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Association of breastfeeding with mental disorders in mother and child: a systematic review and meta-analysis

Title: Association of breastfeeding with mental disorders in mother and child: a systematic review and meta-analysis
Authors: Bugaeva, P; Arkusha, I; Bikaev, R; Kamenskiy, I; Pokrovskaya, A; El-Taravi, Y; Caso, V; Avedisova, A; Chu, DK; Genuneit, J; Torbahn, G; Nicholson, T; Baimukhambetova, D; Mursalova, A; Kolotilina, A; Gadetskaya, S; Kondrikova, E; Zinchuk, M; Akzhigitov, R; Boyle, R; Guekht, A; Munblit, D
Publisher Information: BMC
Publication Year: 2023
Collection: Imperial College London: Spiral
Description: Background: Breastfeeding has long been associated with numerous benefits for both mothers and infants. While some observational studies have explored the relationship between breastfeeding and mental health outcomes in mothers and children, a systematic review of the available evidence is lacking. The purpose of this study is to systematically evaluate the association between breastfeeding and mental health disorders in mothers and children. Methods: We systematically searched MEDLINE and EMBASE from inception to June 2, 2023. The inclusion criteria consisted of all studies evaluating links between breastfeeding and development of mental health disorders in children and mothers. Risk of bias was assessed using the Newcastle-Ottawa Scale (NOS) while grading of Recommendations Assessment, Development and Evaluation (GRADE) was used to assess the certainty of evidence. A random-effects meta-analysis was used if possible, to estimate the odds ratio for the association between breastfeeding and mental health outcomes. The Mantel-Haenszel method was utilised for pooling ORs across studies. Study heterogeneity was assessed using the I² statistic. Results: Our review identified twenty-one original study. Of these, 18 focused on the association between breastfeeding and child health, assessing depressive disorders, schizophrenia, anxiety disorders, eating disorders and borderline personality disorder. Three studies evaluated the associations between breastfeeding and maternal mental health disorders. Three studies looking at outcomes in children showed no significant association between breastfeeding and occurrence of schizophrenia later in life (OR 0.98; 95% CI 0.57–1.71; I2 = 29%). For depressive disorders (5 studies) and anxiety disorders (3 studies), we found conflicting evidence with some studies showing a small protective effect while others found no effect. The GRADE certainty for all these findings was very low due to multiple limitations. Three studies looking at association between breastfeeding and maternal ...
Document Type: article in journal/newspaper
Language: unknown
Relation: BMC Medicine; http://hdl.handle.net/10044/1/106884
DOI: 10.1186/s12916-023-03071-7
Availability: http://hdl.handle.net/10044/1/106884; https://doi.org/10.1186/s12916-023-03071-7
Rights: © The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecom‑ mons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. ; http://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.623408BE
Database: BASE