Breastfeeding and childhood acute otitis media: a systematic review and meta-analysis.
Acta Paediatr
; 104(467): 85-95, 2015 Dec.
Article
em En
| MEDLINE
| ID: mdl-26265016
ABSTRACT
AIM:
To synthesise the evidence on the association between duration and exclusivity of breastfeeding and the risk of acute otitis media (AOM).METHODS:
Systematic review and meta-analysis following searching of PubMed, CINAHL and EMBASE electronic databases.RESULTS:
Twenty-four studies, all from the USA or Europe, met the inclusion criteria. In the pooled analyses, any form of breastfeeding was found to be protective for AOM in the first 2 years of life. Exclusive breastfeeding for the first 6 months was associated with the greatest protection (OR 0.57 95% CI 0.44, 0.75), followed by 'more vs less' breastfeeding (OR 0.67; 0.59, 0.76) and 'ever vs never' breastfeeding (OR 0.67; 0.56, 0.80).CONCLUSION:
This systematic review and meta-analysis provides evidence that breastfeeding protects against AOM until 2 years of age, but protection is greater for exclusive breastfeeding and breastfeeding of longer duration. Exclusive breastfeeding during the first 6 months was associated with around a 43% reduction in ever having AOM in the first 2 years of life. After 2 years of age, there is no evidence that breastfeeding protects against AOM; however, there were few studies and the evidence quality was low.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Otite Média
/
Aleitamento Materno
Tipo de estudo:
Etiology_studies
/
Risk_factors_studies
/
Systematic_reviews
Limite:
Child
/
Child, preschool
/
Humans
/
Infant
/
Newborn
País/Região como assunto:
America do norte
/
Europa
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article