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Breastfeeding and impact on childhood hospital admissions: a nationwide birth cohort in South Korea

Author

Listed:
  • Jeong-Seon Lee

    (Soonchunhyang University Bucheon Hospital, Soonchunhyang University School of Medicine)

  • Jae Il Shin

    (Yonsei University College of Medicine)

  • Sunyeup Kim

    (Sungkyunkwan University School of Medicine)

  • Yong-Sung Choi

    (Kyung Hee University Medical Center, Kyung Hee University College of Medicine)

  • Youn Ho Shin

    (The Catholic University of Korea, Yeouido St. Mary’s Hospital)

  • Jimin Hwang

    (Johns Hopkins Bloomberg School of Public Health)

  • Jung U Shin

    (CHA University School of Medicine)

  • Ai Koyanagi

    (Parc Sanitari Sant Joan de Déu, CIBERSAM, ISCIII)

  • Louis Jacob

    (Parc Sanitari Sant Joan de Déu, CIBERSAM, ISCIII
    Lariboisière-Fernand Widal Hospital, AP-HP, Université Paris Cité)

  • Lee Smith

    (Anglia Ruskin University)

  • Han Eol Jeong

    (Sungkyunkwan University)

  • Yunha Noh

    (Sungkyunkwan University
    McGill University
    Jewish General Hospital)

  • In-Sun Oh

    (Sungkyunkwan University
    McGill University
    Jewish General Hospital)

  • Sang Youl Rhee

    (Kyung Hee University Medical Center, Kyung Hee University College of Medicine)

  • Chanyang Min

    (Kyung Hee University Medical Center, Kyung Hee University College of Medicine)

  • Seong Ho Cho

    (University of South Florida Morsani College of Medicine)

  • Steve Turner

    (Maternity and Child Health Division, NHS Grampian)

  • Guillaume Fond

    (Assistance Publique-Hopitaux de Marseille, Aix-Marseille University)

  • Laurent Boyer

    (Assistance Publique-Hopitaux de Marseille, Aix-Marseille University)

  • Dong In Suh

    (Seoul National University Hospital, Seoul National University College of Medicine)

  • Krishna Prasad Acharya

    (Animal Quarantine Office Kathmandu)

  • Ju-Young Shin

    (Sungkyunkwan University
    Sungkyunkwan University)

  • Seung Won Lee

    (Sungkyunkwan University School of Medicine)

  • Dong Keon Yon

    (Kyung Hee University Medical Center, Kyung Hee University College of Medicine
    Kyung Hee University Medical Center, Kyung Hee University College of Medicine)

Abstract

Benefits of breastfeeding for both the mother and the child are well established, but a comprehensive and robust study to investigate the protective effect of breastfeeding and attenuated time effect stratified by cause of morbidity are lacking. This study is based on the nationwide birth cohort in Korea that includes data on all infants born from 2009 to 2015. Of 1,608,540 children, the median follow-up period was 8.41 years (interquartile range, 6.76-10.06). When compared to children with fully formula feeding, the hospital admission rate was 12% lower in those with partially breastfeeding and 15% lower in those with exclusive breastfeeding. The apparent protective effect of breastfeeding was reduced with increasing age. Our study provides potential evidence of the beneficial association of breastfeeding on subsequent hospital admissions. The protective effect declined over time as the children grew older. Encouraging any breastfeeding for at least the first 6 months among infants is an important public health strategy to improve overall child health.

Suggested Citation

  • Jeong-Seon Lee & Jae Il Shin & Sunyeup Kim & Yong-Sung Choi & Youn Ho Shin & Jimin Hwang & Jung U Shin & Ai Koyanagi & Louis Jacob & Lee Smith & Han Eol Jeong & Yunha Noh & In-Sun Oh & Sang Youl Rhee , 2023. "Breastfeeding and impact on childhood hospital admissions: a nationwide birth cohort in South Korea," Nature Communications, Nature, vol. 14(1), pages 1-10, December.
    • Handle: RePEc:nat:natcom:v:14:y:2023:i:1:d:10.1038_s41467-023-41516-y
    DOI: 10.1038/s41467-023-41516-y
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    References listed on IDEAS

    as
    1. So Jin Yoon & Joohee Lim & Jung Ho Han & Jeong Eun Shin & Soon Min Lee & Ho Seon Eun & Min Soo Park & Kook In Park, 2021. "Identification of Growth Patterns in Low Birth Weight Infants from Birth to 5 Years of Age: Nationwide Korean Cohort Study," IJERPH, MDPI, vol. 18(3), pages 1-11, January.
    2. Nhan T. Ho & Fan Li & Kathleen A. Lee-Sarwar & Hein M. Tun & Bryan P. Brown & Pia S. Pannaraj & Jeffrey M. Bender & Meghan B. Azad & Amanda L. Thompson & Scott T. Weiss & M. Andrea Azcarate-Peril & Au, 2018. "Meta-analysis of effects of exclusive breastfeeding on infant gut microbiota across populations," Nature Communications, Nature, vol. 9(1), pages 1-13, December.
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    Cited by:

    1. Yujin Choi & Hyeon Jin Kim & Jaeyu Park & Myeongcheol Lee & Sunyoung Kim & Ai Koyanagi & Lee Smith & Min Seo Kim & Masoud Rahmati & Hayeon Lee & Jiseung Kang & Dong Keon Yon, 2024. "Acute and post-acute respiratory complications of SARS-CoV-2 infection: population-based cohort study in South Korea and Japan," Nature Communications, Nature, vol. 15(1), pages 1-12, December.

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