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Infant feeding: Seeing the whole picture - 2013 First Food Forum
- 1. Our team The Strangest of Love Stories
- 7. All for the same low price • 53,847 from Hypertension • 13,946 from Heart Attacks • 4,981 from Breast Cancer • 4,482 from type 2 Diabetes • 29 from Ovarian Cancer
Editor's Notes
- Alternate team photo from our “face to face” working meeting (I’m in the middle)
- Breast cancer affects1 of 8 US womenLancet 2002, 360: 187-195Riman T. ActaObstetGynecol Scand. 2004 Lactation = Less cancerMothers who don’t lactate have 5% higher risk of invasive breast cancer47 studies on this!
- Mothers who don’t lactate have 30-50% higher risk of ovarian cancer
- Mothers who had NOT lactated had greater visceral adiposity -6.5 cm waist circumference=2.5 inchesMothers who HAD lactated had no more visceral fat than women who never delivered Among premenopausal/early-peri-menopausal mothers, those who never breastfed had 28% greater visceral adiposity (95% confidence interval (CI): 11-49, P = 0.001), 4.7% greater waist-hip ratio (95% CI: 1.9-7.4, P < 0.001), and 6.49 cm greater waist circumference (95% CI: 3.71-9.26, P < 0.001) than mothers who breastfed all of their children for ≥3 months in models adjusting for study site; age; parity; years since last birth; socioeconomic, lifestyle, and family history variables; early adult BMI; and current BMI. In comparison to women who were nulliparous, mothers who breastfed all of their children for ≥3 months had similar amounts of visceral fat (P > 0.05). In contrast, premenopausal/early-peri-menopausal mothers who had never breastfed had significantly greater visceral adiposity (42% (95% CI: 17-70), P < 0.001), waist circumference (6.15 cm (95% CI: 2.75-9.56), P < 0.001), and waist-hip ratio (3.7% (95% CI: 0.69-6.8), P = 0.02) than nulliparous women.
- References:Kjos SL, et al. Obstet Gynecol. 1993 Stuebe AM, et al. JAMA. 2005Gunderson EP, et al. Obstet Gynecol. 2007Villegas R, et al. Diabetologia. 2008 Ram KT, et al. Am J Obstet Gynecol. 2008Schwarz EB, et al. ObstetGynecol 2009Gunderson EP, et al. Diabetes. 2009Schwarz EB, et al Am J Med. 2010Liu B, et al Diabetes Care. 2010O’Reilly MW, et al Eur J Endocrinol. 2011Gunderson EP, et al Diabetes Care. 2012PMID: 23057641 PMID: 21823053 reviewPMID: 22512263 not really relevant
- Premature deaths, before age 70this exceeds the annual number of U.S. deaths from cervical cancer (3,909), asthma (3,361), or influenza (3,055),
- At a 3% discount rate, suboptimal breastfeeding incurs a total of $18.3 billion in economic costs: $733.7 million in direct costs; $126.1 million in indirect morbidity costs; and $17.4 billion in premature death costs. These costs represent an average of $9,703 per U.S. woman.