Esfarjani F, Azar M R, Gafarpour M
National Nutrition and Food Technology Research Institute, Shaheed Beheshti University, P.O. Box 19395-4741, Tehran, IR, Iran.
Indian J Pediatr. 2001 Feb;68(2):107-10. doi: 10.1007/BF02722023.
Associations studies were attempted between the type of feeding, duration, and time of starting of solid foods in infancy and the incidence of insulin-dependent diabetes mellitus (IDDM). The study subjects comprised 52 IDDM patients and 52 control subjects matched for sex, age, social status, country, geographical location and selected from pediatric departments of different hospitals in Tehran. Diabetic children (21 boys, 31 girls) were of the ages of 1.5 to 14 years. Information about the pattern of their feeding at the first two years of life were collected through questionnaires administered to the mothers. The questionnaire was designed to evaluate the duration of complete or partial breast-feeding and the age at which dietary products containing cow's milk were introduced into the diet. A large proportion of the diabetic children rather than the control children had been breast-fed, and the risk of IDDM among children who had not been breast-fed was below unity. No significant difference in the duration of breast-feeding was observed between diabetic and control group. Our data do not support the existence of a protective effect of breast-feeding on the risk of IDDM, nor do the data indicate that early exposure to cow's milk and dairy products has any influence on the development of IDDM.
研究尝试探讨婴儿期喂养方式、固体食物添加持续时间和起始时间与胰岛素依赖型糖尿病（IDDM）发病率之间的关联。研究对象包括52例IDDM患者和52例对照对象，这些对照对象在性别、年龄、社会地位、国家、地理位置方面进行了匹配，并选自德黑兰不同医院的儿科。糖尿病儿童（21名男孩，31名女孩）年龄在1.5至14岁之间。通过向母亲发放问卷收集其在孩子出生后头两年的喂养模式信息。该问卷旨在评估完全或部分母乳喂养的持续时间以及引入含牛奶饮食产品的年龄。与对照儿童相比，很大一部分糖尿病儿童曾接受母乳喂养，未接受母乳喂养儿童患IDDM的风险低于1。糖尿病组和对照组之间在母乳喂养持续时间上未观察到显著差异。我们的数据不支持母乳喂养对IDDM风险具有保护作用这一观点，数据也未表明早期接触牛奶和奶制品对IDDM的发病有任何影响。
