母乳养是否会增加儿童早期脏病 (ECC) 的风险? 一个系统的审查
F Alexaki1, M Kostopoulou2, K Koleventi3
1Aristotle University of Thessaloniki, Thessaloniki, Greece. filotheialexaki@gmail.com.
概括
6-12个月的母乳养可以预防幼儿 (ECC). 长期母乳养超过两年,特别是高糖摄入量,与增加ECC风险有关.
科学领域:
- 儿科牙科 儿科牙科
- 公共卫生 营养 公共卫生 营养
背景情况:
- 幼儿 (ECC) 是一个重要的公共卫生问题.
- 了解母乳养时间在ECC发展中的作用对于预防策略至关重要.
研究的目的:
- 系统地审查现有的关于母乳养时间与早期儿童虫病 (ECC) 发生率之间的联系的证据.
主要方法:
- 在多个数据库 (PubMed,Scopus,Cochrane Library,Science Direct,Google Scholar) 中进行了全面的系统文献审查.
- 包括前性队列研究,调查71个月以下儿童的母乳养持续时间/停产和牙,并遵守PRISMA指南.
- 使用ROBINS-E工具评估了偏差风险.
主要成果:
- 在对4894篇论文进行选后,包括了8项研究;其中6项具有高偏差风险.
- 6-12个月的母乳养表明对ECC有保护作用.
- 在12-24个月的母乳养和ECC之间没有发现任何关联,尽管频率和糖摄入量可以影响患病率.
- 超过24个月的母乳养与ECC的患病率增加有关.
结论:
- 长达两岁的母乳养似乎不会增加早期儿童牙的风险.
- 超过两年的长期母乳养与患上ECC的风险更高有关.
- 临床建议应考虑母乳养时间与其他饮食因素结合,以减轻ECC风险.
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