Breastfeeding protects against adverse respiratory outcomes at 15 months of age

Karen M Silvers1, Chris M Frampton, Kristin Wickens

  • 1Department of Medicine, University of Otago, Christchurch School of Medicine and Health Sciences, PO Box 4345, Christchurch, New Zealand. karen.silvers@xtra.co.nz

Insights

Breastfeeding significantly reduces the risk of respiratory issues like asthma and wheezing in infants. This study found a protective effect of breastfeeding on infant respiratory health up to 15 months of age.

Area of Science:

  • Pediatrics
  • Public Health
  • Epidemiology

Background:

  • The link between breastfeeding and allergic diseases remains debated.
  • Previous studies show mixed results regarding breastfeeding's impact on respiratory health and allergies.

Purpose of the Study:

  • To examine the association between breastfeeding duration and respiratory outcomes, eczema, and atopy at 15 months.
  • To investigate these relationships in a prospective birth cohort in New Zealand.

Main Methods:

  • Prospective birth cohort study of 1105 infants, with 1011 followed to 15 months.
  • Logistic regression analysis adjusted for confounders like ethnicity, socioeconomic status, and smoking in pregnancy.
  • Assessment of breastfeeding duration, respiratory outcomes (asthma, wheezing, inhaler use), eczema, and atopy.

Main Results:

  • Each month of exclusive breastfeeding reduced the risk of doctor-diagnosed asthma by 20%, wheezing by 12%, and inhaler use by 14%.
  • Both exclusive and additional breastfeeding durations showed significant protective effects on respiratory outcomes.
  • No association was found between breastfeeding and eczema or atopy at 15 months.

Conclusions:

  • Breastfeeding demonstrates a significant protective effect against infant wheezing and other adverse respiratory outcomes.
  • These respiratory outcomes may serve as early indicators for the development of asthma in children.
  • The findings highlight the importance of breastfeeding for infant respiratory health in the New Zealand context.

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