Astım Tanısı Alan Beş-On Beş Yaş Arası Çocuklarda Anne Sütü ile Beslenme Süresi ve İnek Sütüne Başlama Zamanının Astım Gelişimi Üzerine Etkisi

Yıl 2011, Cilt: 11 Sayı: 1, 19 - 25, 01.01.2011

Betül Polatdemir Emek Lida Güneş Bülbül Nazan Altınel Sami Hatipoğlu Ali Bülbül

https://doi.org/10.5222/j.child.2011.019

Öz

Amaç: Çalışmamızda 5-15 yaş arasındaki astım tanılı çocuklarda, anne sütü ile beslenme süresinin ve inek sütü başlama yaşının hastalık oluşumu üzerine olan etkisinin araştırılmasını amaçlandı. Yöntemler: Hastanemiz astım polikliniğinde takip edilen, 5-15 yaşları arasında yakınmaları başlayan ve astım tanısı konulan hastalar astım grubu, n: 120 ile aynı yaş grubunda astım dışı nedenlerle çocuk polikliniğe başvuran hastalar kontrol grubu, n: 98 çalışmaya alındı. Her iki grupta anne sütü ile beslenme süresi, inek sütüne başlama yaşı, cinsiyet, ısınmada kullanılan yakıt türü, sigara kullanımı ve evde allerjen varlığı durumları aile görüşmesi yapılarak kaydedildi ve karşılaştırıldı. Bulgular: Toplam anne sütü alma süresine göre gruplar arasında anlamlı farklılık bulunmadı. Astım grubundaki çocukların yalnızca anne sütü alma süreleri, kontrol grubundan anlamlı olarak uzundu p: 0,002 . Astım grubundaki çocukların inek sütüne, kontrol grubuna göre erken zamanda başladığı bulundu p

Anahtar Kelimeler

Anne sütü, çocukluk çağı astım, inek sütü

The Impact of Duration of Breastfeeding and the Onset Time of Supplemental Feeding with Cow’s Milk on the Development of Asthma in Children Diagnosed Between 5-15 Years of Age

Öz

Objective: The aim of our study was to evaluate the effect of duration of breast feeding and the age of introduction of cow’s milk in diet, among children aged 5-15 years with a diagnosis of asthma. Methods: The asthma group n:120 was composed of children followed up in our Outpatient Asthma Clinic, with a diagnosis of asthma whose symptoms emerged between 5-15 years of age the children within similar age ranges, who were admitted to Outpatient Pediatrics Clinic with non-asthmatic complaints comprised the control group n:98 . The data about duration of breast feeding, age of introduction of cow’s milk in diet, gender, the fuel used for heating, cigarette smoking and the presence of indoor allergens were recorded during family interviews and compared between two groups. Results: There was not any statistically significant difference between groups regarding total breast feeding duration. The duration of exclusive breast feeding among asthmatics compared to controls was statistically longer p:0,002 . The parents of asthmatic children were found to initiate cow’s milk into diet much earlier p

Anahtar Kelimeler

Breastfeeding, childhood asthma, cow’s milk

Kaynakça

• 1. Friedman NJ, Zeiger RS. The role of breast-feeding in the development of allergies and asthma. J Allergy Clin Immunol 2005;115:1238-48. http://dx.doi.org/10.1016/j.jaci.2005.01.069 PMid:15940141
• 2. Oddy WH, Peat JK, de Klerk NH. Maternal asthma, infant feeding, and the risk of asthma in childhood. J Allergy Clin Immunol 2002;110:65-7. http://dx.doi.org/10.1067/mai.2002.125296 PMid:12110822
• 3. Wright AL, Holberg CJ, Taussig LM, Martinez FD. Factors influencing the relation of infant feeding to asthma and recurrent wheeze in childhood. Thorax 2001;56:192-7. http://dx.doi.org/10.1136/thorax.56.3.192 PMid:11182011 PMCid:1758780
• 4. Bateman ED, Hurd SS, Barnes PJ, et al. Global strategy for asthma management and prevention: GINA executive summary. Eur Respir J 2008;31:143-78. http://dx.doi.org/10.1183/09031936.00138707 PMid:18166595
• 5. Guidelines for the diagnosis and management of asthma. National Heart, Lung, and Blood Institute. National Asthma Education Program. Expert Panel Report. J Allergy Clin Immunol 1991;88:425-534. PMid:1890276
• 6. Asher MI, Keil U, Anderson HR, et al. International study of asthma and allergies in childhood (ISAAC): rationale and methods. Eur Respir J 1995;8:483-91. http://dx.doi.org/10.1183/09031936.95.08030483 PMid:7789502
• 7. Kuyucu S, Saraçlar Y, Tuncer A, et al. Determinants of atopic sensitization in Turkish school children: effects of preand post-natal events and maternal atopy. Pediatr Allergy Immunol 2004;15:62-71. http://dx.doi.org/10.1046/j.0905-6157.2003.00115.x PMid:14998384
• 8. Cushing AH, Samet JM, Lambert WE, et al. Breastfeeding reduces risk of respiratory illness in infants. Am J Epidemiol 1998;147:863-70. PMid:9583717
• 9. Wafula EM, Limbe MS, Onyango FE, Nduati R. Effects of passive smoking and breastfeeding on childhood bronchial asthma. East Afr Med J 1999;76:606-9.
• Oddy WH, de Klerk NH, Sly PD, Holt PG. The effects of respiratory infections, atopy, and breastfeeding on childhood asthma. Eur Respir J 2002;19:899-905. http://dx.doi.org/10.1183/09031936.02.00103602 PMid:12030731
• 11. Oddy WH, Holt PG, Sly PD, et al. Association between breast feeding and asthma in 6 year old children: findings of a prospective birth cohort study. BMJ 1999;319:815-9. PMid:10496824 PMCid:314207
• 12. Kemp A, Kakakios A. Asthma prevention: breast is best? J Paediatr Child Health 2004;40:337-9. http://dx.doi.org/10.1111/j.1440-1754.2004.00397.x PMid:15228557
• 13. Kull I, Wickman M, Lilja G, Nordvall SL, Pershagen G. Breast feeding and allergic diseases in infants-a prospective birth cohort study. Arch Dis Child 2002;87:478-81. http://dx.doi.org/10.1136/adc.87.6.478 PMid:12456543 PMCid:1755833
• 14. Tariq SM, Matthews SM, Hakim EA, Stevens M, Arshad SH, Hide DW. The prevalence of and risk factors for atopy in early childhood: a whole population birth cohort study. J Allergy Clin Immunol 1998;101:587-93. http://dx.doi.org/10.1016/S0091-6749(98)70164-2
• 15. Saarinen UM, Kajosaari M. Breastfeeding as prophylaxis against atopic disease: prospective follow-up study until 17 years old. Lancet 1995;346:1065-9. http://dx.doi.org/10.1016/S0140-6736(95)91742-X
• 16. Dell S, To T. Breastfeeding and asthma in young children: findings from a population-based study. Arch Pediatr Adolesc Med 2001;155:1261-5. PMid:11695937
• 17. Matheson MC, Erbas B, Balasuriya A, et al. Breast-feeding and atopic disease: a cohort study from childhood to middle age. J Allergy Clin Immunol 2007;120:1051-7. http://dx.doi.org/10.1016/j.jaci.2007.06.030 PMid:17764732
• 18. Burgess SW, Dakin CJ, O’Callaghan MJ. Breastfeeding does not increase the risk of asthma at 14 years. Pediatrics 2006;117:e787-92. http://dx.doi.org/10.1542/peds.2005-1753 PMid:16585289
• 19. Kramer MS, Matush L, Vanilovich I, et al. Promotion of Breastfeeding Intervention Trial (PROBIT) Study Group. Effect of prolonged and exclusive breast feeding on risk of allergy and asthma: cluster randomised trial. BMJ 2007;335:815. http://dx.doi.org/10.1136/bmj.39304.464016.AE PMid:17855282 PMCid:2034727
• 20. Kull I, Melen E, Alm J, et al. Breast-feeding in relation to asthma, lung function, and sensitization in young school children. J Allergy Clin Immunol 2010; PMID: 20392479, [Epub ahead of print].
• 21. Greer FR, Sicherer SH, Burks AW; American Academy of Pediatrics Committee on Nutrition; American Academy of Pediatrics Section on Allergy and Immunology. Effects of early nutritional interventions on the development of atopic disease in infants and children: the role of maternal dietary restriction, breastfeeding, timing of introduction of complementary foods, and hydrolyzed formulas. Pediatrics 2008;121:183-91. http://dx.doi.org/10.1542/peds.2007-3022 PMid:18166574
• 22. Civelek E, Şekerel BE. Çocuklarda alerjik hastalıkların önlenmesi. İçinde: Dağlı E. Karakoç F. Çocuk Göğüs Hastalıkları. İstanbul: Nobel Tıp Kitabevi, 2007:91-100.
• 23. Halken S. Prevention of allergic disease in childhood: clinical and epidemiological aspects of primary and secondary allergy prevention. Pediatr Allergy Immunol 2004;15:9-32. http://dx.doi.org/10.1111/j.1399-3038.2004.0148b.x PMid:15125698
• 24. The Hacettepe Institute of Population Studies. Turkey Demographic and Health Survey, 2008 (TDHS-2008) http:// www.hips.hacettepe.edu.tr/tnsa2008/index.htm.
• 25. Henderson AJ, Sherriff A, Northstone K, Kukla L, Hruba D. Pre- and postnatal parental smoking and wheeze in infancy: cross cultural differences. Avon Study of Parents and Children (ALSPAC) Study Team, European Longitudinal Study of Pregnancy and Childhood (ELSPAC) Co-ordinating Centre. Eur Respir J 2001;18:323-9. http://dx.doi.org/10.1183/09031936.01.00012401 PMid:11529291
• 26. Kneepkens CM, Brand PL. Clinical practice: Breastfeeding and the prevention of allergy. Eur J Pediatr 2010, PMID: 20135146 [Epub ahead of print].
• 27. Karmaus W, Dobai AL, Ogbuanu I, Arshard SH, Matthews S, Ewart S. Long-term effects of breastfeeding, maternal smoking during pregnancy, and recurrent lower respiratory tract infections on asthma in children. J Asthma 2008;45:688- 95. http://dx.doi.org/10.1080/02770900802178306 PMid:18951262 PMCid:2700345
• 28. Murin S, Bilello KS, Matthay R. Other smoking-affected pulmonary diseases. Clin Chest Med 2000;21:121-37. http://dx.doi.org/10.1016/S0272-5231(05)70012-5
• 29. Çevik Ü, Taş F. Astımlı çocukların sosyodemografik özellikleri ve astımı uyaran etkenlerin incelenmesi. 4. Milli Çocuk Hemşireliği Kongresi Bildiri Kitabı 2004:472.
• 30. Yüksekkaya H, Reisli İ, Keser M, Keleş S. Astımlı hastalarımızın klinik ve laboratuvar özellikleri ve bunları etkileyen faktörler. Türk Ped Arş 2006;41:112-22.
• 31. Buchdahl R, Parker A, Stebbings T, Babiker A. Association between air pollution and acute childhood wheezy episodes: prospective observational study. BMJ 1996;312:661-5. PMid:8597731 PMCid:2350536
• 32. Corvalán C, Amigo H, Bustos P, Rona RJ. Socioeconomic risk factors for asthma in Chilean young adults. Am J Public Health 2005;95:1375-81.http://dx.doi.org/10.2105/AJPH. 2004.048967 PMid:15985644 PMCid:1449369
• 33. Ball TM, Castro-Rodriguez JA, Griffith KA, Holberg CJ, Martinez FD, Wright AL. Siblings, day-care attendance, and the risk of asthma and wheezing during childhood. N Engl J Med 2000;343:538-43. ttp://dx.doi.org/10.1056/NEJM200008243430803 PMid:10954761
• 34. Strachan DP. Family size, infection and atopy: the first decade of the “hygiene hypothesis”. Thorax 2000;55:S2-10. http://dx.doi.org/10.1136/thorax.55.suppl_1.S2
• 35. London SJ, James Gauderman W, Avol E, Rappaport EB, Peters JM. Family history and the risk of early-onset persistent, early-onset transient, and late-onset asthma. Epidemiology 2001;12:577-83. http://dx.doi.org/10.1097/00001648-200109000-00019 PMid:11505179 PMCid:1618803