母乳喂养在儿童中耳炎中的作用。
The Role of Breastfeeding in Childhood Otitis Media.
作者信息
Lodge Caroline J, Bowatte Gayan, Matheson Melanie C, Dharmage Shyamali C
机构信息
Allergy and Lung Health Unit, Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.
Murdoch Childrens Research Institute, Melbourne, Australia.
出版信息
Curr Allergy Asthma Rep. 2016 Sep;16(9):68. doi: 10.1007/s11882-016-0647-0.
PURPOSE OF REVIEW
The purpose of this review is to summarize the recent literature, both systematic reviews and recently published original studies not included within those reviews, on the relationship between breastfeeding and childhood otitis media (OM).
RECENT FINDINGS
There is clear evidence that breastfeeding is associated with a reduced risk of OM in childhood with sound biological plausibility to support that the association is likely causal. Any breastfeeding reduces OM risk in early childhood by 40-50 %. Systematic reviews also support a further reduced risk for continued breastfeeding. Recent studies have estimated burden of disease savings if breastfeeding within countries and globally approached WHO guidelines. Cost savings per year for reduced cases of OM by increasing ever and exclusive breastfeeding rates are estimated to be millions of pounds or dollars for UK and Mexico. Breastfeeding reduces OM in children. The burden of disease and economic impact of increasing breastfeeding rates and duration would be substantial.
综述目的
本综述旨在总结近期关于母乳喂养与儿童中耳炎（OM）关系的文献，包括系统评价以及未纳入这些评价的近期发表的原始研究。
最新发现
有明确证据表明母乳喂养与儿童患中耳炎风险降低相关，且有合理的生物学依据支持这种关联可能是因果关系。任何形式的母乳喂养都可使幼儿患中耳炎的风险降低40% - 50%。系统评价也支持持续母乳喂养可进一步降低风险。近期研究估计了如果各国及全球母乳喂养达到世界卫生组织指南要求，疾病负担的减轻情况。通过提高纯母乳喂养和完全母乳喂养率来减少中耳炎病例，英国和墨西哥每年估计可节省数百万英镑或美元。母乳喂养可降低儿童患中耳炎的风险。提高母乳喂养率和延长母乳喂养时间所带来的疾病负担和经济影响将是巨大的。
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