Breast feeding and child behaviour in the Millennium Cohort Study
Breast feeding and child behaviour in the Millennium Cohort Study
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DOI：
10.1136/adc.2010.201970
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发表时间：
2011-07-01
影响因子：
5.2
通讯作者：
Quigley, Maria A.
中科院分区：
文献类型：
--
作者：
Heikkila, Katriina;Sacker, Amanda;Quigley, Maria A.
目的研究母乳喂养是否与5岁儿童的行为发育有关。设计作者使用了来自一个大型的、前瞻性的、具有全国代表性的英国队列的数据，千禧年队列研究。参与者10037对来自白色种族背景的母子对（9525例足月儿和512例早产儿）纳入分析。在研究基线时，当孩子9个月大时，从父母访谈中确定了（全部或完全）。儿童行为进行了评估，使用父母完成的问卷，优势和困难问卷（SDQ）。结果足月儿SDQ总分异常发生率（1129/9525，12%）低于早产儿（78/512，15%）。母乳喂养4个月或更长时间的足月儿（n=2741/9525，29%）SDQ总分异常的几率较低（与从未母乳喂养的儿童（n=3292/9525，35%）相比，多变量调整OR为0.67，95% CI：0.54至0.83）。所有SDQ分项评分的这种效应相似。在早产儿中，母乳喂养持续时间较长通常与SDQ总分和分项评分异常的几率较低相关，但效果估计不准确。纯母乳喂养和异常SDQ分数之间的关联是类似的任何母乳喂养和异常SDQ scores.Conclusions研究结果表明，至少在足月儿，母乳喂养的持续时间较长，与父母评定的行为问题，在5岁的儿童。
Objective To examine whether breast feeding is associated with behavioural development in children aged 5 years.Design The authors used data from a large, prospective, nationally representative UK cohort, the Millennium Cohort Study.Participants 10 037 mother-child pairs from white ethnic background (9525 term and 512 preterm children) were included in the analyses.Methods Duration of breast feeding (at all or exclusively) was ascertained from parental interview at study baseline, when the children were aged 9 months. Child behaviour was assessed using a parent-completed questionnaire, the Strengths and Difficulties Questionnaire (SDQ). The authors used logistic regression to investigate the associations of breastfeeding duration with abnormal parent-rated SDQ total and subscores at age 5 in term and preterm children separately.Results Abnormal SDQ scores were less common in term children (n=1129/9525, 12%) than pre-term (n=78/512, 15%) children. Term children breast fed for 4 months or longer (n=2741/9525, 29%) had lower odds of an abnormal total SDQ score (multivariable-adjusted OR compared with never breastfed children (n=3292/9525, 35%) 0.67, 95% CI: 0.54 to 0.83). This effect was similar for all the SDQ subscores. In preterm children, longer duration of breast feeding was generally associated with lower odds of abnormal SDQ total and subscores but the effect estimates were imprecise. The associations between exclusive breast feeding and abnormal SDQ scores were similar to those of any breast feeding and abnormal SDQ scores.Conclusions The findings suggest that, at least in term children, longer duration of breast feeding is associated with fewer parent-rated behavioural problems in children aged 5 years.