Наташа, я бы хотела продолжить дискуссию о влиянии грудного кормления на развитие астмы и аллергии. Если Вы не против, конечно.
... Все-таки я вижу эту ситуацию в таком свете - есть две группы людей, одна была полностью на искуственном вскармливании, в рационе второй группы присутствовало грудное молоко (в виде исключительного питания, или в сочетании со смесями - вопрос открытый, но на мой взгляд и не принципиальный). И именно у этой второй групы наблюдается повышенная склоность к аллергиям и развитию астмы. Почему?
Конференция "Ребенок от 1 до 3""Ребенок от 1 до 3"
Раздел: Грудное вскармливание
Отвечать в конференциях и заводить новые темы может любой участник, независимо от наличия регистрации на сайте 7я.ру.
И можно обозвать меня фанатичкой грудного вскармливания - хоть горшком, как говорится, только в печь не сажать.
Мне это как слону дробина. 18.11.2002 11:11:06, Pадость
Эх, полагаю в первобытные времена и аллергии с астмой не было, а если и была, то приводила к гибели еще до приобретения потомства...
Вера - это здорово, но есть еще факты. И если факты говорят "то, что вы считали белым на самом деле черное", то в моих правилах задуматься - а правильно ли мое ощущение (и вера) - это раз, достоверны ли факты - это два. 18.11.2002 14:16:40, мышка на сервере
Вера - это здорово, но есть еще факты. И если факты говорят "то, что вы считали белым на самом деле черное", то в моих правилах задуматься - а правильно ли мое ощущение (и вера) - это раз, достоверны ли факты - это два. 18.11.2002 14:16:40, мышка на сервере
Если тебе говорят что-то, что противоречит ВСЕМУ тому, что ты знаешь - то, скорее всего, в том, что тебе говорят, есть какая-то ошибка. Умышленная или нет - другое дело. Если исследования были спонированы тем, кому КРАЙНЕ выгодна идея, что формула полезнее грудного молока - на многие миллионы в месяц выгодно - то я бы не поверила, даже не найдя ошибки:)
18.11.2002 18:04:50, Пелагея
А я вот привыкла искать ошибку. Либо в исходных данных либо в решении. Такая вот хорошая привычка есть...
Тем более, что это не противоречит ВСЕМУ, что я знаю... 19.11.2002 07:44:19, мышка на сервере
Тем более, что это не противоречит ВСЕМУ, что я знаю... 19.11.2002 07:44:19, мышка на сервере
А вот этого в статье как раз и не было... Было что-то вроде "несмотря на то, что грудное вскармливание дает много преимуществ...., защита от аллергии им не является"...
Немного странно обсуждать статью, не читав ее... 19.11.2002 07:36:40, мышка на сервере
Немного странно обсуждать статью, не читав ее... 19.11.2002 07:36:40, мышка на сервере
Пардон, может Вы все-таки статью сначала прочитаете??? А уж потом будете делать выводы о том, что я домыслила..., а что цитировала.
"Так что повтроюсь - корректные выводы надо делать." - вот с этим согласна, чего и вам желаю. 19.11.2002 12:29:01, мышка на сервере
"Так что повтроюсь - корректные выводы надо делать." - вот с этим согласна, чего и вам желаю. 19.11.2002 12:29:01, мышка на сервере
Лиз, хорошо что я сначала прочитала твое сообщение, а то написала бы слово в слово :-))).
Смеси то только полвека существуют. Молоком раньше прикармлмвали коровьим или козьим, если у женщины молока не было. Да и то это редкость была. Что же человечество то от астмы и аллергии все не вымерло. 18.11.2002 12:27:32, Cloud9
Смеси то только полвека существуют. Молоком раньше прикармлмвали коровьим или козьим, если у женщины молока не было. Да и то это редкость была. Что же человечество то от астмы и аллергии все не вымерло. 18.11.2002 12:27:32, Cloud9
The study is published in the current edition of the "The Lancet".
It was reported in The Sydney Morning Herald/ The Age.
"Having checked with experts over the weekend, we remain confident
that this study fails to undermine the findings of the many studies
which have found mothers' milk offers protection against eczema and
asthma," Australian Breastfeeding Association National President
Anne Croker said today.
"This study does not warrant scaremongering, especially among new
mothers who will be vulnerable."
Sydney paediatrician Dr Patricia McVeagh said that the NZ study
reflected the difficulties of doing robust studies of the long term
effects of breastfeeding.
"In this case, the assignment to groups was contaminated by infants
in the breastfeeding group receiving infant formula and the formula
fed group including infants who had been breastfed for less than
four weeks," Dr McVeagh said.
"One important issue not considered was whether the subjects
themselves, who were 26 at the time the study finished, were
cigarette smokers.
"Also, the breastfeeding group included more atopic individuals,
that is people more likely to develop asthma, and we would expect
them to have symptoms of asthma.
"The balance of the evidence remains that exclusive breastfeeding
for six months, with continued breastfeeding and the gradual
introduction of solids after that, is the best choice."
Tamworth GP Dr Carmen Ast said she would continue to recommend that
mothers breastfeed exclusively for six months and especially if the
family had a history of eczema or asthma.
"Both my clinical experience and previous studies dictate that
exclusively breastfed children fare better from a multitude of
health perspectives. In fact, the evidence is that breastfeeding
delays the onset of asthma, eczema and allergic rhinitis", Dr Ast
said.
18.11.2002 07:40:26, Наташа В.
Спасибо большое! Собственно, последнее (наследственная астма) - и есть самое провокативное!!!! Также очень нехорошо на астму влияет курение. Как и предполагалось, подобное "нечистое" исследование проводилось в рамках рекламы смесей.(((( Очень печально.((((
18.11.2002 12:41:26, Maultasch
It was reported in The Sydney Morning Herald/ The Age.
"Having checked with experts over the weekend, we remain confident
that this study fails to undermine the findings of the many studies
which have found mothers' milk offers protection against eczema and
asthma," Australian Breastfeeding Association National President
Anne Croker said today.
"This study does not warrant scaremongering, especially among new
mothers who will be vulnerable."
Sydney paediatrician Dr Patricia McVeagh said that the NZ study
reflected the difficulties of doing robust studies of the long term
effects of breastfeeding.
"In this case, the assignment to groups was contaminated by infants
in the breastfeeding group receiving infant formula and the formula
fed group including infants who had been breastfed for less than
four weeks," Dr McVeagh said.
"One important issue not considered was whether the subjects
themselves, who were 26 at the time the study finished, were
cigarette smokers.
"Also, the breastfeeding group included more atopic individuals,
that is people more likely to develop asthma, and we would expect
them to have symptoms of asthma.
"The balance of the evidence remains that exclusive breastfeeding
for six months, with continued breastfeeding and the gradual
introduction of solids after that, is the best choice."
Tamworth GP Dr Carmen Ast said she would continue to recommend that
mothers breastfeed exclusively for six months and especially if the
family had a history of eczema or asthma.
"Both my clinical experience and previous studies dictate that
exclusively breastfed children fare better from a multitude of
health perspectives. In fact, the evidence is that breastfeeding
delays the onset of asthma, eczema and allergic rhinitis", Dr Ast
said.
18.11.2002 07:40:26, Наташа В.
Особенно обратите внимание на выборку "подопытных". Среди них получается все получали грудное молоко в какой-то момент и практически все в какой-то момент получали смесь.
18.11.2002 07:42:18, Наташа В.
Мой перевод сойдет?
"Распределение по группам не было "чистым" - к группе "грудничков" причислялись дети, получавшие формулу, к группе искуственников дети, получавшие грудное молоко меньше 4 недель" (это то, о чем говорит Наташа).
Также высказываются другие сомнения...
"Не принимался во внимание факт, являются ли обследуемые курильщиками..."
"В группу "грудничков" включено больше людей с наследственной предрасположенностью к астме..." 18.11.2002 12:25:22, мышка на сервере
"Распределение по группам не было "чистым" - к группе "грудничков" причислялись дети, получавшие формулу, к группе искуственников дети, получавшие грудное молоко меньше 4 недель" (это то, о чем говорит Наташа).
Также высказываются другие сомнения...
"Не принимался во внимание факт, являются ли обследуемые курильщиками..."
"В группу "грудничков" включено больше людей с наследственной предрасположенностью к астме..." 18.11.2002 12:25:22, мышка на сервере
Спасибо. Прочитала. Теперь понятно. А вот интересно, на тех, кто проводит такие некачественные исследования, налагаются какие-то штрафные санкции?
18.11.2002 08:24:45, мышка на сервере
Не думаю. Может быть труднее получить финансирование потом, хотя тоже вряд ли. Часто подтасовка результатов выгодна именно людям с большими деньгами.
18.11.2002 08:55:10, Наташа В.
Saarinen UM & Kajosaari M (1995). Breastfeeding as prophylaxis against atopic disease: prospective follow-up study until 17 years old. Lancet 346: 1065-1069. [Abstract]
150 children were studied up to the age of 17 years to determine the effect on atopic disease of breastfeeding. The subjects were divided into three groups: prolonged (>6 months) intermediate (1-6 months) and short or no (<1 month) breastfeeding. They were followed up at 1, 3, 5, 10 and 17 years. The prevalence of manifest atopy throughout follow-up was highest in the group who had little or no breastfeeding. Breastfeeding for longer than 1 month without other milk supplements was associated with a significant reduction in the incidence of food allergy at 3 years of age, and also respiratory allergy at 17 years of age. Six months of breastfeeding was associated with significantly less eczema during the first 3 years and less substantial atopy in adolescence.
Lucas A et al. (1990). Early diet of preterm infants and development of allergic or atopic disease: Randomised prospective study. BMJ 300: 837-840. [Abstract]
Preterm infants were randomly allocated to receive preterm formula or banked human milk, alone or as supplements to the mother's own milk. The use of human milk was associated with a significantly-reduced incidence of allergic disease, particularly eczema at 18 months in those with a family history of atopic disease. In those without a family history there was no effect.
Oddy WH et al. (1999) Association between breastfeeding and asthma in 6 year old children: findings of a prospective birth cohort study. BMJ 319: 815-819. [Abstract] [full text]
An Australian study followed 2187 children from birth to age 6 years and found that the introduction of milk other than breastmilk before 4 months of age was a significant risk factor for asthma (odds ratio 1.25; 95% CI 1.02-1.52) after adjustment for confounders. It was also a risk factor for wheeze three or more times since 1 year of age (1.41; 1.14-1.76), wheeze in the past year (1.31; 1.05 to 1.64), sleep disturbance due to wheeze within the past year (1.42; 1.07-1.89) and positive skin prick test reaction to at least one common aeroallergen (1.30; 1.04-1.61).
Oddy WH et al (2002). Maternal asthma, infant feeding, and the risk of asthma in childhood. J Allergy Clin Immunol 110: 65-7. [Abstract]
Children aged 6 years were more likely to be asthma sufferers if they had not been exclusively breastfed for at least 4 months, regardless of their mother's asthma status (odds ratio, 1.35; 95% CI 1.00-1.82).
See also:
Wilson AC et al. (1998). Relation of infant diet to childhood health: seven year follow up cohort of children in Dundee infant feeding study. BMJ 316: 21-25.(summarised above) [Abstract] [full text]
Wright AL et al (1995) Relationship of infant feeding to recurrent wheezing at age 6 years. Arch Pediatr Adolesc Med 149: 758-63 [Abstract]
18.11.2002 07:35:58, Наташа В.
150 children were studied up to the age of 17 years to determine the effect on atopic disease of breastfeeding. The subjects were divided into three groups: prolonged (>6 months) intermediate (1-6 months) and short or no (<1 month) breastfeeding. They were followed up at 1, 3, 5, 10 and 17 years. The prevalence of manifest atopy throughout follow-up was highest in the group who had little or no breastfeeding. Breastfeeding for longer than 1 month without other milk supplements was associated with a significant reduction in the incidence of food allergy at 3 years of age, and also respiratory allergy at 17 years of age. Six months of breastfeeding was associated with significantly less eczema during the first 3 years and less substantial atopy in adolescence.
Lucas A et al. (1990). Early diet of preterm infants and development of allergic or atopic disease: Randomised prospective study. BMJ 300: 837-840. [Abstract]
Preterm infants were randomly allocated to receive preterm formula or banked human milk, alone or as supplements to the mother's own milk. The use of human milk was associated with a significantly-reduced incidence of allergic disease, particularly eczema at 18 months in those with a family history of atopic disease. In those without a family history there was no effect.
Oddy WH et al. (1999) Association between breastfeeding and asthma in 6 year old children: findings of a prospective birth cohort study. BMJ 319: 815-819. [Abstract] [full text]
An Australian study followed 2187 children from birth to age 6 years and found that the introduction of milk other than breastmilk before 4 months of age was a significant risk factor for asthma (odds ratio 1.25; 95% CI 1.02-1.52) after adjustment for confounders. It was also a risk factor for wheeze three or more times since 1 year of age (1.41; 1.14-1.76), wheeze in the past year (1.31; 1.05 to 1.64), sleep disturbance due to wheeze within the past year (1.42; 1.07-1.89) and positive skin prick test reaction to at least one common aeroallergen (1.30; 1.04-1.61).
Oddy WH et al (2002). Maternal asthma, infant feeding, and the risk of asthma in childhood. J Allergy Clin Immunol 110: 65-7. [Abstract]
Children aged 6 years were more likely to be asthma sufferers if they had not been exclusively breastfed for at least 4 months, regardless of their mother's asthma status (odds ratio, 1.35; 95% CI 1.00-1.82).
See also:
Wilson AC et al. (1998). Relation of infant diet to childhood health: seven year follow up cohort of children in Dundee infant feeding study. BMJ 316: 21-25.(summarised above) [Abstract] [full text]
Wright AL et al (1995) Relationship of infant feeding to recurrent wheezing at age 6 years. Arch Pediatr Adolesc Med 149: 758-63 [Abstract]
18.11.2002 07:35:58, Наташа В.
J Allergy Clin Immunol 2002 Jul;110(1):65-7 Related Articles, Links
Maternal asthma, infant feeding, and the risk of asthma in childhood.
Oddy WH, Peat JK, de Klerk NH.
Centre for Child Health Research, University of Western Australia, Telethon Institute for Child Health Research, Perth, Australia.
Controversy surrounds the issue of whether children with asthmatic mothers should be breast-fed. The aim of this study was to investigate whether maternal asthma status alters the association between asthma and breast-feeding. In a cohort study of 2602 West Australian children enrolled before birth and followed prospectively, we collected data on method of infant feeding, maternal asthma (as reported by parental questionnaire), atopy (as measured by skin prick test), and current asthma (defined as a physician's diagnosis of asthma and wheeze in the last year) at 6 years of age. The risk of childhood asthma increased if exclusive breast-feeding was stopped (other milk was introduced) before 4 months (odds ratio, 1.28; 95% CI, 1.01-1.62; P =.038), and this risk was not altered by atopy or maternal asthma status. After adjusting for covariates, exclusive breast-feeding for less than 4 months was a significant risk factor for current asthma (odds ratio, 1.35; 95% CI, 1.00-1.82; P =.049). There was no formal statistical interaction between breast-feeding and maternal asthma status (P =.970). In this study maternal asthma status did not modify the association between asthma and breast-feeding duration. We recommend that infants with or without a maternal history of asthma be exclusively breast-fed for 4 months and beyond.
PMID: 12110822 [PubMed - indexed for MEDLINE]
18.11.2002 07:34:33, Наташа В.
Maternal asthma, infant feeding, and the risk of asthma in childhood.
Oddy WH, Peat JK, de Klerk NH.
Centre for Child Health Research, University of Western Australia, Telethon Institute for Child Health Research, Perth, Australia.
Controversy surrounds the issue of whether children with asthmatic mothers should be breast-fed. The aim of this study was to investigate whether maternal asthma status alters the association between asthma and breast-feeding. In a cohort study of 2602 West Australian children enrolled before birth and followed prospectively, we collected data on method of infant feeding, maternal asthma (as reported by parental questionnaire), atopy (as measured by skin prick test), and current asthma (defined as a physician's diagnosis of asthma and wheeze in the last year) at 6 years of age. The risk of childhood asthma increased if exclusive breast-feeding was stopped (other milk was introduced) before 4 months (odds ratio, 1.28; 95% CI, 1.01-1.62; P =.038), and this risk was not altered by atopy or maternal asthma status. After adjusting for covariates, exclusive breast-feeding for less than 4 months was a significant risk factor for current asthma (odds ratio, 1.35; 95% CI, 1.00-1.82; P =.049). There was no formal statistical interaction between breast-feeding and maternal asthma status (P =.970). In this study maternal asthma status did not modify the association between asthma and breast-feeding duration. We recommend that infants with or without a maternal history of asthma be exclusively breast-fed for 4 months and beyond.
PMID: 12110822 [PubMed - indexed for MEDLINE]
18.11.2002 07:34:33, Наташа В.
Читайте также
Как понять, что у ребенка психологические трудности, если он ничего не рассказывает?
Как помочь ребенку, чтобы не оттолкнуть?
