Optimal breastfeeding practices and infant and child mortality: a systematic review and meta-analysis

Sankar, Mari Jeeva ; Sinha, Bireshwar ; Chowdhury, Ranadip ; Bhandari, Nita ; Taneja, Sunita ; Martines, Jose ; Bahl, Rajiv (2015) Optimal breastfeeding practices and infant and child mortality: a systematic review and meta-analysis Acta Paediatrica, 104 . pp. 3-13. ISSN 0803-5253

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Official URL: http://onlinelibrary.wiley.com/doi/10.1111/apa.131...

Related URL: http://dx.doi.org/10.1111/apa.13147


Aim: To synthesise the evidence for effects of optimal breastfeeding on all-cause and infection-related mortality in infants and children aged 0-23 months. Methods: We conducted a systematic review to compare the effect of predominant, partial or nonbreastfeeding versus exclusive breastfeeding on mortality rates in the first six months of life and effect of no versus any breastfeeding on mortality rates between 6 and 23 months of age. A systematic literature search was conducted in PubMed, Cochrane CENTRAL and CABI. Results: The risk of all-cause mortality was higher in predominantly (RR 1.5), partially (RR 4.8) and nonbreastfed (RR14.4) infants compared to exclusively breastfed infants 0-5 months of age. Children 6-11 and 12-23 months of age who were not breastfed had 1.8- and 2.0-fold higher risk of mortality, respectively, when compared to those who were breastfed. Risk of infection-related mortality in 0-5 months was higher in predominantly (RR 1.7), partially (RR 4.56) and nonbreastfed (RR 8.66) infants compared to exclusive breastfed infants. The risk was twofold higher in nonbreastfed children when compared to breastfed children aged 6-23 months. Conclusion: The findings underscore the importance of optimal breastfeeding practices during infancy and early childhood.

Item Type:Article
Source:Copyright of this article belongs to John Wiley and Sons, Inc.
Keywords:Breastfeeding; Child; Infant; Meta-Analysis; Mortality; Newborn
ID Code:99781
Deposited On:29 Nov 2016 04:32
Last Modified:29 Nov 2016 04:32

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