TY - JOUR
T1 - Feeding modes, duration, and diarrhea in infancy
T2 - Continued evidence of the protective effects of breastfeeding
AU - Diallo, Ana F.
AU - McGlothen-Bell, Kelly
AU - Lucas, Ruth
AU - Walsh, Stephen
AU - Allen, Carolyn
AU - Henderson, Wendy A.
AU - Cong, Xiaomei
AU - McGrath, Jacqueline M
N1 - Publisher Copyright:
© 2019 Wiley Periodicals, Inc.
PY - 2020/3/1
Y1 - 2020/3/1
N2 - Objectives: To evaluate the effect of early breastfeeding cessation on incidence of diarrhea in a cohort of U.S. infants. Design, Sample, and Measurements: A secondary data analysis was conducted using data from 2,340 mother–infant dyads participating in the Infant Feeding Practices Study II. We examined associations between duration of feeding type (e.g., exclusive breastfeeding [EBF], any breastfeeding [BF], formula feeding) and incidence of diarrhea before one year. Results: The sample included mother–infant dyads that were 86.2% White, 3% Black, and 5% Hispanic. Interruption of EBF before 3 months was significantly associated with higher odds of having diarrhea at 6 months (OR = 1.80, p value ≤ 0.01) and between 6 and 12 months (OR = 1.45, p ≤.01). Breastfeeding interruption before 6 months was associated with higher odds of having diarrhea at 6 months (OR = 3.19, p ≤.01). Formula feeding for ≥3 months was associated with higher odds of diarrhea between 6 and 12 months. Conclusions: Exclusive breastfeeding for 3 months accompanied by any breastfeeding for 6 months provided the most protective effect against diarrhea. Public health interventions should address disparities in breastfeeding practices and provide support across clinical, workplace and community settings. Research should include more diverse population groups.
AB - Objectives: To evaluate the effect of early breastfeeding cessation on incidence of diarrhea in a cohort of U.S. infants. Design, Sample, and Measurements: A secondary data analysis was conducted using data from 2,340 mother–infant dyads participating in the Infant Feeding Practices Study II. We examined associations between duration of feeding type (e.g., exclusive breastfeeding [EBF], any breastfeeding [BF], formula feeding) and incidence of diarrhea before one year. Results: The sample included mother–infant dyads that were 86.2% White, 3% Black, and 5% Hispanic. Interruption of EBF before 3 months was significantly associated with higher odds of having diarrhea at 6 months (OR = 1.80, p value ≤ 0.01) and between 6 and 12 months (OR = 1.45, p ≤.01). Breastfeeding interruption before 6 months was associated with higher odds of having diarrhea at 6 months (OR = 3.19, p ≤.01). Formula feeding for ≥3 months was associated with higher odds of diarrhea between 6 and 12 months. Conclusions: Exclusive breastfeeding for 3 months accompanied by any breastfeeding for 6 months provided the most protective effect against diarrhea. Public health interventions should address disparities in breastfeeding practices and provide support across clinical, workplace and community settings. Research should include more diverse population groups.
KW - breastfeeding
KW - breastfeeding duration
KW - diarrhea
KW - exclusive breastfeeding
KW - formula feeding
KW - infant feeding
KW - infectious diseases
KW - optimal breastfeeding
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U2 - 10.1111/phn.12683
DO - 10.1111/phn.12683
M3 - Article
C2 - 31709650
AN - SCOPUS:85075144769
SN - 0737-1209
VL - 37
SP - 155
EP - 160
JO - Public Health Nursing
JF - Public Health Nursing
IS - 2
ER -