Abstract | OBJECTIVES: METHODS: The Study of Women, Infant Feeding, and Type 2 Diabetes (SWIFT) is a prospective cohort study that recruited 1035 women diagnosed with GDM by the 3-h 100g oral glucose tolerance tests (OGTTs) after delivery of a live birth in 2008-2011. Research staff conducted 2-h 75 g OGTTs, and assessed lactation intensity, anthropometry, lifestyle behaviors and socio-demographics at 6-9 weeks postpartum (baseline). We assayed fasting plasma lipids, lipoproteins, non-esterified free fatty acids, leptin and adiponectin from stored samples obtained at 6-9 weeks postpartum in 1007 of the SWIFT participants who were free of diabetes at baseline. Mean biomarker concentrations were compared among lactation intensity groups using multivariable linear regression models. RESULTS: CONCLUSION: Higher lactation intensity was associated with more favorable biomarkers for type 2 diabetes, except for lower plasma adiponectin, after GDM delivery. Long-term follow-up studies are needed to assess whether these effects of lactation persist to predict progression to glucose intolerance.
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Authors | Erica P Gunderson, Catherine Kim, Charles P Quesenberry Jr, Santica Marcovina, David Walton, Robert A Azevedo, Gary Fox, Cathie Elmasian, Stephen Young, Nora Salvador, Michael Lum, Yvonne Crites, Joan C Lo, Xian Ning, Kathryn G Dewey |
Journal | Metabolism: clinical and experimental
(Metabolism)
Vol. 63
Issue 7
Pg. 941-50
(Jul 2014)
ISSN: 1532-8600 [Electronic] United States |
PMID | 24931281
(Publication Type: Comparative Study, Journal Article, Observational Study, Research Support, N.I.H., Extramural, Research Support, U.S. Gov't, P.H.S.)
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Copyright | Copyright © 2014 Elsevier Inc. All rights reserved. |
Chemical References |
- ADIPOQ protein, human
- Adiponectin
- Biomarkers
- Fatty Acids, Nonesterified
- Leptin
- Lipids
- Lipoproteins
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Topics |
- Adiponectin
(blood)
- Adult
- Biomarkers
(blood)
- Cohort Studies
- Diabetes Mellitus, Type 2
(etiology, prevention & control)
- Diabetes, Gestational
(physiopathology)
- Disease Progression
- Fatty Acids, Nonesterified
(blood)
- Female
- Humans
- Insulin Resistance
- Lactation
- Leptin
(blood)
- Lipids
(blood)
- Lipoproteins
(blood)
- Middle Aged
- Postpartum Period
- Prediabetic State
(blood, etiology, physiopathology)
- Pregnancy
- Young Adult
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