A prospective population-based cohort study of lactation and cardiovascular disease mortality: the HUNT study

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• 作者：Tone Natland Fagerhaug (5)
  Siri Forsmo (5)
  Geir Wenberg Jacobsen (5)
  Kristian Midthjell (6)
  Lene Frost Andersen (5)
  Tom Ivar Lund Nilsen (6)
  
• 关键词：Breastfeeding ; Cardiovascular death ; Maternal health
• 刊名：BMC Public Health
• 出版年：2013
• 出版时间：December 2013
• 年：2013
• 卷：13
• 期：1
• 全文大小：239 KB
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  57. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2458/13/1070/prepub
  
• 作者单位：Tone Natland Fagerhaug (5)
  Siri Forsmo (5)
  Geir Wenberg Jacobsen (5)
  Kristian Midthjell (6)
  Lene Frost Andersen (5)
  Tom Ivar Lund Nilsen (6)
  
  5. Department of Nutrition, University of Oslo, Postboks 1046, Blindern, OSLO, 0317, Norway
  6. Department of Human Movement Science, Norwegian University of Science and Technology, Dragvoll, 7491, Trondheim, Norway
  
• ISSN：1471-2458

文摘

Background Recent studies suggest that lactation has long-term effects on risk for cardiovascular disease in women, but the effects on cardiovascular mortality are less well known. Method In a Norwegian population-based prospective cohort study, we studied the association of lifetime duration of lactation with cardiovascular mortality in 21,889 women aged 30 to 85?years who attended the second Nord-Tr?ndelag Health Survey (HUNT2) in 1995-997. The cohort was followed for mortality through 2010 by a linkage with the Cause of Death Registry. Adjusted hazard ratios (HR) for death from all causes and cardiovascular disease were calculated using Cox regression. Results During follow-up, 1,246 women died from cardiovascular disease. Parous women younger than 65?years who had never lactated had a higher cardiovascular mortality than the reference group of women who had lactated 24?months or more (HR 2.77, 95% confidence interval [CI]: 1.28, 5.99). There was some evidence of a U-shaped association, where women who reported lactating 7-2?months had a HR of 0.55 (95% CI: 0.27, 1.09). No clear associations were observed among women 65?years or older. Conclusions Excess cardiovascular mortality rates were observed among parous women younger than 65?years who had never lactated. These findings support the hypothesis that lactation may have long-term influences on maternal cardiovascular health.