Relationship Between Breast Milk Feeding and Atopic Dermatitis in Children

Yosikazu Nakamura; Izumi Oki; Shinichi Tanihara; Toshiyuki Ojima; Yoshinobu Ito; Osamu Yamazaki; Masato Iwama; Yoshiki Tabata; Kazuaki Katsuyama; Yasunori Sasai; Masashi Nakagawa; Akihiro Matsushita; Koji Hosaka; Junko Sato; Yoshio Hidaka; Hidenori Uda; Kazuyuki Nakamata; Hiroshi Yanagawa

doi:10.2188/jea.10.74

Yosikazu Nakamura, Izumi Oki, Shinichi Tanihara, Toshiyuki Ojima, Yoshinobu Ito, Osamu Yamazaki, Masato Iwama, Yoshiki Tabata, Kazuaki Katsuyama, Yasunori Sasai, Masashi Nakagawa, Akihiro Matsushita, Koji Hosaka, Junko Sato, Yoshio Hidaka, Hidenori Uda, Kazuyuki Nakamata, Hiroshi Yanagawa

Author information

Yosikazu Nakamura
Department of Health Science, Division of Epidemiology and Community Health, Jichi Medical School
Izumi Oki
Department of Health Science, Division of Epidemiology and Community Health, Jichi Medical School
Shinichi Tanihara
Department of Health Science, Division of Epidemiology and Community Health, Jichi Medical School
Toshiyuki Ojima
Department of Health Science, Division of Epidemiology and Community Health, Jichi Medical School
Yoshinobu Ito
Akita Public Health Center, Prefectural Government of Akita
Osamu Yamazaki
Department of Health and Welfare, Prefectural Government of Niigata
Masato Iwama
Kakegawa Public Health Center, Prefectural Government of Shizuoka
Yoshiki Tabata
Matsusaka Public Health Center, Prefectural Government of Mie
Kazuaki Katsuyama
Yokaichi Public Health Center, Prefectural Government of Shiga
Yasunori Sasai
Section of Health Promotion, Department of Health, Prefectural Government of Osaka
Masashi Nakagawa
Osaka Prefectural Ikeda Public Health Center
Akihiro Matsushita
Osaka Prefectural Yao Public Health Center
Koji Hosaka
Katsuo Public Health Center, Prefectural Government of Okayama
Junko Sato
Tokushima Public Health Center, Prefectural Government of Tokushima
Yoshio Hidaka
Miyakonojo Public Health Center, Prefectural Government of Miyazaki
Hidenori Uda
Section of Disease Control, Department of Health and Welfare, Prefectural Government of Kagoshima
Kazuyuki Nakamata
Kanoya Public Health Center, Prefectural Government of Kagoshima
Hiroshi Yanagawa
SSaitama Prefectural University

Keywords: breast feeding, atopic dermatitis, eczema, PCDDs, PCDFs

JOURNAL FREE ACCESS

2000 Volume 10 Issue 2 Pages 74-78

DOI https://doi.org/10.2188/jea.10.74

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Abstract

Objective: To determine whether or not the breast milk feeding has a role in the prevalence of atopic dermatitis among children. Methods: The target population of the study was all children participating in health check-up program for 3-year-old children in 60 municipalities locating 10 selected prefectures during designated 2 months between October and December 1997. Using a questionnaire, information on nutrition in infants (breast milk only, bottled milk only, or mixed), parity, mothers' age at birth, and a history of atopic dermatitis was obtained. Besides, data on potential confounding factors were obtained. Results: Questionnaires from 3856 children (81.6% of those who were to participate in the programs, and 96.4% of children who participated them) were analyzed. After the adjustment for all potential confounding factors using unconditional logistic models, the risk of atopic dermatitis was slightly higher among children with breast milk (odds ratio [OR]= 1.16 with 95% confidence interval [CI] 0.96-1.40). Mothers' age at birth (OR for those who were more than 30 years or older in comparison with those who were younger than 30 years = 1.15; 95% CI, 0.96-1.37) and those with second or later parity orders (OR=1.14, 95% CI;0.95-1.35) showed odds ratios that were higher than unity without statistical significance. Conclusion: Breast milk elevates the risk of atopic dermatitis slightly without statistical significance; the risk may be, however, higher in children in second or later parity orders. J Epidemiol, 2000 ; 10 : 74-78

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