{"doi":"10.1161/jaha.118.011056","title":"Breastfeeding and Cardiovascular Disease Hospitalization and Mortality in Parous Women: Evidence From a Large Australian Cohort Study","abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background</jats:title>\n            <jats:p xml:lang=\"en\">\n              Few studies have investigated the longitudinal association between breastfeeding and maternal cardiovascular disease (\n              <jats:styled-content style=\"fixed-case\">CVD</jats:styled-content>\n              ) outcomes. This study examined the association between breastfeeding and\n              <jats:styled-content style=\"fixed-case\">CVD</jats:styled-content>\n              hospitalization and mortality in a large Australian cohort.\n            </jats:p>\n          </jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results</jats:title>\n            <jats:p xml:lang=\"en\">\n              Baseline questionnaire data (2006–2009) from a sample of 100 864 parous women aged ≥45 years from New South Wales, Australia, were linked to hospitalization and death data until June 2014 and December 2013, respectively. Analysis was restricted to women without self‐reported medically diagnosed\n              <jats:styled-content style=\"fixed-case\">CVD</jats:styled-content>\n              at baseline or without past\n              <jats:styled-content style=\"fixed-case\">CVD</jats:styled-content>\n              hospitalization 6 years before study entry. Never versus ever breastfeeding and average breastfeeding duration per child, derived from self‐reported lifetime breastfeeding duration and number of children, and categorized as never breastfed, &lt;6, &gt;6 to 12, or &gt;12 months/child, were assessed. Cox proportional hazards models were used to explore the association between breastfeeding and\n              <jats:styled-content style=\"fixed-case\">CVD</jats:styled-content>\n              outcomes. Covariates included sociodemographic characteristics, lifestyle risk factors, and medical and reproductive history. There were 3428 (3.4%) first\n              <jats:styled-content style=\"fixed-case\">CVD</jats:styled-content>\n              ‐related hospital admissions and 418 (0.4%) deaths during a mean follow‐up time of 6.1 years for\n              <jats:styled-content style=\"fixed-case\">CVD</jats:styled-content>\n              hospitalization and 5.7 years for\n              <jats:styled-content style=\"fixed-case\">CVD</jats:styled-content>\n              mortality. Ever breastfeeding was associated with lower risk of\n              <jats:styled-content style=\"fixed-case\">CVD</jats:styled-content>\n              hospitalization (adjusted hazard ratio [95% CI]: 0.86 [0.78, 0.96];\n              <jats:italic>P</jats:italic>\n              =0.005) and\n              <jats:styled-content style=\"fixed-case\">CVD</jats:styled-content>\n              mortality (adjusted hazard ratio [95% CI]: 0.66 [0.49, 0.89];\n              <jats:italic>P</jats:italic>\n              =0.006) compared with never breastfeeding. Breastfeeding ≤12 months/child was significantly associated with lower risk of\n              <jats:styled-content style=\"fixed-case\">CVD</jats:styled-content>\n              hospitalization.\n            </jats:p>\n          </jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions</jats:title>\n            <jats:p xml:lang=\"en\">\n              Breastfeeding is associated with lower maternal risk of\n              <jats:styled-content style=\"fixed-case\">CVD</jats:styled-content>\n              hospitalization and mortality in middle‐aged and older Australian women. Breastfeeding may offer long‐term maternal cardiovascular health benefits.\n            </jats:p>\n          </jats:sec>","journal":"Journal of the American Heart Association","year":2019,"id":645188,"datarank":0.6261580904843456,"base_score":4.174387269895637,"endowment":4.174387269895637,"self_citation_contribution":0.6261580904843456,"citation_network_contribution":0.0,"self_endowment_contribution":0.6261580904843456,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":64,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":2,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1679823,"name":"Joanne Gale","orcid":null,"position":1,"is_corresponding":false},{"id":453083,"name":"Natasha Nassar","orcid":"0000-0002-3720-9655","position":2,"is_corresponding":false},{"id":58384,"name":"Adrian Bauman","orcid":"0000-0002-0369-4621","position":3,"is_corresponding":false},{"id":606745,"name":"Grace Joshy","orcid":"0000-0002-0718-6368","position":4,"is_corresponding":false},{"id":262422,"name":"Ding Ding","orcid":"0000-0002-3260-7515","position":5,"is_corresponding":false},{"id":706546,"name":"Binh Nguyen","orcid":"0000-0002-5731-8824","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Breastfeeding and Cardiovascular Disease Hospitalization and Mortality in Parous Women: Evidence From a Large Australian Cohort Study","abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background</jats:title>\n            <jats:p xml:lang=\"en\">\n              Few studies have investigated the longitudinal association between breastfeeding and maternal cardiovascular disease (\n              <jats:styled-content style=\"fixed-case\">CVD</jats:styled-content>\n              ) outcomes. This study examined the association between breastfeeding and\n              <jats:styled-content style=\"fixed-case\">CVD</jats:styled-content>\n              hospitalization and mortality in a large Australian cohort.\n            </jats:p>\n          </jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results</jats:title>\n            <jats:p xml:lang=\"en\">\n              Baseline questionnaire data (2006–2009) from a sample of 100 864 parous women aged ≥45 years from New South Wales, Australia, were linked to hospitalization and death data until June 2014 and December 2013, respectively. Analysis was restricted to women without self‐reported medically diagnosed\n              <jats:styled-content style=\"fixed-case\">CVD</jats:styled-content>\n              at baseline or without past\n              <jats:styled-content style=\"fixed-case\">CVD</jats:styled-content>\n              hospitalization 6 years before study entry. Never versus ever breastfeeding and average breastfeeding duration per child, derived from self‐reported lifetime breastfeeding duration and number of children, and categorized as never breastfed, &lt;6, &gt;6 to 12, or &gt;12 months/child, were assessed. Cox proportional hazards models were used to explore the association between breastfeeding and\n              <jats:styled-content style=\"fixed-case\">CVD</jats:styled-content>\n              outcomes. Covariates included sociodemographic characteristics, lifestyle risk factors, and medical and reproductive history. There were 3428 (3.4%) first\n              <jats:styled-content style=\"fixed-case\">CVD</jats:styled-content>\n              ‐related hospital admissions and 418 (0.4%) deaths during a mean follow‐up time of 6.1 years for\n              <jats:styled-content style=\"fixed-case\">CVD</jats:styled-content>\n              hospitalization and 5.7 years for\n              <jats:styled-content style=\"fixed-case\">CVD</jats:styled-content>\n              mortality. Ever breastfeeding was associated with lower risk of\n              <jats:styled-content style=\"fixed-case\">CVD</jats:styled-content>\n              hospitalization (adjusted hazard ratio [95% CI]: 0.86 [0.78, 0.96];\n              <jats:italic>P</jats:italic>\n              =0.005) and\n              <jats:styled-content style=\"fixed-case\">CVD</jats:styled-content>\n              mortality (adjusted hazard ratio [95% CI]: 0.66 [0.49, 0.89];\n              <jats:italic>P</jats:italic>\n              =0.006) compared with never breastfeeding. Breastfeeding ≤12 months/child was significantly associated with lower risk of\n              <jats:styled-content style=\"fixed-case\">CVD</jats:styled-content>\n              hospitalization.\n            </jats:p>\n          </jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions</jats:title>\n            <jats:p xml:lang=\"en\">\n              Breastfeeding is associated with lower maternal risk of\n              <jats:styled-content style=\"fixed-case\">CVD</jats:styled-content>\n              hospitalization and mortality in middle‐aged and older Australian women. Breastfeeding may offer long‐term maternal cardiovascular health benefits.\n            </jats:p>\n          </jats:sec>","is_dataset_classified":null,"base_score":4.174387269895637,"endowment":4.174387269895637,"datacite_reuse_total":2,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"30871389","pmcid":"PMC6475066","openalex_id":"https://openalex.org/W2922203778","authors":[],"funders":[{"funder_name":"National Health and Medical Research Council (NHMRC)","grant_id":"1067066","title":"Role of maternal and obstetric factors on long-term child health & educational outcomes"}],"total_grants":1,"fwci":4.2539,"citation_percentile":0.94874947,"influential_citations":0,"citation_trend":[{"year":2019,"count":4},{"year":2020,"count":6},{"year":2021,"count":8},{"year":2022,"count":11},{"year":2023,"count":9},{"year":2024,"count":11},{"year":2025,"count":10},{"year":2026,"count":4}],"oa_status":"gold","license":"cc-by-nc-nd","oa_locations":[{"url":"https://doi.org/10.1161/jaha.118.011056","host_type":"journal"},{"url":"https://doi.org/10.1161/jaha.118.011056","host_type":"publisher"},{"url":"https://www.ahajournals.org/doi/full/10.1161/JAHA.118.011056","host_type":"publisher"},{"url":"https://pubmed.ncbi.nlm.nih.gov/30871389","host_type":"repository"},{"url":"https://doaj.org/article/34f172d86959492e944c772e9905df26","host_type":"repository"},{"url":"http://hdl.handle.net/1885/251112","host_type":"repository"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6475066","host_type":"repository"},{"url":"https://europepmc.org/articles/PMC6475066","host_type":"Europe_PMC"},{"url":"https://europepmc.org/articles/PMC6475066?pdf=render","host_type":"Europe_PMC"},{"url":"http://dx.doi.org/10.1161/JAHA.118.011056","host_type":""},{"url":"https://dx.doi.org/10.1161/jaha.118.011056","host_type":""},{"url":"https://doi.org/https://doi.org/10.1161/JAHA.118.011056","host_type":""}],"fields_of_study":["Breastfeeding Practices and Influences","Maternal Mental Health During Pregnancy and Postpartum","Gestational Diabetes Research and Management","03 medical and health sciences","0302 clinical medicine"],"mesh_terms":["Aged","Breast Feeding","Cardiovascular Diseases","Female","Follow-Up Studies","Hospitalization","Humans","Male","Middle Aged","New South Wales","Prognosis","Prospective Studies","Surveys and Questionnaires","Risk Factors","Risk Assessment"],"keywords":["Medicine","Breastfeeding","Hazard ratio","Proportional hazards model","Cohort study","Cohort","Pediatrics","Demography","Disease","Confidence interval","Obstetrics","Internal medicine","Cardiovascular diseases","Lactation","Prospective studies","Maternal Health","Middle Aged","Prognosis","Risk Assessment","Hospitalization","Breast Feeding","Risk Factors","RC666-701","Surveys and Questionnaires","Diseases of the circulatory (Cardiovascular) system","Humans","Female","New South Wales","Original Research","Aged","Follow-Up Studies"],"sdg_mappings":[{"sdg_number":3,"sdg_label":"3. Good health"},{"sdg_number":0,"sdg_label":"Good health and well-being"}],"linked_datasets":[{"doi":"10.6084/m9.figshare.26565699.v1","title":"Additional file 1 of Breastfeeding difficulties in the first 6 weeks postpartum among mothers with chronic conditions: a latent class analysis","publisher":"figshare","resource_type":"JournalArticle"},{"doi":"10.6084/m9.figshare.26565699","title":"Additional file 1 of Breastfeeding difficulties in the first 6 weeks postpartum among mothers with chronic conditions: a latent class analysis","publisher":"figshare","resource_type":"JournalArticle"}],"clinical_trials":[],"software_tools":[],"database_accessions":[{"name":"doi"}],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-09T03:27:12.625523Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}