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Cited by 143Breastfeeding Practices and InfluencesAsthma and respiratory diseasesFood Allergy and Anaphylaxis Research

Breast-feeding and atopic disease: a cohort study from childhood to middle age

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Matheson, Melanie Claire, Erbas, Bircan, Balasuriya, Aindralal, Jenkins, Mark Andrew, Wharton, Cathryn Leisa, Tang, Mimi Lai-Kuan, Abramson, Michael John, Walters, Eugene Haydn +2 more·2007·Journal of Allergy and Clinical Immunology
DOI 10.1016/j.jaci.2007.06.030
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Abstract

Background The literature regarding the association between breast-feeding and atopic diseases has been contradictory.Objective We have assessed the relationship between breast-feeding and atopic disorders in a cohort followed into middle age.Methods The Tasmanian Asthma Study is a population-based prospective cohort study that has followed participants from the age of 7 to 44 years. Exclusive breast-feeding in the first 3 months of life was examined as a risk factor for atopic diseases by using multiple logistic regression and generalized estimating equation analyses.Results At age 7 years, exclusively breast-fed children with a maternal history of atopy had a marginally lesser risk of current asthma than those not exclusively breast-fed (odds ratio [OR], 0.8; 95% CI, 0.6-1.0). However, after age 7 years, the risk reversed, and exclusively breast-fed children had an increased risk of current asthma at 14 (OR, 1.46; 95% CI, 1.02-2.07), 32 (OR, 1.84; 95% CI, 1.06-3.3), and 44 (OR, 1.57; 95% CI, 1.15-2.14) years. Exclusively breast-fed children also had a reduced risk of food allergy at age 7 years but an increased risk of food allergy (OR, 1.26; 95% CI, 1.1-1.5) and allergic rhinitis (OR, 1.2; 95% CI, 1.0-1.3) at 44 years.Conclusion Exclusively breast-fed babies with a maternal history of atopy were less likely to develop asthma before the age of 7 years, but more likely to develop asthma after the age of 7 years.Clinical implications The current recommendation to breast-feed high-risk infants for protection against early wheezing illness can be confirmed. However, the recommendation should be reconsidered for protection against allergic asthma and atopy in the longer term.

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  • The effect of breast feeding on asthma risk was only in those with a familial predisposition.

    “This longitudinal study of participants who were followed between childhood and middle-age showed that breast feeding reduced the risk of childhood asthma and conversely increased the risk of adult asthma, but for only those with a familial predisposition (150).”

    From Epidemiology of Asthma in Children and Adults (2019) · cites this paper as [150]

  • Breast feeding reduced the risk of childhood asthma.

    “This longitudinal study of participants who were followed between childhood and middle-age showed that breast feeding reduced the risk of childhood asthma and conversely increased the risk of adult asthma, but for only those with a familial predisposition (150).”

    From Epidemiology of Asthma in Children and Adults (2019) · cites this paper as [150]

  • Breast feeding increased the risk of adult asthma.

    “This longitudinal study of participants who were followed between childhood and middle-age showed that breast feeding reduced the risk of childhood asthma and conversely increased the risk of adult asthma, but for only those with a familial predisposition (150).”

    From Epidemiology of Asthma in Children and Adults (2019) · cites this paper as [150]

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Research works printed but not linked: 2

  1. Wright AL, Sherrill D, Holberg CJ, Halonen M, Martinez FD. Breastfeed- ing, maternal IgE, and total serum IgE in childhood. J Allergy Clin Immu- nol 1999;104:589-94.
  2. Dupont WD. Statistical modelling for biomedical researchers. Cambridge: Cambridge University Press; 2002.

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Authors
Matheson, M. C., Erbas, B., Balasuriya, A., Jenkins, M. A., Wharton, C. L., Tang, M. L.-K., Abramson, M. J., Walters, E. H., Hopper, J. L., & Dharmage, S. C.
Affiliations
  • The University of Melbourne (AU)
  • Royal Children's Hospital (AU)
  • Monash University (AU)
  • University of Tasmania (AU)
Corresponding author
Matheson, Melanie Claire
ORCID
Venue
Journal of Allergy and Clinical Immunology
Publisher
Elsevier BV
Published
2007-11
Volume
120
Issue
5
Pages
1051-1057
ISSN
0091-6749 (ISSN-L)
DOI
10.1016/j.jaci.2007.06.030
OpenAlex
W1971277000
Cited by
143
References
36
Citations by year
2026: 2 · 2024: 4 · 2023: 3 · 2022: 4 · 2021: 3 · 2020: 3 · 2019: 22 · 2018: 11 · 2017: 5 · 2016: 3 · 2015: 11 · 2014: 10 · 2013: 8 · 2012: 11
FWCI
7.80
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Allergy and Clinical Immunology (publishedVersion)
  • PubMed (publishedVersion)
  • UTAS Research Repository (acceptedVersion)
  • eCite Digital Repository (University of Tasmania) (submittedVersion)
  • Figshare (submittedVersion, cc-by)
  • ResearchOnline@ND (The University of Notre Dame) (submittedVersion)
Funders
  • AstraZeneca
  • GlaxoSmithKline
  • Clifford Craig Foundation
  • Medical Research Council
  • National Health and Medical Research Council
Topics
  • Health Sciences › Medicine › Epidemiology › Breastfeeding Practices and Influences
  • Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
  • Health Sciences › Medicine › Immunology and Allergy › Food Allergy and Anaphylaxis Research
Keywords
breastfeeding, exclusive breastfeeding, atopic diseases, asthma, food allergy, allergic rhinitis, maternal atopy, wheezing
MeSH terms
Adolescent, Adult, Asthma, Breast Feeding, Child, Eczema, Female, Humans, Hypersensitivity, Immediate, Male, Risk, Tasmania, Cohort Studies

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