Does breastfeeding protect children from asthma? Analysis of NHANES III survey data

J Natl Med Assoc. 2001 Apr;93(4):139-48.

Abstract

We sought to determine whether breastfeeding (yes/no) or its duration protects against the development of childhood asthma, its severity or age of onset. We conducted a secondary analysis of youth files of the National Health and Nutrition Examination Survey III (1988-94), and reviewed data from 6,783 children age 2 months to 6 years (3,316 breastfed), excluding children with a history of low birth weight or treatment in a neonatal intensive care unit. Study participants were breastfed an average of 157 days. The average age at onset of asthma was 14.3 months. In the logistic regression model, "ever breast-fed" was not a significant protective factor for developing asthma. Significant predictive factors were the mother's age at child's birth (beta = -0.08, p < 0.01), and a parent having asthma or hayfever (beta = 0.46, p < 0.01). In the linear regression model, the duration of breastfeeding was not a predictor for age at onset of asthma (beta = 0.01, p = 0.53). Only maternal smoking during pregnancy was a significant predictor of age at onset of asthma (beta = -7.59, p < 0.01). Breastfeeding does not appear to prevent asthma, delay its onset, or reduce its severity. However, breastfeeding is still recommended for its many other benefits.

Publication types

  • Comparative Study

MeSH terms

  • Age Distribution
  • Age of Onset
  • Analysis of Variance
  • Asthma / diagnosis
  • Asthma / epidemiology*
  • Breast Feeding / statistics & numerical data*
  • Case-Control Studies
  • Child
  • Child, Preschool
  • Female
  • Follow-Up Studies
  • Health Surveys
  • Humans
  • Infant
  • Linear Models
  • Male
  • Multivariate Analysis
  • Prevalence
  • Probability
  • Reference Values
  • Risk Assessment
  • Sensitivity and Specificity
  • Sex Distribution
  • Surveys and Questionnaires