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Breastfeeding and childhood acute otitis media: A systematic review and meta-analysis

Citation

Bowatte, G and Tham, R and Allen, KJ and Tan, DJ and Lau, MXZ and Dai, X and Lodge, CJ, Breastfeeding and childhood acute otitis media: A systematic review and meta-analysis, Acta Paediatrica, 104 pp. 85-95. ISSN 0803-5253 (2015) [Refereed Article]

Copyright Statement

©2015 The Authors. Acta Pædiatrica published by John Wiley & Sons Ltd

DOI: doi:10.1111/apa.13151

Abstract

Aim: To synthesise the evidence on the association between duration and exclusivity of breastfeeding and the risk of acute otitis media (AOM).

Methods: Systematic review and meta-analysis following searching of PubMed, CINAHL and EMBASE electronic databases.

Results: Twenty-four studies, all from the USA or Europe, met the inclusion criteria. In the pooled analyses, any form of breastfeeding was found to be protective for AOM in the first 2 years of life. Exclusive breastfeeding for the first 6 months was associated with the greatest protection (OR 0.57 95% CI 0.44, 0.75), followed by ‘more vs less’ breastfeeding (OR 0.67; 0.59, 0.76) and ‘ever vs never’ breastfeeding (OR 0.67; 0.56, 0.80).

Conclusion: This systematic review and meta-analysis provides evidence that breastfeeding protects against AOM until 2 years of age, but protection is greater for exclusive breastfeeding and breastfeeding of longer duration. Exclusive breastfeeding during the first 6 months was associated with around a 43% reduction in ever having AOM in the first 2 years of life. After 2 years of age, there is no evidence that breastfeeding protects against AOM; however, there were few studies and the evidence quality was low.

Item Details

Item Type:Refereed Article
Keywords:breastfeeding, child, formula feeding, otitis media
Research Division:Medical and Health Sciences
Research Group:Public Health and Health Services
Research Field:Community Child Health
Objective Division:Health
Objective Group:Specific Population Health (excl. Indigenous Health)
Objective Field:Child Health
Author:Tan, DJ (Mr Daniel Tan)
ID Code:106671
Year Published:2015
Web of Science® Times Cited:31
Deposited By:Medicine (Discipline)
Deposited On:2016-02-17
Last Modified:2017-11-07
Downloads:0

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