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母乳喂养对常见儿科感染的影响:一项为期5年的前瞻性队列研究。

Effect of breastfeeding on common pediatric infections: a 5-year prospective cohort study.

作者信息

Ardiç Cüneyt, Yavuz Erdinç

机构信息

Recep Tayyip Erdogan University Faculty of Medicine Department of Family Medicine. Rize, Turkey.

Samsun Teaching and Research Hospital Department of Family Medicine. Rize, Turkey.

出版信息

Arch Argent Pediatr. 2018 Apr 1;116(2):126-132. doi: 10.5546/aap.2018.eng.126.

Abstract

INTRODUCTION

The studies conducted revealed that breastfeeding duration has a reducing effect on common infectious diseases in the children during breastfeeding period.

OBJECTIVE

The aim of the present study was to address the association between breastfeeding duration and common infectious diseases in the children until 5 years of age to show long-term protective effects of the breast milk.

MATERIAL AND METHODS

The study included 411 infants who were born in Rize (Turkey) between January 2011 and December 2011. The present prospective-cohort study lasted for 5 years and 11 interviews were conducted with each mother of the infants during this period. The infants were divided into two groups as those who were breastfed more and less than 12 months and the association between breastfeeding and infections such as acute otitis media, acute gastroenteritis, acute respiratory tract infections and acute urinary system infections was investigated.

RESULTS

Of 270 infants 193 (71.5%) were breastfed longer than 12 months and 77 (28.5%) were breastfed less than 12 months. Infants in the first group had less acute otitis media and acute gastroenteritis (n= 77, 28.52%) when compared with the infants breastfed less than 12 months during 5-year period (p <0.05).

CONCLUSION

The present study detected that breastfeeding duration longer than 12 months significantly reduces the common childhood infections such as otitis media and gastroenteritis during the first 5 years of life.

摘要

引言

已开展的研究表明,母乳喂养时长对母乳喂养期间儿童的常见传染病具有降低作用。

目的

本研究的目的是探讨母乳喂养时长与5岁以下儿童常见传染病之间的关联,以显示母乳的长期保护作用。

材料与方法

该研究纳入了2011年1月至2011年12月在土耳其里泽出生的411名婴儿。这项前瞻性队列研究持续了5年,在此期间对每个婴儿的母亲进行了11次访谈。婴儿被分为两组,即母乳喂养超过12个月和少于12个月的婴儿,并研究了母乳喂养与急性中耳炎、急性肠胃炎、急性呼吸道感染和急性泌尿系统感染等感染之间的关联。

结果

在270名婴儿中,193名(71.5%)母乳喂养超过12个月,77名(28.5%)母乳喂养少于12个月。与5年期间母乳喂养少于12个月的婴儿相比,第一组婴儿的急性中耳炎和急性肠胃炎较少(n = 77,28.52%)(p<0.05)。

结论

本研究发现,母乳喂养超过12个月可显著降低儿童在生命最初5年中患中耳炎和肠胃炎等常见儿童感染的几率。

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