Breastfeeding and obesity in PCOS

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dc.contributor.authorHarrison, C.
dc.contributor.authorTeede, H.
dc.contributor.authorJoham, A.
dc.contributor.authorMoran, L.
dc.date.issued2016
dc.descriptionPublished online 27 September 2016
dc.description.abstractIntroduction: Polycystic ovary syndrome (PCOS), a common condition affecting up to 18% of reproductive- aged women, has complications including reproductive, metabolic and psychological dysfunction. There is a strong potentially bidirectional association of obesity with PCOS. Women with PCOS both have a higher risk of obesity and greater longitudinal weight gain and obesity increases the prevalence and severity of the reproductive, metabolic and psychological features of PCOS. In limited observational studies, PCOS is proposed as a potential factor contributing to lower breastfeeding initiation and duration. Areas covered: A narrative review using PubMed was performed covering the areas of the association of obesity and PCOS with breastfeeding success and interventions for improving breastfeeding success. Obesity impacts on breastfeeding success related to factors including impaired lactogenesis, mechanical difficulties, psychological considerations and an increased likelihood of having a caesarean section. The common coexistence of obesity in PCOS is the likely key contributor to the breastfeeding problems observed in PCOS, given the contribution of obesity to reduced breastfeeding initiation and duration. Expert review: Facilitating breastfeeding is crucial for optimising maternal and infant health benefits, highlighting the importance of lactation support for overweight and obese women with or without PCOS.
dc.description.statementofresponsibilityC. L. Harrison, H. J. Teede, A. E. Joham and L. J. Moran
dc.identifier.citationExpert Review of Endocrinology and Metabolism, 2016; 11(6):449-454
dc.identifier.doi10.1080/17446651.2016.1239523
dc.identifier.issn1744-6651
dc.identifier.issn1744-8417
dc.identifier.orcidTeede, H. [0000-0001-7609-577X]
dc.identifier.orcidMoran, L. [0000-0001-5772-6484]
dc.identifier.urihttp://hdl.handle.net/2440/111471
dc.language.isoen
dc.publisherTaylor & Francis
dc.relation.grantNHMRC
dc.rights© 2016 Informa UK Limited, trading as Taylor & Francis Group
dc.source.urihttps://doi.org/10.1080/17446651.2016.1239523
dc.subjectPolycystic ovary syndrome; lactation; obesity; insulin resistance; hyperandrogenism; weight gain
dc.titleBreastfeeding and obesity in PCOS
dc.typeJournal article
pubs.publication-statusPublished

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