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Nutritional status, breastfeeding, and evolution of Infants with acute viral bronchiolitis

Cristina T L Dornelles1, Jefferson P Piva, Paulo J C Marostica

  • 1Nutrition Departament, Hospital de Clínicas de Porto Alegre/RS, Rua: Ramiro Barcelos, 2350, 90035903-Porto Alegre-RS, Brazil. cleal@hcpa.ufrgs.br

Journal of Health, Population, and Nutrition
|March 12, 2008
PubMed

Insights

Exclusive breastfeeding duration is linked to better outcomes for infants with acute viral bronchiolitis. Longer exclusive breastfeeding reduces hospital stay and oxygen use in infants with this common respiratory illness.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Nutrition

Background:

  • Acute viral bronchiolitis is a frequent respiratory infection in infants.
  • Nutritional status and breastfeeding practices may influence disease severity.
  • Understanding risk factors is crucial for managing infant respiratory illnesses.

Purpose of the Study:

  • To assess nutritional and breastfeeding status in infants with acute viral bronchiolitis.
  • To identify risk factors for unfavorable clinical outcomes in these infants.
  • To evaluate the relationship between feeding practices and disease severity.

Main Methods:

  • Prospective study of 175 infants up to six months old with acute viral bronchiolitis.
  • Viral diagnosis via immunofluorescence test and nutritional assessment using anthropometry.
  • Outcomes measured included oxygen use duration, hospital stay length, and unit type.

Main Results:

  • Nutritional status did not significantly impact the clinical course of acute viral bronchiolitis.
  • Exclusive breastfeeding duration was inversely related to oxygen use and hospital stay length.
  • Shorter exclusive breastfeeding correlated with higher care unit admission (pediatric ward or ICU).

Conclusions:

  • Longer duration of exclusive breastfeeding is associated with improved clinical outcomes in infants with acute viral bronchiolitis.
  • Nutritional status alone did not predict disease severity in this cohort.
  • Promoting exclusive breastfeeding may mitigate the severity and duration of illness in infants.

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