Briend A, Wojtyniak B, Rowland M G
International Centre for Diarrhoeal Disease Research, Bangladesh.
Br Med J (Clin Res Ed). 1988 Mar 26;296(6626):879-82. doi: 10.1136/bmj.296.6626.879.
The effect of breast feeding on nutritional state, morbidity, and child survival was examined prospectively in a community in rural Bangladesh. Every month for six months health workers inquired about breast feeding and illness and measured arm circumference in an average of 4612 children aged 12-36 months. Data from children who died within one month of a visit were compared with those from children who survived. Roughly one third of the deaths in the age range 18-36 months were attributable to absence of breast feeding. Within this age range protection conferred by breast feeding was independent of age but was evident only in severely malnourished children. In communities with a high prevalence of malnutrition breast feeding may substantially enhance child survival up to 3 years of age.
在孟加拉国农村的一个社区对母乳喂养对营养状况、发病率和儿童存活率的影响进行了前瞻性研究。在六个月的时间里，卫生工作者每月询问母乳喂养和疾病情况，并测量平均4612名12至36个月大儿童的臂围。将访视后一个月内死亡儿童的数据与存活儿童的数据进行比较。18至36个月年龄组中约三分之一的死亡归因于未进行母乳喂养。在这个年龄范围内，母乳喂养提供的保护与年龄无关，但仅在严重营养不良的儿童中明显。在营养不良高发的社区，母乳喂养可显著提高儿童至3岁的存活率。
