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Instituto Nacional de Salud Pública

2005, Number 1

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salud publica mex 2005; 47 (1)

Breast feeding and the incidence of acute diarrhea during the first three months of life

Macías-Carrillo C, Franco-Marina F, Long-Dunlap K, Hernández-Gaytán SI, Martínez-López Y, López-Cervantes M

Language: Spanish
References: 49
Page: 49-57
PDF size: 71.07 Kb.


ABSTRACT

Objective. To assess the effect of exclusive breastfeeding and its interactions with selected socioeconomic factors, on the incidence of acute infantile diarrhea during the first three months of life. Material and Methods. A prospective cohort study with a follow up of three months was conducted in 327 mother and child pairs, living in the city of Durango, Mexico, between April and June 1994. Data analyses included simple univariate and bivariate cross-tabulations, as well as multivariate logistic regression models with random effects. Results. Infants who were not exclusively breastfed were at a significantly increased risk of having acute diarrhea during early infancy (ORcombined breastfeeding= 3.23; 95% CI 1.84-5.68 and ORartificial breastfeeding=4.36; 95% CI 2.32-8.19). Moreover, the protective effect of breastfeeding was independent from the effects of the following factors: poor maternal education, lack of social support for baby care, and being an adolescent mother. However, lack of potable water and lack of sewerage were potential effect modifiers of type of lactation ∆G=9.26; p=0.09; ORno water/no sewerage= 2.58; 95% CI 1.10-6.03 in the final multivariate model), for simultaneous lack of potable water and sewerage, which is greater than the sum of the individual OR for each variable. Conclusions. Similar to previous studies, exclusive breastfeeding was found to have great importance, since this practice protects the child´s health and allows for a better development, despite unfavorable social and economic con-ditions. In particular, it seems that the protection conferred by breastfeeding is stronger when home conditions are poor, but this same condition presents an intervention opportunity, particularly the assurance of potable water provision for the infant when breastfeeding is not an option. The English version of this paper is available at: http://www.insp.mx/salud/47/eng


REFERENCES

  1. Ixta RO, Lugo FG, Rodríguez GG, Barrios PM. Frecuency of intestinal and bacterial parasites producing diarrhea in children in a regional hospital. Rev Latinoam Microbiol 1993;35(2):137-142.

  2. Black RE, Morris SS, Bryce J. Where and why are 10 million children dying every year? Lancet 2003;361:2226-2234.

  3. Kosek M, Bern C, Guerrant-Richard L.The global burden of diarrhoeal disease, as estimated from studies published between 1992 and 2000. Bull World Health Organ 2003;81:197-204.

  4. Instituto Nacional de Estadística, Geografía e Informática/Secretaría de Salud. Proyecciones de la población de México 2000-2050. México, DF: Consejo Nacional de Población; 2002:351.

  5. Juraci AC, Victora GC, Barros CF, Santos SI, Flores AJ. Impact of breast feeding on admission for pneumonia during postneonatal period in Brazil: Nested case-control study. BMJ 1999;318:1316-1320.

  6. Dobson R. Handwashing programmes could be intervention of choice for diarrhoeal diseases. BMJ 2003;326:1004.

  7. Kofi AA. We the children. Meeting the promises of the World Summit for Children 2001. Exclusive breastfeeding rates at less than four months 1995-2000. Nueva York (NY): Fondo de las Naciones Unidas para la Infancia; 2001.

  8. Creel L. Making the link. Children´s environmental health: Risk and remedies. Washington, DC: Population Reference Bureau; 2002:1-8. Disponible en: http://www.prb.org/pdf/childrensenvironhltheng.pdf. [2004 noviembre 23].

  9. Dyer O. Environmental hazards kill five million children a year. BMJ 2003;326:782.

  10. Gorter CA, Sánchez G, Pauw J, Pérez MR, Sandiford P, Smith GD. Diarrea infantil en la Nicaragua rural: creencias y prácticas de salud tradicionales. Bol Oficina Sanit Panam 1995; 119(5):377-390.

  11. Davis-Adetugbo AD. Socio-cultural factors and the promotion of exclusive breastfeeding in rural communities of Osun State, Nigeria. Soc Sci Med 1997;45(1):113-125.

  12. Pabst HF. Immunomodulation by breastfeeding. Pediatr Infect Dis J 1997;16(10):991-995.

  13. Pabst HF, Spady DW, Pilarski LM, Larson MM, Beeler JA, Krezolek MP. Differential modulation of the immune response by breast- or formulafeeding of infants. Acta Paediatr 1997;86(12):1291-1297.

  14. World Health Organization. Infant and young child nutrition.Resolution WHA54.2 of the Fifty-fourth World Health Assembly; Ginebra: WHO; 2001. (WHA54/2001/REC/3).

  15. Li L, Li S, Ali M, Ushijima H. Feeding practice of infants and their correlates in urban area Beijing, China. Pediatr Int 2003;45(4):400-406.

  16. Long KZ, Wood JW, Vásquez GE, Weiss KM, Mathewson JJ, De la Cabada FJ et al. Proportional hazards analysis of diarrhea due to enterotoxigenic Escherichia coli and breast feeding in a cohort of urban Mexican children. Am J Epidemiol 1994; 139:193-205.

  17. Vandale-Toney S, Rivera Pasquel ME, Kageyama-Escobar ML, Tirado-Gómez LL, López-Cervantes M. Lactancia materna, destete y ablactación: una encuesta en comunidades rurales de México. Salud Publica Mex 1997;39:412-419.

  18. Zeger SL, Liang KY, A bert PS. Models for longitudinal data: A generalized estimating equation approach. Biometrics 1988;44(4):1049-1060.

  19. Kleinbaum DG, Kupper LL, Muller KE. Applied regression analysis and other multivariable methods. Boston (MA): PWS-Kent Publishing Co; 1988.

  20. Santamaría L, Molina I, Morales D. Comparación de métodos de ajuste de modelos lineales generalizados con efectos aleatorios. XXVII Congreso Nacional de Estadística e Investigación Operativa; 2003 abril 8-11; Lleida, Cataluña, España.

  21. De Araujo AN, Giugliano LG. Lactoferrin and free secretory component of human milk inhibit the adhesion of enteropathogenic Escherichia coli to HeLa cells. BMC Microbiol 2001;1(1):25.

  22. Bani IA, Saeed AA, Othman AA. Diarrhoea and child feeding practices in Saudi Arabia. Public Health Nutr 2002;5(6)727-731.

  23. Cesar JA, Victora CG, Barros FC, Santos IS, Flores JA. Impact of breast feeding on admission for pneumonia during postneonatal period in Brazil: Nested case-control study. BMJ 1999;318:1316-1320.

  24. Zacharoulis S, Nauman N, Marlowe M, Fawaz R, Cunningham AS, Mimouni F et al. Questions About AAP Breastfeeding Statement. Pediatrics 1998;102:1495-1496.

  25. Mock NB, Sellers TA, Abdoh AA, Franklin RR. Socioeconomic, enviromental and behavioral factors associated with occurrence of diarrhea in young children in the Republic of Congo. Soc Sci Med 1993;36(6):807-816.

  26. Wray JD. Breast-feeding: An international and historical review. En: Falkner F. Infant and child nutrition worldwide: Issues and perspectives. Boca Raton (FL): CRC Press; 1991;61-116.

  27. Rubin D, Leventhal J, Krasilnikoff P, Kuo HS, Jekel J, Weile B et al. Relationship between infant feeding and infectious illness: A prospective study of infants during the first year of life. Pediatrics 1990;85:464-471.

  28. Beltrán AP, De Onis M, Laurer JA, Villar J. Ecological study of effect of breast feeding on infant mortality in Latin America. BMJ 2001;323(7308):1188.

  29. Potter JE, Mojarro Dávila O, Hernández D. Opinión del personal de salud sobre el patrón de lactancia en el área rural de México. Salud Publica Mex 1991;33(1):18-28.

  30. Riva E, Banderali G, Agostoni C, Silano M, Radaelli G, Giovannini M. Factors associated with initiation and duration of breast feeding in Italy. Acta Paediatr 1999;88(4):411-415.

  31. Shiva F, Nasiri M. A study of feeding patterns in young infants. J Trop Pediatr 2003:49(2):89-92.

  32. Bera S, Sabulsky J, Rajmil L, Passamonte R, Pronsato J, Butinof M. Correlates of breast feeding duration in an urban cohort from Argentina. Acta Pediatr 2003;92(8):952-957.

  33. Albernaz E, Victora CG. Impact of face to face counseling on duration of exclusive breast feeding: A review. Rev Panam Salud Publica 2003;14(1):17-24.

  34. Morales-Espinoza EM,Sánchez-Pérez HJ, García-Gil MM,Vargas-Morales G, Méndez-Sánchez JD, Pérez-Ramírez M. Intestinal parasites in children, in higthly deprived areas in the border region of Chiapas, Mexico. Salud Publica Mex 2003;45(5):379-388.

  35. Pérez-Escamilla R. Breast-feeding patterns in nine Latin American and Caribbean countries. PAHO Bull 1993; 27: 32-42.

  36. Long DK, Rivera DJ, Rivera PM, Hernández AM, Lezana MA. Feeding patterns of Mexican infants recorded in the 1988 National Nutrition Survey. Salud Publica Mex 1995;37:120-129.

  37. Ahluwalia IB, Morrow B, Hsia J, Grummer-Strawn LM. Who is breastfeeding? Recent trenes from the pregnancy risk assessment and monitoring system. J Pediatr 2003;142(5):486-491.

  38. Valdespino JL, Gómez-Dantes H, Garnica ME, Sepúlveda J, Lam N, Herrera MC. Encuesta Nacional de Salud 1986. Patrones de lactancia y ablactación en México. Salud Publica Mex 1989;31:725-734.

  39. Pérez-Escamilla R. Breast-feeding patterns in nine Latin American and Caribbean countries. Bull PAHO 1993;27:32-42.

  40. Noble L, Hand I, Haynes D, McVeigh T, Kim M, Yoon JJ. Factors influencing initiation of breast feeding among urban women. Am J Perinatol 2003;20(8):477-483.

  41. Lerman Y, Slepon R, Cohen D. Epidemiology of acute diarrheal diseases in children in a high standard of living rural settlement in Israel. Pediatr Infect Dis J 1994;13(2):116-122.

  42. Schlaepfer LV, Infante C. La alimentación infantil en México y su relación con la utilización de servicios de salud materna. Salud Publica Mex 1992;34:593-606.

  43. Sepúlveda-Amor J. Malnutrition and infectious diseases: A longitudinal study of interaction and risk factor. México, DF: Instituto Nacional de Salud Pública; 1990. (Perspectivas en Salud Pública, No. 9)

  44. Juez G. Breast feeding: General and nutritional advantages for the child under 1 year of age. Rev Chil Pediatr 1989;60(2):3-8.

  45. Riveron-Corteguera RL. Estrategias y causas de reducción de la mortalidad por diarrea infantil, Cuba 1959-1999. Rev Cubana Pediatr 2000;72(3):147-164.

  46. Leonore J, Launer J, Sri K. Breast feeding protects infants in Indonesia against illness and weight loss due to illness. Am J Epidemiol 1990;131:322-331.

  47. Latham MC. Breast feeding reduces morbidity. BMJ 1999;318: 1303-1304.

  48. Reyes H, Guiscafré H, Sarti E, Montoya Y, Tapia R, Gutiérrez G. Variaciones urbano-rurales en la atención del niño con enfermedad diarreica en México. Salud Publica Mex 1996;38:157-166.

  49. Rayan SA, Wenjun Z, Acosta A. Breast feeding continues to increase into the new millennium. Pediatrics 2002;110(6):1103-1109.




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