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. 2011 Jul;14(7):1251-8.
doi: 10.1017/S136898001000306X. Epub 2011 Feb 16.

Relationship of exclusive breast-feeding to infections and growth of Tanzanian children born to HIV-infected women

Ramadhani S Mwiru  1 , Donna Spiegelman, Christopher Duggan, Karen Peterson, Enju Liu, Gernard Msamanga, Said Aboud, Wafaie W Fawzi
Affiliations

Relationship of exclusive breast-feeding to infections and growth of Tanzanian children born to HIV-infected women

Ramadhani S Mwiru et al. Public Health Nutr. 2011 Jul.

Abstract

Objective: We examined the relationships between exclusive breast-feeding and the risks of respiratory, diarrhoea and nutritional morbidities during the first 2 years of life among children born to women infected with HIV-1.

Design: We prospectively determined the incidence of respiratory illnesses, diarrhoea, fever, hospitalizations, outpatient visits and nutritional morbidities. Generalized estimating equations were used to estimate the relative risks for morbidity episodes and Cox proportional hazards models to estimate the incidence rate ratios of nutritional morbidities.

Setting: Dar es Salaam, Tanzania.

Subjects: The sample consisted of 666 children born to HIV-infected women.

Results: The 666 children were followed for 2 years. Exclusive breast-feeding was associated with lower risk for cough (rate ratio (RR) = 0·49, 95 % CI 0·41, 0·60, P < 0·0001), cough and fever (RR = 0·44, 95 % CI 0·32, 0·60, P < 0·0001) and cough and difficulty breathing or refusal to feed (RR = 0·31, 95 % CI 0·18, 0·55, P < 0·0001). Exclusive breast-feeding was also associated with lower risk of acute diarrhoea, watery diarrhoea, dysentery, fever and outpatient visits during the first 6 months of life, but showed no effect at 6-24 months of life. Exclusive breast-feeding did not significantly reduce the risks of nutritional morbidities during the first 2 years of life.

Conclusions: Exclusive breast-feeding is strongly associated with reductions in the risk of respiratory and diarrhoea morbidities during the first 6 months of life among children born to HIV-infected women.

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Figures

Fig. 1
Fig. 1
Rates of exclusive breast-feeding (EBF) by child age among children born to HIV-infected mothers, Dar es Salaam, Tanzania (…, 95 % confidence bounds)
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References

    1. World Health Organization [accessed December 2009];Breastfeeding. 2009 http://www.who.int/topics/breastfeeding/en/
    1. Goldman AS. The immune system of human milk: antimicrobial, antiinflammatory and immunomodulating properties. Pediatr Infect Dis J. 1993;12:664–671. - PubMed
    1. Horta BL, Bahl R, Martninez JC, et al. Evidence on the Long-term Effects of Breastfeeding: Systematic Reviews and Meta-analysis. WHO; Geneva: 2007.
    1. Beaudry M, Dufour R, Marcoux S. Relation between infant feeding and infections during the first six months of life. J Pediatr. 1995;126:191–197. - PubMed
    1. Dewey KG, Heinig MJ, Nommsen-Rivers LA. Differences in morbidity between breastfed and formulafed infants. J Pediatr. 1995;126:696–702. - PubMed

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