RELATION BETWEEN INFANT-FEEDING AND INFECTIONS DURING THE FIRST 6 MONTHS OF LIFE

RELATION BETWEEN INFANT-FEEDING AND INFECTIONS DURING THE FIRST 6 MONTHS OF LIFE
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DOI:
10.1016/s0022-3476(95)70544-9
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发表时间:
1995-02-01
影响因子:
5.1
通讯作者:
MARCOUX, S
MARCOUX, S
中科院分区:
医学2区
文献类型:
--
作者:
BEAUDRY, M;DUFOUR, R;MARCOUX, S

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我们评估了在加拿大新玩法出生的776名婴儿在出生后的前6个月内喂养方法对呼吸道和胃肠道疾病的影响。在1年的时间内,这些婴儿来自该省一群经产妇女的后代,这些妇女在怀孕至少36周后产下一名体重为2500克或以上的正常婴儿。数据收集的手段,自填式标准化问卷邮寄给每个母亲一个星期前,她的婴儿达到6个月大。粗发病密度比(IDR)显示母乳喂养对呼吸道疾病(IDR = 0.66; 95%置信区间(CI),0.52至0.83)、胃肠道疾病(IDR = 0.53; 95% CI,0.27至1.04)和所有疾病(IDR = 0.67; 95% CI,0.54至0.82)具有保护作用。母乳喂养对呼吸道疾病的保护作用持续存在,即使在调整婴儿年龄,社会经济阶层,母亲年龄和吸烟量后(调整后的IDR = 0.78; 95%CI,0.61至1.00),此外,如果我们将耳部感染与其他呼吸道疾病区分开来,我们观察到这两种类型事件的单独保护作用。这项回顾性队列研究的结果表明,在我们的人口在生命的前6个月母乳喂养的保护作用。
We assessed the effect of the method of feeding on respiratory and gastrointestinal illnesses during the first 6 months of life among 776 infants born in New Brunswick, Canada, During a 1-year period, these infants were drawn from the offspring of a population of primiparous women in the province who, after at least 36 weeks of pregnancy, gave birth to one normal infant weighing 2500 gm or more. Data were collected by means of a self-administered standardized questionnaire mailed to every mother a week before her infant reached 6 months of age. The crude incidence density ratio (IDR) revealed a protective effect of breast-feeding on respiratory illnesses (IDR = 0.66; 95% confidence interval (CI), 0.52 to 0.83), on gastrointestinal illnesses (IDR = 0.53; 95% CI, 0.27 to 1.04) and on all illnesses (IDR = 0.67; 95% CI, 0.54 to 0.82). The protective effect of breast-feeding on respiratory illnesses persisted even after adjustment for age of the infant, socioeconomic class, maternal age, and cigarette consumption (adjusted IDR = 0.78; 95% CI, 0.61 to 1.00), Moreover, if we distinguished ear infection from other respiratory illnesses, we observed a separate protective effect for these two types of events. The results of this retrospective cohort study suggest a protective effect of breast-feeding in our population during the first 6 months of life.