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Pediatría Atención Primaria

Print version ISSN 1139-7632

Abstract

IBANEZ TORTAJADA, M.  and  SORLI GUEROLA, J. V.. Effect of breastfeeding on quality of life and on the development of atopic dermatitis. Rev Pediatr Aten Primaria [online]. 2015, vol.17, n.66, pp.115-124. ISSN 1139-7632.  https://dx.doi.org/10.4321/S1139-76322015000300003.

Introduction: atopic dermatitis (AD) is a disease of increasing prevalence and of great social impact. Its etiology has a multifactorial origin, so we analyze if environmental factors, especially breastfeeding (BF) is involved in the development of AD. The objectives are to assess the clinical severity and quality of life of children with AD, to detect differences in the age of diagnosis according to the type of lactation received, and to estimate the association of atopic dermatitis to the variables of interest analyzed. Material and methods: case-control study matched by age and sex in children in Primary Care. It has been done by filling in three different questionnaires about children who come to their routine health controls established by the Valencian Community Health Service. The data collected will be analyzed with the program SPSS. Results: atopic dermatitis has an earlier diagnosis in baby boys. A protective effect of breastfeeding vs artificial feeding in the development of AD (OR: 0.15; IC 95%: 0.09-0.24) has been observed, also vs allergy to pollen or allergic rhinitis (OR: 0.35; IC 95%: 0.17-0.73), vs dry skin (OR: 0.22; IC 95%: 0.14-0.36), itching (OR: 0.50; IC 95%: 0.27-0.93) and in parallel to the clinical characteristics and impact on quality of life (questionnaire score ICVDAI: 2.3±3.5 vs 0.7±0.1; p<0.001). Conclusion: the choice of breastfeeding improves the quality of life in children, protects against the onset of atopic dermatitis, allergy to pollen or allergic rhinitis, and against some skin clinical features.

Keywords : Atopic dermatitis; Breastfeeding; Life’s quality.

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