reading 2 - Breastfeeding During Infancy May Protect...

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DOI: 10.1542/peds.2005-2738 2006;118;254-259 Pediatrics Creenan, Dawn Salmon, Jessica Tranchell and Dona Schneider Joseph G. Barone, Ranjith Ramasamy, Andrew Farkas, Emanuel Lerner, Eileen Childhood Breastfeeding During Infancy May Protect Against Bed-wetting During This information is current as of July 5, 2006 http://www.pediatrics.org/cgi/content/full/118/1/254 located on the World Wide Web at: The online version of this article, along with updated information and services, is rights reserved. Print ISSN: 0031-4005. Online ISSN: 1098-4275. Grove Village, Illinois, 60007. Copyright © 2006 by the American Academy of Pediatrics. All and trademarked by the American Academy of Pediatrics, 141 Northwest Point Boulevard, Elk publication, it has been published continuously since 1948. PEDIATRICS is owned, published, PEDIATRICS is the official journal of the American Academy of Pediatrics. A monthly by Allen Schneider on July 5, 2006 www.pediatrics.org Downloaded from
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ARTICLE Breastfeeding During Infancy May Protect Against Bed-wetting During Childhood Joseph G. Barone, MD a , Ranjith Ramasamy, BS a , Andrew Farkas, MD, PhD b , Emanuel Lerner, MD c , Eileen Creenan, RN d , Dawn Salmon, RN d , Jessica Tranchell, BA e , Dona Schneider, PhD e Departments of a Urology, b Obstetrics and Gynecology, and c Pediatrics, Robert Wood Johnson Medical School, New Brunswick, New Jersey; d Robert Wood Johnson University Hospital, New Brunswick, New Jersey; e Edward J. Bloustein School of Planning and Public Policy, Rutgers, State University of New Jersey, New Brunswick, New Jersey The authors have indicated they have no financial relationships relevant to this article to disclose. ABSTRACT OBJECTIVE. Our goal was to test the hypothesis that children who exhibit bed-wetting during childhood were less likely to be breastfed during infancy compared with normal controls. METHODS. A case-control study was conducted in a pediatric continence center and a general pediatric practice. Cases ( n 55) were recruited from the continence center and defined as children 5 to 13 years of age who experienced lifetime involuntary voiding of urine during nighttime sleep at least 2 times a week in the absence of defects of the central nervous system or urinary tract. Age- and gender-matched controls ( n 117) who did not exhibit bed-wetting were enrolled from a general pediatric practice. Infant feeding practices were measured as breastfeeding (yes/no) and, for those who were breastfeed, by the duration of breastfeeding and the time of formula supplementation. RESULTS. Among the case subjects, 45.5% were breastfed, whereas among the con- trols 81.2% were breastfed. The controls reported higher household incomes than the case subjects, and their mean family size (number of children) was slightly lower. After adjusting for race, income, and family size, the odds ratio was 0.283, indicating that case subjects were significantly less likely than controls to be breastfeed. Among all the study subjects who were breastfed, controls were breastfed for a significantly longer period than case subjects (an average of 3 months longer). Although breastfed controls were less likely to be supplemented
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