospective Studies; Taiwan; Thinness; Time Factors
Publisher
MDPI AG
Type
journal article