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    Survey of breast-feeding practices and outcomes in the cystic fibrosis population

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    Authors
    Parker, Eliza M.
    O'Sullivan, Brian P.
    Shea, Julie C.
    Regan, Meredith M.
    Freedman, Steven D.
    UMass Chan Affiliations
    Department of Pediatrics
    Document Type
    Journal Article
    Publication Date
    2004-03-17
    Keywords
    Adolescent
    Adult
    Anti-Bacterial Agents
    Breast Feeding
    Child
    Child, Preschool
    Cystic Fibrosis
    Drug Utilization
    Forced Expiratory Volume
    Humans
    Infant
    Infant Formula
    Outcome Assessment (Health Care)
    Questionnaires
    Severity of Illness Index
    Time Factors
    Life Sciences
    Medicine and Health Sciences
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    Link to Full Text
    http://dx.doi.org/10.1002/ppul.10450
    Abstract
    The aim of this study was to survey cystic fibrosis (CF) patients to determine the frequency of breast-feeding and its association with onset and severity of CF symptoms. Three thousand, two hundred questionnaires were sent to 30 accredited CF centers for anonymous completion. Eight hundred and sixty-three questionnaires were returned and scanned into a database. All results were adjusted for age at time of filling out the questionnaire. Age at onset of symptoms, percent forced expired volume in 1 sec (FEV1%) predicted, and intravenous (IV) antibiotic use were analyzed based on breast-feeding history. Approximately 49% of respondents received human breast milk at some time, but only 18% were exclusively breast-fed. Breast-feeding exclusively for greater than 6 months was associated with a decrease in disease severity based on recent intravenous antibiotic use compared to no breast-feeding (P = 0.03). There was no statistically significant change in onset of symptoms in the setting of breast-feeding; however, a trend toward delayed onset was seen in those receiving human milk. Fifty-three percent of those who breast-fed exclusively > or = 6 months had FEV1% values > 90%, compared to 47% of those not breast-fed. This is a suggestive but not statistically significant difference. In conclusion, breast-feeding for > or = 6 months is associated with decreased use of intravenous antibiotics in the 2 years prior to administering the questionnaire. This survey indicates that breast-feeding is not harmful to children with CF, and may be beneficial.
    Source
    Pediatr Pulmonol. 2004 Apr;37(4):362-7. Link to article on publisher's site
    DOI
    10.1002/ppul.10450
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/49436
    PubMed ID
    15022134
    Notes
    Medical student Eliza Parker participated in this study as part of the Senior Scholars research program.
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1002/ppul.10450
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    T.H. Chan School of Medicine Student Publications
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