Efectos de la lactancia materna por más de 24 meses: una revisión sistemática.
DOI:
https://doi.org/10.14409/fabicib.v27i0.13526Keywords:
Efectos, Lactancia materna, Lactancia materna prolongadaAbstract
From this review it was possible to visualize a marked benefit on maternal health in all the aspects analyzed, the increase in the duration of breastfeeding has protective effects on bone health, metabolic cardio, joint health and on gynecological conditions, compared to women who they never breastfed, as well as those who breastfed for less time.
Most of the studies analyzed indicated a dose-response relationship between breastfeeding and the health benefits for children.
In relation to the evidence on the subject studied, there are no contraindications that involve suspending breastfeeding to avoid effects that threaten physical and emotional Breastfeeding is considered an important practice to promote infant health.
The evidence of the benefits of breastfeeding has led to it being recommended exclusively for six months, and from that age in conjunction with the introduction of appropriate safe foods and continuing it until two years or more.
The objective of this work is to analyze the effects of breastfeeding for more than 24 months on maternal and child health.
The justification for this search is based on the existing rejection by both society and health professionals to the practice of breastfeeding for more than 24 months, despite the fact that various international organizations such as WHO or UNICEF advocate for continuity of the same and consider that weaning should occur when the mother and child wish. The fact that there is no way to define in words, breastfeeding that lasts for more than 24 months, is also a personal motivation to do this work.
This work was carried out on the basis of a systematic search that included a review of the scientific publications found on this topic.
Regarding the effects on maternal health, several large studies included in this review suggest that cumulative breastfeeding for more than 24 months is associated with better cardio-metabolic health. Joint health benefits were found by reducing the risk of development and positive effects on the reduction of gynecological conditions and type 2 diabetes among women, as well as glucose metabolic biomarkers. With regard to bone health, the results found were uneven.
Regarding child health, breastfeeding for more than 24 months has a relevant impact on the development of overweight and obesity.
Some authors found associations between breastfeeding beyond two years of age and infant development in relation to receptive language and verbal and non-verbal intelligence, visual reception, and motor control performance.
The relationship between oral health and breastfeeding remains in dispute; the study included in this review found that breastfeeding for 24 months or more was associated with infant caries.
health, reaffirming the recommendation of WHO and UNICEF and that accompany the Argentine Society of Pediatrics and the Latin American Association of Pediatrics of continue breastfeeding for 2 years and more.
References
Anderson J., Johnstone B, Remley D. 1999. Breast-feeding and cognitive development: a meta-analysis. Am J Clin Nutr. 70; 4:525-35.
Asociación Española de Pediatría. 2015. Lactancia materna y caries. 2015. Disponible en: https://www.aeped.es/comite-nutricion-y-lactancia-materna/lactancia-materna/documentos/lactancia-materna-y-caries
Belfort MB, Rifas-Shiman SL, Kleinman KP, Guthrie LB, Bellinger DC, Taveras EM, et al. 2013. Infant feeding and childhood cognition at ages 3 and 7 years: Effects of breastfeeding duration and exclusivity. JAMA Pediatr.167; 9:836–844.
Chaffee, B.W; Feldens, C.A; Vítolo, M.R. 20144. Association of long-duration breastfeeding and dental caries estimated with marginal structural models. Ann Epidemiol. 24; 6:448–54.
Comité de Lactancia Materna de la Asociación Española de Pediatría. Lactancia Materna en cifras: Tasas de inicio y duración de la lactancia en España y en otros países. 2016. Disponible en: https://www.aeped.es/sites/default/files/documentos/201602-lactancia-materna-cifras.pdf
Daniels, M.C; Adair, L.S. 2005. Community and International Nutrition Breast-Feeding Influences Cognitive Development in Filipino Children 1. J Nutr. 135; 11: 2589–2595.
Deoni, SCL; Dea, DC; Piryatinsky, I; O’Muircheartaigh, J; Waskiewicz, N; Lehman, K; et al. 2013. Breastfeeding and early white matter development: A cross-sectional study. Neuroimage. 82:77-86.
De Silva, M; Senarath, U; Gunatilake, M,; Lokuhetty, D. 2010. Prolonged breastfeeding reduces risk of breast cancer in Sri Lankan women: A case-control study. Cancer Epidemiol. 34; 3:267–273.
Duazo, P; Avila, J; Kuzawa, C.W. 2010. Breastfeeding and later psychosocial development in the Philippines. Am J Hum Biol. 22;6:725–730.
Eidelman, A.; Schanler, R.J.; Johnston, M.; Landers, S.; Noble, L.; Szucs, K.; Viehmann, L. 2012. American Academy of Pediatrics. Pediatrics. 129; 3:827-841
Fallahzadeh, H; Golestan, M; Rezvanian, T; Ghasemian, Z. 2009.Breastfeeding history and overweight in 11 to 13-year-old children in Iran. World J Pediatr. 5; 1:36–41.
Farland L V., Eliassen AH, Tamimi RM, Spiegelman D, Michels KB, Missmer SA. 2017 History of breast feeding and risk of incident endometriosis: Prospective cohort study. BMJ. 358; 3778:1-1
Gewa, C. A. 2010. Childhood overweight and obesity among Kenyan pre-school children: Association with maternal and early child nutritional factors. Public Health Nutr. 13; 4:496–503.
Gittens Dixon K. 2016. Lactancia prolongada y desarrollo del lenguaje: una revisión de la literatura. Enfermería actual en Costa Rica. 32:1-18
Gómez Fdez- Vegue M. 2015. Lactancia materna en niños mayores o “prolongada” Asociación Española de Pediatría. Com Lact Matern AEP. Disponible en: https://www.aeped.es/sites/default/files/documentos/201501-lactancia-materna-prolongada.pdf
Hwang, I.R; Choi, Y.K; Lee, W.K; Kim, J.G; Lee, I.K; Kim, S.W; et al. 2016. Association between prolonged breastfeeding and bone mineral density and osteoporosis in postmenopausal women: KNHANES 2010-2011. Osteoporos Int. 27; 1:257–65.
Karlson, E.W; Mandl, L.A; Hankinson, S. E; Grodstein, F. 2004. Do breast-feeding and other reproductive factors influence future risk of rheumatoid arthritis? Results from the nurses’ health study. Arthritis Rheum. 50; 11:3458–3467.
Kendall-Tackett K, Sugarman M. 1995. The social consequences of long-term breastfeeding. J Hum Lact.11; 3:179-183.
La Liga de la Leche. 2019. SALUD BUCODENTAL Y LACTANCIA. 2019. Disponible en: https://laligadelaleche.es/lactancia-materna/salud-bucodental-y-lactancia/
Lenora,J; Lekamwasam, S; Karlsson, M.K. 2009. Effects of multiparity and prolonged breast-feeding on maternal bone mineral density: a community-based cross-sectional study. BMC Womens Health. 9; 19 :1–6.
Ley SH, Chavarro JE, Li M, Bao W, Hinkle SN, Wander PL, et al. 2020. Lactation Duration and Long-term Risk for Incident Type 2 Diabetes in Women With a History of Gestational Diabetes Mellitus. Diabetes Care. 43;4:793-798
Mcgregor JA, Barseghyan M. 2005. Neurobiologically-based earning benefits of being breastfed: Long-term economic analysis. Am J Obstet Gynecol. 193; 6:1-9
Ministerio de Salud de la Nación. Situación de la Lactancia Materna en la Argentina. 2018. Disponible en: https://bancos.salud.gob.ar/sites/default/files/2018-10/0000001281cnt-situacion-lactancia-materna-2018.pdf
Natland, ST;Nilsen, T.I.L; Midthjell, K; Andersen, L. F; Forsmo, S. 2012. Lactation and cardiovascular risk factors in mothers in a population-based study: the HUNT-study. Int Breastfeed J. 7:1–12.
Natland, T; Nilsen, T.I; Siri, F; Jacobsen,G.W; Midthjell, K; Andersen, L.F. 2013. A prospective population-based cohort study of lactation and cardiovascular disease mortality: The HUNT study. BMC Public Health. 13; 1: 1471-2458
OMS. 2019, Ending childhood dental caries: WHO implementation manual. Disponible en: https://apps.who.int/iris/handle/10665/330643
OMS, OPS. La alimentación del lactante y del niño pequeño. 2010. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/infant-and-young-child-feeding
OMS. Report of the expert consultation of the optimal duration of exclusive breastfeeding. 2001. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/67219/WHO_NHD_01.09.pdf
Rathnayake, K. M; Satchithananthan, A; Mahamithawa, S; Jayawardena, R. 2013. Early life predictors of preschool overweight and obesity: A case-control study in Sri Lanka. BMC Public Health. 13; 1:2–7.
Sajjad, A; Tharner, A; Kiefte-de Jong, J.C; Jaddoe, V.V.W; Hofman , A; Verhulst, F.C, et al. 2015. Breastfeeding duration and non-verbal IQ in children. J Epidemiol Community Health. 69; 8:775-781.
Simon VGN, Souza JMP, Souza SB. 2009. Alimentação complementar , sobrepeso e obesidade em pré- escolares Breastfeeding , complementary feeding , overweight and obesity in pre-school children. Rev Saude Pública.43; 1:60–69.
Stuebe, A.M; Rich-Edwards, J.W; Willett, W.C; Manson, J.E; Michels, K.B. 2005. Duration of lactation and incidence of type 2 diabetes. Obstet Gynecol Surv. 61; 4:232-233
Stuebe AM, Michels KB, Willett WC, Manson JAE, Rexrode K, Rich-Edwards JW. 2009. Duration of lactation and incidence of myocardial infarction in middle to late adulthood. Am J Obstet Gynecol. 200; 2:138- 142.
Tesone, M; Schesch-wernick, D. 2005. Long-term Breastfeeding.Cross Continental Communique Cross Continental Communique. 4;1: 1–21.
Urrutia, G, Bonfill, X. 2010. Declaracion PRISMA: una propuesta para mejorar la publicacion de revisiones sistematicas y metaanalisis. Med Clin. 135; 11: 507-511
Victora C, Ruano M, de Maza I, Santizo M. 2016. The Lancet. Sobre Lactancia Materna. Disponible en: https://es.scribd.com/document/319761982/INCAP-the-Lancet-2016-Lactancia-Materna-WEBFINAL-Spa
Victora CG, Bahl R, Barros AJD, França GVA, Horton S, Krasevec J, et al. 2016. Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect. Lancet. 387(10017:475–490
Villegas, R; Gao, Y.T; Yang, G; Li, H.L; Elasy, T; Zheng, W; et al. 2008. Duration of breast-feeding and the incidence of type 2 diabetes mellitus in the Shanghai Women 's Health Study. Diabetología. 51; 2:258–266.
Waly, M.I; Ali, A; Al-Saadoon, M; Al-Mukhaini, Y.K; Wali, Y.A. 2011. Breastfeeding is not associated with risk of developing childhood leukemia in the sultanate of Oman. Asian Pacific J Cancer Prev. 12; 8:2087–2091.
Wiklund, P. K; Xu, L; Wang, Q; Mikkola, T; Lyytikäinen, A; Völgyi, E; et al.2012. Lactation is associated with greater maternal bone size and bone strength later in life. Osteoporos Int. 23; 7:1939–45.
Williams, B; Giuseppe, M; Spiering, W; Agabiti Rosei, E; Azizi, M; Burnier, M; Clement, D; Coc, A; De Simone, G; Dominiczak, A. 2018. The Task Force for the management of arterial hypertension of the European Society of Cardiology (ESC) and the European Society of Hypertension (ESH). ESC/ESH Guidelines for the management of arterial hypertension. Eur Hear J. 39; 33:3021–3104.
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