Volume 78, Issue 1 (April 2020)
Tehran Univ Med J 2020, 78(1): 33-37 |
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Tabatabaei A, Khosravi N, Monfaredi M, Minaieyan S, Atefi N S, Hassanpour H et al . The role of breastfeeding and breast milk on the colonization of Helicobacter pylori in the infants gastrointestinal tract. Tehran Univ Med J 2020; 78 (1) :33-37
URL: http://tumj.tums.ac.ir/article-1-10370-en.html
URL: http://tumj.tums.ac.ir/article-1-10370-en.html
Azardokht Tabatabaei1 
, Nastaran Khosravi1 , Monireh Monfaredi1 , Sara Minaieyan2 , Najmeh Sadat Atefi3 , Hamideh Hassanpour1 , Ali Badamchi * 4
, Nastaran Khosravi1 , Monireh Monfaredi1 , Sara Minaieyan2 , Najmeh Sadat Atefi3 , Hamideh Hassanpour1 , Ali Badamchi * 4
1- Institute of Immunology and Infectious diseases, Iran University of Medical Sciences, Tehran, Iran.
2- Institute of Immunology, Antimicrobial Resistance Research Center, Iran University of Medical Sciences, Tehran, Iran.
3- Department of Dermatology, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
4- Institute of Immunology and Infectious diseases, Iran University of Medical Sciences, Tehran, Iran. ,badamchiy12@gmail.com
2- Institute of Immunology, Antimicrobial Resistance Research Center, Iran University of Medical Sciences, Tehran, Iran.
3- Department of Dermatology, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
4- Institute of Immunology and Infectious diseases, Iran University of Medical Sciences, Tehran, Iran. ,
Abstract: (2441 Views)
Background: Helicobacter pylori (H. pylori) is a highly prevalent, serious and chronic infection. It been associated causally with a diverse spectrum of gastrointestinal disorders including chronic gastritis, peptic ulcer disease, gastric adenocarcinoma. We conducted a study to Evaluation of the role of breastfeeding and breast milk on the colonization of H. pylori in the gastrointestinal tract of 2-24 month old.
Methods: This cross-sectional study was performed on 92 children referred to Ali Asghar Hospital of Iran University of Medical Sciences for two years (from July 2015 to June 2017). At first, a questionnaire was recorded by the neonatal specialist including demographic and clinical characteristics of the infants. Stool samples were taken from infants at 2, 6, 12, and 24 months of age. We used the H. pylori stool antigen test to detection infection in the selected group of children. H. pylori status was evaluated by an enzyme-linked immunosorbent assay (ELISA).
Results: In the study of breastfeeding at 12 months of age, 51.1% were fed only dry milk and 28.3% were breastfed only. At 24 months, 22 infants (24%) were breastfed with supplemental feeding and 54 children (58.7%) were formula-fed only and 8 children (8.7%) were breastfed only. In our study, the prevalence of H. pylori in infants of Tehran, at 2, 6, 12, and 24 months, were 0%, 6.5%, 15.21%, and 34.4%, respectively. Of the 92 children studied, during the first month, 25 children (27.2%) only formula-fed and 49 children (53.3%) were breastfed only and (19.6%) 18 infants were breastfed with dry milk. The prevalence of H. pylori infection was 28.3%. The prevalence of H. pylori infection was 20% in the breastfeeding group and 44% in the infant dry milk feeding group. The prevalence of H. pylori antigen was greater than 12 IU/ml in infants 2, 6, 12, and 24 months of age, including 19.92 (20.6%), 19.92 (20.6%), 24.92 (26.1%) and 21.92 (22.8%), respectively.
Conclusion: According to the findings of the article, breastfed children compared to formula-fed children were less infected by Helicobacter pylori.
Methods: This cross-sectional study was performed on 92 children referred to Ali Asghar Hospital of Iran University of Medical Sciences for two years (from July 2015 to June 2017). At first, a questionnaire was recorded by the neonatal specialist including demographic and clinical characteristics of the infants. Stool samples were taken from infants at 2, 6, 12, and 24 months of age. We used the H. pylori stool antigen test to detection infection in the selected group of children. H. pylori status was evaluated by an enzyme-linked immunosorbent assay (ELISA).
Results: In the study of breastfeeding at 12 months of age, 51.1% were fed only dry milk and 28.3% were breastfed only. At 24 months, 22 infants (24%) were breastfed with supplemental feeding and 54 children (58.7%) were formula-fed only and 8 children (8.7%) were breastfed only. In our study, the prevalence of H. pylori in infants of Tehran, at 2, 6, 12, and 24 months, were 0%, 6.5%, 15.21%, and 34.4%, respectively. Of the 92 children studied, during the first month, 25 children (27.2%) only formula-fed and 49 children (53.3%) were breastfed only and (19.6%) 18 infants were breastfed with dry milk. The prevalence of H. pylori infection was 28.3%. The prevalence of H. pylori infection was 20% in the breastfeeding group and 44% in the infant dry milk feeding group. The prevalence of H. pylori antigen was greater than 12 IU/ml in infants 2, 6, 12, and 24 months of age, including 19.92 (20.6%), 19.92 (20.6%), 24.92 (26.1%) and 21.92 (22.8%), respectively.
Conclusion: According to the findings of the article, breastfed children compared to formula-fed children were less infected by Helicobacter pylori.
Keywords: breastfeeding, cross-sectional studies, enzyme-linked immunosorbent assay, Helicobacter pylori
Type of Study: Original Article |
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