Most doctors agree that breastfeeding
is best for babies’ health. Now a large study suggests
that the practice benefits mothers as well: women who have
breast-fed, it says, are at lower risk than mothers who have
not for developing high
blood pressure, diabetes
and cardiovascular disease decades later, when they are in
menopause.
The benefits increase with duration of past breast-feeding,
the study found. Women who had breast-fed for more than a
year in their entire lifetimes were almost 10 percent less
likely than those who had never breast-fed to have had a heart
attack or a stroke in their postmenopausal years. They
were also less likely to have diabetes, hypertension and high
cholesterol.
The study found that even those postmenopausal women who
had breast-fed for just one month had lower rates of diabetes,
high blood pressure and high cholesterol, although the risk
of heart disease after such limited breast-feeding was comparable
to that among mothers who had never breast-fed.
The research, which is to be published in the May issue of
the journal Obstetrics & Gynecology, analyzed data on
some 139,681 women who had enrolled in the Women’s Health
Initiative, a long-term national study of postmenopausal women.
Women who reported a lifetime history of more than a year
of breast-feeding were 20 percent less likely to have diabetes,
12 percent less likely to have hypertension, 19 percent less
likely to have high cholesterol and 9 percent less likely
to have had a heart attack or a stroke by the time they enrolled
in the Women’s Health Initiative.
The new study’s chief author, Dr. Eleanor Bimla Schwarz,
assistant professor of medicine at the University of Pittsburgh,
said of breast-feeding, “We’ve known for a long
time that it’s important for the baby’s health,
but we now know it’s important for mothers’ health
as well.”
Other experts cautioned, however, that while the study demonstrated
an association between breast-feeding and health benefits,
there was not necessarily a causal relationship. Women who
breast-feed may simply lead more healthful lives than those
who do not, these experts said, noting that the new analysis
might not have been able to account for all the differences
between the two groups.
Breast-feeders “may be healthier women who take better
care of themselves,” said Dr. Nieca Goldberg, medical
director of the N.Y.U. Women’s Heart Center.
“This is a nice association,” Dr. Goldberg said
of the findings, “but we don’t know from the study
what the physiological mechanism is.”
If there is such a mechanism, Dr. Goldberg suggested, it
could lie in oxytocin, a hormone crucial to milk production.
Oxytocin is known to relax blood vessels, she said, and may
make them more flexible and more resistant to the buildup
of plaque.
Breast-feeding is also known to play a role in healing after
pregnancy,
by causing uterine contractions that help restore the uterus
to its original size more quickly. Further, women burn extra
calories
when making milk, helping them eliminate fat stores accumulated
during pregnancy.
Other recent studies have suggested breast-feeding may also
reduce the risk of osteoporosis
and both breast and ovarian
cancer, as well as Type
2 diabetes.