ASSOCIATION BETWEEN TOTAL FLUID INTAKE AND BREASTFEEDING PRACTICES AND DURATION IN POSTPARTUM WOMEN

LUO Yu-hui; WANG Wei-ming; ZHANG Ya-jie; LIANG Qian; LIU Shu-xian; YANG Nian-hong

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Acta Nutrimenta Sinica ›› 2025, Vol. 47 ›› Issue (4) : 327-334.

ORIGINAL ARTICLES

ASSOCIATION BETWEEN TOTAL FLUID INTAKE AND BREASTFEEDING PRACTICES AND DURATION IN POSTPARTUM WOMEN

LUO Yu-hui, WANG Wei-ming, ZHANG Ya-jie, LIANG Qian, LIU Shu-xian, YANG Nian-hong

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Abstract

Objective To investigate the potential association between maternal total fluid intake at 3 months of infant age and breastfeeding practices and duration. Methods The study was embedded in the Tongji Maternal and Child Health Cohort. Information on total fluid intake for postpartum women was collected via telephone interviews at 3 months of infant age. Total fluid intake was categorized by quartiles. Information on breastfeeding practices and duration was collected via telephone interviews at 3, 6, 12, and 24 months of infant age. Breastfeeding practice was divided into full breastfeeding (FBF) and any breastfeeding (ABF). Logistic and multivariable linear regression models were used to investigate the association of total fluid intake with breastfeeding practices and duration. Results Among 2483 postpartum women-infants, 1350 (54.4%) and 966 (38.9%) received FBF at 3 and 6 months of infant age, respectively, and 2056 (82.8%), 1774 (71.4%), and 646 (36.8%) received ABF at 3, 6, and 12 months of infant age, respectively. The medium (interquartile range) of total fluid intake was 1600 ml (1250-2000 ml). About 2352 (94.7%) did not meet the recommended intake (2600ml). Compared to the mothers with the highest quartile of total fluid intake, those with the lowest quartile of total fluid intake were more likely to cease FBF at 3 months (OR=3.87; 95% CI = 3.03–4.96) and at 6 months (OR=3.05; 95% CI=2.38–3.92) of infant age, and to cease ABF at 12 months of infant age (OR=1.67; 95% CI=1.28–2.17). However, among mother-infants who received FBF at 3 months of infant age, fluid intake at 3 months of infant age was not significantly associated with breastfeeding practices at 6 and 12 months of infant age. Additionally, compared to the mothers with the highest quartile of total fluid intake, those with the lowest quartile of total fluid intake were more likely to cease breastfeeding early (adjusted β=－1.22; 95% CI=－1.85–0.58). Conclusion The postpartum women with lower total fluid intake were more likely to cease breastfeeding. Short duration of breastfeeding was positively associated with limited total fluid intake in postpartum women.

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postpartum / full breastfeeding / nutrients / nursing / fluid intake

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LUO Yu-hui, WANG Wei-ming, ZHANG Ya-jie, LIANG Qian, LIU Shu-xian, YANG Nian-hong. ASSOCIATION BETWEEN TOTAL FLUID INTAKE AND BREASTFEEDING PRACTICES AND DURATION IN POSTPARTUM WOMEN[J]. Acta Nutrimenta Sinica. 2025, 47(4): 327-334

References

[1] Wallenborn JT, Levine GA, Carreira Dos Santos A, et al. Breastfeeding, physical growth, and cognitive development
[J]. Pediatrics, 2021, 147: e2020008029.
[2] Lopez DA, Foxe JJ, Mao Y, et al. Breastfeeding duration is associated with domain-specific improvements in cognitive performance in 9-10-year-old children[J]. Front Public Health, 2021, 9: 657422.
[3] Prentice AM.Breastfeeding in the modern world[J]. Ann Nutr Metab, 2022, 78(Suppl.2): 29–38.
[4] Mack A.Breastfeeding and child cognitive development: new evidence from a large randomized trial[J]. Arch Gen Psychiatry, 2009, 2009: 15–16.
[5] World Health Organization. The optimal duration of exclusive breastfeeding. Report of an expert consultation[EB/OL].(2001-01-01)[2025-03-05]. https://www.who.int/publications/i/item/WHO-NHD-01.09.
[6] 中国发展研究基金会.全国母乳喂养影响因素调查[EB/OL].(2019-02-25)[2025-03-05]. https://www.cdrf.org.cn/jjh/pdf/mu.pdf.
[7] World Health Organization. Infant and young child feeding[EB/OL]. (2018-2-20)[2025-3-5]. https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding.
[8] Rollins NC, Bhandari N, Hajeebhoy N, et al. Why invest, and what it will take to improve breastfeeding practices?[J]. Lancet, 2016, 387: 491–504.
[9] 张聪. 中国营养学会发布《中国居民膳食指南(2022)》[J]. 食品安全导刊, 2022(14): 4.
[10] Zhou Y, Zhu X, Qin Y, et al. Association between total water intake and dietary intake of pregnant and breastfeeding women in China: a cross-sectional survey[J]. BMC Pregnancy Childbirth, 2019, 19: 172.
[11] 谢臻城, 林小芳, 陆晓龙, 等. 2020年中国部分地区孕产妇饮水量及影响因素[J]. 卫生研究, 2022, 51: 367-373.
[12] Martinez H.Fluid consumption by Mexican women during pregnancy and first semester of lactation[J]. BioMed Res Int, 2014, 2014: 603282.
[13] Bardosono S, Prasmusinto D, Hadiati D, et al. Fluid intake of pregnant and breastfeeding women in Indonesia: a cross-sectional survey with a seven-day fluid specific record[J]. Nutrients, 2016, 8: 651.
[14] Zhong C, Chen R, Zhou X, et al. Cohort profile: the Tongji maternal and child health cohort (TMCHC)[J]. Int J Epidemiol, 2023, 52: e152–e161.
[15] 洪淼. 婴儿期维生素D摄入现状及其与婴儿超重、体重增长过快和下呼吸道感染风险的关联性研究[D]. 武汉:华中科技大学, 2022.
[16] 黄莉. 孕期增重对泌乳启动及母乳喂养影响的队列研究[D]. 武汉:华中科技大学, 2021.
[17] 黄仪. 早产儿生后12月内母乳喂养影响因素分析和喂养乳类对纠正3-12月神经发育的影响[D]. 广州:广州医科大学, 2023.
[18] 王玮铭, 甘俊蔼, 赵显峰, 等. 产后1个月时喂养方式与产褥期妇女睡眠状况关联[J]. 中国公共卫生, 2024, 40: 1069–1075.
[19] Zhou BF, Cooperative Meta-Analysis Group of the Working Group on Obesity in China. Predictive values of body mass index and waist circumference for risk factors of certain related diseases in Chinese adults--study on optimal cut-off points of body mass index and waist circumference in Chinese adults[J]. Biomed Environ Sci, 2002, 15: 83–96.
[20] 喻唯, 兰勇兵, 吕筠, 等. 中国10个地区成年人腌制蔬菜摄入情况的流行病学特征分析[J]. 中华流行病学杂志, 2024, 45: 19–25.
[21] 中国营养学会膳食指南修订专家委员会妇幼人群指南修订专家工作组.哺乳期妇女膳食指南[J]. 临床儿科杂志, 2016, 34: 958–960.
[22] Greenhill JP.Nursing under conditions of thirst or excessive ingestion of fluids[J]. Am J Obstet Gynecol, 1942, 44: 359.
[23] Duckman S, Hubbard JF.The role of fluids in relieving breast engorgement without the use of hormones[J]. Am J Obstet Gynecol, 1950, 60: 200–204.
[24] Dusdieker LB, Booth BM, Stumbo PJ, et al. Effect of supplemental fluids on human milk production[J]. J Pediatr, 1985, 106: 207–211.
[25] Dusdieker LB, Stumbo PJ, Booth BM, et al. Prolonged maternal fluid supplementation in breast-feeding[J]. Pediatrics, 1990, 86: 737–740.
[26] Akers RM.Major advances associated with hormone and growth factor regulation of mammary growth and lactation in dairy cows[J]. J Dairy Sci, 2006, 89: 1222–1234.
[27] Ni Y.Three lactation-related hormones: regulation of hypothalamus-pituitary axis and function on lactation[J]. Mol Cell Endocrinol, 2021, 50:567–578.
[28] UvnäsMoberg K, Ekström-Bergström A, Buckley S, et al. Maternal plasma levels of oxytocin during breastfeeding:a systematic review[J]. PLoS One, 2020, 15: e0235806.
[29] Powe CE, Puopolo KM, Newburg DS, et al. Effects of recombinant human prolactin on breast milk composition[J]. Pediatrics, 2011, 127: e359–366.
[30] 张世光, 王华, 宋淑兰. 产妇乳汁PRL分泌影响因素的探讨[J]. 中国妇幼保健,1993,8:32–33.
[31] Nagy M.Dehydration attenuates plasma prolactin response to suckling through a dopaminergic mechanism[J]. Endocrinology, 1992, 130: 819–824.
[32] Breves JP, Serizier SB, Goffin V, et al. Prolactin regulates transcription of the ion uptake Na+/Cl- cotransporter (ncc) gene in zebrafish gill[J]. Mol Cell Endocrinol, 2013, 369: 98–106.
[33] Matthiesen AS, Ransjo-Arvidson AB, Nissen E, et al. Postpartum maternal oxytocin release by newborns: effects of infant hand massage and sucking[J]. Birth, 2001, 28: 13–19.
[34] Moberg KU, Handlin L, Petersson M.Neuroendocrine mechanisms involved in the physiological effects caused by skin-to-skin contact - with a particular focus on the oxytocinergic system[J]. Infant Behav Develop, 2020, 61: 101482.
[35] Moberg KU, Prime DK.Oxytocin effects in mothers and infants during breastfeeding[J]. Infant, 2013, 9: 201-206.
[36] Nissen E, Lilja G, Widström AM, et al. Elevation of oxytocin levels early post partum in women[J]. Acta Obstet Gynecol Scand, 1995, 74: 530-533.
[37] 单玲, 席时清, 孙境, 等. 催产素滴鼻对促进母婴分离产妇乳汁分泌的效果[J]. 中国妇幼保健, 2014, 29: 4833-4834.
[38] James RJA, Irons DW, Holmes C, et al. Thirst induced by a suckling episode during breast feeding and its relation with plasma vasopressin, oxytocin and osmoregulation[J]. Clin Endocrinol, 1995, 43: 277-282.
[39] Amabebe E, Robert FO, Obika LFO.Osmoregulatory adaptations during lactation: thirst, arginine vasopressin and plasma osmolality responses[J]. Niger J Physiol Sci, 2017, 32: 109-116.