THE STUDY OF FREQUENCY, RISK FACTORS AND PROTECTIVE ROLE OF BREASTFEEDING AGAINST ACUTE RESPIRATORY TRACT INFECTIONS IN INFANTS UNDER ONE YEAR OF AGE : A COMMUNITY BASED, PROSPECTIVE, LONGITUDINAL, OBSERVATIONAL STUDY.
Dr. Rohit Banerjee*, Dr. Maiya P.P.**, Dr. Karunakara B.P.***
Department of Pediatrics M.S., Ramaiah Medical College, Bangalore.*, Department of Pediatrics M.S., Ramaiah Medical College, Bangalore.**, Department of Pediatrics M.S., Ramaiah Medical College, Bangalore.***
Objectives
To study the frequency, identify risk factors and to assess protective efficacy of breastfeeding against acute respiratory infections in infants up to one year of age.
Design
Community-based prospective, longitudinal, observational study
Duration of this study
2 years from March 2003 to February 2005.
Sources of Data
Corporation Hospital Yeshwanthpur, Bangalore.
Materials and Methods
220 full term normal babies born in an urban maternity hospital were enrolled and followed prospectively up to one year of age at monthly intervals by home visits. Infants with congenital cardiac defects, immunodeficiency prematurity, birth asphyxia and ventilatory support were excluded. During each monthly visit details on respiratory infections, treatment, hospitalization, breastfeeding details, immunization and anthropometry were documented. Data was analyzed using appropriate statistical methods.
Results
The average annual frequency of ARI was 6.4 episodes per child per year with a male preponderance (6.76 vs 5.99). The frequency of LRTI was less than 1%. Frequency of ARI was seen to be inversely associated with the duration of exclusively breastfed period and rising sharply with the introduction of complementary feeds. Logistic regression analysis showed that shorter duration of exclusive breastfeeding (P<0.0001) were associated with increased frequency of ARI. Babies exclusively breastfed for at least 6 months and fewer episodes of ARI and better growth.
Conclusion
The study gives an insight into the current frequency, risk factors and protective role of breastfeeding against acute respiratory infections in infants in an urban population. Health education and campaign to promote exclusive breastfeeding for 6 months and prolonged breastfeeding and lifestyle modifications protects infants against recurrent respiratory infections. Promote better growth and development.
Abbreviations
ARI: Acute respiratory tract infection
AURI: Acute upper respiratory infection
ALRI: Acute lower respiratory infection
EBF: Exclusive breastfeeding
How to Cite URL :
Banerjee R D, P.P. M D, B.P. K D.. Available From : http://www.pediatriconcall.com/fordoctor/ Conference_abstracts/report.aspx?reportid=170
Disclaimer: The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.