PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Lactation, Prolonged”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 73 records · Page 4Linked to original sources

Reduced muscle lactate during prolonged exercise following induced plasma volume expansion.

To examine the effects of a dilutional mediated decrease in arterial O2 content on muscle metabolic and substrate behaviour during exercise, plasma volume was acutely expanded by either 14% (LOW) or 21% (HIGH) using a 6% dextran solution dissolved in saline (Macrodex) and compared with a control (CON) condition. The exercise protocol, performed by eight untrained males (VO2max = 45.2 +/- 2.2 mL.kg-1.min-1, X +/- SE) and with the conditions randomized, was conducted for 120 min at 46 +/- 4% VO2max. The content of inosine monophosphate determined on muscle tissue extracted from the vastus lateralis increased (p < 0.05) by 120 min of exercise (0.119 +/- 0.02 vs 0.493 +/- 0.19 mmol/kg dry weight) in CON. No effect of either LOW or HIGH expansion of plasma volume was found. Similarly, phosphocreatine content (mmol/kg dry weight), although reduced (p < 0.05) with exercise, was not different between the conditions at either 3 min (61.9 +/- 3.5, 66.2 +/- 3.5, 64.3 +/- 2.1) or 120 min (52.5 +/- 6.3, 53.8 +/- 5.8, 59.4 +/- 5.5) of exercise. In contrast, both pyruvate and lactate were reduced (p < 0.05) by 3 min of exercise in both LOW and HIGH compared with CON. The reduction in these metabolites with plasma volume expansion was not accompanied by an alteration in glycogen depletion rates. Steady-state VO2 was unaffected by acute hypervolemia. These results suggest that moderate exercise following an approximate 10% reduction in arterial O2 content can be performed without increasing the imbalance between ATP production and utilization rates. Since high energy phosphate transfer and glycolysis appeared not to be increased, mitochondrial respiration was apparently preserved by mechanisms as yet undetermined.

Adult↗

Effect of parity on bone mineral density among postmenopausal Saudi Arabian women.

OBJECTIVE: Osteoporosis and osteopenia among postmenopausal Saudi Arabian women are common to the extent of over 60%. Pregnancy, multiparity and prolonged lactation are suggested as factors modifying negatively in the development of osteoporosis. Earlier reports from the institution indicated a beneficial role of multiparity in postmenopausal osteoporosis (PMO). We conducted this study to measure the effect of parity on bone mineral density (BMD) measurement of lumbar spine and the upper femur. METHODS: We conducted this prospective study at King Fahd Hospital of the University, College of Medicine, King Faisal University, Dammam, Saudi Arabia, between January 2002 and June 2003. This study analyzed 256 patients who attended orthopedic clinics. The data gathered was age, duration of menopause, number of children borne, height and weight for body mass index (BMI) calculation. We excluded women with secondary osteoporosis from the study. We entered the patients orthopedic complaints in the database. We carried out the BMD measurements using Hologic total body DEXA machine. We analyzed the data using SPSS package with significance at p<0.05 and confidence interval of 95%. For final analysis, we took into consideration an average of results of the lumbar spine and hip region. RESULTS: We analyzed the available data of 256 patients. We divided the patients into 2 groups; group A with >6 children and group B with women of <5 children. In group A, there were 116 women and 140 in group B. The mean age of patients in group A was 56.81 (50-65) years SD +/- 5.19 and in group B the mean age was 58.86 years (48-76) SD +/- 7.68. The average BMI in group A was 31.95 kg/m2 and in group B it was 29.14 kg/m2. The BMD of the lumbar spine of group A was 0.850 g/cm2 (SD+/-0.112) compared to group B of 0.699 g/cm2 (SD+/-0.141), p<0.005. The BMD of the hip region of group A was 0.836 g/cm2 and that of group B patients was 0.716g/cm2 (p<0.01). In women with <5 children, 25.5 had normal BMD as compared to 47 in women with >6 children, 25.4% were osteoporotic in group A and in group B 48%. As per the World Health Organization classification 56% in group A had an increased risk of fracture as compared to 77.5% in group B women. CONCLUSION: Our results indicate that women who had borne >6 children were less osteoporotic and of low fracture risk as compared to those women who had <5 children. The BMD of the women with >6 children was statistically higher than their counterparts, and they sustain this after prolonged lactation. We believe that increased parity protects women from osteoporosis and the severity of the disease, and it is our suggestion that women with <5 children and those nulliparous, who are at increased risk of developing osteoporosis should be investigated and treated accordingly.

Absorptiometry, Photon↗

Effect of acute food deprivation on lactational infertility in rats is reduced by leptin administration.

The goals of these experiments were to determine whether lactational anestrus would be prolonged by a 48-h fast at days 13 and 14 postpartum (pp) and, if so, to determine whether this effect could be reversed by treatment with the Ob protein leptin. We found that food deprivation on days 13 and 14 pp prolonged lactational infertility by 7 days and that the nutritional experience of both the dam and her litter contributed to this effect. Leptin administration (2.5 mg . kg-1 . day-1) during food deprivation was sufficient to reduce the length of lactational infertility compared with vehicle-treated food-deprived rats (P < 0.05). Similar leptin treatment in ad libitum-fed animals reduced food intake (P < 0.05) and litter growth (P < 0.05) but had no statistically significant effect on maternal weight gain or length of lactational infertility. Food-deprived lactating animals had lower circulating leptin levels than ad libitum-fed lactating animals on day 15 pp (P < 0.05), as determined by RIA. Levels in nonlactating rats were higher than in either lactating group (P < 0.05).

Anestrus↗

Suppression by bromocriptine of the serum lactalbumin peak associated with human lactogenesis.

The endocrine environment necessary for human lactation has not yet been clearly defined. In particular the role of prolactin is uncertain, since levels of this hormone usually fall to the normal non-lactating range during the course of prolonged lactation. We have found that the immediate post-partum peak of serum lactalbumin associated with lactogenesis was abolished by treatment with bromocriptine. This suggests a direct relationship between prolactin and lactalbumin production at this time.

Bromocriptine↗

Lactational infertility in family planning.

The contraceptive effect of breast-feeding is the single most important determinant of human population growth rates in traditional societies without access to modern forms of contraception; lactational amenorrhoea is Nature's contraceptive. Even today, breast-feeding still prevents more pregnancies than all modern forms of contraception in many developing countries. Afferent neural inputs from the nipple pass via the spinal cord to the hypothalamus, where they cause a local release of beta endorphin. This acts to depress GnRH secretion, thereby inhibiting pituitary gonadotrophin secretion, ovarian follicular development, ovulation and menstruation. The hypothalamic beta endorphin release also inhibits dopamine production, resulting in increased pituitary prolactin secretion. The higher the suckling frequency, the more beta endorphin that is released and hence the longer the duration of lactational amenorrhoea. Lactational amenorrhoea can be relied up to give over 98% contraceptive protection to breast-feeding women in the first 6 months postpartum, regardless of their nutritional status or the time of first supplement introduction to the baby. This is because the first postpartum menstruation usually precedes the first ovulation during these early months. Once menstruation has resumed, lactation's contraceptive effect can no longer be relied upon, even though the woman continues to breast-feed. In breast-feeding women whose amenorrhoea extends beyond 6 months, there is an increasing tendency for the first ovulation to precede the first menstruation, thereby decreasing the reliability of lactational amenorrhoea as a contraceptive. Nevertheless, many women who continue to breast-feed may still have up to 1-2 years of good contraceptive protection from prolonged lactational amenorrhoea.(ABSTRACT TRUNCATED AT 250 WORDS)

Amenorrhea↗

Effect of breast-feeding status on prolactin secretion and resumption of menstruation.

This study investigated prospectively the effect of supplementary breast feeding on the duration of lactational amenorrhoea and serum prolactin levels during prolonged breast feeding in a group of 34 Australian mothers. Although supplementary feeding correlated statistically with the decline in mean serum prolactin levels and the subsequent resumption of menstruation, critical analysis of the data revealed that serum prolactin levels were declining with time before the introduction of supplementary feeding. It was concluded that the resumption of menstruation during prolonged lactational amenorrhoea is associated with the introduction of supplementary infant feeding, but other factors may be more important in this process. The good correlation between the decline in serum prolactin levels and the return of cyclic ovarian activity in individual mothers suggests that measurement of serum prolactin level may be a useful predictive index for returning fertility during breast feeding.

Amenorrhea↗

Animal models for the study of the effect of prolonged stress on lactation in rats.

The suppressive effect of stress on lactation is well acknowledged. Animal models used to study this problem have used primarily acute stressors. As such, they are not adequate for the study of the effect of prolonged stress on lactation. This study aimed at developing a paradigm(s) in rats for the study of the effect on lactation of prolonged exposure to a stressful situation. Two models were examined. The first consisted of a separation paradigm whereby dams had 1, 2, 4, or 6 contacts per day with their pups, but only for a total of 4 h per day. The second model implicated the introduction of a male intruder into the home cage during the 12-h light period. Both protocols were implemented for four consecutive days beginning on Days 10/11 postpartum. Milk release was measured on Day 13/14 postpartum. For both models, milk release was significantly reduced following the preexposure period. During the assessment of milk release, maternal behavior of the experimental and control animals was similar at all times. It is advanced that these two rat models of stress are appropriate for the study of lactation following a prolonged exposure to stress.

Animals↗

Effect of metabolic fuel availability on fertility varies with reproductive state.

A 48-h fast extends the estrous cycle of virgin rats and, when instituted on days 13 and 14 postpartum (pp), prolongs lactational infertility. We investigated the ability of 2-deoxy-D-glucose (2DG) alone or combined with mercaptoacetate (MA) to mimic these effects of fasting. In Experiment 1, we monitored estrous cyclicity in virgin rats receiving 800, 1200, or 1600 mg/kg/day of 2DG during metestrus and diestrus. In Experiment 2, we assessed the effects of 2DG (1600 mg/kg/day) given on days 13 and 14 pp, on the duration of lactational infertility. In Experiment 3, the combined effects of 2DG (1600, 2000, or 2400 mg/kg/day) and MA (180 mg/kg/day) on the length of lactational diestrus were evaluated. 2DG was sufficient to extend the estrous cycle of virgin rats, but neither 2DG alone nor given with MA prolonged the length of lactational diestrus. Results suggest that lactating rats are less sensitive than virgin rats to the effects of metabolic fuel inhibition on fertility. These data are discussed in relation to the hormonal state of the dam as well as in relation to the effects of these drugs on lactational performance.

Animals↗

Breast-feeding, return of menses, sexual activity and contraceptive practices among mothers in the first six months of lactation in Onitsha, South Eastern Nigeria.

The objective of this study was to determine the exclusive breast-feeding practices, return of menstruation, sexual activity and contraceptive practices among breast-feeding mothers in the first six months of lactation. The study was based in Onitsha, South Eastern Nigeria. A structured questionnaire was used to obtain data from breast-feeding mothers on their age, educational attainment, breast-feeding practices, return of menstruation, sexual activity and contraceptive practices within the first six months of lactation at intervals of 6 weeks, 10 weeks 14 weeks and 6 months post delivery. Analysis of the information obtained showed that out of the 178 mothers who participated in the study 81% of the mothers were within the ages of 20 - 34 years. While all the mothers had formal education, the majority (59%) had secondary education. Seventy-three percent initiated breast-feeding within one hour of delivery. On discharge from hospital, all of them had already established breast-feeding which continued up to six weeks and dropped to 97.8% at six months. Exclusive breast-feeding which was practised by 100% on discharge dropped to 3.9% at six months. The feeding regimen was on demand as practised by 98.9% of the mothers. Menstrual flow had returned in 33.8% of the mothers by 6 weeks of lactation, and had risen to 70.2% at six months. There was more prolonged lactational amenorrheoa in exclusively breast-feeding mothers than in those who were not. By 6 weeks post delivery 31.6% of the mothers had resumed sexual activity and this rose to 93.6% at six months. With the resumption of sexual activity only 5% of the mothers resorted to contraceptive practices other than lactational amenorrhea and this increased to 54% at six months. There was no pregnancy in any of these women during the six months period. While appreciating the role of lactational amenorrhea in child spacing and considering the early return of sexual activity among the mothers the practice of introducing contraceptive practices needs to be encouraged especially in women whose menstruation has returned.

Adolescent↗

Lactation reduces breast cancer risk in Shandong Province, China.

Results from studies of western populations investigating lactation and breast cancer risk have been inconsistent. To examine this issue, the authors conducted a hospital-based case-control study in Shandong Province, China, in 1997-1999. A total of 404 cases and an equal number of controls were included. Detailed information regarding lactation, menstruation, and reproduction was collected through in-person interview. The authors found a significant inverse association between duration of lactation and breast cancer risk. For women who breastfed for more than 24 months per child, the odds ratio was 0.46 (95% confidence interval (CI): 0.27, 0.78) when compared with those who breastfed for 1-6 months per child. A significantly reduced risk of breast cancer was also found for those whose lifetime duration of lactation totaled 73-108 months (odds ratio = 0.47, 95% CI: 0.23, 0.95) and for those who breastfed for > or =109 months (odds ratio = 0.24, 95% CI: 0.11, 0.53). The test for trend was statistically significant for both mean duration of lactation per child (p = 0.02) and lifetime duration of lactation (p = 0.00). Further stratification by menopausal status resulted in the same conclusion. These data suggest that prolonged lactation reduces breast cancer risk.

Adolescent↗

Lactation and cancer of the breast. A summary of an international study.

An international collaborative study has been carried out to test the hypothesis that prolonged lactation protects women against cancer of the breast. While pregnancy itself seemed to confer some protection against breast cancer in all areas studied, no consistent differences in duration of lactation were found between breast cancer patients and unaffected women, once the fact that breast cancer patients have fewer pregnancies had been allowed for. Even in areas where some women had lactated for a total of 5 years or more, such women occurred proportionately no less frequently among breast cancer patients than among unaffected women. In the light of this and other recent evidence, it is unlikely that lactation has any protective effect against breast cancer in women, and other explanations must be sought for the remarkable international differences in the frequency of this disease.

Adult↗

Calcium requirements of lactating Gambian mothers: effects of a calcium supplement on breast-milk calcium concentration, maternal bone mineral content, and urinary calcium excretion.

The calcium requirement for prolonged lactation was investigated in a randomized supplementation study of Gambian mothers consuming a low-calcium diet (7.1 mmol/d, or 283 mg/d). Sixty women were studied from 10 d to 78 wk of lactation, receiving calcium or placebo for the first 12 mo. The supplement increased average calcium intake by 17.9 mmol/d (714 mg/d). Supplementation had no effect on breast-milk calcium concentration or on maternal bone mineral content. Urinary calcium output was higher in supplemented than in unsupplemented mothers by 1.18 mmol/d (47 mg/d), P < or = 0.005. Longitudinal changes in urinary calcium output and bone mineral content made a substantial contribution to calcium requirements for lactation. This study suggests that, in women with low calcium intakes, there is no direct benefit from increasing calcium intake during lactation, and that physiological mechanisms operate to furnish calcium for breast-milk production.

Adolescent↗

Reproductive biology of seals.

The reproductive biology of seals is fascinating in many aspects. As in most mammals, the time of onset of puberty in seals is variable. Once sexually mature, most but not all seals are seasonally mono-oestrous, with highly synchronized breeding seasons. They have evolved as either terrestrial or aquatic copulators, although a few species mate in a variety of habitats. Their mating strategies are diverse, ranging from serial monogamy to extreme polygyny. Gestation in seals is characterized by an embryonic diapause, which is obligate in most species. Reactivation of the blastocyst is followed by a placental gestation. All species of seal require a terrestrial (including ice floes) habitat for parturition. Lactation differs between the two seal families: phocid seals have an intense period of maternal investment, during which the mothers fast; otariid seals have a prolonged lactation during which intense bouts of suckling are interspersed by days of separation from their pups while the mother forages at sea. Although the anatomy and functional morphology of seals has been well described, less is known of the endocrinology of reproduction. This is due mainly to the logistical difficulties that researchers experience in collecting serial samples from a species that is relatively difficult to handle. This article reviews the basic anatomy and physiology, and our current understanding of the comparative aspects of reproduction in seals. Reproductive behaviours as well as the influences of environmental factors, such as photoperiod, nutrition and xenobiotics, are also discussed.

Animals↗

Lactate kinetics in severe COPD. Implications of an abnormal aminopyrine breath test.

The ability of the 13C aminopyrine breath test (APBT) to reflect hepatocellular metabolic capacity and therefore to predict lactate removal following incremental exercise in male COPD patients was evaluated. Two previous patients with COPD who had histories of heavy alcohol intake but no overt liver disease showed prolonged lactate elevation following exercise. The possibility of subclinical hepatic disease affecting lactate removal was considered. No patient in the present study had clinical evidence of liver disease. Four of 9 patients had an abnormal APBT (mean 5.0% cumulative dose 13CO2 excreted over 2 h). Patients with a normal APBT (group 1) and with an abnormal APBT (group 2) were compared. The groups did not differ in age or severity of lung disease. An incremental exercise test was performed and lactate samples were collected before, during, and for 90 min following exercise. Exercise parameters (work rate, duration, VO2max, VEmax, and peak lactate) did not differ between groups. Comparing group 1 with group 2 mean values, the time to recover to resting lactate values (Trecov 45 vs 76 min, respectively, p less than 0.005) and the time required for lactate level to return to the normal range (Tnorm 35 vs 65 min, respectively, p less than 0.005) were statistically different. Furthermore, the 2-h excretion of 13CO2 was inversely correlated with both Trecov (r = -0.76, p less than 0.05) and Tnorm (r = -0.79, p less than 0.05). We conclude that subclinical derangement of hepatocellular capacity, as determined by APBT, may adversely affect lactate removal following exercise.

Aminopyrine↗

Pregnancy and leprosy neuropathy.

Women with leprosy (even apparently cured) run a serious risk of deterioration in nerve function when they become pregnant. During pregnancy and lactation the woman with leprosy may suffer: relapse, reactivation and transient exacerbation maximally in late pregnancy; ENL in the first and third trimesters, continuing with nerve damage postpartum; RR maximally postpartum, even after MDT and RFT; neuritis affecting almost 50% of women in any pregnancy/lactation, in most cases as "silent" neuritis with new motor and sensory loss, even after MDT-RFT, and stocking-and-glove anaesthesia even in PB women and post MDT-RFT. Those incubating the infection develop overt disease frequently in reaction. This tragic cycle can only be stopped by a combination of: (i) leprologists and leprosy control personnel understanding the problems of leprosy in pregnant and lactating mothers; (ii) well-planned health education for leprosy patients, and both leprosy and maternal health care workers and (iii) the highest standard of clinical supervision during pregnancy, prolonged lactation and at regular intervals during the woman's reproductive life, even after she would normally be released from surveillance after completion of multiple drug treatment (MDT).

Female↗

Lactation and reproductive histories of breast cancer patients in Tokyo, Japan.

Epidemiological characteristics of breast cancer have been studied in Tokyo, an area of relatively low breast cancer rates, as part of an international collaborative study. Breast feeding of infants is customary for Japanese women, but even very prolonged lactation did not appear to be associated with a reduction in breast cancer risk. Late age at menarche and early age at first pregnancy were both associated with reduced breast cancer risk. The protective effect of early pregnancy seems much greater than has previously been recognized, and may indeed be greater in Japan than in other areas. However, the average age at first pregnancy is not lower in Tokyo than in areas than in areas where breast cancer rates are high.

Adult↗