KMID : 1039620180080010059
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Korean Journal of Family Practice 2018 Volume.8 No. 1 p.59 ~ p.65
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The Association between Parity, Lactation, and Impaired Fasting Glucose in Korean Women: The 5th Korean National Health and Nutrition Examination Survey, 2010-2012
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Youn Nam-Hee
Choi Ji-Ho Lee Yeon-Ji Oh Jeong-Min Lee Yu-Rim Song Hyeun-Jin
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Abstract
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Background: The purpose of this study was to analyze the association between the risk of impaired fasting glucose (IFG) and parity, and the effect of lactation on fasting blood glucose.
Methods: We finally included 7,090 women who participated in Korean National Health and Nutrition Examination Survey between 2010 and 2012. We categorized into four groups according to parity and estimated the risk of impaired fasting glucose according to parity and duration of lactation, by using logistic regression analysis.
Results: The fasting plasma glucose levels and the prevalence of impaired fasting glucose increased according to increasing number of live births (P£¼0.001). Comparing with nulliparous women, parous women had a higher risk of IFG. The multivariate-adjusted odd ratio (aOR) for IFG for the birth numbers 1, 2, 3, and 4 were 1.339 (95% confidence interval [CI], 0.840?2.134), 1.558 (95% CI, 1.041?2.333), 1.513 (95% CI, 0.935?2.451), and 1.320 (95% CI, 0.801?2.177). Among parous women, increasing duration of lactation was associated with a reduced risk of IFG, significantly. The multivariate aOR of IFG for total duration of lactation and average duration per child of lactation were 0.996 (95% CI, 0.992?0.999) and 0.986 (95% CI, 0.976?0.997).
Conclusion: We found that multiparity may be associated with increasing risk of impaired fasting glucose, and conversely, lactation may reduce this risk among Korean women.
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KEYWORD
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Parity, Fasting Plasma Glucose, Impaired Fasting Glucose, Lactation
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