Non risultano prove evidenti di un effetto protettivo dell’allattamento al seno esclusivo per almeno 3 mesi verso la dermatite atopica, anche tra i bambini con una storia familiare positiva.
Br J Dermatol. 2009 Aug;161(2):373-83. Epub 2009 Feb 23.
Exclusive breastfeeding and incident atopic dermatitis in childhood: a systematic review and meta-analysis of prospective cohort studies.
Yang YW, Tsai CL, Lu CY.
BACKGROUND: Breastfeeding is undisputedly preferable to formula feeding for infant nutrition because of its nutritional, immunological and psychological benefits. However, studies on the association between breastfeeding and development of atopic dermatitis (AD) have shown inconsistent results.
OBJECTIVES: To examine the association between exclusive breastfeeding for at least 3 months after birth and the development of AD in childhood.
METHODS: An electronic literature search of MEDLINE (January 1966-May 2008) and EMBASE (1980-May 2008) was conducted. Prospective cohort studies that met the predetermined criteria were independently assessed by three reviewers. The pooled effect estimate was calculated by random effects model. Heterogeneity across the studies was investigated by meta-regression analysis.
RESULTS: Twenty-one studies with 27 study populations were included for meta-analysis. The summary odds ratio (OR) for the effect of exclusive breastfeeding on the risk of AD was 0.89 (95% confidence interval, CI 0.76-1.04). Heterogeneity was found across the studies (chi(2) = 83.6, d.f. = 26; P < 0.001). Breastfeeding was associated with a decreased risk of AD (OR 0.70; 95% CI 0.50-0.99) when analysis was restricted to the studies comparing breastfeeding with conventional formula feeding. The pooled OR for study populations with atopic heredity was 0.78 (95% CI 0.58-1.05).
CONCLUSIONS: There is no strong evidence of a protective effect of exclusive breastfeeding for at least 3 months against AD, even among children with a positive family history.
Filed under: DERMATITE ATOPICA | Tagged: causa del prurito, causa dematite atopica, cura del prurito, cura dermatite atopica, cura eczema, DERMATITE ATOPICA, DERMATITE ATOPICA BAMBINI, dermatologo, ECZEMA, Prof. Santoianni, PRURITO, terapia del prurito, terapia dermatite atopica, terapia eczema |