Gastroenteritis, diarrhoea and breast feeding

被引:52
作者
Golding, J
Emmett, PM
Rogers, IS
机构
[1] U. Paediatr. Perinatal Epidemiol., Institute of Child Health, University of Bristol, Bristol BS8 1TQ
关键词
breast feeding; diarrhoea; gastroenteritis; developing countries; developed countries; biological plausibility;
D O I
10.1016/S0378-3782(97)00055-8
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
In this paper we review the literature in regard to possible relationships between breast feeding and diarrhoea or gastroenteritis. We show that in the developed as well as the developing world, there is consistent evidence of a protective effect of exclusive breast feeding in the first 4-6 months of life. The odds ratios were generally in excess of 3.0 for non-breast milk feeds. The relationship was not consistent for rotavirus infections but was consistently strong for non-viral pathogens. There are a number of indicators that suggest biological plausibility, in both the developing and developed world. The triple indicators of consistency and strength of the epidemiological associations, together with biological plausibility are major arguments for believing that there is a causal sequence involved. (C) 1997 Elsevier Science Ireland Ltd.
引用
收藏
页码:S83 / S103
页数:21
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