Breast-feeding and the onset of atopic dermatitis in childhood: A systematic review and meta-analysis of prospective studies

Gdalevich, Michael; Mimouni, Daniel; David, Michael; Mimouni, Marc

doi:10.1067/mjd.2001.114741

Cited by 405 publications

(263 citation statements)

References 43 publications

Supporting

Mentioning

230

Contrasting

Unclassified

Order By: Relevance

“…In the healthy full-term population, breastfeeding has been associated with neurodevelopmental advantages, 1,2 lower rates of obesity 3,4 and lower incidence of atopic disorders. 5,6 Evidence also supports long-term cardiovascular benefits attributable to breastfeeding, including lower blood cholesterol levels in young adulthood 7 and lower blood pressure. 8 In the preterm hospitalized infant, breastfeeding decreases rates of life-threatening necrotizing enterocolitis 9,10 and infections, 11 and shortens hospital stays.…”

Section: Introductionmentioning

confidence: 96%

Positive effect of NICU admission on breastfeeding of preterm US infants in 2000 to 2003

Colaizy

Morriss

2008

J Perinatol

View full text Add to dashboard Cite

Objective: We hypothesized that neonatal intensive care unit (NICU) admission reduces breastfeeding in a recent population of US infants, adjusting for confounding factors.Study Design: Using pregnancy risk assessment monitoring system data from 27 states for the years 2000 to 2003, we determined the relationship between breastfeeding and gestational age (GA) stratified by NICU status. We fitted a proportional odds model for breastfeeding duration as a function of NICU status adjusted for other covariates. SAS 9.1.3 and SUDAAN 9.0 were used for the weighted analyses.Result: In total 138 359 surveys, including 29 940 NICU-admitted infants, were analyzed. A total of 73% of mothers of nonadmitted infants initiated breastfeeding vs 70% of mothers of NICU-admitted infants. Mothers of GA <38 weeks NICU-admitted infants were 34% more likely to initiate breastfeeding and 21% more likely to breastfeed for 4 weeks than were mothers of nonadmitted preterm infants (P<0.001). However, mothers of term NICU-admitted infants were less likely to initiate and continue breastfeeding to 4 weeks than were mothers of term nonadmitted infants (P<0.001). Adjusting for GA, race, maternal age, maternal education, mode of delivery and Medicaid status, NICU admission was associated with increasing duration of breastfeeding (OR 1.10, CI 1.03, 1.17). Compared with mothers of term infants, mothers of <32-week infants were 40% more likely to continue breastfeeding for 4 weeks, mothers of 32 to 34 week infants were 13% less likely to continue and mothers of 35-37 week infants were 22% less likely to continue for at least 4 weeks (P<0.001).Conclusion: NICU admission is now a positive influence on breastfeeding continuation, improving the overall likelihood by 10%. Mothers of preterm NICU-admitted infants were more likely than mothers of nonadmitted infants to continue breastfeeding for 4 weeks, while mothers of term NICU-admitted infants were less likely to continue. Breastfeeding support should be enhanced for term and late preterm infants.

show abstract

Section: Introductionmentioning

confidence: 96%

Positive effect of NICU admission on breastfeeding of preterm US infants in 2000 to 2003

Colaizy

Morriss

2008

J Perinatol

View full text Add to dashboard Cite

show abstract

“…11 This limits the usefulness of pooled estimates, although meta-analyses are availab le for otitis media, 36 asthma, 37 and eczema. 38 Reflecting this situation, most studies cited by the AAP in its 1997 statement met only a few of the required methodological criteria. We therefore tested the plausibility of the relative risk estimates we extracted from the AAP studies by comparing them with findings from other studies identified in the literature search, as well as with results of recent published meta-analyses and reviews.…”

Section: Relative Risk Of Morbiditymentioning

confidence: 99%

“…Recent or 'pooled' estimates are from Raisler 49 and Scariati et al, 48 Uhari and Mantysaar i, 36 Peat 47 and Gdalevich et al 38 for gastrointestinal illness, acute otitis media, respiratory illness (asthma), and eczema respectively. High estimates are from Popkin and Adair, 72 Saarinen, 29 Wright et al, 73 Saarinen 28 and Lucas and Cole 46 respectively.…”

Section: Policy -Practice Gapsmentioning

confidence: 99%

Hospital system costs of artificial infant feeding: estimates for the Australian Capital Territory

Smith

Thompson

Ellwood

2002

Australian and New Zealand Journal of Public Health

View full text Add to dashboard Cite

Objective: To estimate the attributable ACT hospital system costs of treating selected infant and childhood illnesses having known associations with early weaning from human milk. Method: We identified relative risks of infant and childhood morbidity associated with exposure to artificial feeding in the early months of life vs breastfeeding from cohort studies cited by the American Academy of Pediatrics in 1997 as establishing the protective effect of breastfeeding. Data for ACT breastfeeding prevalence is assessed from a 1997 prospective population‐based cohort study of 1,295 women. ACT Hospital Morbidity Data and DRG treatment costs were used to estimate the attributable fraction of costs of hospitalisation for gastrointestinal illness, respiratory illness and otitis media, eczema, and necrotising enterocolitis. Results: Although initiation rates were high (92%), less than one in 10 ACT infants are exclusively breastfed for the recommended six months, mainly due to supplementation or weaning on to formula within the first three months and the early introduction of solids by breastfeeding mothers. This study suggests the attributable hospitalisation costs of early weaning in the ACT are about $1 ‐2 million a year for the five illnesses. Conclusions and implications: Early weaning from breast milk is associated with significant hospital costs for treatment of gastrointestinal illness, respiratory illness and otitis media, eczema, and necrotising enterocolitis These costs are minimum estimates of the cost of early weaning as they exclude numerous other chronic or common illnesses and out‐of‐hospital health care costs. Higher rates of exclusive breastfeeding would reduce these costs. Interventions to protect and support breastfeeding are likely to be cost‐effective for the public health system.

show abstract

“…breastfeeding for the first three months of life lowered rates of eczema during childhood (in children with an immediate family history of allergy only), 32 other studies have not replicated this protective effect. 33,34 Exclusive breastfeeding decreases early childhood viral wheeze, but it has not been shown to protect against long-term asthma risk.…”

Section: What Roles Do Maternal Avoidance Diets and Breastfeeding Play?mentioning

confidence: 88%

Food introduction and allergy prevention in infants

Abrams

Becker

2015

CMAJ

View full text Add to dashboard Cite

Breast-feeding and the onset of atopic dermatitis in childhood: A systematic review and meta-analysis of prospective studies

Cited by 405 publications

References 43 publications

Positive effect of NICU admission on breastfeeding of preterm US infants in 2000 to 2003

Positive effect of NICU admission on breastfeeding of preterm US infants in 2000 to 2003

Hospital system costs of artificial infant feeding: estimates for the Australian Capital Territory

Food introduction and allergy prevention in infants

Contact Info

Product

Resources

About