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Lower respiratory tract illness in Polynesian infants
Insights
Polynesian infants experienced high rates of lower respiratory symptoms. Breastfeeding may protect against recurrent respiratory illness in this population.
Area of Science:
- Pediatrics
- Public Health
- Epidemiology
Background:
- Lower respiratory symptoms are a significant health concern in infants.
- Polynesian infants may be disproportionately affected by respiratory illnesses.
Purpose of the Study:
- To investigate the incidence and risk factors of lower respiratory symptoms in Polynesian infants.
- To explore the potential protective role of breastfeeding against recurrent respiratory illness.
Main Methods:
- A prospective follow-up study of 269 Polynesian infants over nine months.
- Data collection included symptom incidence, family history, housing conditions, socio-economic status, and feeding practices.
Main Results:
- 42% of infants presented with lower respiratory symptoms, and 19% had recurrent or prolonged symptoms.
- Risk factors included a family history of asthma/bronchitis, damp housing, and lower socio-economic status.
- Symptomatic infants showed a lower rate of breastfeeding.
Conclusions:
- Breast milk may play a role in preventing recurrent respiratory illness in Polynesian infants.
- Environmental and genetic factors contribute to respiratory symptom development.
- Targeted interventions addressing housing and socio-economic factors may be beneficial.
Abstract:
A follow-up at five months of 269 Polynesian infants born at Hutt Hospital over a nine month period showed an incidence of lower respiratory symptoms of 42 percent. Nineteen percent of the infants had recurrent or prolonged symptoms. These infants more frequently had a family history of asthma or bronchitis in first degree relatives, had a greater incidence of damp housing and were often of lower socio-economic status. There was a lower rate of breast feeding in the symptomatic groups suggesting that breast milk has a role in preventing the syndrome of recurrent respiratory illness in Polynesian infants.