Breast feeding and lower respiratory tract illness in the first year of life. Group Health Medical Associates.
Breast feeding and lower respiratory tract illness in the first year of life. Group Health Medical Associates.
复制标题
出生第一年的母乳喂养和下呼吸道疾病。
DOI：
10.1136/bmj.299.6705.946
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发表时间：
1989
期刊：
影响因子：
--
通讯作者：
Taussig,LM
中科院分区：
文献类型：
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作者：
Wright,AL;Holberg,CJ;Martinez,FD;Morgan,WJ;Taussig,LM
评估母乳喂养与随后发生下呼吸道疾病之间的关系。（来自儿童健康访问）和回顾（来自母亲回忆）研究对象：1000名出生时健康的婴儿，其父母在出生后第一年内使用了母乳喂养和儿科医生对婴儿下呼吸道疾病的前瞻性评估。主要结果测量婴儿出生后第一年不同年龄段的母乳喂养和下呼吸道疾病类型（喘息和非喘息）。母乳喂养和共享一个房间之间存在相互作用，是墨西哥裔美国人，是男孩。多变量技术表明，在控制了各种因素的儿童谁收到最低限度的母乳有更大的风险，早期喘息性疾病的风险进一步增加，同时暴露于共享一个room.CONCLUSION母乳喂养似乎保护对喘息性呼吸道疾病的前四个月的生活，特别是当其他危险因素存在。
OBJECTIVETo assess the relation between breast feeding and subsequent experience of lower respiratory tract illness.DESIGNProspective (from well child visits) and retrospective (from maternal recall) study of breast feeding and prospective assessment by paediatricians of lower respiratory tract illness in infants during first year of life.SETTINGHealth maintenance organisation.PARTICIPANTSOver 1000 infants who were healthy at birth and whose parents used the paediatricians of a local health maintenance organisation.MAIN OUTCOME MEASURESDuration of breast feeding and type of lower respiratory tract illness (wheezing and non-wheezing) at different age intervals during the first year of life.RESULTSBreast feeding was associated with a decreased incidence of wheezing illnesses only in the first four months of life. Interactions existed between breast feeding and sharing a room, being Mexican American, and being a boy. Multivariate techniques showed that after controlling for a variety of factors children who received minimal breast milk had a greater risk of early wheezing illnesses; the risk was further increased by simultaneous exposure to sharing a room.CONCLUSIONBreast feeding seems to protect against wheezing respiratory tract illnesses in the first four months of life, particularly when other risk factors are present.