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母乳喂养与儿童肠套叠发病之间不存在关联:日本一项全国性出生队列研究

The Lack of an Association of Breastfeeding with the Development of Childhood Intussusception: A Nationwide Birth Cohort Survey in Japan.

作者信息

Kuniyoshi Yasutaka

机构信息

Department of Social Services and Healthcare Management, International University of Health and Welfare, Otawara, Japan.

出版信息

Breastfeed Med. 2024 Dec;19(12):924-931. doi: 10.1089/bfm.2024.0264. Epub 2024 Sep 26.

Abstract

This study investigated the association between feeding practices and the development of childhood intussusception. We conducted secondary data analyses using the Longitudinal Survey of Newborns in the 21st Century in Japan. We performed multivariable logistic regression analyses to examine the association between feeding practice and intussusception development in children aged between 6 and 18 months. We used the following variables as potential confounders: gender, gestational age, birth weight, singleton or multiple births, parity, maternal age at delivery, maternal smoking status, and paternal smoking status. Furthermore, we performed multivariable logistic regression analyses to examine the association between breastfeeding duration and intussusception development. In total, 31,802 children were analyzed in this study. The annual incidence of intussusception was 1.6 cases per 1,000 children aged between 6 and 18 months. No significant association was found between exclusive breastfeeding and the development of intussusception, compared with exclusive formula feeding (odds ratio, 1.64; 95% confidence interval, 0.32-30.0). Furthermore, no significant association was observed between breastfeeding duration and intussusception development. Our findings demonstrated no association between breastfeeding and the development of childhood intussusception.

摘要

本研究调查了喂养方式与儿童肠套叠发病之间的关联。我们利用日本21世纪新生儿纵向调查进行了二次数据分析。我们进行了多变量逻辑回归分析,以检验6至18个月大儿童的喂养方式与肠套叠发病之间的关联。我们将以下变量作为潜在混杂因素:性别、胎龄、出生体重、单胎或多胎、产次、产妇分娩年龄、产妇吸烟状况和父亲吸烟状况。此外,我们进行了多变量逻辑回归分析,以检验母乳喂养持续时间与肠套叠发病之间的关联。本研究共分析了31,802名儿童。6至18个月大儿童的肠套叠年发病率为每1000名儿童中有1.6例。与纯配方奶喂养相比,纯母乳喂养与肠套叠发病之间未发现显著关联(优势比,1.64;95%置信区间,0.32 - 30.0)。此外,母乳喂养持续时间与肠套叠发病之间未观察到显著关联。我们的研究结果表明母乳喂养与儿童肠套叠发病之间无关联。

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