Factors Associated with Weaning in Infants with Cow's Milk Allergy: A Cohort Study.

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY
Tatiane Graça Martins, Anne Jardim Botelho, Jackeline Motta Franco, Sarah Cristina Fontes Vieira, Bruna Franca Protásio, Diana Dos Santos, Solange Alves Dos Santos, Párcia Marques da Silva Oliveira, Ikaro Daniel de Carvalho Barreto, Ricardo Queiroz Gurgel
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Abstract

Objective: To analyze the factors associated with weaning in infants with cow's milk allergy (CMA) treated at a food allergy reference center in a state in the northeast of Brazil. Method: A prospective cohort study, with a case group (children with CMA) and two control groups (symptomatic nonallergic children [SC] and asymptomatic [AC]). At the beginning of the study, 30 children comprised the CMA group, 84 the SC group, and 52 the AC group. Survival analysis was performed to compare breastfeeding time between the three groups and an adjusted linear regression model to verify the factors associated with breastfeeding time. Results: At the beginning of the study, 33.3% of children in the CMA group, 17.1% in the SC group, and 69.6% in the AC group were exclusively breastfeeding (p = 0.005). The most common factors for weaning in children with CMA were the cow's milk elimination diet (30%), allergic symptoms in the child (20%), and breast engorgement (20%). Children who used a cup as a means of offering infant formula spent 281 more days breastfeeding compared with those who used a baby bottle (Bstd = 1.39; p = 0.031). Conclusion: Children with CMA and nonallergic gastrointestinal complaints weaned earlier compared with asymptomatic children. The main causes of weaning in CMA children were maternal difficulty adhering to the elimination diet, breast engorgement, and allergic symptoms in the child. Using a cup was the main factor associated with longer breastfeeding duration, regardless of gastrointestinal symptoms and socioeconomic factors.

牛奶过敏婴儿断奶的相关因素:队列研究
目的分析在巴西东北部一个州的食物过敏参考中心接受治疗的牛奶过敏(CMA)婴儿断奶的相关因素。研究方法:前瞻性队列研究:前瞻性队列研究,包括一个病例组(患有 CMA 的儿童)和两个对照组(有症状的非过敏儿童 [SC] 和无症状儿童 [AC])。研究开始时,CMA 组有 30 名儿童,SC 组有 84 名儿童,AC 组有 52 名儿童。研究人员对三组母乳喂养时间进行了生存分析比较,并利用调整线性回归模型验证了与母乳喂养时间相关的因素。结果研究开始时,CMA 组有 33.3%、SC 组有 17.1%、AC 组有 69.6%的儿童纯母乳喂养(p = 0.005)。CMA患儿最常见的断奶因素是牛乳淘汰饮食(30%)、患儿过敏症状(20%)和乳房胀气(20%)。与使用奶瓶的儿童相比,使用杯子提供婴儿配方奶的儿童母乳喂养天数多 281 天(Bstd = 1.39;P = 0.031)。结论与无症状儿童相比,有 CMA 和非过敏性胃肠道不适的儿童断奶时间更早。CMA患儿断奶的主要原因是母亲难以坚持消除性饮食、乳房胀气和患儿出现过敏症状。使用奶杯是延长母乳喂养时间的主要因素,与胃肠道症状和社会经济因素无关。
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来源期刊
Breastfeeding Medicine
Breastfeeding Medicine OBSTETRICS & GYNECOLOGY-PEDIATRICS
CiteScore
4.20
自引率
11.10%
发文量
130
审稿时长
6-12 weeks
期刊介绍: Breastfeeding Medicine provides unparalleled peer-reviewed research, protocols, and clinical applications to ensure optimal care for mother and infant. The Journal answers the growing demand for evidence-based research and explores the immediate and long-term outcomes of breastfeeding, including its epidemiologic, physiologic, and psychological benefits. It is the exclusive source of the Academy of Breastfeeding Medicine protocols. Breastfeeding Medicine coverage includes: Breastfeeding recommendations and protocols Health consequences of artificial feeding Physiology of lactation and biochemistry of breast milk Optimal nutrition for the breastfeeding mother Breastfeeding indications and contraindications Managing breastfeeding discomfort, pain, and other complications Breastfeeding the premature or sick infant Breastfeeding in the chronically ill mother Management of the breastfeeding mother on medication Infectious disease transmission through breast milk and breastfeeding The collection and storage of human milk and human milk banking Measuring the impact of being a “baby-friendly” hospital Cultural competence and cultural sensitivity International public health issues including social and economic issues.
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