ASSOCIATION BETWEEN THE INTERRUPTION OF EXCLUSIVE BREASTFEEDING AND POST-PARTUM WEIGHT RETENTION AND WEIGHT LOSS
DOI:
https://doi.org/10.12957/demetra.2014.10828Abstract
Approximately 43.1% of Brazilian women in their fertile age present weight excess. However, theinterruption of exclusive breastfeeding (IAME), due to the significant nutritional demands imposed uponmothers, has the potential influence on post-partum weight loss and weight retention in women. To investigatethe association between the interruption of exclusive breastfeeding and weight retention and weight loss inthe second month post-partum. Sectional study inserted in a prospective cohort, with the source populationof women (n=298) that attended one of four Primary Health Care Units of the Municipality of Rio de Janeiro.To evaluate the breastfeeding practices, a 24-hour dietary recall of the newborns’ feeding was applied, thesame instrument used in the national vaccination campaigns. Newborns were considered IAME when theydid not receive only breast milk in the 24 hours that preceded the three interviews during the babies firsttwo months. The data analysis was based on multinomial logistic regression models which were adjustedaccording to the covariates that presented associations with p-value ≤0.20 in raw analysis. Regarding theanalysis of the interruption of breastfeeding and weight retention at post-partum, it was observed that tonot offer breast milk during the first two months after childbirth did not demonstrate association to weightretention. And the results of the final multinomial logistic regression model showed that the mothers thatinterrupted exclusive breastfeeding (AME) during the first two months post-partum have two and a halfmore chances of not losing weight when compared to women that within some moment of that period offeredAME to their children, independent of the gestational weight gain and pre-gestational weight (p<0.05).Considering the presented discoveries, we point out the evidences to support the implementation of healthpolicies to avoid the retention of post-partum weight and obesity.
DOI 10.12957/demetra.2014.10828
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