Tag Archive for: A szoptatás egyéb hatásai

Urinary tract infection in preterm infants: the protective role of breastfeeding

Levy I, Comarsca J, Davidovits M, Klinger G, Sirota L, Linder N.
Pediatr Nephrol. 2009 Mar;24(3):527-31.


Urinary tract infection (UTI) differs between preterm and older infants and children in terms of prevalence, clinical presentation, causative organism, and rate of underlying renal anomalies. Data on risk factors of UTI in preterm infants are limited. The aim of this study was to characterize UTI both clinically and microbiologically in premature infants and to define possible risk factors and the role of breastfeeding in its development.

This case-control study was conducted in a tertiary-care neonatal intensive care unit (NICU) between 1995 and 2003.
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Does Breastfeeding Protect Against Substantiated Child Abuse and Neglect? A 15-Year Cohort Study

Strathearn L, Mamun AA, Najman JM, O’Callaghan MJ.
Pediatrics. 2009 Feb;123(2):483-93.

OBJECTIVES. We explored whether breastfeeding was protective against maternally perpetrated child maltreatment.

METHODS. A total of 7223 Australian mother-infant pairs were monitored prospectively over 15 years. In 6621 (91.7%) cases, the duration of breastfeeding was analyzed with respect to child maltreatment (including neglect, physical abuse, and emotional abuse), on the basis of substantiated child protection agency reports. Multinomial logistic regression was used to compare no maltreatment with nonmaternal and maternally perpetrated maltreatment and to adjust for confounding in 5890 cases with complete data (81.5%). Potential confounders included sociodemographic factors, pregnancy wantedness, substance abuse during pregnancy, postpartum employment, attitudes regarding infant caregiving, and symptoms of anxiety or depression.
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Oropharyngeal administration of colostrum to extremely low birth weight infants: theoretical perspectives

N A Rodriguez, P P Meier, M W Groer and J M Zeller

Journal of Perinatology (2009) 29, 1–7

Own mother’s colostrum (OMC) is rich in cytokines and other immune agents that provide bacteriostatic, bacteriocidal, antiviral, anti-inflammatory and immunomodulatory protection against infection. OMC may be especially protective for the extremely low birth weight (ELBW) infant in the first days of life; however clinical instability typically precludes enteral feedings during this period.

Oropharyngeal administration is a potential alternative method of providing OMC. Oropharyngeal administration of OMC may have immunomodulatory effects on the recipient infant, and would be especially beneficial to the ELBW infant who would otherwise remain nil per os during the first days of life.
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Breast-feeding, but not oral contraceptives, is associated with a reduced risk of rheumatoid arthritis

M Pikwer, U Bergström, J-Å Nilsson, L Jacobsson, G Berglund and C Turesson

Ann Rheum Dis. Published Online First: 13 May 2008.


Objectives: The aim of this study was to determine whether breast-feeding or the use of oral contraceptives (OC) could affect the future risk of rheumatoid arthritis (RA) in a community-based prospective cohort.

Methods: A community based health survey (18 326 women) was linked to regional and national registers, and incident cases of RA were identified. All females with RA diagnosis after inclusion in the health survey (n = 136) and four female controls for every case, who were alive and free from RA when the index person was diagnosed with RA, were included in a case-control study.
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Full breastfeeding and paediatric cancer

Juan A Ortega-García, Josep Ferrís-Tortajada, Alberto M Torres-Cantero, Offie P Soldin, Encarna Pastor Torres, Jose L Fuster-Soler, Blanca Lopez-Ibor, Luis Madero-López

Journal of Paediatrics and Child Health 44 (1-2), 10–13. January/February 2008


Aim: It has been suggested that there is an inverse association between breastfeeding and the risk of childhood cancer. We investigated the association between full breastfeeding and paediatric cancer (PC) in a case control study in Spain.

Methods: Maternal reports of full breastfeeding, collected through personal interviews using the Paediatric Environmental History, were compared among 187 children 6 months of age or older who had PC and 187 age-matched control siblings.
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Human milk reduces the risk of retinal detachment in extremely low-birthweight infants

Okamoto T, Shirai M, Kokubo M, Takahashi S, Kajino M, Takase M, Sakata H, Oki J.

Pediatrics International 49 (6), 894–897.


Background: Retinopathy of prematurity (ROP) is a major cause of blindness in children. Because the use of oxygen is a known risk factor for development of ROP, supplemental oxygen is used carefully. However, it does not necessarily reduce the morbidity of ROP-induced blindness. The aim of the present study was to identify the possible risk factors for progression to retinal detachment, a most relevant cause of visual impairment, in extremely low-birthweight infants (ELBWI).

Methods: The medical records of the 42 ELBWI who were admitted to the neonatal intensive care unit in Asahikawa Kosei Hospital from April 1999 to March 2004 were retrospectively reviewed.
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Association Between Infant Breastfeeding and Early Childhood Caries in the United States

Hiroko Iida, DDS, MPH, Peggy Auinger, MS, Ronald J. Billings, DDS, MSD and Michael Weitzman, MD

PEDIATRICS Vol. 120 No. 4 October 2007, pp. e944-e952


OBJECTIVE. Despite limited epidemiologic evidence, concern has been raised that breastfeeding and its duration may increase the risk of early childhood caries. The objective of this study was to assess the potential association of breastfeeding and other factors with the risk for early childhood caries among young children in the United States.

METHODS. Data about oral health, infant feeding, and other child and family characteristics among children 2 to 5 years of age (N = 1576) were extracted from the 1999–2002 National Health and Nutrition Examination Survey.
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Persistent Beneficial Effects of Breast Milk Ingested in the NICU on Outcomes of ELBW Infants at 30 Months of Age

Betty R. Vohr, MD, Brenda B. Poindexter, MD, MS, Anna M. Dusick, MD, Leslie T. McKinley, MS, RD, Rosemary D. Higgins, MD, John C. Langer, MS, W. Kenneth Poole, PhD

PEDIATRICS Vol. 120 No. 4 October 2007, pp. e953-e959


BACKGROUND. We previously reported beneficial effects of breast milk ingestion by infants with extremely low birth weight in the NICU on developmental outcomes at 18 months’ corrected age. The objective of this study was to determine whether these effects of breast milk in infants with extremely low birth weight persisted at 30 months’ corrected age.

METHODS. Nutrition data, including enteral and parenteral feeds, were prospectively collected, and 30 months’ corrected age follow-up assessments were completed on 773 infants with extremely low birth weight who participated in the National Institute of Child Health and Human Development Neonatal Research Network Glutamine Trial.
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Outcomes of Breastfeeding versus Formula Feeding

A csecsemőtáplálás módjának a csecsemő és az anya egészségére gyakorlt hatásával kapcsolatos kutatási eredmények jól áttekinthető összefoglalása.

Letölthető a La leche League International oldaláról.
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Breastfeeding and Maternal and Infant Health Outcomes in Developed Countries

Stanley Ip, M.D., Mei Chung, M.P.H., Gowri Raman, M.D., Priscilla Chew, M.P.H., Nombulelo Magula, M.D., Deirdre DeVine, M.Litt., Thomas Trikalinos, M.D., Ph.D., Joseph Lau, M.D.

Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services, April 2007

Structured Abstract

Objectives: We reviewed the evidence on the effects of breastfeeding on short- and long-term infant and maternal health outcomes in developed countries.

Data Sources: We searched MEDLINE®, CINAHL, and the Cochrane Library in November of 2005. Supplemental searches on selected outcomes were searched through May of 2006. We also identified additional studies in bibliographies of selected reviews and by suggestions from technical experts.
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