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母乳喂养与黑人早产儿喘息

Human milk feeding and wheeze in Black infants born preterm.

机构信息

University Hospitals Rainbow Babies and Children's Hospital, Cleveland, OH, USA.

Case Western Reserve University, Cleveland, OH, USA.

出版信息

J Perinatol. 2022 Nov;42(11):1480-1484. doi: 10.1038/s41372-022-01471-w. Epub 2022 Aug 4.

DOI:10.1038/s41372-022-01471-w
PMID:35927485
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9617763/
Abstract

OBJECTIVES

To determine the association between human milk exposure at 3 months corrected gestational age and recurrent wheeze in preterm Black infants.

METHODS

This is a secondary analysis of data from the D-Wheeze trial (ClinicalTrials.gov identifier NCT01601847). Associations between human milk feeding at 3 months corrected age and wheezing outcomes were examined by generalized linear models.

RESULTS

Exclusively human milk fed infants (n = 13) had significantly fewer wheezing episodes than formula fed infants (n = 230) (IRR (95% CI) = 0.25 (0.07, 0.89), p = 0.03). There were no hospitalizations in infants receiving exclusive human milk. Receiving any human milk was associated with decreased odds of hospitalization by 12 months corrected age (OR (95% CI) = 0.12 (0.02, 0.79), p = 0.03).

CONCLUSIONS

Exclusive human milk feeding at three months corrected gestational age is associated with decreased number of wheezing episodes in the first year of life in preterm Black infants.

摘要

目的

确定 3 个月校正胎龄时人乳暴露与早产黑人婴儿反复喘息的关系。

方法

这是 D-Wheeze 试验(ClinicalTrials.gov 标识符 NCT01601847)数据的二次分析。通过广义线性模型检查 3 个月校正年龄时人乳喂养与喘息结局之间的关联。

结果

纯母乳喂养婴儿(n=13)的喘息发作次数明显少于配方奶喂养婴儿(n=230)(IRR(95%CI)=0.25(0.07,0.89),p=0.03)。接受纯母乳喂养的婴儿无一例住院。接受任何人乳喂养与 12 个月校正年龄时住院的几率降低相关(OR(95%CI)=0.12(0.02,0.79),p=0.03)。

结论

在 3 个月校正胎龄时进行纯母乳喂养与早产黑人婴儿生命第一年喘息发作次数减少有关。

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Human milk feeding and wheeze in Black infants born preterm.母乳喂养与黑人早产儿喘息
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2
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引用本文的文献

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Early-Life Nutrition in Preterm Infants and Risk of Respiratory Infections and Wheezing: A Scoping Review.早产儿生命早期营养与呼吸道感染和喘息风险:系统评价。
Nutrients. 2023 Jul 4;15(13):3031. doi: 10.3390/nu15133031.

本文引用的文献

1
Mediators of racial and ethnic disparity in mother's own milk feeding in very low birth weight infants.极低出生体重儿中母亲母乳喂养的种族和民族差异的调解因素。
Pediatr Res. 2019 Apr;85(5):662-670. doi: 10.1038/s41390-019-0290-2. Epub 2019 Jan 18.
2
Comparison of the Associations of Early-Life Factors on Wheezing Phenotypes in Preterm-Born Children and Term-Born Children.比较早产和足月出生儿童的早生命期因素与喘息表型的关联。
Am J Epidemiol. 2019 Mar 1;188(3):527-536. doi: 10.1093/aje/kwy268.
3
Black Race Is Associated with a Lower Risk of Bronchopulmonary Dysplasia.
黑种人罹患支气管肺发育不良的风险较低。
J Pediatr. 2019 Apr;207:130-135.e2. doi: 10.1016/j.jpeds.2018.11.025. Epub 2019 Jan 4.
4
Effect of Vitamin D Supplementation on Recurrent Wheezing in Black Infants Who Were Born Preterm: The D-Wheeze Randomized Clinical Trial.维生素 D 补充对早产儿黑人婴儿反复喘息的影响:D-Wheeze 随机临床试验。
JAMA. 2018 May 22;319(20):2086-2094. doi: 10.1001/jama.2018.5729.
5
Breastfeeding and Childhood Wheeze: Age-Specific Analyses and Longitudinal Wheezing Phenotypes as Complementary Approaches to the Analysis of Cohort Data.母乳喂养与儿童喘息:特定年龄分析与纵向喘息表型作为队列数据分析的补充方法。
Am J Epidemiol. 2018 Aug 1;187(8):1651-1661. doi: 10.1093/aje/kwy057.
6
Evidence-Based Methods That Promote Human Milk Feeding of Preterm Infants: An Expert Review.促进早产儿母乳喂养的循证方法:专家综述
Clin Perinatol. 2017 Mar;44(1):1-22. doi: 10.1016/j.clp.2016.11.005. Epub 2016 Dec 27.
7
Disparities in Breastfeeding: Impact on Maternal and Child Health Outcomes and Costs.母乳喂养的差异:对母婴健康结局及成本的影响
J Pediatr. 2017 Feb;181:49-55.e6. doi: 10.1016/j.jpeds.2016.10.028. Epub 2016 Nov 10.
8
Breastfeeding and childhood asthma: systematic review and meta-analysis.母乳喂养与儿童哮喘:系统评价与荟萃分析。
Am J Epidemiol. 2014 May 15;179(10):1153-67. doi: 10.1093/aje/kwu072. Epub 2014 Apr 11.
9
Preterm birth and childhood wheezing disorders: a systematic review and meta-analysis.早产与儿童喘息性疾病:一项系统评价与荟萃分析
PLoS Med. 2014 Jan 28;11(1):e1001596. doi: 10.1371/journal.pmed.1001596. eCollection 2014 Jan.
10
Lung function and respiratory symptoms at 11 years in children born extremely preterm: the EPICure study.极早产儿 11 岁时的肺功能和呼吸症状:EPICure 研究。
Am J Respir Crit Care Med. 2010 Jul 15;182(2):237-45. doi: 10.1164/rccm.200912-1806OC. Epub 2010 Apr 8.