Prolonged and exclusive breastfeeding reduces the risk of infectious diseases in infancy

To examine the associations of duration of exclusive breastfeeding with infections in the upper respiratory (URTI), lower respiratory (LRTI), and gastrointestinal tracts (GI) in infancy. This study was embedded in the Generation R Study, a population-based prospective cohort study from fetal life on...

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Vydané v:Pediatrics (Evanston) Ročník 126; číslo 1; s. e18
Hlavní autori: Duijts, Liesbeth, Jaddoe, Vincent W V, Hofman, Albert, Moll, Henriëtte A
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: United States 01.07.2010
Predmet:
Age Factors
Breast Feeding - statistics & numerical data
Cohort Studies
Communicable Disease Control - methods
Communicable Diseases - epidemiology
Confidence Intervals
Diarrhea, Infantile - epidemiology
Diarrhea, Infantile - immunology
Diarrhea, Infantile - prevention & control
Female
Follow-Up Studies
Gastroenteritis - epidemiology
Gastroenteritis - immunology
Gastroenteritis - prevention & control
Humans
Infant
Infant, Newborn
Male
Netherlands
Odds Ratio
Primary Prevention - methods
Prospective Studies
Reference Values
Respiratory Tract Infections - epidemiology
Respiratory Tract Infections - immunology
Respiratory Tract Infections - prevention & control
Risk Assessment
Time Factors
Netherlands
ISSN:1098-4275, 1098-4275
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Popis
Shrnutí:To examine the associations of duration of exclusive breastfeeding with infections in the upper respiratory (URTI), lower respiratory (LRTI), and gastrointestinal tracts (GI) in infancy. This study was embedded in the Generation R Study, a population-based prospective cohort study from fetal life onward in the Netherlands. Rates of breastfeeding during the first 6 months (never; partial for <4 months, not thereafter; partial for 4-6 months; exclusive for 4 months, not thereafter; exclusive for 4 months, partial thereafter; and exclusive for 6 months) and doctor-attended infections in the URTI, LRTI, and GI until the age of 12 months were assessed by questionnaires and available for 4164 subjects. Compared with never-breastfed infants, those who were breastfed exclusively until the age of 4 months and partially thereafter had lower risks of infections in the URTI, LRTI, and GI until the age of 6 months (adjusted odds ratio [aOR]: 0.65 [95% confidence interval (CI): 0.51-0.83]; aOR: 0.50 [CI: 0.32-0.79]; and aOR: 0.41 [CI: 0.26-0.64], respectively) and of LRTI infections between the ages of 7 and 12 months (aOR: 0.46 [CI: 0.31-0.69]). Similar tendencies were observed for infants who were exclusively breastfed for 6 months or longer. Partial breastfeeding, even for 6 months, did not result in significantly lower risks of these infections. Exclusive breastfeeding until the age of 4 months and partially thereafter was associated with a significant reduction of respiratory and gastrointestinal morbidity in infants. Our findings support health-policy strategies to promote exclusive breastfeeding for at least 4 months, but preferably 6 months, in industrialized countries.
Bibliografia:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-1
content type line 23
ISSN:1098-4275
1098-4275
DOI:10.1542/peds.2008-3256