Evaluation of the impact of breastfeeding on the development of allergic diseases in children in the vale do aço region:
a cohort study
DOI:
https://doi.org/10.29327/2393773.1.18-7Keywords:
breast milk; asthma; atopic dermatites; breastfeeding.Abstract
Objective: to evaluate the impact of breastfeeding on the development of allergic diseases in children aged 0 to 10 years treated at the Usifamilia Primary Health Care Center between 2015 and 2024. Method: descriptive observational study of the retrospective cohort type, using data from the electronic medical record (Tasy), focusing on asthma, atopic dermatitis and allergy to cow's milk protein. The exposure factor was exclusive breastfeeding for a period of 6 months. Measures of central tendency, dispersion and frequencies were analyzed, with hypothesis tests considering p < 0.05. Results: indicate that 54.3% of children were exclusively breastfed until six months, but no association was found between the type of milk and the risk of allergic diseases. Conclusion: exclusive breastfeeding was more prevalent than in other studies, but without a protective effect against allergies, highlighting the need for further research in different regional contexts.
References
BRASIL. Ministério da Saúde. Secretaria de Atenção Primária à Saúde. Departamento de Atenção à Saúde. Guia alimentar para crianças brasileiras menores de 2 anos. Brasília: Ministério da Saúde, 2021. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/guia_alimentar_crianca_brasileira_versao_resumida.pdf. Acesso em: 11 dez. 2024.
BOWATTE, G. et al. Breastfeeding and childhood acute otitis media: a systematic review and meta‐analysis. Acta Paediatrica, v. 104, p. 85-95, 2015.
CARR, L. et al. Role of human milk bioactives on infants' gut and immune health. Frontiers in immunology, v. 12, p. 604080, 2021.
CONSALES, A. et al. The hidden universe of human milk microbiome: origin, composition, determinants, role, and future perspectives. European Journal of Pediatrics, v. 181, n. 5, p. 1811–1820, 2022. Disponível em: https://pmc.ncbi.nlm.nih.gov/articles/PMC9056486/. Acesso em: 11 dez. 2024.
DA SILVA, M. et al. Breastfeeding and maternal weight changes during 24 months post‐partum: a cohort study. Maternal & child nutrition, v. 11, n. 4, p. 780-791, 2015.
DOGARU, C. et al. Breastfeeding and childhood asthma: systematic review and meta-analysis. American Journal of Epidemiology, v. 179, n. 10, p. 1153-1167, 2014. Disponível em: https://pubmed.ncbi.nlm.nih.gov/24727807/. Acesso em: 11 dez. 2024.
FRANK, N. et al. The relationship between breastfeeding and reported respiratory and gastrointestinal infection rates in young children. BMC pediatrics, v. 19, p. 1-12, 2019.
GREER, F. et al. The Effects of Early Nutritional Interventions on the Development of Atopic Disease in Infants and Children: The Role of Maternal Dietary Restriction, Breastfeeding, Hydrolyzed Formulas, and Timing of Introduction of Allergenic Complementary Foods. Pediatrics, v. 143, n. 4, 2019. Disponível em: https://pubmed.ncbi.nlm.nih.gov/30886111/. Acesso em: 11 dez. 2024.
GÜNGÖR, D. et al. Infant milk-feeding practices and food allergies, allergic rhinitis, atopic dermatitis, and asthma throughout the life span: a systematic review. The American Journal of Clinical Nutrition, v. 109, p. 772S-799S, 2019. Disponível em: https://pubmed.ncbi.nlm.nih.gov/30982870/. Acesso em: 11 dez. 2024.
LIBUDA, L. et al. Full Breastfeeding and Allergic Diseases—Long-Term Protection or Rebound Effects? Nutrients, v. 15, n. 12, p. 2780, 2023. Disponível em: https://pubmed.ncbi.nlm.nih.gov/37375684/. Acesso em: 12 dez. 2024.
MEYERS, Linda S.; GAMST, Glenn; GUIAR, A. J. Applied multivariate research: design and interpretation. 2. ed. Thousand Oaks: Sage Publications, 2013.
MEEK, J; NOBLE, L. Policy Statement: Breastfeeding and the Use of Human Milk. Pediatrics, v. 150, n. 1, 2022. Disponível em: https://pubmed.ncbi.nlm.nih.gov/35921640/. Acesso em: 11 dez. 2024.
NOTARBARTOLO, V. et al. Composition of Human Breast Milk Microbiota and Its Role in Children’s Health. Pediatric Gastroenterology, Hepatology & Nutrition, v. 25, n. 3, p. 194, 2022. Disponível em: https://pubmed.ncbi.nlm.nih.gov/35611376/. Acesso em: 11 dez. 2024.
ORGANIZAÇÃO MUNDIAL DA SAÚDE (OMS). Alimentação de lactentes e crianças pequenas. 2023a. Disponível em: https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding. Acesso em: 11 dez. 2024.
ORGANIZAÇÃO MUNDIAL DA SAÚDE (OMS). Alimentação de lactentes e crianças pequenas. 2023b. Disponível em: https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding#:~:text=About%2044%25%20of%20infants%200,months%20old%20are%20exclusively%20breastfed. Acesso em: 11 dez. 2024.
ORGANIZAÇÃO MUNDIAL DA SAÚDE (OMS). Amamentação. 2024. Disponível em: https://www.who.int/health-topics/breastfeeding#tab=tab_3. Acesso em: 11 dez. 2024.
PEREIRA, L. et al. O lugar importa: prevalência de aleitamento materno exclusivo de acordo com a região, tipologia municipal e grau de urbanização no Brasil. Hygeia - Revista Brasileira de Geografia Médica e da Saúde, v. 19, p. e1939, 2023. Disponível em: https://www.researchgate.net/publication/376862997_O_LUGAR_IMPORTA_PREVALENCIA_DE_ALEITAMENTO_MATERNO_EXCLUSIVO_DE_ACORDO_COM_A_REGIAO_TIPOLOGIA_MUNICIPAL_E_GRAU_DE_URBANIZACAO_NO_BRASIL. Acesso em: 12 dez. 2024.
PORTA, Miquel (Org.). A dictionary of epidemiology. 6. ed. New York: Oxford University Press, 2014.
SOCIEDADE BRASILEIRA DE PEDIATRIA (SBP). Guia Prático de Aleitamento Materno. 2020. Disponível em: https://www.sbp.com.br/fileadmin/user_upload/22800f-GUIAPRATICO-GuiaPratico_de_AM.pdf. Acesso em: 11 dez. 2024.
UNIVERSIDADE FEDERAL DO RIO DE JANEIRO (UFRJ). Aleitamento materno: prevalência e práticas entre crianças brasileiras menores de 2 anos. ENANI/UFRJ, 2021. Disponível em: https://enani.nutricao.ufrj.br/wp-content/uploads/2023/10/Relatorio-4-ENANI-2019-Aleitamento-Materno.pdf. Acesso em: 11 dez. 2024.
VARGAS, M. et al. Prevalência de aleitamento materno exclusivo e complementar e fatores associados, em cenário nacional: revisão integrativa. Revista Enfermagem Atual In Derme, v. 97, 2023. Disponível em: https://doi.org/10.31011/reaid-2023-v.97-n.3-art.1568. Acesso em: 11 dez. 2024.
XUE, M. et al. Breastfeeding and risk of childhood asthma: a systematic review and meta-analysis. ERJ Open Research, v. 7, n. 4, p. 00504–02021, 2021. Disponível em: https://pubmed.ncbi.nlm.nih.gov/34912884/. Acesso em: 11 dez. 2024.
Downloads
Published
Issue
Section
License
Transferência de Direitos Autorais
Declaro que em caso de aceitação do artigo, concordo que os direitos autorais a ele referentes se tornarão propriedade exclusiva da Revista Interdisciplinar.
Assinatura do(s) autor(es)
Data: _____________________________________________________________________
Envio de manuscritos
Os manuscritos devem ser enviados pelo sistema eletrônico para a Revista Interdisciplinar.