Shorter versus longer durations of any human milk feeding and celiac disease a systematic review

BACKGROUND: 1. This systematic review was conducted as part of the U.S. Department of Agriculture and Department of Health and Human Services Pregnancy and Birth to 24 Months Project.2. The goal of this systematic review was to examine the following question: What is the relationship between shorter...

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Bibliographic Details
Main Author: Güngör, Darcy
Corporate Authors: United States Department of Agriculture, Center for Nutrition Policy and Promotion (U.S.) Nutrition Evidence Systematic Review
Format: eBook
Language:English
Published: Washington, D.C. United States Department of Agriculture April 2019, 2019
Online Access:
Collection: National Center for Biotechnology Information - Collection details see MPG.ReNa
Description
Summary:BACKGROUND: 1. This systematic review was conducted as part of the U.S. Department of Agriculture and Department of Health and Human Services Pregnancy and Birth to 24 Months Project.2. The goal of this systematic review was to examine the following question: What is the relationship between shorter versus longer durations of any human milk feeding and celiac disease?3. This systematic review examines comparisons of infants who were fed human milk for shorter durations with infants who were fed human milk for longer durations. Human milk feeding was defined as feeding human milk alone or in combination with infant formula and/or complementary foods or beverages such as cow's milk. Human milk was defined as mother's own milk provided at the breast (i.e., nursing) or expressed and fed fresh or after refrigeration or freezing. Donor milk (e.g., banked milk) was not examined in this review.4.
The systematic review question could not be answered due to concerns about reverse causality across the body of evidence
The search was conducted in CINAHL, Cochrane, Embase, and PubMed, and used a search date range of January 1980 to March 2016. A manual search was done to identify articles that may not have been included in the electronic databases searched.3. Articles were screened independently by 2 NESR analysts to determine which articles met predetermined criteria for inclusion.4. Data from each included article were extracted, risks of bias were assessed, and both were checked for accuracy.5. The body of evidence was qualitatively synthesized, a conclusion statement was developed, and the strength of the evidence (grade) was assessed using pre-established criteria including evaluation of the internal validity/risk of bias, adequacy, consistency, impact, and generalizability of available evidence. SUMMARY OF EVIDENCE: 1. Nine articles met the inclusion criteria; 4 articles presented nested case-control or prospective cohort data analyses and the remaining 5 were case-control studies.2.
This systematic review examines diagnosed celiac disease, only, to ensure that it addresses the relationship of shorter versus longer durations of any human milk feeding with celiac disease and not the relationship of shorter versus longer durations of any human milk feeding with the many other diseases and conditions with similar symptoms. CONCLUSION STATEMENT AND GRADE: 1. A conclusion about the relationship between shorter versus longer durations of any human milk feeding and celiac disease could not be drawn due to concerns about reverse causality across the body of evidence. Grade: Grade Not Assignable METHODS: 1. The systematic review was conducted by a team of staff from the Nutrition Evidence Systematic Review in collaboration with a Technical Expert Collaborative.2. A single literature search was conducted to identify literature for several related systematic reviews that examined infant milk-feeding practices and different outcomes.
Physical Description:1 PDF file (198 pages) illustrations