Breastfeeding initiation and duration and acute otitis media among children less than two years of age in Jordan: results from a case–control study
Tóm tắt
Acute otitis media (AOM) is one of the most common infectious diseases that affects children. Breastfeeding has been linked to a lower risk of AOM in the first three years of childhood. The aim of this study was to identify the association between exclusive breastfeeding and the development of acute otitis media (AOM) and investigate the influence of breastfeeding duration on the presence of AOM. In a retrospective case–control study, a sample of 98 children (cases) who were diagnosed with AOM and 98 children (controls) who were not diagnosed with AOM and were younger than two years old were selected from the Jordan University Hospital. Medical records were used to identify children with AOM. For both the case and control groups, the children’s mothers completed a self-administered questionnaire about factors linked to the incidence of AOM.The type of feeding and the duration of breastfeeding were assessed using a validated questionnaire. The data indicated that among children who developed AOM, 23.5%were artificiallyfed, while 22.4% and 13.3% were exclusively breastfed for 3 months and 6 months, respectively. Approximately 70.7% of the children without AOM were exclusively breastfed for 6 months, compared with only 29.3% of the children without AOM who were exclusively breastfed for 3 months.Logistic regression revealed that nonexclusive breastfeeding, exclusive breastfeeding for 3 months, and exclusive breastfeeding for 6 months were protective factors against AOM (OR = 0.23, 0.18, and 0.25, respectively; P < 0.05). A short duration of exclusive breastfeeding was considered a risk factor for the development of AOM (OR = 1.7, P < 0.05). The escalation of AOM is tightly connected to the early introduction of formula feeding in the first six months of life. Breastfeeding had a protective impact on the occurrence of AOM. Understanding factors that are associated with the occurrence of AOM in children may support the role of public health institutions and primary health care in the prevention and reduction of AOM episodes and the need for national health strategies to promote breastfeeding.
Tài liệu tham khảo
Lodge CJ, Bowatte G, Matheson MC, et al. The role of breastfeeding in childhood otitis media. Curr Allergy Asthm. 2016;R16:1–8.
Salah M, Abdel-Aziz M, Al-Farok A, et al. Recurrent acute otitis media in infants: analysis of risk factors. Int J Pediatr Otorhinolaryngol. 2013;77:1665–9.
Laugen CM, Islam N, Janssen PA. Social support and exclusive breast feeding among Canadian women. Paediatr Perinat Epidemiol. 2016;30:430–8.
Victora CG, Bahl R, Barros AJ, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016;387:475–90.
Martines F, Salvago P, Ferrara S, et al. Factors influencing the development of otitis media among Sicilian children affected by upper respiratory tract infections. Braz J Otorhinolaryngol. 2016;82:215–22.
Hokama TO, Sakamoto RY, Yara AS, et al. Incidence of Haemophilus influenzae in the throats of healthy infants with different feeding methods. Pediatr Int. 1999;41:277–80.
Jordan Population and Family Health Survey 2017–2018. http://dosweb.dos.gov.jo/products/dhs2017-2018/. Accessed 12 Feb 2021.
Kørvel-Hanquist A, Djurhuus BD, Homøe P. The effect of breastfeeding on childhood otitis media. Curr Allergy Asthm. 2017;R17:1–8.
Erdfelder E, Faul F, Buchner A. GPOWER: A general power analysis program. Behav Res Methods. 1996;28:1–11.
Polit DF, Beck CT. Generalization in quantitative and qualitative research: Myths and strategies. Int J Nurs Stud. 2010;47:1451–8.
Infant and young childfeeding. https://data.unicef.org/topic/nutrition/infant-and-young-child-feeding/. Accessed 15 Sep 2021.
Marketing of Breast-milk Substitutes: National Implementation of the International Code — STATUS REPORT2020. https://www.unicef.org/media/69641/file/Marketing-of-breast-milk-substitutes-status-report-2020. Accessed 23 July 2021.
Labbok MH, Wardlaw T, Blanc A, et al. Trends in exclusive breastfeeding: findings from the 1990s. J Hum Lact. 2006;22:272–6.
World Health Organization:Breastfeeding. https://www.who.int/health-topics/breastfeeding#tab=tab_1. Accessed 20 Feb 2021.
Martín-Iglesias S, Santamaría-Martín MJ, Alonso-Álvarez A, et al. Effectiveness of an educational group intervention in primary healthcare for continued exclusive breast-feeding: PROLACT study. BMC Pregnancy Childb. 2018;18:1.
Schilder AG, Chonmaitree T, Cripps AW, et al. Otitis media Nat Rev Dis Primers. 2016;2:1–8.
Brennan-Jones CG, Eikelboom RH, Jacques A, et al. Protective benefit of predominant breastfeeding against otitis media may be limited to early childhood: results from a prospective birth cohort study. Clin Otolaryngol. 2017;42:29–37.
Bowatte G, Tham R, Allen KJ, et al. Breastfeeding and childhood acute otitis media: a systematic review and meta-analysis. Acta Paediatr. 2015;104:85–95.
Chantry CJ, Howard CR, Auinger P. Full breastfeeding duration and associated decrease in respiratory tract infection in US children. Pediatrics. 2006;117:425–32.
Usonis V, Jackowska T, Petraitiene S, et al. Incidence of acute otitis media in children below 6 years of age seen in medical practices in five East European countries. BMC Pediatr. 2016;16:1–7.
Abrahams SW, Labbok MH. Breastfeeding and otitis media: a review of recent evidence. Curr Allergy Asthma Rep. 2011;11:508–12.
Ajetunmobi OM, Whyte B, Chalmers J, et al. Breastfeeding is associated with reduced childhood hospitalization: evidence from a Scottish Birth Cohort (1997–2009). J Pediatr. 2015;166:620–5.
Teele DW, Klein JO, Rosner B, et al. Epidemiology of otitis media during the first seven years of life in children in greater Boston: a prospective, cohort study. J Infect Dis. 1989;160:83–94.
Duffy LC, Faden H, Wasielewski R, et al. Exclusive breastfeeding protects against bacterial colonization and day care exposure to otitis media. Pediatrics. 1997;100:1–11.
Li R, Dee D, Li CM, et al. Breastfeeding and risk of infections at 6 years. Pediatrics. 2014;134:S13-20.
Chonmaitree T, Trujillo R, Jennings K, et al. Acute otitis media and other complications of viral respiratory infection. Pediatrics. 2016;137:e7–e7.
Karunanayake CP, Albritton W, Rennie DC, et al . Ear infection and its associated risk factors in first nations and rural school-aged Canadian children. Int J Pediatr. 2016. https://pubmed.ncbi.nlm.nih.gov/26977160/.
Uhari M, Mäntysaari K, Niemelä M. Meta-analytic review of the risk factors for acute otitis media. Clin Infect Dis. 1996;22:1079–83.
Daly KA, Giebink GS. Clinical epidemiology of otitis media. Pediatr Infect Dis. 2000;19:S31–6.
Alsalam AO, Yassen ZM, Buraa MF. Risk factors of acute otitis media among children in Mosul. مجلة دراسات موصلیة. 2018;28:7–14.
McNiel ME, Labbok MH, Abrahams SW. What are the risks associated with formula feeding? A re-analysis and review. Birth. 2010;37:50–8.
Nielsen S, Nielsen DS, Lauritzen L, et al. Impact of diet on the intestinal microbiota in 10-month-old infants. J Pediatr Gastr Nutr. 2007;1:613–8.
Kramer MS, Guo T, Platt RW, et al. Infant growth and health outcomes associated with 3 compared with 6 mo of exclusive breastfeeding. Am J Clin Nutr. 2003;78:291–5.
Boone KM, Geraghty SR, Keim SA. Feeding at the breast and expressed milk feeding: Associations with otitis media and diarrhea in infants. J Pediatr. 2016;174:118–25.