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Breastfeeding in countries of the European Union and EFTA: current and proposed recommendations, rationale, prevalence, duration and trends

  • Agneta Yngve (a1) and Michael Sjöström (a1)
Abstract
Abstract

Recommendations suggest exclusive breastfeeding for at least the first 4 to 6 months after birth. Paradoxically, an overwhelming proportion of breastfeeding (BF) data in Europe refers to all BF, i.e. not only exclusive but also partial BF (including formula, juices, water, sweetened water etc). This makes it difficult to estimate to what extent the recommendations are met. There is currently strong evidence for recommending exclusive breastfeeding for at least 6 months.

Exclusive BF has progressively gained scientific support. Prevention of infections, allergies and chronic diseases and a favourable cognitive development are highlighted in the recent scientific literature. Further long-term studies on the effects of BF on prevention of chronic disease in the adult are needed.

Great differences exist in BF prevalence and duration both within and between European countries. Trends point towards higher prevalence and duration, with some exceptions. Young mothers breastfeed less than older mothers; single and/or less educated mothers breastfeed less than married mothers with more education. However, inefficient and unreliable monitoring systems prevail, and the data are scarce, not only on exclusive BF but also on demographic, socio-economic, psychosocial and medical determinants of BF patterns. National BF co-ordinators have not been appointed in many countries, and only every second country has promotion of BF incorporated into their national plan of action for nutrition.

Conclusions:

Efficient surveillance systems, comparable across Europe and using common definitions and methodology, need to be developed. These should include determinants of breastfeeding. A European consensus conference should urgently be determinants of breastfeeding. A European consensus conference should urgently be organised, in which strategies for successful promotion of exclusive BF should be particularly considered. There is now strong evidence for a recommendation to breastfeed exclusively for about 6 months, which is more than the duration recommended previously.

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*Corresponding author: Email agneta.yngve@prevnut.ki.se
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6 A Ferriman . WHO accused of stifling debate about infant feeding. BMJ 2000; 320: 1362.

9Position of the American Dietetic Association: promotion of breast-feeding. J. Am. Diet. Assoc. 1997; 97: 662–6.

10American Academy of Pediatrics. Policy Statement; Breastfeeding and the use of human milk. Pedicatrics 1997; 100(6): 1035–9.

11 KG Dewey , MJ Heinig , LA Nommsen-Rivers . Differences in morbidity between breast-fed and formula-fed infants. J. Pediatr. 1995; 126: 696702.

12 PW Howie , JS Forsyth , SA Ogston , Protective effect of breast feeding against infection. BMJ 1990; 300: 11–6.

15 M Beaudry , R Dufour , S Marcoux . Relation between infant feeding and infections during the first 6 months of life. J. Pediatr. 1995; 126: 191–7.

17 UM Saarinen . Prolonged breast feeding as prophylaxis for recurrent otitis media. Acta. Paediatr. Scand. 1982; 71: 567–71.

20 D Montgomery , P Splett . Economic benefit of breast-feeding infants enrolled in WIC. J. Amer. Diet. Ass. 1997; 97: 379–85.

22 RP Ford , HM Taylor , EA Mitchell , Breast feeding and the risk of sudden infant death syndrome. Int. J. Epidemiol. 1993; 22: 51–9.

25 AE Gordon , AT Saadi , DA Mackenzie , N Molony , VS James DM Weir , A Busuttil , CC Blackwell The protective effect of breast feeding in relation to sudden infant death syndrome (SIDS): III. Detection of IgA antibodies in human milk that bind to bacterial toxins implicated in SIDS. FEMS Immunol. Med. Microbiol. 1999; 25: 175–82.

26 PA Newcomb , BE Storer , MP Longnecker , Lactation and a reduced risk of premenopausal breast cancer. N. Engl. J. Med. 1994; 330: 81–7.

27 PM Marcus , DD Baird , RC Millikan , PG Moorman , B Qaqish , B Newman . Adolescent reproductive events and subsequent breast cancer risk. Am. J. Public Health 1999; 89(8): 1244–7.

28 MO Bernier , G Plu-Bureau , N Bossard , L Ayzac , JC Thalabard . Breastfeeding and the risk of breast cancer: a metaanalysis of published studies. Human Reproduction Update 2000; 6(4): 374.

31 HP David . Abortion in Europe 1920–91: a public health perspective. Stud. Fam. Plann. 1992; 0102; 23(1): 122.

32 L Kovacs . Abortion and contraceptive practices in eastern Europe. Int. J. Gynaecol. Obstet. 1997; 07; 58(1): 6975.

35 R Kries , B Koletzko , T Sauerwald , E Mutius , D Barnert , V Grunert , H Voss . Breast feeding and obesity: cross sectional study. BMJ 1999; 319: 147–50.

36 HC Gerstein . Cow's milk exposure and type I diabetes mellitus. A critical overview of the clinical literature. Diabetes Care 1994; 01; 17(1): 13–9.

37 LC Harrison , MC Honeyman . Cow's milk and type 1 diabetes: the real debate is about mucosal immune function. Diabetes 1999; 08; 48(8): 1501–7.

38 PA McKinney , R Parslow , KA Gurney , GR Law , HJ Bodansky , R Williams . Perinatal and neonatal determinants of childhood type 1 diabetes. A case-control study in Yorkshire, U.K. Diabetes Care 1999; 06; 22(6): 928–32.

39 TY Tai , CY Wang , LL Lin , LT Lee , ST Tsai , CJ Chen . A casecontrol study on risk factors for Type 1 diabetes in Taipei city. Diabetes Res. Clin. Pract. 1998; 12; 42(3): 197203.

40 GG Dahlquist , C Patterson , G Soltesz . Perinatal risk factors for childhood type I diabetes in Europe: The EURODIAB substudy 2 study group. Diabetes Care 1999; 22(10): 1698–702.

41 DJ Pettitt , MR Forman , RL Hanson , WC Knowler , PH Bennett . Breastfeeding and incidence of non-insulin-dependent diabetes mellitus in Pima Indians. Lancet 1997; 07 19; 350(9072): 166–8.

42 CG Grulee , HN Sanford . The influence of breast and artificial feeding on infantile eczema. J. Pediatr. 1980; 9: 223–6.

44 Y Vandenplas . Myths and facts about breastfeeding: does it prevent later atopic disease? Acta Paediatr. 1997; 86: 1283–7.

46 UM Saarinen , M Kajosaari . Breastfeeding as prophylaxis agains atopic disease: prospective follow-up study until 17 years old. Lancet 1995; 346: 1065–9.

47 S Halken , A Hoest , LG Hansen , O Østerballe . Effects of an allergy prevention programme on incidence of atopic symptoms in infancy. A prospective study of 159 high-risk infants. Allergy 1992; 47: 545–53.

48 S Plancoulaine , MA Charles , L Lafay , M Tauber , N Thibult JM Borys , E Eschwège . Fleurbaix Laventie Ville Santé Study group. Infant-feeding patterns are related to blood cholesterol concentration in prepubertal children aged 5–11 y: The Fleurbaix-Laventie Ville Santé study. Eur. J. Clin. Nutr. 2000; 54: 114–9.

49 AJ Ravelli , JHP van der Meulen , C Osmond , DJP Barker , OP Bleker . Infant feeding and adult glucose tolerance, lipid profile, blood pressure and obesity. Arch. Dis. Child 2000; 82: 248–52.

51 JA Mennella , GK Beauchamp . Early Flavor Experiences: Research Update. Nutr. Rev. 1998; 07; 56(7): 205–11.

53 K Christensson , T Cabrera , E Christensson , K Uvnäs-Moberg , J Winberg . Separation distress call in the human neonate in the absence of maternal body contact. Acta Paediatr. 1995; 84: 468–73.

54 AM Widström , V Wahlberg , AS Mathiesen , P Eneroth , K Uvnäs-Moberg , S Werner , J Winberg . Short-term effects of early suckling and touch of the nipple on maternal behaviour. Early Human Develop. 1990; 21: 153–63.

56 H Pohl , B Hibbs . Breastfeeding exposure of infants to environmental contaminants – a public health risk assessment viewpoint: chlorinated dibenzo-p-dioxins and chlorinated dibenzofurans Toxicol. Ind. Health 1996; 12(5): 593611.

57 H Abadin , B Hibbs , H Pohl . Breastfeeding exposure of infants to environmental contaminants – a public health risk assessment viewpoint: II. Cadmium, lead, mercury. Toxicol. Ind. Health 1997; 13(4): 495517.

58 HR Pohl , CA Tylenda . Breastfeeding exposure of infants to selected pesticides: a public health viewpoint. Toxicol. Ind. Health 2000; 16: 6577.

65 KF Michaelsen , PS Larsen , BL Thomsen , G Samuelson . The Copenhagen cohort study on infant nutrition and growth: duration of breast feeding and influencing factors. Acta Paediatr. 1994; 83: 565–71.

75 A Cattaneo , R Davanzo , L Ronfani . Are data prevalence and duration of breastfeeding reliable? The case of Italy. Acta Paediatr. 2000; 89: 8893.

79 AE Ferguson , DM Tappin , RWA Girdwood , R Kennedy , F Cockburn . Breastfeeding in Scotland. BMJ 1994; 308: 824–5

92 F Perez-Escamilla , E Pollitt , B Lonnerdal , KG Dewey . Infant feeding policies in maternity wards and their effect on breastfeeding success: An analytical overview. Am. J. Publ. Health 1994; 84: 8997.

93 R Saadeh , J Akré . Ten steps to successful breastfeeding: Summary of the Rationale and Scientific Evidence. BIRTH 1996; 23: 154–60.

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Public Health Nutrition
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