Effects of Breastfeeding on Respiratory Symptoms in Infancy

Olga Gorlanova1, Simone Thalmann1, Elena Proietti2

  • 1University Children's Hospital (UKBB), University of Basel, Basel, Switzerland.

Insights

Breastfeeding significantly reduces infant respiratory symptoms, particularly in the first 27 weeks. This protective effect is more pronounced in girls and can mitigate risks from maternal smoking and delivery method.

Area of Science:

  • Pediatric respiratory health
  • Infant development
  • Environmental and social determinants of health

Background:

  • Infant respiratory symptoms pose a significant health burden.
  • Understanding modifiable factors like breastfeeding is crucial for prevention.
  • Early life exposures can have long-term health consequences.

Purpose of the Study:

  • To evaluate the impact of various risk factors on infant respiratory symptoms.
  • To determine how breastfeeding modifies these risks.
  • To analyze these effects within the first year of life.

Main Methods:

  • Prospective cohort study of 436 healthy term infants.
  • Weekly telephone interviews assessed breastfeeding status and respiratory symptoms.
  • Risk factors (smoking, delivery mode, maternal atopy, siblings) and environmental data (particulate matter) were collected.
  • Generalized additive mixed models were used for analysis.

Main Results:

  • Breastfeeding reduced respiratory symptom incidence and severity (RR 0.70) primarily in the first 27 weeks.
  • A protective effect was observed in girls but not boys.
  • Breastfeeding attenuated risks associated with maternal smoking, gestational age, and cesarean delivery.
  • No interaction found with maternal atopy, siblings, childcare, or particulate matter.

Conclusions:

  • Breastfeeding demonstrates a risk-specific protective effect against infant respiratory symptoms.
  • The benefits of breastfeeding are evident in mitigating risks from specific early-life exposures.
  • A comprehensive time-series approach confirms breastfeeding's role in respiratory health.
Abstract

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