Relationship between breast-feeding and wheeze risk in early childhood in Korean children: based on the fifth Korea National Health and Nutrition Examination Survey 2010-2012

Kyung Suk Lee; Sun Hee Choi; Yong Sung Choi; In-Hwan Oh; Yeong-Ho Rha

doi:10.4168/aard.2014.2.2.103

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Lee, Choi, Choi, Oh, and Rha: Relationship between breast-feeding and wheeze risk in early childhood in Korean children: based on the fifth Korea National Health and Nutrition Examination Survey 2010-2012

Original Article

Allergy, Asthma & Respiratory Disease 2014; 2(2): 103-107.

Published online: 31 May 2014

DOI: https://doi.org/10.4168/aard.2014.2.2.103

Relationship between breast-feeding and wheeze risk in early childhood in Korean children: based on the fifth Korea National Health and Nutrition Examination Survey 2010-2012

Kyung Suk Lee¹, Sun Hee Choi¹, Yong Sung Choi¹, In-Hwan Oh², Yeong-Ho Rha¹

¹Department of Pediatrics, Kyung Hee University School of Medicine, Seoul, Korea.

²Department of Preventive Medicine, Kyung Hee University School of Medicine, Seoul, Korea.

Correspondence to: Yeong-Ho Rha. Department of Pediatrics, Kyung Hee University Medical Center, Kyung Hee University School of Medicine, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul 130-872, Korea. Tel: +82-2-958-8306, Fax: +82-2-958-8304, yhrha@khu.ac.kr

Received 20 January 2014 Revised 13 April 2014 Accepted 14 April 2014

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/).

Abstract

Purpose

There is conflicting evidence concerning the relationship between breast-feeding and development of wheezing in early childhood. Epidemiological evidence for a role of breast-feeding on risk of wheezing is inconclusive. The objective of this study was to investigate the associations between breast feeding and risk of current wheezing in early childhood in Korea.

Methods

We combined the fifth Korea National Health and Nutrition Examination Survey data collected from 2010 to 2012 and analyzed 1,011 children from 1 to 3 years olds who had been surveyed in regards to breast-feeding. Multivariate regression analysis was used to identify association among the following variables: presence of current wheezing, feeding types and duration of breast-feeding.

Results

Prevalence of exclusive breast-feeding and current wheezing decreased both annually from 2010 to 2012. In the univariate analysis, breast-feeding, formula-feeding, duration of breast-feeding were not associated significantly with current wheezing of children younger than 3 years old. No measureable statistically significant relation was observed among breast-feeding, formula-feeding, duration of breast-feeding and risk of current wheezing in the multivariate analysis.

Conclusion

The present study showed no statistically significant relationship between breast-feeding and the risk of wheeze in early childhood in Korean children. National prospective study is needed to clarify the role of breast-feeding in development of current wheezing.

Keywords: Breast-feeding, Asthma, Wheezing, Children

Figures and Tables

Fig. 1

Change of proportion of current wheezing, exclusive breast-feeding in children younger than 3 years old (KNHANES-V^*, 2010-2012). ^*Fifth Korea National Health and Nutrition Examination Survey. This survey was investigated to know Korean health and nutrition by Korea Centers for Disease Control and Prevention from 2010 to 2012.

Table 1

Characteristics of subject in children younger than 3 years old (KNHANES-V, 2010-2012)

Values are presented as mean±standard error or number (%).

KNHANES-V, Fifth Korea National Health and Nutrition Examination Survey.

^*Exclusive formula-feeding plus mixed feeding.

Table 2

Association of current wheezing with feeding types in children younger than 3 years old (KNHANES-V, 2010-2012)

KNHANES-V, Fifth Korea National Health and Nutrition Examination Survey; OR, odds ratio.

^*Adjusted by sex, age, body mass index, birth weight, familial income status, atopic dermatitis, vaccination of influenza, previous history of pneumonia, start time of weaning.

^†Exclusive formula-feeding plus mixed feeding.

References

1. Nwaru BI, Takkinen HM, Niemela O, Kaila M, Erkkola M, Ahonen S, et al. Timing of infant feeding in relation to childhood asthma and allergic diseases. J Allergy Clin Immunol. 2013; 131:78–86.

2. Yum HY. Association of brestfeeding and allergic diseases. Pediatr Allergy Respir Dis. 2009; 19:325–328.

3. Lee HB. Effects of breastfeeding on the development of allergies. Hanyang Med Rev. 2010; 30:49–59.

4. Section on Breastfeeding. Breastfeeding and the use of human milk. Pediatrics. 2012; 129:e827–e841.

5. Shin JW, Kim WK, Yoon HS. Association of breast-feeding and allergic diseases in preschool aged children. Pediatr Allergy Respir Dis. 2009; 19:374–382.

6. 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; 121:183–191.

7. Hong SJ, Lee MS, Lee SY, Ahn KM, Oh JW, Kim KE, et al. High body mass index and dietary pattern are associated with childhood asthma. Pediatr Pulmonol. 2006; 41:1118–1124.

8. Miyake Y, Tanaka K, Sasaki S, Kiyohara C, Ohya Y, Fukushima W, et al. Breastfeeding and the risk of wheeze and asthma in Japanese infants: the Osaka Maternal and Child Health Study. Pediatr Allergy Immunol. 2008; 19:490–496.

9. Korea Centers for Disease Control and Prevention. The Fifth Korea National Health and Nutrition Examination Survey (KNHANES V-1) 2010. Cheongwon: Korea Centers for Disease Control and Prevention;2011.

10. Korea Centers for Disease Control and Prevention. The Fifth Korea National Health and Nutrition Examination Survey (KNHANES V-2) 2011. Cheongwon: Korea Centers for Disease Control and Prevention;2012.

11. Korea Centers for Disease Control and Prevention. The Fifth Korea National Health and Nutrition Examination Survey (KNHANES V-3) 2012. Cheongwon: Korea Centers for Disease Control and Prevention;2013.

12. Lai CK, Beasley R, Crane J, Foliaki S, Shah J, Weiland S, et al. Global variation in the prevalence and severity of asthma symptoms: phase three of the International Study of Asthma and Allergies in Childhood (ISAAC). Thorax. 2009; 64:476–483.

13. Pedersen SE, Hurd SS, Lemanske RF Jr, Becker A, Zar HJ, Sly PD, et al. Global strategy for the diagnosis and management of asthma in children 5 years and younger. Pediatr Pulmonol. 2011; 46:1–17.

14. Kim YH, Urm SH, Kim WK. Prevalence of allergic diseases and risk factors in preschool children, 2009. Pediatr Allergy Respir Dis. 2011; 21:165–175.

15. Matheson MC, Allen KJ, Tang ML. Understanding the evidence for and against the role of breastfeeding in allergy prevention. Clin Exp Allergy. 2012; 42:827–851.

16. Qu F, Weschler LB, Sundell J, Zhang Y. Increasing prevalence of asthma and allergy in Beijing pre-school children: is exclusive breastfeeding for more than 6 months protective? Chin Sci Bull. 2013; 58:4190–4202.

17. Kramer MS. Breastfeeding and allergy: the evidence. Ann Nutr Metab. 2011; 59:Suppl 1. 20–26.

18. Brew BK, Allen CW, Toelle BG, Marks GB. Systematic review and meta-analysis investigating breast feeding and childhood wheezing illness. Paediatr Perinat Epidemiol. 2011; 25:507–518.

19. Wright AL, Holberg CJ, Taussig LM, Martinez FD. Factors influencing the relation of infant feeding to asthma and recurrent wheeze in childhood. Thorax. 2001; 56:192–197.

20. Patandin S, Weisglas-Kuperus N, de Ridder MA, Koopman-Esseboom C, van Staveren WA, van der Paauw CG, et al. Plasma polychlorinated biphenyl levels in Dutch preschool children either breast-fed or formula-fed during infancy. Am J Public Health. 1997; 87:1711–1714.

21. Castro-Rodriguez JA. The Asthma Predictive Index: a very useful tool for predicting asthma in young children. J Allergy Clin Immunol. 2010; 126:212–216.

22. Lodge CJ, Zaloumis S, Lowe AJ, Gurrin LC, Matheson MC, Axelrad C, et al. Early-life risk factors for childhood wheeze phenotypes in a high-risk birth cohort. J Pediatr. 2014; 164:289–294.e1-2.

23. Writing Committee of the WHO Consultation on Clinical Aspects of Pandemic (H1N1) 2009 Influenza. Bautista E, Chotpitayasunondh T, Gao Z, Harper SA, Shaw M, et al. Clinical aspects of pandemic 2009 influenza A (H1N1) virus infection. N Engl J Med. 2010; 362:1708–1719.

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