Abstract:
OBJECTIVE:To evaluate the impact of exclusive breastfeeding and introduction of cow's milk in the first year of life on the diagnosis of asthma, wheezing, and atopy in children aged 3 to 4 years. METHODS:This is a cohort study nested in a randomized field trial investigating the effectiveness of dietary guidelines during the first year of life of children in the city of São Leopoldo, southern Brazil. Children who had their diet monitored during the first year of life, in a primary study, were revisited three years later, when their parents answered a questionnaire related to respiratory problems, applied during home visits by trained interviewers. Children were also skin-prick tested to assess responses to common environmental allergens. RESULTS:Of the 397 children followed during the first year of life, 354 were reassessed between 3 and 4 years of age. Prevalence of wheezing, evaluated for the 12 months prior to questionnaires, was 21.3%, while prevalence of asthma and atopy was 5.5 and 28.7%, respectively. Children fed cow's milk previous to being four months of life were significantly more likely to have asthma between three and four years of age (OR 3.22; 95%CI 1.05-9.80). In the same line, exclusive breastfeeding for a period shorter than six months was marginally associated with atopy. CONCLUSIONS:The early introduction of cow's milk was an important risk factor for triggering asthma/wheeze symptoms at the age of 4 years. Exclusive breastfeeding for longer than six months was also potentially associated with protection against the development of atopy. The results of this study suggest that dietary interventions during the first year of life have the potential to reduce the impact of asthma, and possibly, atopy.
journal_name
J Pediatr (Rio J)journal_title
Jornal de pediatriaauthors
Strassburger SZ,Vitolo MR,Bortolini GA,Pitrez PM,Jones MH,Stein RTdoi
10.2223/JPED.2031subject
Has Abstractpub_date
2010-09-01 00:00:00pages
391-9issue
5eissn
0021-7557issn
1678-4782journal_volume
86pub_type
杂志文章,随机对照试验abstract:OBJECTIVE:To analyze some factors related to injuries and children and adolescents' hospitalization. METHODS:This is a prospective, descriptive and observational research that took place at Marcio Cunha Hospital, Ipatinga, Minas Gerais, in the period of December 1st, 1999 to November 30th, 2000. The sample included 69...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:
更新日期:2004-11-01 00:00:00
abstract:OBJECTIVE:Evaluate the prevalence of retinopathy of prematurity (ROP) in very low birthweight infants (birthweight<1500 g). METHOD:A prospective examination was conducted on 102 neonates with very low birthweight admitted to the BAM-HC (FMUSP) between 01/01/92 and 12/31/93. The mapping of the retina with scleral depre...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.564
更新日期:1997-11-01 00:00:00
abstract:OBJECTIVE:To analyze the available evidence regarding the efficacy of interventions on parents whose children were aged 2-5 years to promote parental competence and skills for children's healthy lifestyles. SOURCE:Articles published in English and Spanish, available at PubMed, Psycinfo, CINAHL, Web of Science, Eric, a...
journal_title:Jornal de pediatria
pub_type: 杂志文章,评审
doi:10.1016/j.jped.2017.07.019
更新日期:2018-01-01 00:00:00
abstract::OBJECTIVE: To present, in practical form and updated terms, the clinical aspects of the varicella and its prevention using either vaccination or isolation precautions. METHOD: Review of the literature using MEDLINE and LILACS referring to the last 10 years; presentation of the most recent aspects in the literature as ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.379
更新日期:1999-07-01 00:00:00
abstract:OBJECTIVE:To evaluate risk factors and lethality of late onset laboratory-confirmed bloodstream infection (LCBI) in a Brazilian neonatal unit for progressive care (NUPC). METHODS:This was a case-control study, performed from 2008 to 2012. Cases were defined as all newborns with late onset LCBI, excluding patients with...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2013.03.002
更新日期:2013-03-01 00:00:00
abstract:OBJECTIVES:To guide the diagnostic and therapeutic management of severe forms of food allergy. DATA SOURCES:Search in the Medline database using the terms "severe food allergy," "anaphylaxis and food allergy," "generalized urticaria and food allergy," and "food protein-induced enterocolitis syndrome" in the last ten y...
journal_title:Jornal de pediatria
pub_type: 杂志文章,评审
doi:10.1016/j.jped.2017.06.021
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:To carry out a systematic review on the relationship of bullying with type 1 diabetes in children and adolescents. METHODS:Systematic review, according to the PRISMA methodology, in which the databases PubMed, Web of Science, Scopus, Thomson Reuters, Eighteenth Century Collections Online, Begell House Digita...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2018.10.003
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:The aim of the present study was to evaluate the agreement between the most used skinfold thickness equations with multi-frequency bioimpedance analysis in the prediction of body fat levels in children. METHOD:A cross-sectional study of healthy Brazilian community-dwelling individuals. The anthropometric ass...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2019.12.006
更新日期:2021-01-01 00:00:00
abstract::In order to better understand the natural history of chronic functional constipation, a questionnaire was applied to 163 children and infants, before beginning standardized treatment. Median age (range) at start was 3 mo(0-108 mo) but age at arrival at the Pediatric Gastroenterology Unit was 53 mo(2-146 mo). In 62.4% ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.688
更新日期:1994-09-01 00:00:00
abstract:OBJECTIVE:To review well-known aspects of exogenous surfactant therapy, and to discuss controversial points regarding the current state of research. SOURCES:Review of the literature, using Medline and Cochrane Database Library, in association with the authors' experience in relation to exogenous surfactant replacement...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.900
更新日期:2002-11-01 00:00:00
abstract:OBJECTIVE:To verify children's acceptance of nasal fiber optic examination in a school setting and to evaluate hypertrophy of adenoid vegetation and to determine its prevalence in this population. METHOD:A survey was performed of a representative (n = 368) sample of school age children at elementary school (aged 6 to ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.1416
更新日期:2005-11-01 00:00:00
abstract:OBJECTIVES:To rescue medical genetics concepts that are necessary to understand the advances in the genetic-molecular characterization of primary immunodeficiencies, to help in the understanding and adequate interpretation of their results. SOURCE OF DATA:Non-systematic literature review, searching for articles since ...
journal_title:Jornal de pediatria
pub_type: 杂志文章,评审
doi:10.1016/j.jped.2020.09.007
更新日期:2020-10-26 00:00:00
abstract:OBJECTIVE:To observe the behavior of the plotted vectors on the RXc (R - resistance - and Xc - reactance corrected for body height/length) graph through bioelectrical impedance analysis (BIVA) and phase angle (PA) values in stable premature infants, considering the hypothesis that preterm infants present vector behavio...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2016.04.005
更新日期:2012-05-01 00:00:00
abstract:OBJECTIVE:Cystic fibrosis diagnosis is dependent on the chloride ion concentration in the sweat test (≥60mEq/mL - recognized as the gold standard indicator for cystic fibrosis diagnosis). Moreover, the salivary glands express the CFTR protein in the same manner as sweat glands. Given this context, the objective was to ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2018.04.005
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVES:To determine if the number of involved anatomic areas can modify the standard risk groups in pediatric Hodgkin's lymphoma, identifying children who would benefit from a reduction in treatment intensity. METHODS:Retrospective study evaluating age, sex, histology, Ann-Arbor stage, presence of B symptoms, numb...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.1891
更新日期:2009-05-01 00:00:00
abstract::OBJECTIVE: This study aimed to determine the prevalence of recurrent episodes of pneumonia in patients referred to the pulmonology outpatient unit at "Serviço de Pneumologia Pediatrica" of the Instituto de Puericultura e Pediatria Martagão Gesteira/UFRJ and to review the recurrent concept in accordance to medical refe...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.32
更新日期:2000-01-01 00:00:00
abstract:OBJECTIVE:To analyze the trend in mortality due to diarrhea among children under 5 in the town of Osasco (SP), Brazil, between 1980 and 2000. METHODS:This is a descriptive observational study with two different designs, the first using individuals as the unit of study, and the other ecological, using groups of individ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.1856
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this review is to offer updating on recent changes in the schedule of active immunization routine in adolescence. METHODS:This review covers specialized medical literature between 1985 and 1996, and follows the recommendations of American Academy of Pediatrics and Advisory Committee on Immuniz...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.505
更新日期:1997-01-01 00:00:00
abstract::OBJECTIVE: Growth curves can be used to assess intrauterine growth, to predict diseases in newborns, and to characterize different populations. The objective of this study was to obtain intrauterine growth curves of newborns from the maternity ward of the Hospital Albert Einstein (MAE) and compare them with intrauteri...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.202
更新日期:2001-05-01 00:00:00
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journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.636
更新日期:1996-09-01 00:00:00
abstract::OBJECTIVE: This paper examines the main causes of mortality among adolescents ages 10 to 19 in the city of Rio de Janeiro with a focus on mortality prevention. METHODS: Mortality data from 1981 to 1995 were taken from the Mortality Information System of the Brazilian Ministry of Health. Age and sex specific mortality ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.325
更新日期:1999-09-01 00:00:00
abstract:OBJECTIVE:To analyze the sociodemographic, school, and family factors associated with the patterns of binge drinking and frequent or heavy drinking among adolescents. METHODS:This was a cross-sectional study, nested in a randomized controlled trial, of 6285 seventh and eighth grade adolescent students from Brazilian p...
journal_title:Jornal de pediatria
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jped.2018.08.005
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:Since the present group had already described the composition of the intestinal microbiota of Brazilian infants under low social economic level, the aim of the present study was to analyze the microbial community structure changes in this group of infants during their early life due to external factors. METH...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2017.05.013
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVES:To perform a bibliometric analysis of theses and dissertations on prematurity in the Capes database from 1987 to 2009. METHODS:This is a descriptive study that used the bibliometric approach for the production of indicators of scientific production. Operationally, the methodology was developed in four steps...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.2232
更新日期:2012-11-01 00:00:00
abstract:OBJECTIVE:To measure the main risk factors associated with the occurrence of accidental injuries in children aged 4-5 years. METHODS:The study included a prospective cohort of children whose parents filled in a diary recording accidents and injuries during a period of one-month. The children represented a systematic s...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:
更新日期:2002-03-01 00:00:00
abstract::OBJECTIVE: The aim of this article is to review and update the knowledge about sleep disorders in childhood. SOURCES: Normal sleep ontogenesis and therapeutics for the most prevalent sleep disorders were reviewed. The text was based on classical articles and books and on Medline (publications from 2000 and 2001) using...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.852
更新日期:2002-07-01 00:00:00
abstract:OBJECTIVE:To analyze the occurrence of anemia and iron deficiency in children aged 1 to 5 years and the association of these events and retinol deficiency. METHODS:This was an observational analytic cross-sectional study conducted in Vitoria, ES, Brazil, between April and August of 2008, with healthy children aged 1 t...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2014.03.003
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVE:This study investigates the nutritional factors that determine the absence of anemia in infants from families with a low socioeconomic background submitted to a nutrition intervention program, as well as iron intake according to recommendations. METHODS:The study included 369 children from a cohort of inhabi...
journal_title:Jornal de pediatria
pub_type: 杂志文章,随机对照试验
doi:10.2223/JPED.1577
更新日期:2007-01-01 00:00:00
abstract::OBJECTIVE: To assess the prevalence of prenatal exposure to cocaine in a sample of newborns using two methods: fluorescence polarization immunoassay and interview with the mother. METHODS: This cross-sectional study was carried out in a university teaching hospital. The population included all live births between Marc...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.277
更新日期:2001-09-01 00:00:00
abstract:OBJECTIVE:The modified shuttle test is a field test that avoids the ceiling effect, and there are no reports of a multidimensional assessment concerning physical activity in asthmatic patients. Thus, the aim was to evaluate functional capacity by MST, additionally to perform a multidimensional assessment as physical ac...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2018.07.011
更新日期:2020-01-01 00:00:00