Raheem Raheema Abdul, Binns Colin W, Chih Hui J
Institute for Research Innovation, Villa College, Male', Maldives.
School of Public Health, Curtin University, Perth, Western Australia, Australia.
J Paediatr Child Health. 2017 Mar;53(3):271-276. doi: 10.1111/jpc.13480. Epub 2017 Jan 30.
The objective of this paper is to identify associations between breastfeeding and acute respiratory tract infections (ARTIs) and diarrhoea.
A cohort of 458 mothers was recruited at the antenatal clinics at Indira Gandhi Memorial and Abdul Rahman Dhon Kaleyfaanu Hospitals. Mothers were interviewed 'face-to-face' at 36 weeks of gestation and at 1, 3 and 6 months after delivery. The questionnaires included demographic information about parents, infant feeding methods and breastfeeding duration. The number of episodes of ARTIs and diarrhoea was also recorded. Ethics approval was obtained from the National Research Committee of the Maldives and Curtin University Human Research Ethics Committee. Descriptive, univariate, logistic and survival analyses were used to assess the effects of breastfeeding on infant ARTIs and diarrhoea.
The partial, predominant and exclusive breastfeeding rates at 1 month were 98.9, 67.6 and 26.9%, respectively. The risk of acquiring ARTIs is significantly reduced when the infants were predominantly breastfed for 3 months (adjusted odds ratio (OR): 0.56, 95% of adjusted OR: 0.34-0.94) and 6 months (adjusted OR: 0.45, 95% of adjusted OR: 0.24-0.84). The risk of getting diarrhoea is significantly reduced even when the babies were partially breastfed for 6 months (adjusted OR): 0.31, 95% of adjusted OR: 0.11-0.90). Kaplan Meier curves demonstrated that the risk lowers with longer duration of breastfeeding.
Breastfeeding need to be promoted because the risk of infant morbidity is negatively associated with the duration of breastfeeding.
本文旨在确定母乳喂养与急性呼吸道感染（ARTIs）及腹泻之间的关联。
在英迪拉·甘地纪念医院和阿卜杜勒·拉赫曼·德洪·卡莱法努医院的产前诊所招募了458名母亲。在妊娠36周时以及分娩后1、3和6个月对母亲进行“面对面”访谈。问卷包括父母的人口统计学信息、婴儿喂养方式和母乳喂养持续时间。还记录了ARTIs和腹泻的发作次数。获得了马尔代夫国家研究委员会和科廷大学人类研究伦理委员会的伦理批准。使用描述性、单变量、逻辑和生存分析来评估母乳喂养对婴儿ARTIs和腹泻的影响。
1个月时部分母乳喂养、主要母乳喂养和纯母乳喂养率分别为98.9%、67.6%和26.9%。婴儿主要母乳喂养3个月（调整后的优势比（OR）：0.56，调整后OR的95%：0.34 - 0.94）和6个月（调整后的OR：0.45，调整后OR的95%：0.24 - 0.84）时，患ARTIs的风险显著降低。即使婴儿部分母乳喂养6个月，患腹泻的风险也显著降低（调整后的OR）：0.31，调整后OR的95%：0.11 - 0.90）。Kaplan Meier曲线表明，母乳喂养时间越长，风险越低。
需要推广母乳喂养，因为婴儿发病风险与母乳喂养持续时间呈负相关。
