Breastfeeding initiation or duration and longitudinal patterns of infections up to 2 years and skin rash and respiratory symptoms up to 8 years in the EDEN mother-child cohort

被引:15
作者
Davisse-Paturet, Camille [1 ]
Adel-Patient, Karine [2 ]
Forhan, Anne [1 ]
Lioret, Sandrine [1 ]
Annesi-Maesano, Isabella [3 ,4 ]
Heude, Barbara [1 ]
Charles, Marie Aline [1 ,5 ]
de Lauzon-Guillain, Blandine [1 ]
机构
[1] Univ Paris, CRESS, INSERM, INRA, Paris, France
[2] Univ Paris Saclay, INRA, CEA, UMR Serv Pharmacol & Immunoanal, Paris, France
[3] INSERM, UMR S 1136, EPAR Epidemiol Allerg & Resp Dis Dept, Inst Pierre Louis Epidemiol & Publ Hlth, Paris, France
[4] Sorbonne Univ, Med Sch St Antoine, Paris, France
[5] INSERM, Ined, Paris, France
关键词
breastfeeding; infection; skin rash; wheezing; longitudinal pattern; birth cohort; HUMAN-MILK; OUTCOMES;
D O I
10.1111/mcn.12935
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
This paper aimed to examine the effect of breastfeeding on longitudinal patterns of common infections up to 2 years and respiratory symptoms up to 8 years. To assess the incidence and reoccurrence of infections and allergic symptoms in the first years of life among 1,603 children from the EDEN mother-child cohort, distinct longitudinal patterns of infectious diseases as well as skin rash and respiratory symptoms were identified by group-based trajectory modelling. To characterize infections, we considered the parent-reported number of cold/nasopharyngitis and diarrhoea from birth to 12 months and otitis and bronchitis/bronchiolitis from birth to 2 years. To characterize allergy-related symptoms, we considered the parent-reported occurrence of wheezing and skin rash from 8 months to 8 years and asthma from 2 to 8 years. Then associations between breastfeeding and these longitudinal patterns were assessed through adjusted multinomial logistic regression. Compared with never-breastfed infants, ever-breastfed infants were at a lower risk of diarrhoea events in early infancy as well as infrequent events of bronchitis/bronchiolitis throughout infancy. Only predominant breastfeeding duration was related to frequent events of bronchitis/bronchiolitis and infrequent events of otitis. We found no significant protective effect of breastfeeding on longitudinal patterns of cold/nasopharyngitis, skin rash, or respiratory symptoms. For an infant population with a short breastfeeding duration, on average, our study confirmed a protective effect of breastfeeding on diarrhoea events in early infancy, infrequent bronchitis/bronchiolitis and, to a lesser extent, infrequent otitis events up to 2 years but not on other infections, skin rash, or respiratory symptoms4.
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页数:12
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