Is breastfeeding in MS harmful or not? An answer from
real-world Czech data

J 2023

Is breastfeeding in MS harmful or not? An answer from real-world Czech data

HRADILEK, Pavel, Olga ZAPLETALOVA, Petra HANULIKOVA, Eva KUBALA HAVRDOVA, Ivana WOZNICOVA et. al.

Basic information

Original name

Is breastfeeding in MS harmful or not? An answer from real-world Czech data

Authors

HRADILEK, Pavel (203 Czech Republic), Olga ZAPLETALOVA (203 Czech Republic), Petra HANULIKOVA (203 Czech Republic), Eva KUBALA HAVRDOVA (203 Czech Republic), Ivana WOZNICOVA (203 Czech Republic), Aneta MAZOUCHOVA (203 Czech Republic), Jiri DRAHOTA (203 Czech Republic), Michal LAUER (203 Czech Republic), Ivana STETKAROVA (203 Czech Republic), Martin VALIS (203 Czech Republic), Jana LIBERTINOVA (203 Czech Republic), Pavel ŠTOURAČ (203 Czech Republic, belonging to the institution), Jana ADAMKOVA (203 Czech Republic), Radek AMPAPA (203 Czech Republic), Marta VACHOVA (203 Czech Republic), Michal DUFEK (203 Czech Republic), Alena MARTINKOVA (203 Czech Republic), Marek PETERKA (203 Czech Republic), Eva RECMANOVA (203 Czech Republic), Jan MARES (203 Czech Republic) and Dana HORAKOVA (203 Czech Republic)

Edition

MULTIPLE SCLEROSIS AND RELATED DISORDERS, OXFORD, ELSEVIER SCI LTD, 2023, 2211-0348

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30210 Clinical neurology

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 4.000 in 2022

RIV identification code

RIV/00216224:14110/23:00133298

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1016/j.msard.2023.104790

UT WoS

001032690900001

Keywords in English

Multiple sclerosis; Breastfeeding; EDSS; Relapses; Czech national multiple sclerosis patient registry ReMuS

Abstract

V originále

Introduction: The influence of breastfeeding and it & PRIME;s duration on the course of multiple sclerosis (MS) is unclear. Here we analyzed a real-world data for breastfeeding women with MS and their disease course collected from a Czech national registry ReMuS.Objectives: To identify risk factors associated with not initiating breastfeeding after delivery, to analyze the impact of breastfeeding on the MS disease course, evaluate the assumption, that breastfeeding is not harmful in MS patients, and compare the disease course by breastfeeding status.Materials and methods: Using propensity score matching we compared Expanded Disability Status Scale (EDSS), confirmed disease worsening (CDW) and annual relapse rate (ARR) in breastfeeding and non-breastfeeding MS patients according to disease duration, disease modifying treatment (DMT) before pregnancy, last EDSS score before conception, age, and ARR during pregnancy. We also compared these parameters between breastfeeding patients not using a DMT and non-breastfeeding patients who resumed DMT within 3 months after delivery. EDSS, ARR, and CDW were collected at 12, 24, and 36 months after delivery.Results: A total of 1681 pregnancies that ended in delivery were analyzed from 2013 through 2020. Change in ARR and EDSS values and 6-months CDW did not significantly differ between the analyzed groups. Compared with non-breastfeeding women who resumed DMT early after delivery, breastfeeding women with MS did not experience worse clinical outcomes even without initiating a DMT. Discussion: Breastfeeding in Czech women with MS did not negatively affect the disease course and can be supported. Patients with MS can be treated with certain DMTs alongside breastfeeding and there is no need to stop breastfeeding, if the patient is clinically stable.

Citovat

HRADILEK, Pavel, Olga ZAPLETALOVA, Petra HANULIKOVA, Eva KUBALA HAVRDOVA, Ivana WOZNICOVA, Aneta MAZOUCHOVA, Jiri DRAHOTA, Michal LAUER, Ivana STETKAROVA, Martin VALIS, Jana LIBERTINOVA, Pavel ŠTOURAČ, Jana ADAMKOVA, Radek AMPAPA, Marta VACHOVA, Michal DUFEK, Alena MARTINKOVA, Marek PETERKA, Eva RECMANOVA, Jan MARES and Dana HORAKOVA. Is breastfeeding in MS harmful or not? An answer from real-world Czech data. MULTIPLE SCLEROSIS AND RELATED DISORDERS. OXFORD: ELSEVIER SCI LTD, 2023, vol. 76, August 2023, p. 1-7. ISSN 2211-0348. Available from: https://dx.doi.org/10.1016/j.msard.2023.104790.

@article{2367194,
   author = {Hradilek, Pavel and Zapletalova, Olga and Hanulikova, Petra and Kubala Havrdova, Eva and Woznicova, Ivana and Mazouchova, Aneta and Drahota, Jiri and Lauer, Michal and Stetkarova, Ivana and Valis, Martin and Libertinova, Jana and Štourač, Pavel and Adamkova, Jana and Ampapa, Radek and Vachova, Marta and Dufek, Michal and Martinkova, Alena and Peterka, Marek and Recmanova, Eva and Mares, Jan and Horakova, Dana},
   article_location = {OXFORD},
   article_number = {August 2023},
   doi = {http://dx.doi.org/10.1016/j.msard.2023.104790},
   keywords = {Multiple sclerosis; Breastfeeding; EDSS; Relapses; Czech national multiple sclerosis patient registry ReMuS},
   language = {eng},
   issn = {2211-0348},
   journal = {MULTIPLE SCLEROSIS AND RELATED DISORDERS},
   title = {Is breastfeeding in MS harmful or not? An answer from real-world Czech data},
   url = {https://www.sciencedirect.com/science/article/pii/S2211034823002924?via%3Dihub},
   volume = {76},
   year = {2023}
}

TY  - JOUR
ID  - 2367194
AU  - Hradilek, Pavel - Zapletalova, Olga - Hanulikova, Petra - Kubala Havrdova, Eva - Woznicova, Ivana - Mazouchova, Aneta - Drahota, Jiri - Lauer, Michal - Stetkarova, Ivana - Valis, Martin - Libertinova, Jana - Štourač, Pavel - Adamkova, Jana - Ampapa, Radek - Vachova, Marta - Dufek, Michal - Martinkova, Alena - Peterka, Marek - Recmanova, Eva - Mares, Jan - Horakova, Dana
PY  - 2023
TI  - Is breastfeeding in MS harmful or not? An answer from real-world Czech data
JF  - MULTIPLE SCLEROSIS AND RELATED DISORDERS
VL  - 76
IS  - August 2023
SP  - 1-7
EP  - 1-7
PB  - ELSEVIER SCI LTD
SN  - 22110348
KW  - Multiple sclerosis
KW  - Breastfeeding
KW  - EDSS
KW  - Relapses
KW  - Czech national multiple sclerosis patient registry ReMuS
UR  - https://www.sciencedirect.com/science/article/pii/S2211034823002924?via%3Dihub
N2  - Introduction: The influence of breastfeeding and it & PRIME;s duration on the course of multiple sclerosis (MS) is unclear. Here we analyzed a real-world data for breastfeeding women with MS and their disease course collected from a Czech national registry ReMuS.Objectives: To identify risk factors associated with not initiating breastfeeding after delivery, to analyze the impact of breastfeeding on the MS disease course, evaluate the assumption, that breastfeeding is not harmful in MS patients, and compare the disease course by breastfeeding status.Materials and methods: Using propensity score matching we compared Expanded Disability Status Scale (EDSS), confirmed disease worsening (CDW) and annual relapse rate (ARR) in breastfeeding and non-breastfeeding MS patients according to disease duration, disease modifying treatment (DMT) before pregnancy, last EDSS score before conception, age, and ARR during pregnancy. We also compared these parameters between breastfeeding patients not using a DMT and non-breastfeeding patients who resumed DMT within 3 months after delivery. EDSS, ARR, and CDW were collected at 12, 24, and 36 months after delivery.Results: A total of 1681 pregnancies that ended in delivery were analyzed from 2013 through 2020. Change in ARR and EDSS values and 6-months CDW did not significantly differ between the analyzed groups. Compared with non-breastfeeding women who resumed DMT early after delivery, breastfeeding women with MS did not experience worse clinical outcomes even without initiating a DMT. Discussion: Breastfeeding in Czech women with MS did not negatively affect the disease course and can be supported. Patients with MS can be treated with certain DMTs alongside breastfeeding and there is no need to stop breastfeeding, if the patient is clinically stable.
ER  -

HRADILEK, Pavel, Olga ZAPLETALOVA, Petra HANULIKOVA, Eva KUBALA HAVRDOVA, Ivana WOZNICOVA, Aneta MAZOUCHOVA, Jiri DRAHOTA, Michal LAUER, Ivana STETKAROVA, Martin VALIS, Jana LIBERTINOVA, Pavel ŠTOURAČ, Jana ADAMKOVA, Radek AMPAPA, Marta VACHOVA, Michal DUFEK, Alena MARTINKOVA, Marek PETERKA, Eva RECMANOVA, Jan MARES and Dana HORAKOVA. Is breastfeeding in MS harmful or not? An answer from real-world Czech data. \textit{MULTIPLE SCLEROSIS AND RELATED DISORDERS}. OXFORD: ELSEVIER SCI LTD, 2023, vol.~76, August 2023, p.~1-7. ISSN~2211-0348. Available from: https://dx.doi.org/10.1016/j.msard.2023.104790.

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