Breast feeding, bottle feeding, and maternal autonomic responses to stress

被引:55
|
作者
Mezzacappa, ES
Kelsey, RM
Katkin, ES
机构
[1] Columbia Univ, Columbia Presbyterian Med Ctr, Behav Med Program, New York, NY 10032 USA
[2] SUNY Stony Brook, Dept Psychol, Stony Brook, NY 11794 USA
[3] Univ Tennessee, Hlth Sci Ctr, Dept Pediat, Knoxville, TN 37996 USA
关键词
breast feeding; electrodermal response; heart period variability; heart rate; preejection period; stress;
D O I
10.1016/j.jpsychores.2004.11.004
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: The aim of this study was to examine the effects of breast feeding on autonomic nervous system (ANS) response to stressors. Methods: Sympathetic and parasympathetic activities were examined before, during, and after standard laboratory stressors in women who were either exclusively breast feeding (n = 14) or nonexclusively breast feeding (n = 14), and in non-postpartum controls (n = 15). Results: Mothers who breast fed exclusively showed greater levels of parasympathetic cardiac modulation and slower heart rate (HR) throughout the session and less HR increase and preejection period (PEP) shortening to mental arithmetic (MA) than did nonexclusive breast feeders and controls. Nonexclusive breast-feeders showed greater electrodermal reactivity to, and greater differences in skin conductance response (SCR) frequency between baseline and recovery from cold pressor (CP) than did either exclusive breast-feeders or controls. Sympathetic activity was negatively related to the number of breast feedings and positively related to bottle feedings. Conclusion: Breast feeding shifts maternal ANS balance toward relatively greater parasympathetic and lesser sympathetic activity; the opposite occurs with bottle feeding. The frequency of feeding also is a critical factor in determining breast feeding effects on maternal ANS function. (c) 2005 Elsevier Inc. All rights reserved.
引用
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页码:351 / 365
页数:15
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