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Published on: September 6, 2019
Partial breastfeeding protects Bedouin infants from infection and morbidity: prospective cohort study
Natalya Bilenko1, Rohini Ghosh, Amalia Levy
1Department of Epidemiology and Health Services Evaluation, Faculty of Health Sciences, Ben Gurion University of the Negev, POBox 653, Beer Sheva, 84105, Israel. natalya@bgu.ac.il
Insights
Partial breastfeeding offers significant health benefits for infants, protecting against infections and reducing illness. Encouraging continued partial breastfeeding past three months can improve infant health outcomes in populations with early supplementation.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- Exclusive breastfeeding benefits are well-documented.
- Early supplementation is common in some populations, necessitating research on partial breastfeeding's effects.
- Understanding protective factors against infant morbidity is crucial.
Purpose of the Study:
- To evaluate the protective effects of partial breastfeeding against enteric infections and associated morbidity.
- To assess these effects in a population where early supplementation is prevalent.
- To determine the impact of partial breastfeeding across different infant age ranges.
Main Methods:
- Prospective study design.
- Followed 238 Bedouin infants from birth to 18 months.
- Analyzed infection and morbidity rates in relation to breastfeeding status (exclusive, partial, non-breastfeeding).
Main Results:
- Exclusive breastfeeding protected against infection and morbidity in infants aged 0-3 months.
- Partial breastfeeding (4-6 months) was linked to lower rates of Cryptosporidium, Campylobacter, ear infections, and asthma.
- Partial breastfeeding (10-12 months) protected against Cryptosporidium and Giardia lamblia infections.
Conclusions:
- Partial breastfeeding provides protection against infections and morbidity in infants, particularly between 4-6 months.
- Encouraging continued partial breastfeeding beyond three months can reduce infant infections and illness.
- Findings are relevant for Bedouin and potentially other populations with early supplementation practices.
Abstract:
The benefits of exclusive breastfeeding for health in infants have been widely described. The goal of this study was to determine whether partial breastfeeding has protective effects against enteric infection and associated morbidity in population where early addition of supplementation is common. In this prospective study 238 Bedouin infants were followed from birth to age 18 months. Exclusive breastfeeding was protective against infection and morbidity at ages 0 to 3 months. In the age range of 4 to 6 months, partial versus non breastfeeding was associated with lower rates of infection with Cryptosporidium spp (Odds Ratio OR 0.34, 95% confidence interval CI 0.18; 0.65), and Campylobacter spp (OR 0.58, CI 0.35; 0.98), lower rates of ear infections (OR 0.47, CI 0.24; 0.90) and of asthma (OR 0.33, CI 0.13; 0.81). In older children (10-12 month age range) partial breastfeeding as compared to none, protected against infections with Cryptosporidium spp (OR 0.57, CI 0.36; 0.91) and Giardia lamblia (OR 0.92, CI 0.85; 0.99). In Bedouins, and possibly in other populations, even partial breastfeeding, especially at ages 4 to 6 months offers protection against infection. Thus, encouraging mothers to continue to at least partially breastfeed past age 3 months may help reduce infections and morbidity in infants.
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