Lactation-associated postpartum weight changes among HIV-infected women in Zambia.
Identifieur interne : 001900 ( PubMed/Corpus ); précédent : 001899; suivant : 001901Lactation-associated postpartum weight changes among HIV-infected women in Zambia.
Auteurs : Pamela M. Murnane ; Stephen M. Arpadi ; Moses Sinkala ; Chipepo Kankasa ; Mwiya Mwiya ; Prisca Kasonde ; Donald M. Thea ; Grace M. Aldrovandi ; Louise KuhnSource :
- International journal of epidemiology [ 1464-3685 ] ; 2010.
English descriptors
- KwdEn :
- MESH :
- geographic , epidemiology : Zambia.
- physiopathology : HIV Infections.
- Body Mass Index, Breast Feeding, Disease Progression, Female, Humans, Risk Factors, Socioeconomic Factors, Thinness, Time Factors, Weight Gain.
Abstract
There are concerns about effects of lactation on postpartum weight changes among HIV-infected women because low weight may increase risks of HIV-related disease progression.
DOI: 10.1093/ije/dyq065
PubMed: 20484334
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Arpadi</name></author><author><name sortKey="Sinkala, Moses" sort="Sinkala, Moses" uniqKey="Sinkala M" first="Moses" last="Sinkala">Moses Sinkala</name></author><author><name sortKey="Kankasa, Chipepo" sort="Kankasa, Chipepo" uniqKey="Kankasa C" first="Chipepo" last="Kankasa">Chipepo Kankasa</name></author><author><name sortKey="Mwiya, Mwiya" sort="Mwiya, Mwiya" uniqKey="Mwiya M" first="Mwiya" last="Mwiya">Mwiya Mwiya</name></author><author><name sortKey="Kasonde, Prisca" sort="Kasonde, Prisca" uniqKey="Kasonde P" first="Prisca" last="Kasonde">Prisca Kasonde</name></author><author><name sortKey="Thea, Donald M" sort="Thea, Donald M" uniqKey="Thea D" first="Donald M" last="Thea">Donald M. Thea</name></author><author><name sortKey="Aldrovandi, Grace M" sort="Aldrovandi, Grace M" uniqKey="Aldrovandi G" first="Grace M" last="Aldrovandi">Grace M. Aldrovandi</name></author><author><name sortKey="Kuhn, Louise" sort="Kuhn, Louise" uniqKey="Kuhn L" first="Louise" last="Kuhn">Louise Kuhn</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2010">2010</date><idno type="RBID">pubmed:20484334</idno><idno type="pmid">20484334</idno><idno type="doi">10.1093/ije/dyq065</idno><idno type="wicri:Area/PubMed/Corpus">001900</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001900</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Lactation-associated postpartum weight changes among HIV-infected women in Zambia.</title><author><name sortKey="Murnane, Pamela M" sort="Murnane, Pamela M" uniqKey="Murnane P" first="Pamela M" last="Murnane">Pamela M. Murnane</name><affiliation><nlm:affiliation>Center for AIDS Prevention Studies, University of California San Francisco, CA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Arpadi, Stephen M" sort="Arpadi, Stephen M" uniqKey="Arpadi S" first="Stephen M" last="Arpadi">Stephen M. Arpadi</name></author><author><name sortKey="Sinkala, Moses" sort="Sinkala, Moses" uniqKey="Sinkala M" first="Moses" last="Sinkala">Moses Sinkala</name></author><author><name sortKey="Kankasa, Chipepo" sort="Kankasa, Chipepo" uniqKey="Kankasa C" first="Chipepo" last="Kankasa">Chipepo Kankasa</name></author><author><name sortKey="Mwiya, Mwiya" sort="Mwiya, Mwiya" uniqKey="Mwiya M" first="Mwiya" last="Mwiya">Mwiya Mwiya</name></author><author><name sortKey="Kasonde, Prisca" sort="Kasonde, Prisca" uniqKey="Kasonde P" first="Prisca" last="Kasonde">Prisca Kasonde</name></author><author><name sortKey="Thea, Donald M" sort="Thea, Donald M" uniqKey="Thea D" first="Donald M" last="Thea">Donald M. Thea</name></author><author><name sortKey="Aldrovandi, Grace M" sort="Aldrovandi, Grace M" uniqKey="Aldrovandi G" first="Grace M" last="Aldrovandi">Grace M. Aldrovandi</name></author><author><name sortKey="Kuhn, Louise" sort="Kuhn, Louise" uniqKey="Kuhn L" first="Louise" last="Kuhn">Louise Kuhn</name></author></analytic><series><title level="j">International journal of epidemiology</title><idno type="eISSN">1464-3685</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Body Mass Index</term><term>Breast Feeding</term><term>Disease Progression</term><term>Female</term><term>HIV Infections (physiopathology)</term><term>Humans</term><term>Risk Factors</term><term>Socioeconomic Factors</term><term>Thinness</term><term>Time Factors</term><term>Weight Gain</term><term>Zambia (epidemiology)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Zambia</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Body Mass Index</term><term>Breast Feeding</term><term>Disease Progression</term><term>Female</term><term>Humans</term><term>Risk Factors</term><term>Socioeconomic Factors</term><term>Thinness</term><term>Time Factors</term><term>Weight Gain</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">There are concerns about effects of lactation on postpartum weight changes among HIV-infected women because low weight may increase risks of HIV-related disease progression.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20484334</PMID><DateCreated><Year>2010</Year><Month>11</Month><Day>05</Day></DateCreated><DateCompleted><Year>2011</Year><Month>03</Month><Day>10</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>16</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1464-3685</ISSN><JournalIssue CitedMedium="Internet"><Volume>39</Volume><Issue>5</Issue><PubDate><Year>2010</Year><Month>Oct</Month></PubDate></JournalIssue><Title>International journal of epidemiology</Title><ISOAbbreviation>Int J Epidemiol</ISOAbbreviation></Journal><ArticleTitle>Lactation-associated postpartum weight changes among HIV-infected women in Zambia.</ArticleTitle><Pagination><MedlinePgn>1299-310</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1093/ije/dyq065</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">There are concerns about effects of lactation on postpartum weight changes among HIV-infected women because low weight may increase risks of HIV-related disease progression.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">This analysis of postpartum maternal weight change is based on a trial evaluating the effects of shortened breastfeeding on postpartum mother-to-child transmission of HIV in Lusaka, Zambia, in which 958 HIV-infected women were randomized to breastfeed for a short duration (4 months) or for a duration of their own informed choosing (median 16 months). Among 768 women who met inclusion criteria, we compared across the two groups change in weight (kg) and the percent underweight [body mass index (BMI) <18.5] through 24 months. We also examined the effect of breastfeeding in two high-risk groups: those with low BMI and those with low CD4 counts.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Overall, women in the long-duration group gained less weight compared with those in the short-duration group from 4-24 months {1.0 kg [95% confidence interval (CI): 0.3-1.7] vs 2.3 kg (95% CI: 1.6-2.9), P = 0.01}. No association was found between longer breastfeeding and being underweight (odds ratio 1.1; 95% CI: 0.8-1.6; P = 0.40). Effects of lactation in underweight women and women with low CD4 counts were similar to the effects in women with higher BMI and higher CD4 counts. Women with low baseline BMI tended to gain more weight from 4 to 24 months than those with higher BMI, regardless of breastfeeding duration (2.1 kg, 95% CI: 1.3-2.9; P < 0.01).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In this study of HIV-infected breastfeeding women in a low-resource setting, the average change in weight from 4 to 24 months postpartum was a net gain rather than loss. Although longer duration breastfeeding was associated with less weight gain, breastfeeding duration was not associated with being underweight (BMI < 18.5). Weight change associated with longer breastfeeding may be metabolically regulated so that women with low BMI and at risk of wasting are protected from excess weight loss.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Murnane</LastName><ForeName>Pamela M</ForeName><Initials>PM</Initials><AffiliationInfo><Affiliation>Center for AIDS Prevention Studies, University of California San Francisco, CA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Arpadi</LastName><ForeName>Stephen M</ForeName><Initials>SM</Initials></Author><Author ValidYN="Y"><LastName>Sinkala</LastName><ForeName>Moses</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Kankasa</LastName><ForeName>Chipepo</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Mwiya</LastName><ForeName>Mwiya</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Kasonde</LastName><ForeName>Prisca</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Thea</LastName><ForeName>Donald M</ForeName><Initials>DM</Initials></Author><Author ValidYN="Y"><LastName>Aldrovandi</LastName><ForeName>Grace M</ForeName><Initials>GM</Initials></Author><Author ValidYN="Y"><LastName>Kuhn</LastName><ForeName>Louise</ForeName><Initials>L</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>R01 HD039611</GrantID><Acronym>HD</Acronym><Agency>NICHD NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>R01 HD 40777</GrantID><Acronym>HD</Acronym><Agency>NICHD NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>R01 HD 57617</GrantID><Acronym>HD</Acronym><Agency>NICHD NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>R01 HD39611</GrantID><Acronym>HD</Acronym><Agency>NICHD NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2010</Year><Month>05</Month><Day>19</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Int J Epidemiol</MedlineTA><NlmUniqueID>7802871</NlmUniqueID><ISSNLinking>0300-5771</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Lancet. 2001 May 26;357(9269):1651-5</RefSource><PMID Version="1">11425369</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Annu Rev Nutr. 1997;17:19-36</RefSource><PMID Version="1">9240917</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Acquir Immune 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MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015658" MajorTopicYN="Y">HIV Infections</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012959" MajorTopicYN="N">Socioeconomic Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013851" MajorTopicYN="N">Thinness</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015430" MajorTopicYN="Y">Weight Gain</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015024" MajorTopicYN="N" Type="Geographic">Zambia</DescriptorName><QualifierName UI="Q000453" 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