Infant feeding and risk of developing celiac disease: a systematic review

BMJ Open
Marco SilanoStefano Guandalini

Abstract

To review the evidence for the association of breast feeding, breastfeeding duration or the timing of gluten introduction and the later development of celiac disease (CD). Systematic review. We searched MEDLINE, via PubMed, EMBASE and Web of Science, for studies published up to 31 August 2015 investigating the association of breastfeeding duration, breast feeding at the moment of gluten introduction or the timing of gluten introduction and the later development of CD. Prospective studies had to enrol infants/children at high risk of CD. For retrospective studies, participants had to be children or adults with CD. The paper quality was assessed by means of a GRADE score and the bias risk was assessed by the Newcastle-Ottawa Scale (for observational cohort studies) and Cochrane Collaboration's tool (for randomised trials). Out of 149 retrieved papers, 48 were considered in depth and 16 were included in this review (9 were prospective and 2 were interventional). We found that neither duration of breastfeeding nor breastfeeding at time of gluten introduction nor the delayed introduction of gluten during weaning were effective in preventing later development of CD. Currently, there is no evidence on the optimal breastfeeding duratio...Continue Reading

Associated Datasets

References

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Citations

Jun 21, 2016·Journal of Pediatric Gastroenterology and Nutrition·Hilary JerichoStefano Guandalini
Mar 21, 2017·Expert Review of Gastroenterology & Hepatology·Grace J Lee, John Y Kao
Sep 12, 2017·Alimentary Pharmacology & Therapeutics·L XuA N Ananthakrishnan
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Jan 12, 2019·Nature Reviews. Disease Primers·Katri LindforsKatri Kaukinen
Apr 16, 2017·Allergologia et immunopathologia·A GirbovanI Lupan

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Methods Mentioned

BETA
biopsy

Software Mentioned

GRADE

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