The relation between pattern of feeding and behavior & mental health disorders among children

Enas Abdurrahman, T. Elzayat, Rania A. Hamed, Amira Hassan
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Abstract

Introduction The benefits of breastfeeding are innumerable, such as a reduction in the risk of acute otitis media, gastroenteritis, severe lower respiratory tract infections, atopic dermatitis, asthma (young children), obesity, type 1 and 2 diabetes, childhood leukemia, additionally may reduce the risk of psychological and behavioral disorders among children. Aim To evaluate the effect of breastfeeding on behavioral and mental health disorders of school-age children. Patients and methods This case–control comparative study was carried out on a group of children aged from 6 to 12 years, who were divided into two groups: the patient group included 50 children who were diagnosed with behavioral and mental health disorders according to DSM 5 criteria of diagnosis and were recruited from the outpatient psychiatry clinic of Al-Zahraa Hospital University during the period from March 2020 to September 2020 and a control group with apparently healthy children with no history of psychological manifestations matched in number, age, and sex with the patient group. Result The mean age was 8.4±2.2 years. There were 15 (30.0%) female and 35 (70.0%) male patients, with the highest percentage having attention-deficit hyperactive disorder (ADHD) (72.0%), followed by obsessive-compulsive disorder (OCD) (24.0%), learning disorder (10.0%), and conduct disorder (2.0%). The majority of the cases (29) were mixed fed (58.0%), 11 (22.0%) were artificially fed, and 10 (20.0%) were breastfed. There was a highly statistically significant difference between artificial (bottle) feeding and mixed feeding regarding behavioral disease as ADHD and OCD were highly significant, with P value more than 0.001. Moreover, there was a highly statistically significant difference between the duration of breastfeeding less than or equal to 6 months and ADHD and OCD. Conclusions Breastfeeding has been demonstrated that is inversely associated to behavioral and mental health disorders as increase the duration of breastfeeding associated with decrease the incidence of psychological and behavioral disorders.
喂养方式与儿童行为及心理健康障碍的关系
引言母乳喂养的好处数不胜数,例如降低急性中耳炎、肠胃炎、严重下呼吸道感染、特应性皮炎、哮喘(幼儿)、肥胖、1型和2型糖尿病、儿童白血病的风险,此外还可以降低儿童患心理和行为障碍的风险。目的评价母乳喂养对学龄儿童行为和心理健康障碍的影响。患者和方法本病例-对照比较研究对一组6-12岁的儿童进行,他们被分为两组:患者组包括50名根据DSM 5诊断标准被诊断为行为和心理健康障碍的儿童,这些儿童在2020年3月至2020年9月期间从Al Zahraa医院大学的门诊精神科诊所招募,对照组包括明显健康的儿童,他们没有心理表现在数量、年龄和性别上与患者组相匹配。结果平均年龄8.4±2.2岁。有15名(30.0%)女性和35名(70.0%)男性患者,其中注意力缺陷多动障碍(ADHD)的比例最高(72.0%),其次是强迫症(24.0%)、学习障碍(10.0%)和行为障碍(2.0%)。大多数病例(29)为混合喂养(58.0%),11例(22.0%)为人工喂养,10例(20.0%)为母乳喂养。在行为疾病方面,人工(奶瓶)喂养和混合喂养之间存在高度统计学显著差异,因为ADHD和强迫症非常显著,P值超过0.001。此外,母乳喂养时间小于或等于6个月与多动症和强迫症之间存在高度统计学显著差异。结论母乳喂养已被证明与行为和心理健康障碍呈负相关,因为母乳喂养时间的增加与心理和行为障碍的发生率的降低有关。
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