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Updated: Jul 6, 2026

Murine Model of Allergen Induced Asthma
Published on: May 14, 2012
Maternal asthma, infant feeding, and the risk of asthma in childhood
Wendy H Oddy1, Jennifer K Peat, Nicholas H de Klerk
1Centre for Child Health Research, University of Western Australia, Telethon Institute for Child Health Research, Perth, Australia.
Insights
Exclusive breast-feeding for less than four months increases the risk of childhood asthma. Maternal asthma status does not alter this association, suggesting all infants benefit from prolonged exclusive breastfeeding.
Area of Science:
- Pediatric Allergy and Immunology
- Epidemiology
- Public Health
Background:
- Maternal asthma is a known risk factor for childhood asthma.
- The role of breastfeeding in mitigating this risk is debated.
- Previous studies have yielded conflicting results regarding breastfeeding and childhood asthma.
Purpose of the Study:
- To investigate if maternal asthma modifies the association between breastfeeding duration and childhood asthma.
- To determine the optimal duration of exclusive breastfeeding for preventing childhood asthma.
- To clarify breastfeeding recommendations for infants with a maternal history of asthma.
Main Methods:
- A prospective cohort study of 2602 West Australian children, enrolled before birth.
- Data collected on infant feeding, maternal asthma, atopy, and physician-diagnosed asthma at age 6.
- Statistical analysis using logistic regression to assess risk factors and interactions.
Main Results:
- Stopping exclusive breastfeeding before 4 months was associated with an increased risk of childhood asthma (OR, 1.28; P=.038).
- This increased risk was not modified by maternal asthma status or child's atopy.
- Exclusive breastfeeding for less than 4 months remained a significant risk factor for current asthma after covariate adjustment (OR, 1.35; P=.049).
Conclusions:
- Maternal asthma status does not alter the association between breastfeeding duration and childhood asthma.
- Exclusive breastfeeding for at least 4 months is recommended for all infants, regardless of maternal asthma history.
- Prolonged exclusive breastfeeding may be a protective factor against childhood asthma development.
Abstract:
Controversy surrounds the issue of whether children with asthmatic mothers should be breast-fed. The aim of this study was to investigate whether maternal asthma status alters the association between asthma and breast-feeding. In a cohort study of 2602 West Australian children enrolled before birth and followed prospectively, we collected data on method of infant feeding, maternal asthma (as reported by parental questionnaire), atopy (as measured by skin prick test), and current asthma (defined as a physician's diagnosis of asthma and wheeze in the last year) at 6 years of age. The risk of childhood asthma increased if exclusive breast-feeding was stopped (other milk was introduced) before 4 months (odds ratio, 1.28; 95% CI, 1.01-1.62; P =.038), and this risk was not altered by atopy or maternal asthma status. After adjusting for covariates, exclusive breast-feeding for less than 4 months was a significant risk factor for current asthma (odds ratio, 1.35; 95% CI, 1.00-1.82; P =.049). There was no formal statistical interaction between breast-feeding and maternal asthma status (P =.970). In this study maternal asthma status did not modify the association between asthma and breast-feeding duration. We recommend that infants with or without a maternal history of asthma be exclusively breast-fed for 4 months and beyond.
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