The effect of exclusive breastfeeding on reducing acute respiratory infections in low birth weight infants

  • Karolina Trigemayanti Tallo Department of Child Health, Udayana University Medical School/ Sanglah Hospital, Denpasar, Bali
  • I Kompyang Gede Suandi Department of Child Health, Udayana University Medical School/ Sanglah Hospital, Denpasar, Bali
  • Setya Wandita Department of Child Health, GadjahMada University Medical School/Dr. Sardjito Hospital, Yogyakarta, Central Java
DOI: https://doi.org/10.14238/pi52.4.2012.229-32
Keywords: low birth weight, breastfeeding, acute respiratory infection

Abstract

Background Infants who are breastfed receive natural protection
against certain infections. Despite the known benefits of exclusive
breastfeeding, many Indonesian mothers choose to supplement
with formula. There have been few Indonesian studies on the
effect of exclusive breastfeeding in reducing acute respiratory
infections in low birth weight infants in their first four months
of life.
Objective To investigate the effect of exclusive breastfeeding in
reducing the incidence of acute respiratory infections in low birth
weight infants during their first four months of life.
Methods We conducted a prospective cohort study on low birth
weight babies in Sanglah Hospital, Denpasar. The total number
of subjects was 181. The incidence of acute respiratory infections
during the first 4 months of life and the duration of breast feeding
were assessed by questionnaires. Data was analyzed Mth Chi
square and logistic regression tests.
Results Infants who were exclusively breastfed for 4 months had
a lower risk of acute respiratory infection than those who were not
exclusively breastfed (RR 0.07; 95% CI 0.03 to 0.14; Pô€„O.OOI).
After adjustment for gestational age, parity, maternal nutritional
status, family size, smoke exposure, and history of atopy, infants
who were exclusively breastfed still had a lower risk for acute
respiratory infection than those who were not exclusively breastfed
(RR 0.06; 95% CI 0.03 to 0.13; P ô€„ 0.001)
Conclusion Exclusive breastfeeding reduced the risk of acute
respiratory infection in low birth weight infants in the first four
months after birth. [Paediatr Indones. 2012;52:229,32].

References

1. Pojda j, Kelley L. Low Birth Weight. ACC/SCN Nutrition Policy Paper. 2000;2.18-28.
2. Indonesian Ministry of Health. Peningkatan pemberian ASI
sampai tahun 2005. In: Utoro R , editor. Strategi nasional
program for appropriate technology in health. l,1t ed. Jakarta:
Depkes; 2005. p. 1-12.
3. Dinas Kesehatan Propinsi Bali. Data cakupan ASI tahun
200S. Dinas kesehatan Propinsi Bali: Denpasar; 200S.
4. Raisler J, Alexander C, O'Campo P. Breastfeeding and infant
illness: a dose􀁃response relationship? Am J Public Health.
1999;89.25-30.
5. Chantry CJ, Howard CR, Auinger P. Full breastfeeding
duration and associated decrease in respiratory tract infection
in US children. Pediatrics. 2006;1170425-32.
6. Bachrach VRO, Schwarz E , Bachrach LR. Breastfeeding and
the risk of hospitalization for respiratory disease in infancy.
Arch Pediatr Adolesc Med. 2003;157.237-43.
7. Duitjs L, Jaddoe V, Hofman A , Moll H. Prolonged and
exclusive breastfeeding reduces the risk of infectious disease
in infancy. Pediatrics. 201O;126:1S􀁋25.
S. Alarcon ML, Villapando S, Arturo F. Breastfeeding lowers
the frequency and duration of acute respiratory infection
and diarrhea in infants under six months of age. J Nutr.
1996;1270436-42.
9. Maria AQ, Kelly YJ, Amanda S. Breastfeeding and
hospitalization for diarrheal and respiratory infection in
the United Kingdom millennium cohort study. Pediatrics.
2007;119.837-42.
10. Kelly DC. Early nutrition and the development of immune
function in the neonate. Proc Nutr Soc. 2000;59:177􀁋S5.
11. Gross Sj, Buckley RH, Wahl SS, McAllister DC, David Rj,
Faix RO. Elevated IgA concentration in milk produced by
mothers delivered of pre term infants. J Pediatr. 19S1;99:3S9􀁋
93.
12. Ryan P, Kawaoka Y. a2􀁃macroglobulin is the major neutralizing
inhibitor of influenza. Am J Epidemiol. 1993; 119:516-25.
Published
2012-08-31
How to Cite
1.
Tallo K, Suandi IK, Wandita S. The effect of exclusive breastfeeding on reducing acute respiratory infections in low birth weight infants. PI [Internet]. 31Aug.2012 [cited 26Apr.2024];52(4):229-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/402
Issue
Vol 52 No 4 (2012): July 2012
Section
Articles

Authors who publish with this journal agree to the following terms:

Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Received 2016-08-31
Accepted 2016-08-31
Published 2012-08-31