Survey of breast-feeding practices and outcomes in the cystic fibrosis population
Department of Pediatrics
Adolescent; Adult; Anti-Bacterial Agents; Breast Feeding; Child; Child, Preschool; Cystic Fibrosis; Drug Utilization; Forced Expiratory Volume; Humans; Infant; Infant Formula; Outcome Assessment (Health Care); Questionnaires; Severity of Illness Index; Time Factors
Life Sciences | Medicine and Health Sciences
The aim of this study was to survey cystic fibrosis (CF) patients to determine the frequency of breast-feeding and its association with onset and severity of CF symptoms. Three thousand, two hundred questionnaires were sent to 30 accredited CF centers for anonymous completion. Eight hundred and sixty-three questionnaires were returned and scanned into a database. All results were adjusted for age at time of filling out the questionnaire. Age at onset of symptoms, percent forced expired volume in 1 sec (FEV1%) predicted, and intravenous (IV) antibiotic use were analyzed based on breast-feeding history. Approximately 49% of respondents received human breast milk at some time, but only 18% were exclusively breast-fed. Breast-feeding exclusively for greater than 6 months was associated with a decrease in disease severity based on recent intravenous antibiotic use compared to no breast-feeding (P = 0.03). There was no statistically significant change in onset of symptoms in the setting of breast-feeding; however, a trend toward delayed onset was seen in those receiving human milk. Fifty-three percent of those who breast-fed exclusively > or = 6 months had FEV1% values > 90%, compared to 47% of those not breast-fed. This is a suggestive but not statistically significant difference. In conclusion, breast-feeding for > or = 6 months is associated with decreased use of intravenous antibiotics in the 2 years prior to administering the questionnaire. This survey indicates that breast-feeding is not harmful to children with CF, and may be beneficial.
DOI of Published Version
Pediatr Pulmonol. 2004 Apr;37(4):362-7. Link to article on publisher's site
Parker, Eliza M.; O'Sullivan, Brian P.; Shea, Julie C.; Regan, Meredith M.; and Freedman, Steven D., "Survey of breast-feeding practices and outcomes in the cystic fibrosis population" (2004). University of Massachusetts Medical School. Senior Scholars Program. Paper 92.