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| Content Provider | Springer Nature : BioMed Central |
|---|---|
| Author | Abate, Biruk Beletew Tusa, Biruk Shalmeno Sendekie, Ashenafi Kibret Araya, Freweyni Gebreegziabher Bizuayehu, Molla Azmeraw Walle, Getachew Tesfaw Kitaw, Tegene Atamenta Tilahun, Befkad Derese Alamaw, Addis Wondmagegn Zemariam, Alemu Birara Kassaw, Amare Kassie, Ayelign Mengesha Yilak, Gizachew Bizuneh, Fassikaw Kebede Dachew, Berihun |
| Abstract | Background Despite numerous reviews examining the impact of exclusive breastfeeding on preventing childhood pneumonia and asthma, a comprehensive and up-to-date synthesis is lacking. This umbrella review aims to consolidate the current evidence on the link between non-exclusive breastfeeding and the risk of pneumonia and asthma in under-five children. Methods A comprehensive search was conducted in PubMed, Embase, Scopus, Web of Science, the Cochrane Database of Systematic Reviews, and Google Scholar to identify systematic review and meta-analysis (SRM) studies evaluating the effect of exclusive breastfeeding on preventing childhood pneumonia and asthma globally. The latest search was conducted on January 25/2025. The quality of the included studies was assessed using the Assessment of Multiple Systematic Reviews Two (AMSTAR-2) tool. A weighted inverse variance random-effects model was employed to generate pooled estimates. Summary effect estimates were expressed using odds ratios (OR) with 95% confidence intervals (CI). We evaluated the quality of evidence for each association using the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) framework, categorising it as convincing (class I), highly suggestive (class II), suggestive (class III), and weak (class IV). Results Twelve SRMs, including 270 primary studies with over ten million participants, were analysed. The random-effects model revealed a highly suggestive association between non-exclusive breastfeeding and an increase in the risk of pneumonia (OR 2.34; 95% CI 1.89, 2.78, GRADE: highly suggestive). Similarly, there was highly suggestive evidence that non-exclusive breastfeeding was associated with a 29% higher risk of childhood asthma (OR 1.21; 95% CI 1.07, 1.34, GRADE: highly suggestive). Conclusion Our results highlighted that non-exclusive breastfeeding is associated with an increased risk of pneumonia and asthma in under-five children. These findings emphasise the critical role of exclusive breastfeeding in reducing the risk of respiratory health issues, highlighting the need for policies and initiatives that promote breastfeeding as a key strategy for improving children’s health outcomes. |
| Related Links | https://internationalbreastfeedingjournal.biomedcentral.com/counter/pdf/10.1186/s13006-025-00712-w.pdf |
| Ending Page | 9 |
| Page Count | 9 |
| Starting Page | 1 |
| File Format | HTM / HTML |
| ISSN | 17464358 |
| DOI | 10.1186/s13006-025-00712-w |
| Journal | International Breastfeeding Journal |
| Issue Number | 1 |
| Volume Number | 20 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2025-03-25 |
| Access Restriction | Open |
| Subject Keyword | Maternal and Child Health Exclusive breastfeeding Asthma Pneumonia Umbrella review Under-five children |
| Content Type | Text |
| Resource Type | Article |
| Subject | Obstetrics and Gynecology Pediatrics, Perinatology and Child Health |
| Journal Impact Factor | 2.9/2023 |
| 5-Year Journal Impact Factor | 3.6/2023 |
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