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Early feeding and risk of Juvenile idiopathic arthritis: a case control study in a prospective birth cohort
Linköping University, Department of Clinical and Experimental Medicine, Division of Children's and Women's health. Linköping University, Faculty of Medicine and Health Sciences. Vastervik Hospital, Sweden.
Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Clinical and Experimental Medicine, Division of Children's and Women's health. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center of Paediatrics and Gynaecology and Obstetrics, Department of Paediatrics in Linköping.
2017 (English)In: Pediatric Rheumatology, ISSN 1546-0096, E-ISSN 1546-0096, Vol. 15, 46Article in journal (Refereed) Published
Abstract [en]

Background: Juvenile idiopathic arthritis (JIA) is considered to be an autoimmune disease, but the etiology is unknown. We decided to study the influence of early nutrition on later development of JIA. Methods: All parents with children born between October 1, 1997 and October 1, 1999 in Southeast Sweden were asked to participate in the ABIS prospective cohort study (All Babies in Southeast Sweden), At 1 year, questionnaires with information on breastfeeding and introduction of foods were completed by 10,565 families. We identified 32 children with JIA and 111 children with non-chronic arthritis with completed questionnaires after delivery and after 1 year. A multivariable logistic regression model, adjusted for relevant factors, was performed to calculate the association between JIA and feeding during the first year of life. Results: An increased risk for JIA was found in children who had breast fed for less than 4 months, as opposed to those who were continued on breast milk beyond 4 months of age (aOR 3.5, 95% CI 1.4-8,5; p = 0.006). A short duration of exclusive as well as total breastfeeding was associated with an increased risk of JIA (aOR 1.3, 95% CI 1.1-1.6; p = 0.008 and aOR 1.2, 95% CI 1.1-1.3; p amp;lt; 0.001). All associations between breastfeeding and JIA persisted after adjustment. There was no relationship between early nutrition and non-chronic arthritis. Conclusions: Our results indicate that there are different disease mechanisms for different types of arthritis in childhood. Longer duration of breastfeeding (both total and exclusive) may protect against development of JIA. Mothers should be encouraged to breast-feed their babies exclusively, if at all possible, for 4 months and continue partial breastfeeding for an extended time when foreign proteins are introduced.

Place, publisher, year, edition, pages
BIOMED CENTRAL LTD , 2017. Vol. 15, 46
Keyword [en]
Juvenile idiopathic arthritis (JIA); Arthritis; Epidemiology; Autoimmunity; Nutrition; Reactive arthritis; Breastfeeding; Rheumatic disease
National Category
Pediatrics
Identifiers
URN: urn:nbn:se:liu:diva-138914DOI: 10.1186/s12969-017-0175-zISI: 000402337200001PubMedID: 28549465OAI: oai:DiVA.org:liu-138914DiVA: diva2:1115845
Note

Funding Agencies|Research Unit of Kalmar County Council; Swedish Rheumatism Association; Jerring Foundation; Swedish Child Diabetes Foundation (Barndiabetesfonden); Juvenile Diabetes Research Foundation; Medical Research Council of Southeast Sweden (FORSS)

Available from: 2017-06-27 Created: 2017-06-27 Last updated: 2017-06-27

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Kindgren, ErikFredrikson, MatsLudvigsson, Johnny
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Division of Children's and Women's healthFaculty of Medicine and Health SciencesDivision of Neuro and Inflammation ScienceDepartment of Paediatrics in Linköping
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Pediatric Rheumatology
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CiteExportLink to record
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