Effects of maternal caffeine consumption on the breastfed child : a systematic review
| Autor: | Sumedha Bird, Aimee McCreedy, Yen-Fu Chen, Lucy J. Brown, James Shaw-Stewart |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Pediatrics
medicine.medical_specialty Time Factors RJ MEDLINE Breastfeeding CINAHL Cochrane Library 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Heart Rate Pregnancy Caffeine 0502 economics and business medicine Humans Milk Human business.industry 05 social sciences Infant General Medicine medicine.disease Breast Feeding chemistry 030220 oncology & carcinogenesis Cohort Central Nervous System Stimulants Female 050211 marketing Sleep business Cohort study |
| ISSN: | 1424-3997 |
| Popis: | Background Nutrition in the first 1000 days between pregnancy and 24 months of life is critical for child health, and exclusive breastfeeding is promoted as the infant's best source of nutrition in the first 6 months. Caffeine is a central nervous system stimulant occurring naturally in some foods and used to treat primary apnoea in premature babies. However high caffeine intake can be harmful, and caffeine is transmitted into breastmilk. Aim To systematically review the evidence on the effects of maternal caffeine consumption during breastfeeding on the breastfed child. Method A systematic search was conducted to October 2017 in MEDLINE, EMBASE, Web of Science, CINAHL, and Cochrane Library. The British Library catalogue, which covers doctoral theses, was searched and PRISMA guidelines followed. Two reviewers screened for experimental, cohort, or case-control studies and performed independent quality assessment using the Newcastle-Ottawa scale. The main reviewer performed data extraction, checked by the second reviewer. Results Two cohort, two crossover studies, and one N-of-1 trial were included for narrative synthesis. One crossover and two cohort studies of small sample sizes directly investigated maternal caffeine consumption. No significant effects on 24-hour heart rate, 24-hour sleep time, or frequent night waking of the breastfed child were found. One study found a decreased rate of full breastfeeding at 6 months postpartum. Two studies indirectly investigated caffeine exposure. Maternal chocolate and coffee consumption was associated with increased infant colic, and severe to moderate exacerbation of infant atopic dermatitis. However, whether caffeine was the causal ingredient is questionable. The insufficient and inconsistent evidence available had quality issues impeding conclusions on the effects of maternal caffeine consumption on the breastfed child. Conclusion Evidence for recommendations on caffeine intake for breastfeeding women is scant, of limited quality and inconclusive. Birth cohort studies investigating the potential positive and negative effects of various levels of maternal caffeine consumption on the breastfed child and breastfeeding mother could improve the knowledge base and allow evidence-based advice for breastfeeding mothers. Systematic review registration number: CRD42017078790. |
| Databáze: | OpenAIRE |
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