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    Einfluss des Stillens auf das Risiko für Übergewicht bei Kindern von Müttern mit Typ 1 Diabetes.
Effect of breastfeeding on the risk of becoming overweight in offspring of mothers with type 1 diabetes.
        
        Dtsch. Med. Wochenschr. 133, 1173-1177 (2008)
    
    
    
				BACKGROUND AND OBJECTIVE: Breastfeeding is considered to be a protective factor against obesity in healthy children. But previous studies about the effect of breastfeeding in the offspring of diabetic mothers have provided inconsistent results. It was the aim of this study to assess the effect of breastfeeding on the risk of becoming overweight at two years of age in children of these mothers. METHODS: In a prospective cohort study data on exclusive or partial breastfeeding habits, were obtained from questionnaires given to 816 mothers, aged between 17 and 43 years, with type 1 diabetes. Weight and height of their children was obtained from their pediatric records. Children with a BMI > or = 90th percentile were classified as being overweight. RESULTS: 77.9 % of all mothers started breastfeeding after the child's birth. Six months later 33.1 % were still breast-feeding. 14.5 % of all children were overweight at two years of age. After adjusting for smoking in pregnancy and the child's gender and birth weight, there was a risk reduction for overweight of 60 % (OR=0.405; 95%-CI: 0.211-0.779) for breastfeeding duration of 12 to 25 weeks. A similar positive association was found for predominant breastfeeding for a duration of at least four months (OR=0.500; 95%-CI: 0.282-0.887). Protective effects were already present when the duration of breastfeeding was four weeks or more. CONCLUSIONS: Mothers with type 1 diabetes breastfed less and for a shorter duration than those in the general population. Breastfeeding duration of at least four weeks was associated with a reduced risk for overweight at two years of age. Special needs regarding diabetes management have to be taken into account.
			
			
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        Publikationstyp
        Artikel: Journalartikel
    
 
    
        Dokumenttyp
        Wissenschaftlicher Artikel
    
 
     
    
     
     
    
    
        Sprache
        deutsch
    
 
    
        Veröffentlichungsjahr
        2008
    
 
     
    
        HGF-Berichtsjahr
        0
    
 
    
    
        ISSN (print) / ISBN
        0012-0472
    
 
    
        e-ISSN
        1439-4413
    
 
     
     
     
	     
	 
	 
    
        Zeitschrift
        Deutsche Medizinische Wochenschrift - DMW
    
 
		
    
        Quellenangaben
        
	    Band: 133,  
	    Heft: 22,  
	    Seiten: 1173-1177 
	    
	    
	
    
 
  
         
        
            Verlag
            Thieme
        
 
         
	
         
         
         
         
         
	
         
         
         
    
         
         
         
         
         
         
         
    
        Begutachtungsstatus
        Peer reviewed
    
 
    
        Institut(e)
        Institute of Diabetes Research (IDF)
    
 
    
        POF Topic(s)
        30201 - Metabolic Health
    
 
    
        Forschungsfeld(er)
        Helmholtz Diabetes Center
    
 
    
        PSP-Element(e)
        G-502100-001
    
 
     
     	
    
        PubMed ID
        18491272
    
    
    
        WOS ID
        000256531500002
    
    
        Erfassungsdatum
        2008-05-30