THE RELATIONSHIP BETWEEN BREAST AND BOTTLE FEEDING AND RESPIRATORY ILLNESS IN THE FIRST YEAR OF LIFE

Main Article Content

Dr Iqbal Ahmad
Dr Afsheen Batool Raza
Dr Muhammad Sohaib
Dr Ibrahim Shakoor
Dr. Shaheen Masood
Dr Riffat Farrukh

Keywords

Breast feeding, Bottle feeding, respiratory illness, Pneumonia, Acute Bronchitis

Abstract

Objectives: To determine the relationship between feeding method (breastfeeding or bottle-feeding) and respiratory illness in the first year of life.


Materials and Methods:  This was a cross sectional study in which we have enrolled total of 95 infants. The enrolled infants were divided into two group. Group A infants were serve by breast feeding and group B infants were serve by bottle-feeding. Data were collected by using predesign questionere. This study duration was 6 month from November, 2023 to April, 2024 and was conducted at Shahida Islam Teaching Hospital Lodhran, Pakistan and Department of Pediatric Medicine, The Children's Hospital and University of Child Health Sciences (UCHS)


Results: The mean age of all enrolled infants was 5.95±2.4 months. Among male infants, the mean age was 5.97±2.20 months, while among female infants, it was 5.94±2.59 months. The study included 43 male infants (45.3%) and 52 female infants (54.7%). Regarding health conditions, 33 infants (34.7%) were diagnosed with pneumonia, and 28 infants (29.5%) were diagnosed with acute bronchitis. In the subgroup of breastfed infants, 13 patients (39.4%) had pneumonia, while 20 patients (60.6%) had pneumonia in the bottle-fed group, with insignificant p-value. For acute bronchitis, 11 breastfed infants (39.3%) and 17 bottle-fed infants (60.7%) were diagnosed, with an insignificant p-value. Examining gender differences, 10 male infants (35.7%) and 18 female infants (64.3%) were diagnosed with acute bronchitis, yielding a insignificant p-value.


Conclusion: It was concluded that breast feeding pattern reduces the incidences of respiratory illness in the first year of life.

Abstract 100 | PDF Downloads 49

References

1. Jehan F, Nisar I, Kerai S, Balouch B, Brown N, Rahman N, et al. Randomized trial of amoxicillin for pneumonia in Pakistan. New England Journal of Medicine. 2020;383(1):24-34.
2. Majeed MM, Munir A. Pakistan: country report on children’s environmental health. Reviews on Environmental Health. 2020;35(1):57-63.
3. Kotowski J, Fowler C, Hourigan C, Orr F. Bottle‐feeding an infant feeding modality: An integrative literature review. Maternal & child nutrition. 2020;16(2):e12939.
4. Organization WH. Guideline: updates on HIV and infant feeding: the duration of breastfeeding, and support from health services to improve feeding practices among mothers living with HIV. 2016.
5. Atyeo C, Alter G. The multifaceted roles of breast milk antibodies. Cell. 2021;184(6):1486-99.
6. Govers C, Calder PC, Savelkoul HF, Albers R, van Neerven R. Ingestion, immunity, and infection: nutrition and viral respiratory tract infections. Frontiers in Immunology. 2022;13:841532.
7. Siqueira Boccolini C, Lazaro de Carvalho M, Couto de Oliveira MI, de Moraes Mello Boccolini P. Breastfeeding can prevent hospitalization for pneumonia among children under 1 year old. Revista de la Sociedad Boliviana de Pediatría. 2013;52(2):110-6.
8. Roth DE, Caulfield LE, Ezzati M, Black RE. Acute lower respiratory infections in childhood: opportunities for reducing the global burden through nutritional interventions. Bulletin of the World Health Organization. 2008;86(5):356-64.
9. Binns C, Lee M, Low WY. The long-term public health benefits of breastfeeding. Asia Pacific Journal of Public Health. 2016;28(1):7-14.
10. Macedo SEC, Menezes AMB, Albernaz E, Post P, Knorst M. Fatores de risco para internação por doença respiratória aguda em crianças até um ano de idade. Revista de Saúde Pública. 2007;41:351-8.
11. Lokossou GA, Kouakanou L, Schumacher A, Zenclussen AC. Human breast milk: From food to active immune response with disease protection in infants and mothers. Frontiers in immunology. 2022;13:849012.
12. Meek JY, Noble L, Breastfeeding So. Policy statement: breastfeeding and the use of human milk. Pediatrics. 2022;150(1):e2022057988.
13. Cushing AH, Samet JM, Lambert WE, Skipper BJ, Hunt WC, Young SA, et al. Breastfeeding reduces risk of respiratory illness in infants. American journal of epidemiology. 1998;147(9):863-70.
14. Palmeira P, Carneiro-Sampaio M. Immunology of breast milk. Revista da Associação Médica Brasileira. 2016;62:584-93.
15. Duijts L, Jaddoe VW, Hofman A, Moll HA. Prolonged and exclusive breastfeeding reduces the risk of infectious diseases in infancy. Pediatrics. 2010;126(1):e18-e25.
16. Quigley MA, Kelly YJ, Sacker A. Breastfeeding and hospitalization for diarrheal and respiratory infection in the United Kingdom Millennium Cohort Study. Pediatrics. 2007;119(4):e837-e42.
17. Tarrant M, Kwok M-K, Lam T-H, Leung GM, Schooling CM. Breast-feeding and childhood hospitalizations for infections. Epidemiology. 2010:847-54.
18. Frank NM, Lynch KF, Uusitalo U, Yang J, Lönnrot M, Virtanen SM, et al. The relationship between breastfeeding and reported respiratory and gastrointestinal infection rates in young children. BMC pediatrics. 2019;19:1-12.
19. Barrientos Monge R. Upper airway infections related to the use of the feeding bottle in feeding the young infant. Enfermería Actual de Costa Rica. 2017(32):90-103.
20. Lutter CK, Grummer-Strawn L, Rogers L. Complementary feeding of infants and young children 6 to 23 months of age. Nutrition reviews. 2021;79(8):825-46.

Most read articles by the same author(s)