Exclusive or Partial Breastfeeding for 6 Months Is Associated With Reduced Milk Sensitization and Risk of Eczema in Early Childhood

AbstractThere is insufficient evidence to confirm the association between breastfeeding and allergic outcomes later in life. This study aimed to determine the relationships between different breastfeeding patterns and allergen sensitizations and risk of developing atopic diseases in early childhood. A total of 186 children from a birth cohort in the Prediction of Allergies in Taiwanese Children study for a 4-year follow-up period were enrolled. Total serum immunoglobulin E (IgE) levels and specific IgE antibodies against food and inhalant allergens were measured sequentially at 6 months as well as at 1, 1.5, 2, 3, and 4 years of age. A significantly lower prevalence of milk sensitization was found in children at ages 1 and 1.5 years who were exclusively or partially breastfed for ≥6 months. Breastfeeding ≥6 months was significantly associated with a reduced risk of developing eczema but not allergic rhinitis and asthma at ages 1 and 2 years. Compared with exclusive breastfeeding ≥6 months, partial breastfeeding <6 months was significantly associated with an increased risk of developing eczema at ages 1 and 2 years. As with exclusive breastfeeding, partial breastfeeding for at least 6 months appears to be associated with a reduced prevalence of milk sensitization as well as a reduced risk of developing eczema in early childhood.

[1]  A. Lowe,et al.  Breastfeeding and asthma and allergies: a systematic review and meta‐analysis , 2015, Acta paediatrica.

[2]  T. Yao,et al.  Low cord blood vitamin D levels are associated with increased milk sensitization in early childhood , 2014, Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology.

[3]  S. Liao,et al.  Exclusive breastfeeding is associated with reduced cow's milk sensitization in early childhood , 2014, Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology.

[4]  T. Yao,et al.  Sensitization to Food and Inhalant Allergens in Relation to Atopic Diseases in Early Childhood: A Birth Cohort Study , 2014, PloS one.

[5]  S. Liao,et al.  Suboptimal Vitamin D Status in a Population-Based Study of Asian Children: Prevalence and Relation to Allergic Diseases and Atopy , 2014, PloS one.

[6]  A. Boner,et al.  Breast-milk characteristics protecting against allergy. , 2014, Endocrine, metabolic & immune disorders drug targets.

[7]  B. Lee,et al.  Food allergy in Asia: how does it compare? , 2013, Asia Pacific allergy.

[8]  Michael S Kramer,et al.  Optimal duration of exclusive breastfeeding ( Review , 2022 .

[9]  M. Kramer Breastfeeding and Allergy: The Evidence , 2011, Annals of Nutrition and Metabolism.

[10]  G. Rook Hygiene and Other Early Childhood Influences on the Subsequent Function of the Immune System , 2011, Digestive Diseases.

[11]  T. Yao,et al.  Associations of Age, Gender, and BMI with Prevalence of Allergic Diseases in Children: PATCH Study , 2011, The Journal of asthma : official journal of the Association for the Care of Asthma.

[12]  P. Dagnelie,et al.  Fatty acids in breast milk and development of atopic eczema and allergic sensitisation in infancy , 2011, Allergy.

[13]  J. McGrath,et al.  Predicting Breastfeeding Duration Related to Maternal Attitudes in a Taiwanese Sample , 2011, Journal of Perinatal Education.

[14]  A. Kafatos,et al.  Protective effect of exclusive breastfeeding against infections during infancy: a prospective study , 2010, Archives of Disease in Childhood.

[15]  K. Bønnelykke,et al.  Increased risk of eczema but reduced risk of early wheezy disorder from exclusive breast-feeding in high-risk infants. , 2010, The Journal of allergy and clinical immunology.

[16]  A. Hofman,et al.  Prolonged and Exclusive Breastfeeding Reduces the Risk of Infectious Diseases in Infancy , 2010, Pediatrics.

[17]  J. Hopper,et al.  Breast-feeding and atopic disease: a cohort study from childhood to middle age. , 2007, The Journal of allergy and clinical immunology.

[18]  P. A. van den Brandt,et al.  Breast-feeding duration and infant atopic manifestations, by maternal allergic status, in the first 2 years of life (KOALA study). , 2007, The Journal of pediatrics.

[19]  E. Ota,et al.  Interventions for promoting the initiation of breastfeeding. , 2006, The Cochrane database of systematic reviews.

[20]  D. Christakis,et al.  Systematic review of the relationship between early introduction of solid foods to infants and the development of allergic disease. , 2006, Archives of pediatrics & adolescent medicine.

[21]  E. Savilahti,et al.  A dual long‐term effect of breastfeeding on atopy in relation to heredity in children at 4 years of age , 2003, Allergy.

[22]  M. Wickman,et al.  Breast feeding and allergic diseases in infants—a prospective birth cohort study , 2002, Archives of disease in childhood.

[23]  R. Poulton,et al.  Long-term relation between breastfeeding and development of atopy and asthma in children and young adults: a longitudinal study , 2002, The Lancet.

[24]  J. Holloway,et al.  Reduced soluble CD14 levels in amniotic fluid and breast milk are associated with the subsequent development of atopy, eczema, or both. , 2002, The Journal of allergy and clinical immunology.

[25]  M. Jenmalm,et al.  Breastfeeding and the development of atopic disease during childhood , 2002, Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology.

[26]  U. Wahn,et al.  Breastfeeding duration is a risk factor for atopic eczema , 2002, Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology.

[27]  M. Gdalevich,et al.  Breast-feeding and the risk of bronchial asthma in childhood: a systematic review with meta-analysis of prospective studies. , 2001, The Journal of pediatrics.

[28]  M S Kramer,et al.  Promotion of Breastfeeding Intervention Trial (PROBIT): a randomized trial in the Republic of Belarus. , 2001, JAMA.

[29]  A. Togias Systemic immunologic and inflammatory aspects of allergic rhinitis. , 2000, The Journal of allergy and clinical immunology.

[30]  U. Wahn,et al.  Long‐lasting sensitization to food during the first two years precedes allergic airway disease , 1998, Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology.

[31]  J. Soriano,et al.  Total serum IgE is associated with asthma independently of specific IgE levels. The Spanish Group of the European Study of Asthma. , 1996, The European respiratory journal.

[32]  D. Strachan,et al.  International Study of Asthma and Allergies in Childhood (ISAAC): rationale and methods. , 1995, The European respiratory journal.

[33]  S. Marcoux,et al.  Relation between infant feeding and infections during the first six months of life. , 1995, The Journal of pediatrics.

[34]  R. Kramer,et al.  Age of onset in childhood asthma: data from a national cohort. , 1992, Annals of allergy.

[35]  W. Jordan,et al.  Clinical effects of diaper types on the skin of normal infants and infants with atopic dermatitis. , 1987, Journal of the American Academy of Dermatology.

[36]  W. Walker,et al.  Breast milk, microbiota, and intestinal immune homeostasis , 2015, Pediatric Research.

[37]  R. Feferbaum,et al.  Interventions for promoting the initiation of breastfeeding , 2006, Sao Paulo medical journal = Revista paulista de medicina.

[38]  C. Cooper,et al.  Maternal vitamin D status during pregnancy and child outcomes , 2008, European Journal of Clinical Nutrition.