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The DOI matches its Crossref record; 32 of the 32 references it cites were found in a registry or an index.

Breastfeeding and the risk for diarrhea morbidity and mortality

Open access
Lamberti, Laura M, Fischer Walker, Christa L, Noiman, Adi, Victora, Cesar, Black, Robert E·2011·BMC Public Health

Abstract

Background: Lack of exclusive breastfeeding among infants 0-5 months of age and no breastfeeding among children 6-23 months of age are associated with increased diarrhea morbidity and mortality in developing countries. We estimate the protective effects conferred by varying levels of breastfeeding exposure against diarrhea incidence, diarrhea prevalence, diarrhea mortality, all-cause mortality, and hospitalization for diarrhea illness. Methods: We systematically reviewed all literature published from 1980 to 2009 assessing levels of suboptimal breastfeeding as a risk factor for selected diarrhea morbidity and mortality outcomes. We conducted random effects meta-analyses to generate pooled relative risks by outcome and age category. Results: We found a large body of evidence for the protective effects of breastfeeding against diarrhea incidence, prevalence, hospitalizations, diarrhea mortality, and all-cause mortality. The results of random effects meta-analyses of eighteen included studies indicated varying degrees of protection across levels of breastfeeding exposure with the greatest protection conferred by exclusive breastfeeding among infants 0-5 months of age and by any breastfeeding among infants and young children 6-23 months of age. Specifically, not breastfeeding resulted in an excess risk of diarrhea mortality in comparison to exclusive breastfeeding among infants 0-5 months of age (RR: 10.52) and to any breastfeeding among children aged 6-23 months (RR: 2.18). Conclusions: Our findings support the current WHO recommendation for exclusive breastfeeding during the first 6 months of life as a key child survival intervention. Our findings also highlight the importance of breastfeeding to protect against diarrhea-specific morbidity and mortality throughout the first 2 years of life.

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Show all 32 references

Research works printed but not linked: 7

  1. Victora CG: Case-control studies of the influence of breastfeeding on child morbidity and mortality: methodological issues. Breastfeeding nutrition, infection and infant growth in developed and emerging countries. Edited by: Atkinson SA, Hanson LA, Chandra RK, .St Johns. 1990, Newfoundland: ARTS Biomedical Publishers and Distributors, 405-418.
  2. Garrido F, Borges G, Cardenas V, Bobadilla JL, Ibarra J, Ruiz-Matus C: Postneonatal mortality caused by diarrhea: a case-control study. Salud Publica Mex. 1990, 32: 261-268.
  3. Mahmood DA, Feachem RG, Huttly SR: Infant feeding and risk of severe diarrhoea in Basrah city, Iraq: a case-control study. Bull World Health Organ. 1989, 67: 701-706.
  4. Mulder-Sibanda M, Sibanda-Mulder FS: Prolonged breastfeeding in Bangladesh: indicators of inadequate feeding practices or mothers' response to children's poor health?. Public Health. 1999, 113: 65-68. 10.1016/S0033-3506(99)00120-1. · doi:10.1016/s0033-3506(99)00120-1
  5. Vieira GO, Silva LR, de OVT: Child feeding and diarrhea morbidity. J Pediatr (Rio J). 2003, 79: 449-454.
  6. Yoon PW, Black RE, Moulton LH, Becker S: Effect of not breastfeeding on the risk of diarrheal and respiratory mortality in children under 2 years of age in Metro Cebu, The Philippines. Am J Epidemiol. 1996, 143: 1142-1148. · doi:10.1093/oxfordjournals.aje.a008692
  7. Homsy J, Moore D, Barasa A, Were W, Likicho C, Waiswa B, Downing R, Malamba S, Tappero J, Mermin J: Breastfeeding, mother-to-child HIV transmission, and mortality among infants born to HIV-Infected women on highly active antiretroviral therapy in rural Uganda. J Acquir Immune Defic Syndr. 2010, 53: 28-35. 10.1097/QAI.0b013e3181bdf65a. · doi:10.1097/qai.0b013e3181bdf65a

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Metadata

Authors
Lamberti, L. M., Fischer Walker, C. L., Noiman, A., Victora, C., & Black, R. E.
Venue
BMC Public Health
Published
2011-04-13
Volume
11
Issue
S3
Pages
S15-S15
ISSN
1471-2458 (ISSN-L)
OpenAlex
W2139343763
Cited by
657
References
32
FWCI
20.75
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Breastfeeding and the risk for diarrhea morbidity and mortality. https://app.cochat.ai/papers/10.1186/1471-2458-11-s3-s15
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Lamberti, L. M., Fischer Walker, C. L., Noiman, A., Victora, C., & Black, R. E. (2011). Breastfeeding and the risk for diarrhea morbidity and mortality. BMC Public Health. https://doi.org/10.1186/1471-2458-11-s3-s15

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