Prolonged exclusive breastfeeding is associated with increased atopic dermatitis: a prospective follow‐up study of unselected healthy newborns from birth to age 20 years

Pesonen, Maria; Kallio, Markku; Ranki, Annamari; Ma, Siimes

doi:10.1111/j.1365-2222.2006.02526.x

Cited by 83 publications

(79 citation statements)

References 47 publications

(55 reference statements)

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“…9 However, a study on 200 newborns in Finland found that prolonging strictly exclusive breastfeeding for dermatitis and food hypersensitivity symptoms in childhood. 10 Our results were in agreement with the Swedish study, but only examined the effect of breastfeeding for 6 months, not longer durations.…”

Section: Discussionsupporting

confidence: 82%

Skin prick test reactivity in atopic children and their number of siblings

Siregar¹,

Irsa²,

Supriatmo³

et al. 2015

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Section: Discussionsupporting

confidence: 82%

Skin prick test reactivity in atopic children and their number of siblings

Siregar¹,

Irsa²,

Supriatmo³

et al. 2015

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“…25,26 Conflicting findings have been reported from several studies investigating the associations between breastfeeding and the development of allergic diseases. 6,7,27,28 …”

Section: Figurementioning

confidence: 99%

“…2 Some prospective studies supported neither prolonged breastfeeding nor delayed introduction of solid foods for the prevention of allergic diseases in children. [4][5][6][7] Conversely, increased risk for atopic dermatitis, eczema, and allergic sensitization (with or without symptoms) has been associated with delayed introduction of egg, milk, cereals, and other solids. 1,[3][4][5]8 The concept of reverse causality is an important consideration in evaluation of the association between the timing of the introduction of solid foods and the development of allergic diseases in cohort studies.…”

mentioning

confidence: 99%

Age at the Introduction of Solid Foods During the First Year and Allergic Sensitization at Age 5 Years

et al. 2010

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OBJECTIVE: The goal was to examine the relationship between age at the introduction of solid foods during the first year of life and allergic sensitization in 5-year-old children. METHODS: We analyzed data from the Finnish Type 1 Diabetes Prediction and Prevention nutrition study, a prospective, birth cohort study. We studied 994 children with HLA-conferred susceptibility to type 1 diabetes mellitus for whom information on breastfeeding, age at the introduction of solid foods, and allergen-specific immunoglobulin E levels at 5 years was available. The association between age at the introduction of solid foods and allergic sensitization was analyzed by using logistic regression. RESULTS: The median duration of exclusive breastfeeding was 1.8 months (range: 0–10 months). After adjustment for potential confounders, late introduction of potatoes (>4 months), oats (>5 months), rye (>7 months), wheat (>6 months), meat (>5.5 months), fish (>8.2 months), and eggs (>10.5 months) was significantly directly associated with sensitization to food allergens. Late introduction of potatoes, rye, meat, and fish was significantly associated with sensitization to any inhalant allergen. In models that included all solid foods that were significantly related to the end points, eggs, oats, and wheat remained the most important foods related to sensitization to food allergens, whereas potatoes and fish were the most important foods associated with inhalant allergic sensitization. We found no evidence of reverse causality, taking into account parental allergic rhinitis and asthma. CONCLUSION: Late introduction of solid foods was associated with increased risk of allergic sensitization to food and inhalant allergens.

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“…However, some studies have not confirmed this protective effect of breastfeeding. [8][9][10][11][12] Others, paradoxically, suggest that breastfeeding may promote disease development. 9.12 These conflicting findings suggest that the presence of factors not yet fully understood are implicated in the development and progression of AD, such as colonization of the atopic child with bacteria through breastfeeding, among them S. aureus.…”

Section: Introductionmentioning

confidence: 99%

Aleitamento materno e colonização mucocutânea pelo Staphylococcus aureus na criança com dermatite atópica

Chemello¹,

Giugliani

Bonamigo

et al. 2011

An. Bras. Dermatol.

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Prolonged exclusive breastfeeding is associated with increased atopic dermatitis: a prospective follow‐up study of unselected healthy newborns from birth to age 20 years

Abstract: Prolonging strictly exclusive breastfeeding for > or =9 months was not helpful in atopy prevention, instead, it was associated with increased atopic dermatitis and food hypersensitivity symptoms in childhood.

Cited by 83 publications

References 47 publications

Skin prick test reactivity in atopic children and their number of siblings

Skin prick test reactivity in atopic children and their number of siblings

Age at the Introduction of Solid Foods During the First Year and Allergic Sensitization at Age 5 Years

Aleitamento materno e colonização mucocutânea pelo Staphylococcus aureus na criança com dermatite atópica

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