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Association between Breast Feeding and Paediatric Sleep Disordered Breathing: a Systematic Review.

Cecilia Ponce-Garcia¹, Ivonne Angelica Hernandez², Paul Major¹

¹Division of Orthodontics, School of Dentistry, University of Alberta, Edmonton, Alberta, Canada.

Paediatric and Perinatal Epidemiology

|June 8, 2017

Summary

Breastfeeding may reduce the risk of sleep disordered breathing (SDB) in children, but current evidence is inconclusive. Further research is needed to confirm this association and understand its implications for infant health.

Keywords:

breast feeding infant feeding obstructive sleep apnea sleep disordered breathing snoring

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Area of Science:

Pediatrics
Sleep Medicine
Public Health

Background:

Childhood snoring and sleep disordered breathing (SDB) pose significant health risks.
Infant feeding methods are being investigated for their potential role in SDB development.

Purpose of the Study:

To systematically review and synthesize existing literature on the association between infant feeding methods and SDB in young children.
To evaluate the evidence for breastfeeding as a protective factor against childhood SDB.

Main Methods:

A systematic review of five electronic databases was conducted, including studies published up to August 5, 2016.
Nine studies (cohort and cross-sectional) met the inclusion criteria.
Data extraction focused on study design, feeding methods, and SDB outcomes.

Main Results:

Seven of the nine included studies reported a statistically significant association between breastfeeding and a reduced risk of SDB.
Two studies found no significant association between breastfeeding and SDB risk.

Conclusions:

While preliminary evidence suggests a potential protective effect of breastfeeding against SDB, the findings are not definitive.
Moderate uncertainty exists due to heterogeneity in diagnostic criteria and limited data on feeding methods, necessitating further research.