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]
©2015 The Authors. Acta Pædiatrica published by John Wiley & Sons Ltd
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 Type:||Refereed Article|
|Keywords:||breastfeeding, child, formula feeding, otitis media|
|Research Division:||Health Sciences|
|Research Group:||Public health|
|Research Field:||Community child health|
|Objective Group:||Specific population health (excl. Indigenous health)|
|Objective Field:||Neonatal and child health|
|UTAS Author:||Tan, DJ (Mr Daniel Tan)|
|Web of Science® Times Cited:||103|
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