2016
Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect
Abstract: The importance of breastfeeding in low-income and middle-income countries is well recognised, but less consensus exists about its importance in high-income countries. In low-income and middle-income countries, only 37% of children younger than 6 months of age are exclusively breastfed. With few exceptions, breastfeeding duration is shorter in high-income countries than in those that are resource-poor. Our meta-analyses indicate protection against child infections and malocclusion, increases in intelligence, an…
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Cited by 7,629 publications
(6,985 citation statements)
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“…However, the prevalence of exclusive breastfeeding up to five months is higher in low-income and lowmiddle income countries when compared to high-middle income countries. Brazil is an upper middle-income country, but there is great heterogeneity between its regions, which contrasts with the findings of the study (VICTORA et al, 2016).…”
Section: Discussioncontrasting
confidence: 99%
“…However, the prevalence of exclusive breastfeeding up to five months is higher in low-income and lowmiddle income countries when compared to high-middle income countries. Brazil is an upper middle-income country, but there is great heterogeneity between its regions, which contrasts with the findings of the study (VICTORA et al, 2016).…”
Section: Discussioncontrasting
confidence: 99%
“…In our analysis, we found educated mothers were more likely to discontinue exclusively breastfeeding than non-educated mothers. These findings were in contrast with evidence from developed countries [ 1 ], where the odds of complying with breastfeeding recommendations are higher among educated mothers compared with less educated mothers. While it is not clear why this is the case, this pattern supports findings from similar study in Nepal [ 16 ] and other developing country settings [ 17 ] where the prevalence of exclusive breastfeeding was higher among illiterate mothers.…”
Section: Discussioncontrasting
confidence: 99%
“…In contrast, for later ages, our results are not in line with the literature, which generally suggests a protective effect of breastfeeding on overweight/obesity risk during childhood and after 8,9,26,27 . As breastfeeding practice is associated with higher socioeconomic position in high income countries, 10,28 we cannot exclude that the protective effect of breastfeeding found in meta‐analyses, mainly based on observational studies, was partly due to residual confounding. In the present study, we accounted for potential confounding bias using a large set of adjustment factors, including family income, maternal diet quality and both parents' BMI.…”
Section: Discussioncontrasting
confidence: 98%
