Infant feeding patterns and eczema in children in the first 6 years of life

N Soto-Ramírez1, S Kar2, H Zhang2

  • 1College of Social Work, University of South Carolina, Columbia, SC, USA.

Insights

Mixed infant feeding, including pumping and formula, may increase eczema risk compared to direct breastfeeding. Further research is needed to assess allergy risks associated with various infant feeding modes.

Area of Science:

  • Pediatrics
  • Allergology
  • Public Health

Background:

  • Infant feeding practices significantly influence child health outcomes.
  • Understanding the relationship between feeding modes and allergies is crucial for early intervention.

Purpose of the Study:

  • To evaluate the risk of eczema/skin allergy up to age 6 years associated with different infant feeding patterns in the first 6 months.
  • To compare these risks against direct breastfeeding for at least 3 months.

Main Methods:

  • Utilized data from the Infant Feeding Practices Study II (US) with a 6-year follow-up.
  • Analyzed feeding modes and doctor-diagnosed eczema/skin allergy in 1387 infants via parental reports.
  • Employed log-linear models to calculate prevalence ratios (PRs) adjusting for confounders.

Main Results:

  • Mixed feeding (direct breast, pumped breast milk, formula) showed a significantly higher risk of eczema/skin allergy (PR=1.46).
  • Direct breastfeeding combined with mixed feeding also indicated increased risk (PR=1.26), though not statistically significant.
  • Exclusive formula feeding from birth did not impact eczema risk; paternal eczema and Hispanic ethnicity were risk factors.

Conclusions:

  • Mixed infant feeding patterns may elevate the risk of developing eczema/skin allergy.
  • The increasing trend of mixed feeding and pumping necessitates further investigation into allergy risks.
  • Evidence supports the need for updated guidance on infant feeding modes and allergy prevention.
Abstract

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