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Associations between parity, pregnancy loss, and breastfeeding duration and risk of maternal type 2 diabetes: An observational cohort study

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单位: [1]Nanchang Univ, Jiangxi Prov Peoples Hosp, Nanchang, Jiangxi, Peoples R China [2]Zhejiang Prov Ctr Dis Control & Prevent, Hangzhou, Peoples R China [3]Guiyang Med Coll, Affiliated Hosp, Guiyang, Peoples R China [4]Southwest Med Univ, Affiliated Hosp, Luzhou, Peoples R China [5]Huazhong Univ Sci & Technol, Union Hosp, Tongji Med Coll, Wuhan, Peoples R China [6]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Wuhan, Peoples R China [7]Lanzhou Univ, Hosp 1, Lanzhou, Peoples R China [8]Sun Yat Sen Univ, Sun Yat Sen Mem Hosp, Guangzhou, Peoples R China [9]Zhengzhou Univ, Affiliated Hosp 1, Zhengzhou, Peoples R China [10]Fujian Med Univ, Fujian Prov Hosp, Fuzhou, Peoples R China [11]Dalian Municipal Cent Hosp, Dalian, Peoples R China [12]First Hosp Jilin Univ, Changchun, Peoples R China [13]Wenzhou Med Univ, Affiliated Hosp 1, Wenzhou, Peoples R China [14]Guangxi Med Univ, Affiliated Hosp 1, Nanning, Peoples R China [15]Shandong Univ, Qilu Hosp, Jinan, Peoples R China [16]Harbin Med Univ, Affiliated Hosp 2, Harbin, Peoples R China [17]Cent Hosp Shanghai Jiading Dist, Shanghai, Peoples R China [18]Shanghai Jiao Tong Univ, Shanghai Inst Endocrine & Metab Dis, Dept Endocrine & Metab Dis, Ruijin Hosp,Sch Med, Shanghai, Peoples R China [19]Shanghai Jiao Tong Univ, Shanghai Natl Clin Res Ctr Endocrine & Metab Dis, Key Lab Endocrine & Metab Dis,Natl Hlth Commiss P, Shanghai Natl Ctr Translat Med,Ruijin Hosp, Shanghai, Shanghai, Peoples R China [20]Jiangsu Prov Hosp Integrat Chinese & Western Med, Nanjing, Peoples R China [21]Anhui Med Univ, Affiliated Hosp 1, Hefei, Peoples R China [22]Karamay Municipal Peoples Hosp, Xinjiang, Peoples R China [23]Nanjing Med Univ, Affiliated Hosp 1, Nanjing, Peoples R China [24]Shanghai Jiao Tong Univ, Sch Med, Xinhua Hosp, Shanghai, Peoples R China [25]Chongqing Med Univ, Affiliated Hosp 1, Chongqing, Peoples R China [26]Shandong Univ, Shandong Prov Hosp, Jinan, Peoples R China [27]Chinese Peoples Liberat Army Gen Hosp, Beijing, Peoples R China
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关键词: breastfeeding diabetes parity pregnancy loss reproductive

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Background Parity, pregnancy loss, and breastfeeding duration were found to be associated with diabetes. However, the results are inconsistent. Also, no epidemiological studies have examined the association of these reproductive factors with diabetes in the same large population. We aim to investigate the associations between parity, pregnancy loss, breastfeeding duration, and the risk of maternal diabetes in middle-aged and elderly Chinese females. Methods We included 131 174 females aged >= 40 years from the REACTION study (Risk Evaluation of Cancers in Chinese Diabetic Individuals: A Longitudinal Study). Multivariable linear regression and logistic regression were used to assess the association between parity, pregnancy loss, and breastfeeding duration and type 2 diabetes. Results The number of parities and breastfeeding duration were positively related to fasting plasma glucose, 2-hour postload glucose, glycosylated hemoglobin, and homeostatic model assessment of insulin resistance. Compared with those with one birth, nulliparous women or women with 2 or >= 3 births had a significantly increased risk of diabetes. The odds ratios (OR) and 95% confidence intervals (CI) were 1.27 (1.10-1.48), 1.17 (1.12-1.22), and 1.28 (1.21-1.35), respectively. Compared with women without pregnancy loss, those who underwent 2 (OR 1.09; 95% CI, 1.04-1.14) or >= 3 pregnancy losses (OR 1.11; 95% CI, 1.04-1.18) had an increased risk of diabetes. Moreover, women with a breastfeeding duration >= 0 to 6 months (OR 0.82; 95% CI, 0.75-0.90) and >= 6 to 12 months (OR 0.94; 95% CI, 0.89-0.99) had a significantly lower risk of diabetes. Conclusions Nulliparous women or women with multiparity or more than one pregnancy loss have an increased risk of diabetes in later life, while women who breastfeed more than 0 to 12 months have a lower risk of diabetes.

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出版当年[2020]版:
大类 | 3 区 医学
小类 | 3 区 内分泌学与代谢
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 内分泌学与代谢
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出版当年[2019]版:
Q2 ENDOCRINOLOGY & METABOLISM
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Q2 ENDOCRINOLOGY & METABOLISM

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第一作者单位: [1]Nanchang Univ, Jiangxi Prov Peoples Hosp, Nanchang, Jiangxi, Peoples R China
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通讯机构: [1]Nanchang Univ, Jiangxi Prov Peoples Hosp, Nanchang, Jiangxi, Peoples R China [*1]Nanchang Univ, Jiangxi Prov Peoples Hosp, Dept Endocrinol, Nanchang 330006, Jiangxi, Peoples R China
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