Evidence map›Paper›PMID 37468924›Full record

Observational studyInternational breastfeeding journal2023

The association of breast feeding for at least six months with hemodynamic and metabolic health of women and their children aged three years: an observational cohort study.

Maleesa M Pathirana, Prabha H Andraweera, Emily Aldridge, Madeline Harrison, Jade Harrison, Shalem Leemaqz, Margaret A Arstall, Gustaaf A Dekker, Claire T Roberts

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in International breastfeeding journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Maternal Satisfaction with Perinatal Care and Breastfeeding at 6 Months Postpartum.International journal of environmental research and public health · 2025
    Article
  5. Exclusive lactation is associated with improved lipid profile postpartum.American heart journal plus : cardiology research and practice · 2025
    Article
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Maleesa M PathiranaAdelaide Medical School, The University of Adelaide, Adelaide, South Australia, 5000, Australia. maleesa.pathirana@adelaide.edu.au.
Prabha H AndraweeraAdelaide Medical School, The University of Adelaide, Adelaide, South Australia, 5000, Australia.
Emily AldridgeAdelaide Medical School, The University of Adelaide, Adelaide, South Australia, 5000, Australia.
Madeline HarrisonFlinders Health and Medical Research Institute, Flinders Medical Centre, Flinders University of South Australia, Bedford Park, South Australia, 5042, Australia.
Jade HarrisonFlinders Health and Medical Research Institute, Flinders Medical Centre, Flinders University of South Australia, Bedford Park, South Australia, 5042, Australia.
Shalem LeemaqzAdelaide Medical School, The University of Adelaide, Adelaide, South Australia, 5000, Australia.
Margaret A ArstallAdelaide Medical School, The University of Adelaide, Adelaide, South Australia, 5000, Australia.
Gustaaf A DekkerAdelaide Medical School, The University of Adelaide, Adelaide, South Australia, 5000, Australia.
Claire T RobertsAdelaide Medical School, The University of Adelaide, Adelaide, South Australia, 5000, Australia. claire.roberts@flinders.edu.au.
University of Adelaide · AUFlinders Medical Centre · AUFlinders University · AULyell McEwin Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreastfeeding is important for both mother and child in reducing risk of future cardiovascular disease. Therefore, it may be an effective method to improve cardio-metabolic health, particularly those who are exposed to pregnancy complications which increase later CVD risk for both mother and child. The aim of this study is to assess differences in cardiometabolic health at three years postpartum in mothers who breastfed for at least six months and their children compared to those who did not.

methodsWomen and children from the Screening Tests to Predict Poor Outcomes of Pregnancy (STOP) study (2015-2017) were invited to attend a health check-up at three years postpartum. Women's breastfeeding status at least six months postpartum was ascertained through their child health record. Anthropometric and hemodynamic measurements were taken from women and their children. A fasting blood sample was taken from women to measure blood glucose and lipids.

resultsA total of 160 woman-child dyads were assessed in this study. Women who breastfed for at least six months had significantly lower maternal BMI, systolic blood pressure, diastolic blood pressure, mean arterial pressure, central systolic blood pressure, and central diastolic blood pressure than those who did not and this did not change after adjusting for BMI and socioeconomic index in early pregnancy, prenatal smoking and maternal age in early pregnancy. Subgroup analysis on women who had one or more pregnancy complications during the index pregnancy (i.e. preeclampsia, gestational hypertension, delivery of a small for gestational age infant, delivery of a preterm infant, and/or gestational diabetes mellitus) demonstrated that women who breastfed for at least six months had significantly lower maternal systolic and diastolic blood pressures, serum insulin and triglycerides, and higher HDL cholesterol. There were no differences in child anthropometric or hemodynamic variables at three years of age between those children who had been breastfed for at least six months and those who had not.

conclusionBreastfeeding for at least six months may reduce some maternal; cardiovascular risk factors in women at three years postpartum, in particular, in those who have experienced a complication of pregnancy.

trial registrationACTRN12614000985684 (12/09/2014).

Indexed as

Breast FeedingPregnancy ComplicationsCohort StudiesFemaleHemodynamicsHumansInfantInfant, NewbornInfant, PrematurePregnancyBreastfeedingMaternal and child healthPregnancy complications

Identifiers

PMID37468924
PMCPMC10357869
OpenAlexW4384818183

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.