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Duration and exclusiveness of breastfeeding and childhood asthma-related symptoms

A.M.M. Sonnenschein-van der Voort, V.V.W. Jaddoe, R.J.P. van der Valk, S.P. Willemsen, A. Hofman, H.A. Moll, J.C. de Jongste, L. Duijts
European Respiratory Journal 2011; DOI: 10.1183/09031936.00178110
A.M.M. Sonnenschein-van der Voort
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V.V.W. Jaddoe
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R.J.P. van der Valk
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S.P. Willemsen
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A. Hofman
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H.A. Moll
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J.C. de Jongste
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L. Duijts
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  • For correspondence: l.duijts@erasmusmc.nl
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Abstract

To examine the associations of breastfeeding duration and exclusiveness with the risks of asthma-related symptoms in preschool children, and to explore whether these associations are explained by atopic or infectious mechanisms.

This study was embedded in a population-based prospective cohort study among 5,368 children. Information on breastfeeding duration, exclusiveness and asthma-related symptoms, including wheezing, shortness of breath, dry cough and persistent phlegm, was obtained by questionnaires.

Compared to children who were breastfed for 6 months, those who were never breastfed had overall increased risks of wheezing, shortness of breath, dry cough and persistent phlegm during the first four years (Odds ratios 1.44 (95% Confidence Interval: 1.24, 1.66), 1.26 (1.07, 1.48), 1.25 (1.08, 1.44) and 1.57 (1.29, 1.91), respectively) Similar associations were observed for exclusive breastfeeding. The strongest associations per symptom per year were observed for wheezing at 1 and 2 years. Additionally adjusted analyses showed that the associations of breastfeeding with asthma-related symptoms were not explained by eczema but partly by lower respiratory tract infections.

Shorter duration and non-exclusivity of breastfeeding were associated with increased risks of asthma-related symptoms in preschool children. These associations seemed at least partly explained by infectious but not by atopic mechanisms.

  • Asthma
  • duration of breastfeeding
  • exclusive breastfeeding
  • wheezing
  • ERS
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Duration and exclusiveness of breastfeeding and childhood asthma-related symptoms
A.M.M. Sonnenschein-van der Voort, V.V.W. Jaddoe, R.J.P. van der Valk, S.P. Willemsen, A. Hofman, H.A. Moll, J.C. de Jongste, L. Duijts
European Respiratory Journal Jan 2011, erj01781-2010; DOI: 10.1183/09031936.00178110

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Duration and exclusiveness of breastfeeding and childhood asthma-related symptoms
A.M.M. Sonnenschein-van der Voort, V.V.W. Jaddoe, R.J.P. van der Valk, S.P. Willemsen, A. Hofman, H.A. Moll, J.C. de Jongste, L. Duijts
European Respiratory Journal Jan 2011, erj01781-2010; DOI: 10.1183/09031936.00178110
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