Breastfeeding in the Modern World.
1MRC Unit The Gambia at London School of Hygiene and Tropical Medicine, Banjul, Gambia.
Annals of Nutrition & Metabolism
|June 9, 2022
Summary
Breastfeeding offers significant health benefits for children, reducing infections and mortality, and for mothers, lowering cancer risks. Global initiatives have supported breastfeeding, reversing past declines.
Area of Science:
- Public Health
- Pediatrics
- Oncology
Background:
- 20th-century social changes led to decreased breastfeeding rates, particularly in wealthier nations.
- Concerns over declining breastfeeding prompted research into its health benefits and protective mechanisms for mothers and children.
- International initiatives like the WHO Code of Marketing of Breastmilk Substitutes and the Innocenti Declaration have promoted breastfeeding.
Purpose of the Study:
- To synthesize evidence on the health benefits of breastfeeding for infants and mothers.
- To quantify the impact of breastfeeding on child mortality and maternal health outcomes.
Main Methods:
- Meta-analyses of numerous studies were reviewed.
- Data were analyzed to assess benefits across different socioeconomic and environmental settings.
- The Lives Saved Tool was utilized to estimate mortality reductions.
Main Results:
- Breastfeeding significantly reduces diarrhea, respiratory infections, and mortality in low-income settings.
- In high-income settings, it protects against otitis media, type 2 diabetes, overweight/obesity, and possibly type 1 diabetes.
- Breastfeeding is associated with a 2-3 point IQ increase in children and reduced breast and ovarian cancer risk in mothers.
Conclusions:
- Breastfeeding provides substantial, measurable health benefits for children and mothers globally.
- These benefits translate to significant potential reductions in child and maternal mortality.
- Continued support and promotion of breastfeeding are crucial for public health.
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