Breast-feeding Duration and Gluten Introduction Among Mothers With Celiac Disease
2014 (English)In: Journal of Pediatric Gastroenterology and Nutrition - JPGN, ISSN 0277-2116, E-ISSN 1536-4801, Vol. 59, no 1, 89-92 p.Article in journal (Refereed) Published
Both breastfeeding duration and age at gluten introduction have been implicated in the pathogenesis of celiac disease (CD). We hypothesized that parental CD affects the feeding pattern of the offspring, mediated by parental health awareness increasing adherence to infant feeding guidelines.
Prospectively collected infant feeding data were obtained through the All Babies in Southeast Sweden (ABIS) study. Information regarding infant feeding was available in 9,414 children. Twenty-two mothers had a history of biopsy-verified CD before delivery of a child in the study, 9,392 mothers had no diagnosis of CD prior to birth and thus constituted the unexposed or control population. Cox regression was used to compare the risk of early weaning and gluten introduction according to parental CD status, and logistic regression to assess if mothers with CD were more likely to breastfeed their children at gluten introduction.
Some 63% of children were breastfeed for at least 9 months. We found no association between maternal CD and early weaning (adjusted hazard ratio (HR), 1.0; 95% confidence interval (CI), 0.6-1.7), nor between paternal CD and early weaning (HR 0.5; 95% CI, 0.1-1.9). Sixty percent of children were introduced to gluten in months 5-6. Maternal CD was not associated with age at gluten introduction (adjusted HR, 0.8; 95% CI, 0.6-1.3) There was no statistically significant association between maternal CD and breastfeeding at time of gluten introduction (OR, 1.4; 95% CI, 0.4-4.7).
Feeding patterns do not seem to vary between offspring to mothers with CD and those without.
Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2014. Vol. 59, no 1, 89-92 p.
breast-feeding; celiac disease; gluten introduction
IdentifiersURN: urn:nbn:se:liu:diva-109251DOI: 10.1097/MPG.0000000000000326ISI: 000338125000028PubMedID: 24509300OAI: oai:DiVA.org:liu-109251DiVA: diva2:737158