Association between Breastfeeding Patterns and Type 1 Diabetes among Children | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 60, Volume 90, Issue 2, January 2023, Pages 2385-2390 PDF (410.12 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2023.286015 | ||
| Authors | ||
| Enas S Abbas1; Safaa Tawfik1; Marwa R Salem2; G. Wahby Elhady* 3 | ||
| 11 Clinical Nutrition Department, National Nutrition Institute, Egypt | ||
| 2Public Health and Community Medicine Department, Faculty of Medicine, Cairo University, Egypt. | ||
| 3Cairo UniPublic Health and Community Medicine Department, Faculty of Medicine, Cairo University, Egypt.versity | ||
| Abstract | ||
| Background: Though factors such as breastfeeding (BF), cow's milk formula, and cereals are among the dietary factors linked to T1D development, their role is still debatable. Objective: This study aimed to assess the relationship between BF patterns and the development of T1D. Subjects and Methods: The study is an epidemiologic hospital-based case-control study in Ismalia city, Egypt. 140 children 15 months- to 13 -year-old, from both sexes were included in two groups; the T1D cases (n=70) and the nondiabetic; age-and-sex-matched, control group (n=70). Results: The proportion of children who received exclusive breastfeeding (EBF) was low in both cases and controls but significantly loweramong cases (11% vs 53% respectively, P<0.05) with almost nine times rise in the odds of T1D. More T1D children depended on formula feeding (FF) during their infancy than controls (40% vs 14% respectively, P<0.05) with four folds rise in the odds of T1D. T1D patients who had FF (n= 28) started it at an earlier age compared to controls who had FF (n=10) (mean age 3.2 vs 12.3 months respectively, P<0.05). Likewise, the onset of weaning took place at the age of four months among T1D cases vs five months among controls (P<0.05). No association was detected between T1D and the sociodemographic or maternal obstetric factors. Conclusion: Short-term BF or no BF at all may be a substantial risk factor for T1D. FF and the early age at its start increase the odds of T1D. | ||
| Keywords | ||
| Type 1 diabetes; Children; Exclusive breastfeeding; Formula feeding; Egyp | ||
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