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A prospective cohort study on breast-feeding and otitis media in Swedish infants

Aniansson, G LU ; Alm, B ; Andersson, B ; Håkansson, Anders P LU orcid ; Larsson, P ; Nylén, O ; Peterson, H ; Rignér, P ; Svanborg, Catharina LU and Sabharwal, H (1994) In Pediatric Infectious Disease Journal 13(3). p.183-188
Abstract

This study analyzed the effect of breast-feeding on the frequency of acute otitis media. The protocol was designed to examine each child at 2, 6 and 10 months of age. At each visit nasopharyngeal cultures were obtained, the feeding pattern was recorded and the acute otitis media (AOM) episodes were documented. The analysis was based on 400 children from whom complete information was obtained. They represented 83% of the newborns in the study areas. By 1 year of age 85 (21%) children had experienced 111 AOM episodes; 63 (16%) had 1 and 22 (6%) had 2 or more episodes. The AOM frequency was significantly lower in the breast-fed than in the non-breast-fed children in each age group (P < 0.05). The first AOM episode occurred significantly... (More)

This study analyzed the effect of breast-feeding on the frequency of acute otitis media. The protocol was designed to examine each child at 2, 6 and 10 months of age. At each visit nasopharyngeal cultures were obtained, the feeding pattern was recorded and the acute otitis media (AOM) episodes were documented. The analysis was based on 400 children from whom complete information was obtained. They represented 83% of the newborns in the study areas. By 1 year of age 85 (21%) children had experienced 111 AOM episodes; 63 (16%) had 1 and 22 (6%) had 2 or more episodes. The AOM frequency was significantly lower in the breast-fed than in the non-breast-fed children in each age group (P < 0.05). The first AOM episode occurred significantly earlier in children who were weaned before 6 months of age than in the remaining groups. The frequency of nasopharyngeal cultures positive for Haemophilus influenzae, Moraxella catarrhalis and Streptococcus pneumoniae was significantly higher in children with AOM. At 4 to 7 and 8 to 12 months of age, the AOM frequency was significantly higher in children with day-care contact and siblings (P < 0.05 and < 0.01, respectively). The frequency of upper respiratory tract infections was increased in children with AOM but significantly reduced in the breast-fed group.

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author
; ; ; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Acute Disease, Breast Feeding, Cohort Studies, Haemophilus influenzae, Humans, Incidence, Infant, Infant, Newborn, Moraxella (Branhamella) catarrhalis, Nasopharynx, Otitis Media, Prospective Studies, Respiratory Tract Infections, Streptococcus pneumoniae, Sweden
in
Pediatric Infectious Disease Journal
volume
13
issue
3
pages
6 pages
publisher
Lippincott Williams & Wilkins
external identifiers
  • scopus:0028261443
  • pmid:8177624
ISSN
0891-3668
language
English
LU publication?
yes
id
d2de7062-fc7f-4065-a2f1-77ff5386a7ba
date added to LUP
2016-05-21 14:07:49
date last changed
2024-04-04 20:41:28
@article{d2de7062-fc7f-4065-a2f1-77ff5386a7ba,
  abstract     = {{<p>This study analyzed the effect of breast-feeding on the frequency of acute otitis media. The protocol was designed to examine each child at 2, 6 and 10 months of age. At each visit nasopharyngeal cultures were obtained, the feeding pattern was recorded and the acute otitis media (AOM) episodes were documented. The analysis was based on 400 children from whom complete information was obtained. They represented 83% of the newborns in the study areas. By 1 year of age 85 (21%) children had experienced 111 AOM episodes; 63 (16%) had 1 and 22 (6%) had 2 or more episodes. The AOM frequency was significantly lower in the breast-fed than in the non-breast-fed children in each age group (P &lt; 0.05). The first AOM episode occurred significantly earlier in children who were weaned before 6 months of age than in the remaining groups. The frequency of nasopharyngeal cultures positive for Haemophilus influenzae, Moraxella catarrhalis and Streptococcus pneumoniae was significantly higher in children with AOM. At 4 to 7 and 8 to 12 months of age, the AOM frequency was significantly higher in children with day-care contact and siblings (P &lt; 0.05 and &lt; 0.01, respectively). The frequency of upper respiratory tract infections was increased in children with AOM but significantly reduced in the breast-fed group.</p>}},
  author       = {{Aniansson, G and Alm, B and Andersson, B and Håkansson, Anders P and Larsson, P and Nylén, O and Peterson, H and Rignér, P and Svanborg, Catharina and Sabharwal, H}},
  issn         = {{0891-3668}},
  keywords     = {{Acute Disease; Breast Feeding; Cohort Studies; Haemophilus influenzae; Humans; Incidence; Infant; Infant, Newborn; Moraxella (Branhamella) catarrhalis; Nasopharynx; Otitis Media; Prospective Studies; Respiratory Tract Infections; Streptococcus pneumoniae; Sweden}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{183--188}},
  publisher    = {{Lippincott Williams & Wilkins}},
  series       = {{Pediatric Infectious Disease Journal}},
  title        = {{A prospective cohort study on breast-feeding and otitis media in Swedish infants}},
  volume       = {{13}},
  year         = {{1994}},
}