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Published on: September 6, 2019
Exclusive breastfeeding is associated with reduced cow's milk sensitization in early childhood
Sui-Ling Liao1, Shen-Hao Lai, Kuo-Wei Yeh
1Community Medicine Research Center, Chang Gung Memorial Hospital at Keelung, Keelung, Taiwan; Department of Pediatrics, Chang Gung Memorial Hospital at Keelung, Keelung, Taiwan.
Insights
Exclusive breastfeeding for at least four months is linked to a lower risk of cow's milk protein sensitization in early childhood. This finding supports breastfeeding as a strategy to prevent early allergy development.
Area of Science:
- Pediatrics
- Immunology
- Allergy Research
Background:
- Breastfeeding is associated with fewer infant infections, but its role in preventing allergic diseases remains unclear.
- This study investigates exclusive breastfeeding's impact on allergy biomarkers in infants.
Purpose of the Study:
- To examine the association between exclusive breastfeeding duration and allergy biomarkers.
- To assess changes in absolute eosinophil count, total IgE, and specific IgE levels over the first three years of life.
Main Methods:
- Prospective birth cohort study (PATCH) involving population-based data.
- Blood samples analyzed at 6, 12, 18, 24, and 36 months.
- Clinical records and questionnaires collected on breastfeeding and allergic diseases.
Main Results:
- Exclusive breastfeeding ≥4 months significantly reduced cow's milk protein sensitization risk up to age 2 years (aOR 0.2).
- A trend towards lower absolute eosinophil counts was observed in exclusively breastfed children.
- Exclusively breastfed infants showed a trend of lower total IgE levels by age 3 years.
Conclusions:
- Exclusive breastfeeding is associated with a reduced risk of cow's milk protein sensitization in early childhood.
- Findings suggest breastfeeding may be a protective strategy against specific allergic sensitizations.
Background:
Although breastfed infants have consistently been reported as having fewer infections and respiratory morbidity during infancy, none have reached a definitive conclusion as to whether breastfeeding is an effective strategy to prevent allergic diseases. This study aims to investigate the relationship between exclusive breastfeeding and sequential changes of several biomarkers of allergy, such as absolute eosinophil count, total IgE level, and specific IgE level during the first 3 yrs of life.
Methods:
This is an unselected, population-based study that is part of a prospective birth cohort called the PATCH (Prediction of Allergy in Taiwanese Children). Blood analysis was performed at ages 6, 12, 18, 24, and 36 months. Clinical records of breastfeeding and detailed questionnaires regarding to allergic diseases were also obtained.
Results:
Analysis comparing exclusive breastfeeding ≥4 months with those <4 months and those partially breastfed showed a decreased risk of sensitization toward cow's milk protein up to the age of 2 yr (adjusted OR for cow's milk sensitization at 12 months was 0.2 [95% CI, 0.07-0.5]), at 18 months of age it was 0.2 [95% CI, 0.07-0.5], and at 24 months of age it was 0.2 [95% CI, 0.04-0.7]). In addition, although not significant, children of the exclusive breastfeeding group showed a trend of lower absolute eosinophil counts than their counterparts at all ages, and a lower total IgE level at the age of 3 yr.
Conclusions:
Results of this study suggest that exclusive breastfeeding is associated with a reduced risk of cow's milk protein sensitization during early childhood.
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