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Comparative Effect of Feeding Human Milk as Opposed to Formula on Visual Function and Ocular Anatomy
Erdinç Bozkurt1, Hayrunnisa Bekis Bozkurt2, Mehmet Barış Üçer3
1Department of Ophthalmology, Faculty of Medicine, Kafkas University, Kars, Turkey.
Insights
Infant feeding methods impact eye health. Exclusive formula feeding in the first six months is linked to higher rates of allergic conjunctivitis and increased retinal nerve fiber layer (RNFL) thickness in children.
Area of Science:
- Ophthalmology
- Pediatrics
- Nutrition Science
Background:
- Infant feeding practices, including breastfeeding and formula feeding, are crucial for early development.
- Ocular health in children is influenced by various factors, including nutrition.
- Previous research has explored the general health impacts of infant feeding, but specific ocular outcomes require further investigation.
Purpose of the Study:
- To investigate the association between infant feeding patterns (breast milk, formula, or combination) and ocular health outcomes in children.
- To evaluate refractive errors, allergic conjunctivitis, and retinal nerve fiber layer (RNFL) thickness based on early feeding practices.
- To determine if specific feeding methods in the first six months influence these ocular parameters.
Main Methods:
- A cohort of 121 children (aged 60-84 months) was divided into three groups based on feeding patterns in the first six months: exclusively breastfed, combination feeding, and exclusively formula-fed.
- All participants underwent comprehensive ophthalmologic examinations.
- Measurements included refractive error assessment, diagnosis of allergic conjunctivitis, and optical coherence tomography for retinal nerve fiber layer (RNFL) thickness.
Main Results:
- No significant differences in refractive errors were observed among the feeding groups.
- Children exclusively fed formula (Group 3) exhibited a significantly higher incidence of allergic conjunctivitis compared to the other groups.
- Significantly greater RNFL thickness in superior quadrants was noted in exclusively formula-fed children (Group 3) compared to breastfed (Group 1) and combination-fed (Group 2) children.
Conclusions:
- Infant feeding type in the first six months does not affect refractive error.
- Exclusive formula feeding is associated with an increased risk of allergic conjunctivitis and altered RNFL thickness in children.
- Further research, including larger cohorts and animal studies, is warranted to elucidate the mechanisms behind RNFL differences and confirm these findings.
Abstract:
Performance of ocular examinations on children who were breastfed, fed with formula, and combination of the two for the first 6 months of age. Subsequently, refractive errors, allergic conjunctivitis, and retinal nerve fiber layer (RNFL) thickness were evaluated. The present study included a total of 242 eyes of 121 children (aged 60-84 months, 65 males, 56 females) admitted to the outpatient clinic of our institution. The patients were divided into three groups according to their feeding pattern during their first 6 months postdelivery: breastfed children (Group 1, n = 40), children fed with a combination of breast and formula milk (Group 2, n = 41), and children exclusively fed with formula-milk (Group 3, n = 40). All patients underwent detailed ophthalmologic examinations, and measurements of the RNFLs were recorded. No significant difference was observed between the groups in terms of refractive error. In Group 3, we found that allergic conjunctivitis was significantly higher than in the other groups. In addition, in Group 3, the thickness of the RNFL was found to be significantly higher in the superior quadrants of both the eyes of children than in Groups 1 and 2 (p < 0.05). We found that the type of feeding experienced by infants in their first 6 months has no effect on refractive error but has significant effects on both allergic conjunctivitis and RNFL. To determine the cause of this difference in the RNFL and to further validate the present study, future studies with larger patient groups and animal experiments are needed.
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