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Exclusive breast-feeding for at least 4 months protects against otitis media.
Pediatrics. 1993 May; 91(5):867-72.Ped

Abstract

OBJECTIVE

This study was designed to assess the relation of exclusive breast-feeding, independent of recognized risk factors, to acute and recurrent otitis media in the first 12 months of life.

METHODS

Records of 1220 infants who used a health maintenance organization and who were followed during their first year of life as part of the Tucson Children's Respiratory Study were reviewed. Detailed prospective information about the duration and exclusiveness of breast-feeding was obtained, as was information relative to potential risk factors (socioeconomic status, gender, number of siblings, use of day care, maternal smoking, and family history of allergy). Acute otitis media and recurrent otitis media, defined as three or more episodes of acute otitis media in a 6-month period or four episodes in 12 months, were the outcome variables.

RESULTS

Of the 1013 infants followed for their entire first year, 476 (47%) had at least one episode of otitis and 169 (17%) had recurrent otitis media. Infants exclusively breast-fed for 4 or more months had half the mean number of acute otitis media episodes as did those not breastfed at all and 40% less than those infants whose diets were supplemented with other foods prior to 4 months. The recurrent otitis media rate in infants exclusively breast-fed for 6 months or more was 10% and was 20.5% in those infants who breast-fed for less than 4 months. This protection was independent of the risk factors considered.

CONCLUSION

These findings suggest that exclusive breast-feeding of 4 or more months protected infants from single and recurrent episodes of otitis media.

Authors+Show Affiliations

Department of Pediatrics, Steele Memorial Children's Research Center, Tucson, AZ 85724.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

8474804

Citation

Duncan, B, et al. "Exclusive Breast-feeding for at Least 4 Months Protects Against Otitis Media." Pediatrics, vol. 91, no. 5, 1993, pp. 867-72.
Duncan B, Ey J, Holberg CJ, et al. Exclusive breast-feeding for at least 4 months protects against otitis media. Pediatrics. 1993;91(5):867-72.
Duncan, B., Ey, J., Holberg, C. J., Wright, A. L., Martinez, F. D., & Taussig, L. M. (1993). Exclusive breast-feeding for at least 4 months protects against otitis media. Pediatrics, 91(5), 867-72.
Duncan B, et al. Exclusive Breast-feeding for at Least 4 Months Protects Against Otitis Media. Pediatrics. 1993;91(5):867-72. PubMed PMID: 8474804.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Exclusive breast-feeding for at least 4 months protects against otitis media. AU - Duncan,B, AU - Ey,J, AU - Holberg,C J, AU - Wright,A L, AU - Martinez,F D, AU - Taussig,L M, PY - 1993/5/1/pubmed PY - 1993/5/1/medline PY - 1993/5/1/entrez SP - 867 EP - 72 JF - Pediatrics JO - Pediatrics VL - 91 IS - 5 N2 - OBJECTIVE: This study was designed to assess the relation of exclusive breast-feeding, independent of recognized risk factors, to acute and recurrent otitis media in the first 12 months of life. METHODS: Records of 1220 infants who used a health maintenance organization and who were followed during their first year of life as part of the Tucson Children's Respiratory Study were reviewed. Detailed prospective information about the duration and exclusiveness of breast-feeding was obtained, as was information relative to potential risk factors (socioeconomic status, gender, number of siblings, use of day care, maternal smoking, and family history of allergy). Acute otitis media and recurrent otitis media, defined as three or more episodes of acute otitis media in a 6-month period or four episodes in 12 months, were the outcome variables. RESULTS: Of the 1013 infants followed for their entire first year, 476 (47%) had at least one episode of otitis and 169 (17%) had recurrent otitis media. Infants exclusively breast-fed for 4 or more months had half the mean number of acute otitis media episodes as did those not breastfed at all and 40% less than those infants whose diets were supplemented with other foods prior to 4 months. The recurrent otitis media rate in infants exclusively breast-fed for 6 months or more was 10% and was 20.5% in those infants who breast-fed for less than 4 months. This protection was independent of the risk factors considered. CONCLUSION: These findings suggest that exclusive breast-feeding of 4 or more months protected infants from single and recurrent episodes of otitis media. SN - 0031-4005 UR - https://www.unboundmedicine.com/medline/citation/8474804/Exclusive_breast_feeding_for_at_least_4_months_protects_against_otitis_media_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=8474804 DB - PRIME DP - Unbound Medicine ER -