Breastfeeding does not protect against the development of carditis in children with acute rheumatic fever

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dc.contributor.authorGurbuz, Funda
dc.contributor.authorSahiner, Nejla Canbulat
dc.contributor.authorUnal, Emin
dc.contributor.authorGurbuz, Ahmet Seyfeddin
dc.contributor.authorBaysal, Tamer
dc.date.accessioned2024-02-23T14:16:33Z
dc.date.available2024-02-23T14:16:33Z
dc.date.issued2022
dc.departmentNEÜen_US
dc.description.abstractIntroduction: Acute rheumatic fever is an autoimmune disease that develops due to streptococcal infection. The positive effect of breastfeeding on the development of the child's immune system is well documented. In this study, we aimed to investigate the effect of breast milk intake period on the development of carditis. Materials and methods: Patients (n: 182) who were diagnosed with acute rheumatic fever between 2010 and 2019 were enrolled in the study. The patients were divided into groups according to carditis development. The demographic, socio-economic, and breastfeeding data were compared between groups. Results: The mean age of the patients was 10.5 +/- 3.4, and 43.4 % (n: 79) of them were female. Independent predictors of the development of carditis in the first acute rheumatic fever episode were the number of children at home (OR: 1.773, CI 95%: 1.105, 2.845; p: 0.018) and breast milk intake less than 6 months (OR: 0.404, CI 95%: 0.174, 0.934; p: 0.034). Independent predictors of the development of carditis in any of the acute rheumatic fever episodes were the number of children at home (OR: 1.858, CI 95%: 1.100, 3.137; p: 0.021) and female gender (OR: 3.504, CI 95%: 1.227, 10.008; p: 0.019). The only independently predictor of the development of chorea during acute rheumatic fever was female gender (OR: 3.801, CI 95%: 1.463, 9.874; p: 0.006). Conclusion: Although the occurrence of carditis is less common during the first acute rheumatic fever attack in patients with breast milk intake less than six months, this advantage is lost in recurrent attacks. This study showed that breast milk does not have a negative effect on acute rheumatic fever carditis.en_US
dc.identifier.doi10.1017/S1047951122001834
dc.identifier.issn1047-9511
dc.identifier.issn1467-1107
dc.identifier.pmid35718952en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.urihttps://doi.org/10.1017/S1047951122001834
dc.identifier.urihttps://hdl.handle.net/20.500.12452/12714
dc.identifier.wosWOS:000812896900001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherCambridge Univ Pressen_US
dc.relation.ispartofCardiology In The Youngen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAcute Rheumatic Feveren_US
dc.subjectCarditisen_US
dc.subjectBreastfeedingen_US
dc.subjectImmune Systemen_US
dc.titleBreastfeeding does not protect against the development of carditis in children with acute rheumatic feveren_US
dc.typeArticleen_US

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