Related Experiment Video
Updated: Apr 20, 2026

Isolation of Leukocytes from Human Breast Milk for Use in an Antibody-dependent Cellular Phagocytosis Assay of HIV Targets
Published on: September 6, 2019
Protective effect of exclusive breastfeeding against hand, foot and mouth disease
Hualiang Lin1, Limei Sun2, Jinyan Lin3
1Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, 511430, China. linhualiang2002@163.com.
Insights
Exclusive breastfeeding offers protection against hand, foot, and mouth disease (HFMD) in young children. This study found that exclusive breastfeeding significantly reduced the risk of HFMD in children up to 28 months old.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- Exclusive breastfeeding provides natural immunity to infants against various infectious agents.
- Hand, Foot, and Mouth Disease (HFMD) is an emerging infectious disease affecting children in China.
- The protective role of exclusive breastfeeding against HFMD requires further investigation.
Purpose of the Study:
- To determine the protective effect of exclusive breastfeeding on the incidence of hand, foot, and mouth disease (HFMD) in children.
- To assess the association between exclusive breastfeeding and HFMD occurrence in a Chinese population.
Main Methods:
- A community-based case-control study was conducted in Guangdong Province, China.
- Participants included children aged 4 years or younger, with cases of newly diagnosed HFMD and controls of healthy children.
- Unconditional logistic regression analysis was employed to calculate the odds ratio (OR) for exclusive breastfeeding, adjusting for confounding factors.
Main Results:
- The study analyzed 316 cases and 566 controls.
- Exclusive breastfeeding for the first six months showed a significant protective effect against HFMD (OR = 0.63, 95% CI: 0.47-0.85).
- This protective effect was observed to last until 28 months of age.
Conclusions:
- Exclusive breastfeeding demonstrates a potential protective effect against hand, foot, and mouth disease (HFMD) infection.
- The findings suggest that exclusive breastfeeding is beneficial for children up to 28 months of age in preventing HFMD.
Background:
Infants who are exclusively breastfed receive natural protection against some infectious agents. This study examined whether there was protective effect of exclusive breastfeeding on the occurrence of hand, foot and mouth disease, which was an emerging infectious disease among children in China.
Methods:
A community-based case-control study was carried out among children age 4 years or younger in Guangdong Province, China. Cases were newly diagnosed hand, foot and mouth disease. Controls were randomly sampled from healthy children from the nearby village. Unconditional logistic regression model was used to estimate the odds ratio (OR) for exclusive breastfeeding after adjusting for potential confounding factors.
Results:
A total of 316 cases and 566 controls were included in the analysis. Significantly beneficial effect of exclusive breastfeeding during the first 6 months was observed for hand, foot and mouth disease occurrence. The overall OR was 0.63 (95% CI: 0.47-0.85) for exclusive breastfeeding compared with mixed feeding type. The age-specific analyses indicated that the protective effect persisted till the age of 28 months.
Conclusions:
This study suggests that exclusive breastfeeding might have protective effect against HFMD infection among the children within 28 months of age.
More Related Videos
Related Concept Videos
Development of Immunocompetence
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...
Development of the Oral Microbiota
Hand hygiene
Hand washing...
Development of Human Microbiota
Surface Membrane Barriers
The outer layer of the skin, the epidermis, is a robust barrier comprising layers of closely packed keratinized cells. This dense arrangement prevents microbes from penetrating the body. The periodic shedding of epidermal cells...
Defense Mechanism Against Infection
In addition, many body organ systems have unique defenses against infection. The skin is an intact, multilayered surface preventing invasion by microorganisms unless impaired. Mucous membranes lining the mouth, nose, and eyelids are barriers...

