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Published on: August 7, 2017
Association between breastfeeding and allergic disorders in Japanese children
1Department of Public Health, Faculty of Medicine, Fukuoka University, Fukuoka, Japan. k-tanaka@fukuoka-u.ac.jp
Insights
Breastfeeding, particularly exclusive breastfeeding for at least four months, may reduce asthma prevalence in young Japanese children. Duration of breastfeeding also showed a trend toward lower asthma rates.
Area of Science:
- Pediatric Allergy and Immunology
- Public Health Research
- Epidemiology
Background:
- Conflicting data exist regarding the association between breastfeeding and allergies.
- Understanding this relationship is crucial for public health recommendations.
Purpose of the Study:
- To examine the link between breastfeeding duration/exclusivity and wheeze, asthma, and eczema in young Japanese children.
- To provide insights into the protective effects of breastfeeding against allergic diseases.
Main Methods:
- A cohort of 1957 Japanese children aged 3 years was studied.
- Data on breastfeeding, allergic symptoms, and confounders were collected via questionnaire.
- Outcomes were assessed using International Study of Asthma and Allergies in Childhood criteria, with adjustments for multiple factors.
Main Results:
- Asthma prevalence was 8.9%, wheeze 22.1%, and eczema 17.3%.
- Exclusive breastfeeding for ≥4 months was linked to lower asthma prevalence.
- Breastfeeding for ≥6 months, regardless of exclusivity, showed a trend towards reduced asthma prevalence.
Conclusions:
- Breastfeeding may be associated with a decreased prevalence of asthma in young Japanese children.
- Exclusive and longer-duration breastfeeding could play a role in asthma prevention.
Setting:
Data on the association between breastfeeding and allergies are conflicting.
Objective:
To investigate the relationship between the duration and exclusivity of breastfeeding and the prevalence of wheeze, asthma and eczema in young Japanese children.
Design:
Study subjects were 1957 children aged 3 years. Data on breastfeeding, allergic symptoms and potential confounders were collected using a questionnaire. Outcomes were defined according to the criteria of the International Study of Asthma and Allergies in Childhood. Adjustment was made for sex, number of siblings, household smoking, paternal and maternal history of asthma, atopic eczema and allergic rhinitis, and paternal and maternal educational levels.
Results:
The prevalence values of symptoms of wheeze, asthma and eczema in the previous 12 months were respectively 22.1%, 8.9% and 17.3%. Exclusive breastfeeding for > or =4 months vs. <4 months was associated with a lower prevalence of asthma. The duration of breastfeeding, regardless of exclusivity, for > or =6 months tended to be associated with a lower prevalence of asthma. There was no appreciable association between breastfeeding and wheeze or eczema.
Conclusions:
Data from this study indicate that breastfeeding may be associated with a lower prevalence of asthma among young Japanese children.
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