Abbas, E., Tawfik, S., Salem, M., Elhady, G. (2023). Association between Breastfeeding Patterns and Type 1 Diabetes among Children. The Egyptian Journal of Hospital Medicine, 90(2), 2385-2390. doi: 10.21608/ejhm.2023.286015
Enas S Abbas; Safaa Tawfik; Marwa R Salem; G. Wahby Elhady. "Association between Breastfeeding Patterns and Type 1 Diabetes among Children". The Egyptian Journal of Hospital Medicine, 90, 2, 2023, 2385-2390. doi: 10.21608/ejhm.2023.286015
Abbas, E., Tawfik, S., Salem, M., Elhady, G. (2023). 'Association between Breastfeeding Patterns and Type 1 Diabetes among Children', The Egyptian Journal of Hospital Medicine, 90(2), pp. 2385-2390. doi: 10.21608/ejhm.2023.286015
Abbas, E., Tawfik, S., Salem, M., Elhady, G. Association between Breastfeeding Patterns and Type 1 Diabetes among Children. The Egyptian Journal of Hospital Medicine, 2023; 90(2): 2385-2390. doi: 10.21608/ejhm.2023.286015
Association between Breastfeeding Patterns and Type 1 Diabetes among Children
11 Clinical Nutrition Department, National Nutrition Institute, Egypt
2Public Health and Community Medicine Department, Faculty of Medicine, Cairo University, Egypt.
3Cairo UniPublic Health and Community Medicine Department, Faculty of Medicine, Cairo University, Egypt.versity
Abstract
Background: Though factors such as breastfeeding (BF), cow's milk formula, and cereals are among the dietary factors linked to T1D development, their role is still debatable. Objective: This study aimed to assess the relationship between BF patterns and the development of T1D. Subjects and Methods: The study is an epidemiologic hospital-based case-control study in Ismalia city, Egypt. 140 children 15 months- to 13 -year-old, from both sexes were included in two groups; the T1D cases (n=70) and the nondiabetic; age-and-sex-matched, control group (n=70). Results: The proportion of children who received exclusive breastfeeding (EBF) was low in both cases and controls but significantly loweramong cases (11% vs 53% respectively, P<0.05) with almost nine times rise in the odds of T1D. More T1D children depended on formula feeding (FF) during their infancy than controls (40% vs 14% respectively, P<0.05) with four folds rise in the odds of T1D. T1D patients who had FF (n= 28) started it at an earlier age compared to controls who had FF (n=10) (mean age 3.2 vs 12.3 months respectively, P<0.05). Likewise, the onset of weaning took place at the age of four months among T1D cases vs five months among controls (P<0.05). No association was detected between T1D and the sociodemographic or maternal obstetric factors. Conclusion: Short-term BF or no BF at all may be a substantial risk factor for T1D. FF and the early age at its start increase the odds of T1D.
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