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Effects of Breastfeeding on the Infant Lung Function

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Breastfeeding has many positive effects on a baby’s health, including lung function. Read the article to know more.

Medically reviewed by

Dr. Veerabhadrudu Kuncham

Published At February 26, 2024
Reviewed AtMarch 25, 2024

Introduction

Mother's milk is the first food for most newborns. Breastfeeding has many known advantages for both the baby and the mother. Many studies have noticed an association between lung function and breastfeeding. Different studies have different results on how breastfeeding affects lung function. These different results show the complicated connection between breastfeeding and their breathing health. It can also give important ideas on how to make babies healthier and help moms and babies bond better through breastfeeding.

What Does the Term Lung Function Mean?

The term lung function refers to the ability of the lungs to perform their tasks effectively. The lungs play a crucial role in exchanging oxygen and carbon dioxide between the body and the surrounding environment, and their effectiveness in performing this task is referred to as lung function. FVC and FEV are two important lung function measurements commonly assessed using spirometry. FVC stands for Forced Vital Capacity, which measures the air one can vigorously expel after a deep inhalation. FEV stands for Forced Expiratory Volume, which measures the quantity of air that someone can forcefully exhale in one second.

What Are the Benefits of Breastfeeding in General?

Breastfeeding has long been recognized as an important factor in promoting the health and well-being of infants. The beneficial effects of breastfeeding are well established, including reducing the risk of infections and promoting optimal growth and development. Breast milk contains a distinctive combination of proteins, fats, and carbohydrates easily digested by infants and immune-boosting substances like antibodies, cytokines, and white blood cells. Some of the benefits of breastfeeding include:

  • Reduced rates of infectious diseases, such as diarrhea, respiratory infections, and meningitis.

  • Reduced risk of developing chronic conditions like obesity, diabetes, and asthma.

  • Positive impact on cognitive development and behavior benefits children throughout their lifespan.

What Are the Effects of Breastfeeding on Infant Lung Function?

Numerous research studies have delved into the subject of the effects of breastfeeding on lung function in infants. Breastfed infants are widely acknowledged to exhibit reduced incidence and severity of respiratory infections compared to their non-breastfed counterparts.

  • A research paper featured in the Journal of Pediatrics compared the lung function of 45 infants who were exclusively breastfed with that of 45 infants who were exclusively formula-fed. The study found that breastfed infants had significantly better lung function than formula-fed infants measured by Forced Expiratory Volume in one second (FEV1) and Forced Vital Capacity (FVC).

  • Another study followed a group of 2020 infants from birth to age two and measured their lung function at six months, one year, and two years. It was found that breastfed infants for at least six months had better lung function at two years of age, including FEV, FVC, and Forced Expiratory Flow at 50 % vital capacity (FEF50), compared to formula-fed infants.

  • The American Journal of Respiratory and Critical Care Medicine published research in which 3000 infants were followed from birth to age six. Their lung function was measured at ages one, two, and six years. This study found that breastfed infants for at least four months had better lung function (improved FEV1, FVC, and forced expiratory flow at age 25% to 75% of FVC) at age six compared to formula-fed infants.

  • These studies also found that breastfed infants had better lung growth as measured by Total Lung Capacity (TLC) than formula-fed infants.

What Are the Mechanisms Behind the Effects of Breastfeeding on Infant Lung Function?

The mechanisms behind the effects of breastfeeding on lung function are not yet fully understood, but several theories have been proposed.

  • One theory is that breast milk contains bioactive components, such as cytokines and growth factors, that promote lung development and function. Breastfeeding may improve the development and efficacy of the lungs via an immune-mediated mechanism. Furthermore, breast milk has been found to contain numerous immunologically active components.

  • Another theory is that breastfed infants are less likely to develop respiratory infections, which can lead to long-term damage to lung function. An observed decrease in occurrence rates of respiratory tract infections has been demonstrated among infants who are solely fed breast milk. The onset of respiratory infections in early life correlates with heightened susceptibility to childhood asthma and diminished respiratory function.

  • Another reason is that breastfeeding longer can help babies gain less weight in the first few months. Babies who gain a lot of weight might have trouble breathing, leading to asthma and weaker lungs later in childhood. Height is also a factor that predicts lung function. Greater height is associated with better lung function, and breastfeeding is associated with better height in children.

How Does Breastfeeding Affect Respiratory Symptoms?

  • It is common for children to experience respiratory symptoms like shortness of breath, coughing, and wheezing, and these can potentially develop into more severe respiratory disorders like asthma. Numerous researchers have examined the correlation between breastfeeding and respiratory indications, yielding inconclusive findings.

  • A study that followed 1,000 children from birth to age six found that those who breastfed for more than six months had fewer respiratory symptoms than those who never breastfed or breastfed for less time.

  • A study followed a group of over 3,000 children from birth to age seven and measured their respiratory symptoms and breastfeeding history. This study found that breastfeeding was not associated with a reduced risk of respiratory symptoms.

How Does Breastfeeding Affect Asthma?

Numerous research studies have also delved into the correlation between breastfeeding and asthma. An investigation made public in the Journal of Allergy and Clinical Immunology followed a group of over 1,000 children from birth to age six and measured their asthma status and breastfeeding history. The investigation discovered that children who were breastfed for at least four months had a significantly reduced likelihood of developing asthma compared to children who were never breastfed or breastfed for shorter durations. A group of 1,300 children were monitored from birth to age 12 in a study published in the European Respiratory Journal, which analyzed their history of breastfeeding and asthma status. The research discovered that children who were nursed for a minimum of half a year had a reduced possibility of developing asthma, as opposed to those who did not experience breastfeeding or had shorter breastfeeding periods. Nonetheless, the protective effect of breastfeeding was more powerful for kids who have an inherited asthma condition in their family.

Conclusion

Research shows that breastfeeding positively impacts lung growth and function in infants. Additionally, breastfeeding is associated with a lower risk of respiratory infections and conditions such as asthma and wheezing, further highlighting its significance in respiratory health. The benefits of breastfeeding extend beyond just lung growth, and it is clear that breastfeeding plays an essential role in promoting the optimal physical and psychological development of infants.

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Dr. Veerabhadrudu Kuncham
Dr. Veerabhadrudu Kuncham

Pediatrics

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