Asia Pac Allergy.  2011 Apr;1(1):30-35. 10.5415/apallergy.2011.1.1.30.

Prolonged bedtime bottle feeding and respiratory symptoms in infants

Affiliations
  • 1Department of Pediatrics, College of Medicine, Pusan National University, Busan 609-735, Korea.
  • 2Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 135-710, Korea. childslee@skku.edu

Abstract

BACKGROUND
Infants with chronic respiratory symptoms should be evaluated thoroughly because there are various causes which are different from those of children and adolescents.
OBJECTIVE
This study was designed to investigate the relationship between chronic respiratory symptoms and bedtime bottle feeding in infants after the age of 6 months.
METHODS
We conducted a prospective study that included 44 infants who presented with respiratory symptoms for more than 8 weeks and also had been bottle-fed during bedtime even after 6 months of age. The infants were divided into 2 groups; infants who discontinued bedtime bottle feeding and those who did not. Respiratory symptom scores were graded with a four-point scale at 0, 1, 2 and 3 months, and were compared between the 2 groups.
RESULTS
Twenty eight infants (63.6%) stopped being bottle-fed during bedtime and 16 infants (36.4%) were still bottle-fed. The respiratory symptom scores were significantly decreased in infants who stopped bedtime bottle feeding (p = 0.0003).
CONCLUSION
It is suggested that prolonged bedtime bottle feeding might be one of the causes of chronic respiratory symptoms in infants.

Keyword

Feeding methods; Bottle feeding; Infants

MeSH Terms

Adolescent
Bottle Feeding*
Child
Feeding Methods
Humans
Infant*
Prospective Studies

Figure

  • Fig. 1 Box plots are shown to compare the respiratory scores of the two groups (patients who had bedtime bottle feeding discontinued (A) and patients who had bedtime bottle feeding maintained (B). Horizontal lines indicate medians. Boxes represent the 25th and 75th percentiles. Bars represent the 10th and 90th percentiles. p < 0.05.

  • Fig. 2 Comparisons of the mean difference of the total scores between groups. Scores 0 to 3 months of group A versus group B is shown. Group A: patients whose bedtime bottle feeding was discontinued; Group B: patients whose bedtime bottle feeding was maintained. *p < 0.05


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