Effect of breastfeeding on common pediatric infections: a 5-year prospective cohort study
1Recep Tayyip Erdogan University Faculty of Medicine Department of Family Medicine. Rize, Turkey. drcuneytardic@hotmail.com.
Insights
Extended breastfeeding, over 12 months, significantly lowers common childhood infections like otitis media and gastroenteritis. This protective effect of breast milk is evident throughout the first five years of life.
Area of Science:
- Pediatrics
- Public Health
- Epidemiology
Background:
- Previous studies indicate breastfeeding duration reduces infectious diseases during infancy.
- The long-term impact of breastfeeding on childhood infections requires further investigation.
Purpose of the Study:
- To examine the association between breastfeeding duration and common infectious diseases up to age five.
- To demonstrate the sustained protective effects of breast milk beyond the breastfeeding period.
Main Methods:
- A 5-year prospective-cohort study involving 411 infants born in Rize, Turkey (2011-2012).
- Mothers underwent 11 interviews during the study period.
- Infants were categorized into two groups: breastfed >12 months and <12 months.
- Investigated infections included acute otitis media, acute gastroenteritis, acute respiratory tract infections, and acute urinary system infections.
Main Results:
- 193 (71.5%) infants were breastfed for over 12 months; 77 (28.5%) for less than 12 months.
- Infants breastfed >12 months experienced significantly fewer cases of acute otitis media and acute gastroenteritis (p <0.05) over the 5-year period.
- No significant difference was noted for respiratory or urinary tract infections between groups.
Conclusions:
- Breastfeeding duration exceeding 12 months is associated with a significant reduction in otitis media and gastroenteritis in children up to five years of age.
- Prolonged breastfeeding offers lasting protection against specific common childhood infections.
Introduction:
The studies conducted revealed that breastfeeding duration has a reducing effect on common infectious diseases in the children during breastfeeding period.
Objective:
The aim of the present study was to address the association between breastfeeding duration and common infectious diseases in the children until 5 years of age to show long-term protective effects of the breast milk.
Material And Methods:
The study included 411 infants who were born in Rize (Turkey) between January 2011 and December 2011. The present prospective-cohort study lasted for 5 years and 11 interviews were conducted with each mother of the infants during this period. The infants were divided into two groups as those who were breastfed more and less than 12 months and the association between breastfeeding and infections such as acute otitis media, acute gastroenteritis, acute respiratory tract infections and acute urinary system infections was investigated.
Results:
Of 270 infants 193 (71.5%) were breastfed longer than 12 months and 77 (28.5%) were breastfed less than 12 months. Infants in the first group had less acute otitis media and acute gastroenteritis (n= 77, 28.52%) when compared with the infants breastfed less than 12 months during 5-year period (p <0.05).
Conclusion:
The present study detected that breastfeeding duration longer than 12 months significantly reduces the common childhood infections such as otitis media and gastroenteritis during the first 5 years of life.
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