Impact of breast feeding on admission for pneumonia during postneonatal period in Brazil: nested case-control study

J A César1, C G Victora, F C Barros

  • 1Departamento Materno Infantil, Fundação Universidade do Rio Grande, Rio Grande do Sol, Brazil.

BMJ (Clinical Research Ed.)
|May 14, 1999
PubMed

Insights

Breastfeeding significantly protects infants from pneumonia, especially during the first three months of life. Not breastfeeding increases pneumonia hospitalization risk by 17 times.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Public Health Nutrition

Background:

  • Pneumonia is a leading cause of infant mortality globally.
  • Understanding protective factors is crucial for public health interventions.

Purpose of the Study:

  • To investigate the protective effect of breastfeeding against infant pneumonia.
  • To determine if this protective effect varies with infant age.

Main Methods:

  • A nested case-control study was conducted in Pelotas, southern Brazil.
  • Infants hospitalized for pneumonia (cases) were compared to a population-based control group.
  • Milk consumption (breast milk, formula, supplements) and feeding practices were assessed.

Main Results:

  • Infants not breastfed had a 17-fold increased risk of pneumonia hospitalization compared to exclusively breastfed infants.
  • The protective effect was strongest in infants under 3 months (RR=61), decreasing with age (RR=10).
  • Early introduction of solid supplements significantly increased pneumonia risk, particularly in infants under 3 months (RR=175).

Conclusions:

  • Breastfeeding provides substantial protection against infant pneumonia, particularly in early infancy.
  • Targeted interventions focusing on breastfeeding promotion in the first months of life are recommended.
  • Supplementation with solids should be carefully timed to minimize pneumonia risk.
Abstract

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