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Breastfeeding and asthma and allergies: a systematic review and meta-analysis

Acta Paediatrica, 2015-12, Vol.104 (S467), p.38-53 [Peer Reviewed Journal]

2015 The Authors. Acta Pædiatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Pædiatrica ;2015 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica. ;Copyright © 2015 Foundation Acta Pædiatrica ;ISSN: 0803-5253 ;EISSN: 1651-2227 ;DOI: 10.1111/apa.13132 ;PMID: 26192405

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Title:
Breastfeeding and asthma and allergies: a systematic review and meta-analysis
Author: Lodge, CJ ; Tan, DJ ; Lau, MXZ ; Dai, X ; Tham, R ; Lowe, AJ ; Bowatte, G ; Allen, KJ ; Dharmage, SC
Subjects: Adolescent ; Allergic disease ; Allergies ; asthma ; Asthma - epidemiology ; Asthma - prevention & control ; Breast Feeding ; Breastfeeding & lactation ; Case-Control Studies ; Child ; Child, Preschool ; Cohort Studies ; Cross-Sectional Studies ; Eczema ; Eczema - epidemiology ; Female ; Food Hypersensitivity - epidemiology ; Humans ; Infant ; Low income groups ; Male ; meta-analysis ; Quality ; Rhinitis, Allergic - epidemiology ; systematic review ; Time Factors
Is Part Of: Acta Paediatrica, 2015-12, Vol.104 (S467), p.38-53
Description: Aim To systematically review the association between breastfeeding and childhood allergic disease. Methods Predetermined inclusion/exclusion criteria identified 89 articles from PubMed, CINAHL and EMBASE databases. Meta‐analyses performed for categories of breastfeeding and allergic outcomes. Meta‐regression explored heterogeneity. Results More vs. less breastfeeding (duration) was associated with reduced risk of asthma for children (5–18 years), particularly in medium‐/low‐income countries and with reduced risk of allergic rhinitis ≤5 years, but this estimate had high heterogeneity and low quality. Exclusive breastfeeding for 3–4 months was associated with reduced risk of eczema ≤2 years (estimate principally from cross‐sectional studies of low methodological quality). No association found between breastfeeding and food allergy (estimate had high heterogeneity and low quality). Meta‐regression found differences between study outcomes may be attributable to length of breastfeeding recall, study design, country income and date of study inception. Some of the protective effect of breastfeeding for asthma may be related to recall bias in studies of lesser methodological quality. Conclusion There is some evidence that breastfeeding is protective for asthma (5–18 years). There is weaker evidence for a protective effect for eczema ≤2 years and allergic rhinitis ≤5 years of age, with greater protection for asthma and eczema in low‐income countries.
Publisher: Norway: Blackwell Publishing Ltd
Language: English
Identifier: ISSN: 0803-5253
EISSN: 1651-2227
DOI: 10.1111/apa.13132
PMID: 26192405
Source: MEDLINE
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Breastfeeding and asthma and allergies: a systematic review and meta-analysis

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