Primal Health Databank: Study

Entry No:0678
Title:Effect of prolonged and exclusive breast feeding on risk of allergy and asthma: cluster randomised trial
Author(s):Kramer MS, Matush L, Vanilovich I, Platt R, Bogdanovich N, Sevkovskaya Z, Dzikovich I, Shishko G, Mazer B
Reference:BMJ. 2007 Oct 20;335(7624):815
Place of Study:Canada
Abstract: 31 Belarussian maternity hospitals and their affiliated polyclinics were involved in the study. A total of 17,046 mother-infant pairs were enrolled, of whom 13,889 (81.5%) were followed up at age 6.5 years. The intervention was breastfeeding promotion modelled on the WHO/UNICEF baby friendly hospital initiative. The experimental intervention led to a large increase in exclusive breast feeding at 3 months (44.3% v 6.4%; P<0.001) and a significantly higher prevalence of any breast feeding at all ages up to and including 12 months. The experimental group had no reduction in risks of allergic symptoms and diagnoses or positive skin prick tests. In fact, after exclusion of six sites (three experimental and three control) with suspiciously high rates of positive skin prick tests, risks were significantly increased in the experimental group for four of the five antigens. These results do not support a protective effect of prolonged and exclusive breast feeding on asthma or allergy.
Keyword(s):allergic disease, allergy, asthma, atopic diseases, breastfeeding
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