Skip to main content
Log in

Effect of Exclusive Breastfeeding on Rotavirus Infection among Children

  • Original Article
  • Published:
The Indian Journal of Pediatrics Aims and scope Submit manuscript

Abstract

Objectives

To assess, whether exclusive breastfeeding plays a protective role in Rotavirus infection among children under age of five and to estimate whether breastfeeding has an impact on reducing the severity and symptoms among children infected with Rotavirus.

Methods

A systematic search was performed in Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE/PubMEd (from 1980 to present), ScienceDirect (from 1980 to present), OVID (from 1980 to present) and regional database IndMED. All the studies along with the research publications with descriptive, case series, cross sectional, case control and cohort studies (prospective and retrospective) that provided effectiveness of exclusive breastfeeding were considered for this review. Two review authors independently scrutinized the studies and extracted the data. In case of disagreement, the senior reviewer was consulted.

Results

Total seven studies qualified for the systematic review in which 6 studies qualified for meta-analysis. Exclusive breastfeeding was found to be effective in prevention of Rotavirus infection and in reducing the risk of Rotavirus infection among children (OR = 0.62, 95 % CI = 0.48–0.81).

Conclusions

This systematic review suggests that there is significant benefit in prevention of Rotavirus diarrhea among children by practicing exclusive breastfeeding throughout first 6 mo of life. Thereby, this study provides next reason to promote exclusive breastfeeding practice among mothers.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Parashar UD, Nelson EA, Kang G. Diagnosis, management, and prevention of rotavirus gastroenteritis in children. BMJ. 2013;347:f7204.

    Article  PubMed  Google Scholar 

  2. Parashar UD, Hummelman EG, Bresee JS, Miller MA, Glass RI. Global illness and deaths caused by rotavirus disease in children. Emerg Infect Dis. 2003;9:565–72.

    Article  PubMed Central  PubMed  Google Scholar 

  3. World Health Organization. Global strategy for infant and young child feeding. 2003. Available at http://www.who.int/nutrition/publications/infantfeeding/9241562218/en/. Accessed on 14th Sept 2014.

  4. Lamberti LM, Fischer Walker CL, Noiman A, Victora C, Black RE. Breastfeeding and the risk for diarrhea morbidity and mortality. BMC Public Health. 2011;11:S3–15.

    Article  Google Scholar 

  5. Khadivzadeh T, Parsai S. Effect of exclusive breastfeeding and complementary feeding on infant growth and morbidity. East Mediterr Health J. 2004;10:289–94.

    CAS  PubMed  Google Scholar 

  6. Newburg DS. Are all human milks created equal? Variation in human milk oligosaccharides. J Pediatr Gastroenterol Nutr. 2000;30:131–3.

    Article  CAS  PubMed  Google Scholar 

  7. Higgins JP, Green S. Cochrane handbook for systematic reviews of interventions. Version The Cochrane Collaboration. 2011. Available at: http://www.handbook.cochrane.org/. Accessed on 22nd Aug 2014.

  8. Yolken RH, Peterson JA, Vonderfecht SL, Fouts ET, Midthun K, Newburg DS. Human milk mucin inhibits rotavirus replication and prevents experimental gastroenteritis. J Clin Invest. 1992;90:1984–91.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  9. Peterson R, Cheah WY, Grinyer J, Packer N. Glycoconjugates in human milk: protecting infants from disease. Glycobiology. 2013;23:1425–38.

    Article  CAS  PubMed  Google Scholar 

  10. Kaila M, Isolauri E, Soppi E, Virtanen E, Laine S, Arvilommi H. Enhancement of the circulting antibody secreting cell response in human diarrhea by a human Lactobacillus strain. Pediatr Res. 1992;32:141–4.

    Article  CAS  PubMed  Google Scholar 

  11. Guerrero ML, Moreno-Espinosa S, Tuz-Dzib F, Solís-Albino J, Ortega-Gallegos H, Ruiz-Palacios GM. Breastfeeding and natural colonization with Lactobacillus spp as protection against rotavirus-associated diarrhea. Adv Exp Med Biol. 2004;554:451–5.

    Article  CAS  PubMed  Google Scholar 

  12. Clemens J, Rao M, Ahmed F, et al. Breast-feeding and the risk of life-threatening rotavirus diarrhea: prevention or postponement? Pediatrics. 1993;92:680–5.

    CAS  PubMed  Google Scholar 

  13. Weinberg RJ, Tipton G, Klish WJ, Brown MR. Effect of breast-feeding on morbidity in rotavirus gastroenteritis. Pediatrics. 1984;74:250–3.

    CAS  PubMed  Google Scholar 

Download references

Acknowledgments

The authors wish to acknowledge Public Health Evidence South Asia (PHESA) and Dr. TMA Pai Endowment Chair in Systematic Reviews and Evidence Based Public Health at Manipal University for supporting this work.

Contributions

AK: Concept, search, data extraction, data analysis, manuscript preparation; MGL: Concept, data analysis, manuscript preparation; BTV: Concept, search, data extraction, manuscript preparation; SNN: Concept, search, data extraction, data analysis, manuscript preparation. SNN will act as guarantor for this paper.

Conflict of Interest

None.

Source of Funding

Dr. TMA Pai, Endowment Chair in Systematic Reviews and Evidence Based Public Health at Manipal University.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sreekumaran N. Nair.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Krawczyk, A., Lewis, M.G., Venkatesh, B.T. et al. Effect of Exclusive Breastfeeding on Rotavirus Infection among Children. Indian J Pediatr 83, 220–225 (2016). https://doi.org/10.1007/s12098-015-1854-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12098-015-1854-8

Keywords

Navigation