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Type 2 diabetes mellitus, obesity, cesarean section delivery, and lack of exclusive breastfeeding exposure in patients from the Guadalajara Metropolitan Area, Mexico.
García Padilla, Mónica Aidé; Vásquez-Garibay, Edgar Manuel; Chávez-Palencia, Clío; Romero Velarde, Enrique; Larrosa Haro, Alfredo; Sánchez-Aldana Robles, María de Lourdes; Sánchez Michel, Blanca Leticia.
Afiliación
  • García Padilla MA; Instituto de Nutricion Humana. Universidad de Guadalajara.
  • Vásquez-Garibay EM; Instituto de Nutrición Humana. Universidad de Guadalajara.
  • Chávez-Palencia C; Instituto de Nutrición Humana. Universidad de Guadalajara.
  • Romero Velarde E; Instituto de Nutrición Humana. Universidad de Guadalajara. Hospital Civil de Guadalajara Dr. Juan I. Menchaca.
  • Larrosa Haro A; Instituto de Nutricion Humana. Universidad de Guadalajara.
  • Sánchez-Aldana Robles ML; Asociación Mexicana de Diabetes en Jalisco.
  • Sánchez Michel BL; Hospital Civil de Guadalajara Dr. Juan I. Menchaca.
Nutr Hosp ; 2024 Sep 05.
Article en En | MEDLINE | ID: mdl-39268556
ABSTRACT

INTRODUCTION:

the combination of cesarean section delivery and limited exposure to exclusive breastfeeding (EBF) in the first six months of life may increase the risk of obesity and diabetes mellitus. This study aimed to establish an association between type 2 diabetes mellitus (T2DM) in adulthood, cesarean section delivery and incomplete breastfeeding (FBF) in individuals from the metropolitan area of Guadalajara, Mexico.

METHODOLOGY:

this analytical cross-sectional study included patients over 18 years of age with T2DM and normal weight, overweight or obesity, regardless of sex. Informed consent was obtained. Variables encompassed T2DM, type of delivery method, first-year diet, family history, demographic, socioeconomic, and educational characteristics, and anthropometric measurements. For statistical analysis, Student's t test, chi-square tests and odds ratios were employed.

RESULTS:

the study evaluated 218 patients with an average age of 57.8 years (± 12.7) and an average age at T2DM diagnosis of 46.2 years (± 12.5). FBF (65.6 %) and partial breastfeeding (PBF) (23.8 %) prevailed in the first six months. The average age at T2DM diagnosis was 46.7 years (± 12.1) for vaginally born patients and 30.7 years (± 15.5) for cesarean-born patients (p = 0.001). Cesarean delivery increased obesity risk by nine times in patients with T2DM [OR = 8.9 (CI, 1.05, 75.2), p = 0.02].

CONCLUSION:

prioritizing the limitation of nonmedically justified cesarean section deliveries is crucial to mitigate the risk of obesity and T2DM in adulthood. .

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE País/Región como asunto: Mexico Idioma: En Revista: Nutr Hosp Asunto de la revista: CIENCIAS DA NUTRICAO Año: 2024 Tipo del documento: Article Pais de publicación: España

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE País/Región como asunto: Mexico Idioma: En Revista: Nutr Hosp Asunto de la revista: CIENCIAS DA NUTRICAO Año: 2024 Tipo del documento: Article Pais de publicación: España