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The modern approach to breastfeeding: epidemiology and its importance for moternal and child wellbeing from the public health prospective (A Review of the Lancet Breastfeeding Series)

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Breastfeeding remains relevant in the 21st century. The current research into its unique properties attracted increased attention to breastmilk. This paper reviews the Lancet article “Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect” (Lancet, 2016). The review dwells upon breastfeeding international epidemiology; breastfeeding effect on maternal and child outcomes from the evidence based medicine prospective; the possible decrease in the number of preventable maternal and child deaths if breastfeeding practice is scaled up to conditionally optimal level.

About the Authors

L. V. Abolyan
I.M. Sechenov First MSMU (Sechenov University)
Russian Federation

S. V. Novikova
I.M. Sechenov First MSMU (Sechenov University)
Russian Federation


1. Jelliffe D.B., Jelliffe E.F.P. Human milk in the modern world. Oxford: Oxford University Press; 1978

2. Vahlquist B. Introduction. Contemporary patterns of breast-feeding Report of the WHO collaborative study on breastfeeding. Geneva: World Health Organization; 1981. Task force on the assessment of the scientific evidence relating to infant-feeding practices and infant health. Pediatrics. 1984; 74: 579-762

3. Victora C.G., Alufsio R.B., Barros J.D. et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. The Lancet. 2016; 387: 475-490

4. Rollins N.C., Bhandari N., Hajeebhoy N. et al. Why invest, and what it will take to improve breastfeeding practices in less than a generation. The Lancet. 2016; 387: 491-504

5. Walker N., Tam Y., Friberg I.K. Overview of the Lives Saved Tool (LiST). BMC Public Health. 2013; 13 (suppl 3): S1

6. Requejo J.H., Bryce J., Barros A.J. et al. Countdown to 2015 and beyond: fulfilling the health agenda for women and children. The Lancet. 2015; 385: 466-476

7. Sankar M.J., Sinha B., Chowdhury R. et al. Optimal breastfeeding practices and infant and child mortality. A systematic review and meta-analysis. Acta Paediatr. 2015; 104: 3-13

8. World Health Organization. Indicators for assessing infant and young child feeding practices. Part I: definition. Geneva: World Health Organization; 2008

9. Royston P., Sauerbrei W. Multivariable model-building: a pragmatic approach to regression analysis based on fractional polynomials for modelling continuous variables. Chichester: Wiley; 2008

10. Roberts T.J., Carnahan E., Gakidou E. Can breastfeeding promote child health equity? A comprehensive analysis of breastfeeding patterns across the developing world and what we can learn from them. BMC Med. 2013; 11: 254

11. Haggkvist A.P., Brantsaeter A.L., Grjibovski A.M. et al. Prevalence of breast-feeding in the Norwegian Mother and Child Cohort Study and health service-related correlates of cessation of full breast-feeding. Public Health Nutr. 2010; 13: 2076-1086

12. Kohlhuber M., Rebhan B., Schwegler U. et al. Breastfeeding rates and duration in Germany: a Bavarian cohort study. Br. J. Nutr. 2008; 99: 1127-1132

13. Oakley L.L., Henderson J., Redshaw M., Quigley M.A. The role of support and other factors in early breastfeeding cessation: an analysis of data from a maternity survey in England. BMC Pregnancy Childbirth. 2014; 14: 88

14. WHO Collaborative Study Team on the role of breastfeeding on the prevention of infant mortality. Effect of breastfeeding on infant and child mortality due to infectious diseases in less developed countries: a pooled analysis. The Lancet. 2000; 355: 451-455

15. Horta B.L., Victora C.G. Short-term effects of breastfeeding: a systematic review of the benefits of breastfeeding on diarrhea and pneumonia mortality. Geneva: World Health Organization; 2013

16. Ip S., Chung M., Raman G. et al. Breastfeeding and maternal and infant health outcomes in developed countries. Evidence Report/Technology Assessment (Full Rep.). Rockville, MD, USA: Agency for Healthcare Research and Quality. 2007; 153: 1-186

17. Holman R.C., Stoll B.J., Curns A.T. et al. Necrotising enterocolitis hospitalisations among neonates in the United States. Paediatr. Perinat. Epidemiol. 2006; 20: 498-506

18. Bowatte G., Tham R., Allen K.J. et al. Breastfeeding and childhood acute otitis media: a systematic review and meta-analysis. Acta Paediatr. Suppl. 2015; 104: 85-95

19. Lodge C.J., Tan D.J., Lau M.X. et al. Breastfeeding and asthma and allergies: a systematic review and meta-analysis. Acta Paediatr. Suppl. 2015; 104: 38-53

20. Peres K.G., Cascaes A.M., Nascimento G.G., Victora C.G. Effect of breastfeeding on malocclusions: a systematic review and meta-analysis. Acta Paediatr. Suppl. 2015; 104: 54-61

21. Peres K.G., Peres M.A., Thomson W.M. et al. Deciduous-dentition malocclusion predicts orthodontic treatment needs later: findings from a population-based birth cohort study. Am. J. Orthod. Dentofacial Orthop. 2015; 147: 492-498

22. Tham R., Bowatte G., Dharmage S.C. et al. Breastfeed ing and the risk of dental caries: a systematic review and meta-analysis. Acta Paediatr. Suppl. 2015; 104: 62-84

23. Giugliani E.J., Horta B.L., de Mola C.L. et al. Effect of breastfeeding promotion interventions on child growth: a systematic review and meta-analyses. Acta Paediatr. Suppl. 2015; 104: 20-29

24. Horta B.L., de Mola C.L., Victora C.G. Long-term consequences of breastfeeding on cholesterol, obesity, systolic blood pressure, and type-2 diabetes: systematic review and meta-analysis. Acta Paediatr. Suppl. 2015; 104: 30-37

25. Horta B.L., de Mola C.L., Victora C.G. Breastfeeding and intelligence: systematic review and meta-analysis. Acta Paediatr. Suppl. 2015; 104: 14-19

26. Kramer M.S., Aboud F., Mironova E. et al. Breastfeeding and child cognitive development: new evidence from a large randomized trial. Arch. Gen. Psychiatry. 2008; 65: 578-584

27. Lucas A., Morley R., Cole T.J. et al. Breast milk and subsequent intelligence quotient in children born preterm. The Lancet. 1992; 339: 261-264

28. Richards M., Hardy R., Wadsworth M.E. Long-term effects of breast-feeding in a national birth cohort: educational attainment and midlife cognitive function. Public Health Nutr. 2002; 5: 631-635

29. Martin R.M., Goodall S.H., Gunnell D., Davey S.G. Breast feeding in infancy and social mobility: 60-year follow-up of the Boyd Orr cohort. Arch. Dis. Child. 2007; 92: 317-321

30. Horwood L.J., Fergusson D.M. Breastfeeding and later cognitive and academic outcomes. Pediatrics. 1998; 101: E9

31. Victora C.G., Barros F.C., Horta B.L., Lima R.C. Breastfeeding and school achievement in Brazilian adolescents. Acta Paediatr. 2005; 94: 1656-1660

32. Victora C.G., Horta B.L., de Mola C.L. et al. Association between breastfeeding and intelligence, educational attainment, and income at 30 years of age: a prospective birth cohort study from Brazil. Lancet Glob. Health. 2015; 3: e199-e205

33. Amitay E.L., Keinan-Boker L. Breastfeeding and childhood leukemia incidence: a meta-analysis and systematic review. JAMA Pediatr. 2015; 169: e151025

34. Chowdhury R., Sinha B., Sankar M.J. et al. Breastfeeding and maternal health outcomes: a systematic review and meta-analysis. Acta Paediatr. Suppl. 2015; 104: 96-113

35. Becker S., Rutstein S., Labbok M.H. Estimation of births averted due to breast-feeding and increases in levels of contraception needed to substitute for breast-feeding. J. Biosoc. Sci. 2003; 35: 559-574

36. Kramer M.S., Kakuma R. Optimal duration of exclu sive breastfeeding. Cochrane Database Syst. Rev. 2012; 8: CD003517

37. Collaborative Group on Hormonal Factors in Breast Cancer. Breast cancer and breastfeeding: collaborative reanalysis of individual data from 47 epidemiological studies in 30 countries, including 50 302 women with breast cancer and 96973 women without the disease. The Lancet. 2002; 360: 187-195

38. Aune D., Norat T., Romundstad P., Vatten L.J. Breastfeeding and the maternal risk of type 2 diabetes: a systematic review and dose-response meta-analysis of cohort studies. Nutr. Metab. Cardiovasc. Dis. 2014; 24: 107-115

39. Neville C.E., McKinley M.C., Holmes V.A. et al. The relationship between breastfeeding and postpartum weight change - a systematic review and critical evaluation. Int. J. Obes. (Lond.). 2014; 38: 577-590

40. Bobrow K.L., Quigley M.A., Green J. et al. Persistent effects of women’s parity and breastfeeding patterns on their body mass index: results from the Million Women Study. Int. J. Obes. (Lond.). 2013; 37: 712-717

41. Dias C.C., Figueiredo B. Breastfeeding and depression: a systematic review of the literature. J. Affect. Disord. 2015; 171: 142-154

42. Dettwyler K.A. A time to wean: the hominid blueprint for the natural age of weaning in modern human populations. In: Stuart-Macadam P., Dettwyler K.A. Breastfeeding: biocultural perspectives. New York: Aldin de Gruyter; 1995: 39-73


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