The contents of this document may be used and reprinted without permission. Endorsements by NESR, NGAD, CNPP, FNS, or USDA of derivative products developed from this work may not be stated or implied.
NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.
TECHNICAL ABSTRACT
Background
- This systematic review was conducted as part of the U.S. Department of Agriculture and Department of Health and Human Services Pregnancy and Birth to 24 Months Project.
- The goal of this systematic review was to examine the following question: What is the relationship between shorter versus longer durations of exclusive human milk feeding and inflammatory bowel disease?
- This systematic review examines comparisons of infants who were fed human milk exclusively for shorter durations with infants who were fed human milk exclusively for longer durations.
- Exclusive human milk feeding was defined as feeding human milk alone and not in combination with infant formula and/or complementary foods or beverages such as cow’s milk. This definition is inclusive of the World Health Organization definitions of exclusive and predominant breastfeeding, which permit limited quantities of (a) drops or syrups containing vitamins, minerals, or medicines, (b) water and water-based drinks such as sweetened water and teas, (c) fruit juice, (d) oral rehydration salts solution, and (e) ritual fluids4. Human milk was defined as mother’s own milk provided at the breast (i.e., nursing) or expressed and fed fresh or after refrigeration or freezing. Donor milk (e.g., banked milk) was not examined in this review.
- This systematic review examines diagnosed inflammatory bowel disease, only, to ensure that it addresses the relationship of shorter versus longer durations of exclusive human milk feeding with inflammatory bowel disease and not the relationship of shorter versus longer durations of exclusive human milk feeding with the many other diseases and conditions with similar symptoms.
Conclusion statement and grade
- There is insufficient evidence to determine whether or not there is a relationship between shorter versus longer durations of exclusive human milk feeding and inflammatory bowel disease in offspring.Grade: Grade Not Assignable
Methods
- The systematic review was conducted by a team of staff from the Nutrition Evidence Systematic Review in collaboration with a Technical Expert Collaborative.
- A single literature search was conducted to identify literature for several related systematic reviews that examined infant milk-feeding practices and different outcomes. The search was conducted in CINAHL, Cochrane, Embase, and PubMed, and used a search date range of January 1980 to March 2016. A manual search was done to identify articles that may not have been included in the electronic databases searched.
- Articles were screened independently by 2 NESR analysts to determine which articles met predetermined criteria for inclusion.
- Data from the included article were extracted, risks of bias were assessed, and both were checked for accuracy.
- A conclusion statement was developed, and the strength of the evidence (grade) was assessed using pre-established criteria including evaluation of the internal validity/risk of bias, adequacy, consistency, impact, and generalizability of available evidence.
Summary of evidence
- This review includes 2 articles, which provided insufficient evidence to draw any conclusions about the relationship between the duration of exclusive human milk feeding and inflammatory bowel disease.
- 4
World Health Organization. Indicators for assessing infant and young child feeding practices: conclusions of a consensus meeting held 6–8 November 2007 in Washington D.C. WHO. 2008.
Contents
Suggested citation:
Güngör D, Nadaud P, Dreibelbis C, LaPergola C, Terry N, Wong YP, Abrams SA, Beker L, Jacobovits T, Järvinen KM, Nommsen-Rivers LA, O’Brien KO, Oken E, Pérez-Escamilla R, Ziegler, EE, Casavale KO, Spahn JM, Stoody E. Shorter Versus Longer Durations of Exclusive Human Milk Feeding and Inflammatory Bowel Disease: A Systematic Review. April 2019. U.S. Department of Agriculture, Food and Nutrition Service, Center for Nutrition Policy and Promotion, Nutrition Evidence Systematic Review. Available at: https://doi.org/10.52570/NESR.PB242018.SR0224.
In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident.
Persons using assistive technology should be able to access information in this report. For further assistance please email vog.ADSU@RSEN.NF.MS.
Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible Agency or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.
To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at How to File a Program Discrimination Complaint and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:
- (1)
mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410;
- (2)
fax: (202) 690-7442; or
- (3)
email: vog.adsu@ekatni.margorp.
USDA is an equal opportunity provider, employer, and lender.
Related citations:
This systematic review has also been published in the American Journal of Clinical Nutrition: Güngör D, Nadaud P, Dreibelbis C, LaPergola CC, Wong YP, Terry N, Abrams SA, Beker L, Jacobovits T, Järvinen KM, Nommsen-Rivers LA, O’Brien KO, Oken E, Pérez-Escamilla R, Ziegler, EE, Spahn JM. Infant milk-feeding practices and diagnosed celiac disease and inflammatory bowel disease in offspring: a systematic review. Am J Clin Nutr. 2019;109(7):838S-851S. Available at: https://doi.org/10.1093/ajcn/nqy371 [PMC free article: PMC6500925] [PubMed: 30982875].
Related citations are published in the American Journal of Clinical Nutrition:
- P/B-24 Project overview: Stoody EE, Spahn JM, Casavale KO. The Pregnancy and Birth to 24 Months Project: a series of systematic reviews on diet and health. Am J Clin Nutr. 2019;109(7):685S–97S. Available at: https://doi.org/10.1093/ajcn/nqy372 [PubMed: 30982878].
- P/B-24 Project systematic review methodology: Obbagy JE, Spahn JM, Wong YP, Psota TL, Spill MK, Dreibelbis C, Gungor DE, Nadaud P, Raghavan R, Callahan EH, English LK, Kingshipp BL, LaPergola CC, Shapiro MJ, Stoody EE. Systematic review methodols used in the Pregnancy and Birth to 24 Months Project. Am J Clin Nutr. 2019;109(7):698S–704S. Available at https://doi.org/10.1093/ajcn/nqy226 [PubMed: 30445449].
- NLM CatalogRelated NLM Catalog Entries
- Review Shorter Versus Longer Durations of Exclusive Human Milk Feeding Prior to the Introduction of Infant Formula and Food Allergies, Allergic Rhinitis, Atopic Dermatitis, and Asthma: A Systematic Review[ 2019]Review Shorter Versus Longer Durations of Exclusive Human Milk Feeding Prior to the Introduction of Infant Formula and Food Allergies, Allergic Rhinitis, Atopic Dermatitis, and Asthma: A Systematic ReviewGüngör D, Nadaud P, Dreibelbis C, LaPergola C, Terry N, Wong YP, Abrams SA, Beker L, Jacobovits T, Järvinen KM, et al. 2019 Apr
- Review Shorter Versus Longer Durations of Exclusive Human Milk Feeding and Celiac Disease: A Systematic Review[ 2019]Review Shorter Versus Longer Durations of Exclusive Human Milk Feeding and Celiac Disease: A Systematic ReviewGüngör D, Nadaud P, Dreibelbis C, LaPergola C, Terry N, Wong YP, Abrams SA, Beker L, Jacobovits T, Järvinen KM, et al. 2019 Apr
- Review Shorter Versus Longer Durations of Exclusive Human Milk Feeding and Diabetes Outcomes in Offspring: A Systematic Review[ 2019]Review Shorter Versus Longer Durations of Exclusive Human Milk Feeding and Diabetes Outcomes in Offspring: A Systematic ReviewGüngör D, Nadaud P, Dreibelbis C, LaPergola C, Terry N, Wong YP, Abrams SA, Beker L, Jacobovits T, Järvinen KM, et al. 2019 Apr
- Review Shorter Versus Longer Durations of Exclusive Human Milk Feeding and Cardiovascular Disease Outcomes in Offspring: A Systematic Review[ 2019]Review Shorter Versus Longer Durations of Exclusive Human Milk Feeding and Cardiovascular Disease Outcomes in Offspring: A Systematic ReviewGüngör D, Nadaud P, Dreibelbis C, LaPergola C, Terry N, Wong YP, Abrams SA, Beker L, Jacobovits T, Järvinen KM, et al. 2019 Apr
- Review Shorter Versus Longer Durations of Exclusive Human Milk Feeding and Childhood Leukemia: A Systematic Review[ 2019]Review Shorter Versus Longer Durations of Exclusive Human Milk Feeding and Childhood Leukemia: A Systematic ReviewGüngör D, Nadaud P, Dreibelbis C, LaPergola C, Terry N, Wong YP, Abrams SA, Beker L, Jacobovits T, Järvinen KM, et al. 2019 Apr
- Shorter Versus Longer Durations of Exclusive Human Milk Feeding and Inflammatory...Shorter Versus Longer Durations of Exclusive Human Milk Feeding and Inflammatory Bowel Disease: A Systematic Review
Your browsing activity is empty.
Activity recording is turned off.
See more...