Long-term breastfeeding influences disease activity in a low-income juvenile idiopathic arthritis cohort.
Identifieur interne : 000B14 ( Main/Exploration ); précédent : 000B13; suivant : 000B15Long-term breastfeeding influences disease activity in a low-income juvenile idiopathic arthritis cohort.
Auteurs : Francisco Airton Castro Rocha [Brésil] ; Joaquim Ivo Vasques Dantas Landim [Brésil] ; Mariana Lima Nour [Brésil] ; Valdenir Freire Peixoto Filho [Brésil] ; Leila Nascimento Da Rocha [Brésil] ; Marco Felipe Castro Da Silva [Brésil] ; Hermano Alexandre Lima Rocha [Brésil]Source :
- Clinical rheumatology [ 1434-9949 ] ; 2019.
Descripteurs français
- KwdFr :
- Abatacept (administration et posologie), Adalimumab (administration et posologie), Adolescent, Allaitement maternel, Anticorps monoclonaux humanisés (administration et posologie), Antirhumatismaux (administration et posologie), Arthrite juvénile (), Arthrite juvénile (épidémiologie), Brésil (épidémiologie), Enfant, Femelle, Humains, Infliximab (administration et posologie), Jeune adulte, Mâle, Mères, Méthotrexate (administration et posologie), Pauvreté, Produits biologiques (administration et posologie), Étanercept (administration et posologie), Études transversales.
- MESH :
- administration et posologie : Abatacept, Adalimumab, Anticorps monoclonaux humanisés, Antirhumatismaux, Infliximab, Méthotrexate, Produits biologiques, Étanercept.
- épidémiologie : Arthrite juvénile, Brésil.
- Adolescent, Allaitement maternel, Arthrite juvénile, Enfant, Femelle, Humains, Jeune adulte, Mâle, Mères, Pauvreté, Études transversales.
- Wicri :
- geographic : Brésil.
English descriptors
- KwdEn :
- Abatacept (administration & dosage), Adalimumab (administration & dosage), Adolescent, Antibodies, Monoclonal, Humanized (administration & dosage), Antirheumatic Agents (administration & dosage), Arthritis, Juvenile (epidemiology), Arthritis, Juvenile (prevention & control), Biological Products (administration & dosage), Brazil (epidemiology), Breast Feeding, Child, Cross-Sectional Studies, Etanercept (administration & dosage), Female, Humans, Infliximab (administration & dosage), Leflunomide (administration & dosage), Male, Methotrexate (administration & dosage), Mothers, Poverty, Young Adult.
- MESH :
- chemical , administration & dosage : Abatacept, Adalimumab, Antibodies, Monoclonal, Humanized, Antirheumatic Agents, Biological Products, Etanercept, Infliximab, Leflunomide, Methotrexate.
- geographic , epidemiology : Brazil.
- epidemiology : Arthritis, Juvenile.
- prevention & control : Arthritis, Juvenile.
- Adolescent, Breast Feeding, Child, Cross-Sectional Studies, Female, Humans, Male, Mothers, Poverty, Young Adult.
Abstract
To determine the influence of breastfeeding duration in the clinical activity of low-income juvenile idiopathic arthritis (JIA). Ninety-one JIA patients followed in Fortaleza-CE, Brazil, were cross-sectionally evaluated from May 2015 to April 2016. Breastfeeding duration was obtained by interviewing mothers. Mean age was 14.6 ± 5.2 years with 10.31 ± 3.7 years of disease duration. Polyarticular category predominated, with 39 (42.8%) patients, followed by 23 (25.3%) oligoarticular and 17 (18.7%) enthesitis-related. Forty-seven (61.8%) were receiving methotrexate isolated or combined to leflunomide, which was used by 12 (15.4%); 30 (32.9%) were on biologic DMARD with 16 (53.3%) etanercept, 8 (26.7%) adalimumab, 3 (10%) tocilizumab, and 1 (3.3%) each on infliximab, abatacept, and canakinumab. Mean(SD) CHAQ and JADAS27 were 0.37 ± 0.36 and 5.03 ± 6.1, respectively and 22 (24%) had permanent joint deformities. No family declared monthly income over US$900.00 and 32 (37.2%) earned less than US$300.00. Eighty-three (91%) were ever breastfed; over two-thirds were breastfed for more than 3 months. Those breastfed for more than 6 months had less joint deformities and a tendency to lower JADAS27 and CHAQ scores using minimally adjusted general linear or logistic models, as appropriate. Parental smoking or literacy and family income did not differ regarding breastfeeding time. This is a low-income JIA cohort with the highest breastfeeding prevalence ever reported. Breastfeeding over 6 months was associated with less disease activity.Key Point• Long-term breastfeeding benefits juvenile idiopathic arthritis.
DOI: 10.1007/s10067-019-04582-6
PubMed: 31062254
Affiliations:
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CE, 60430-160, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Departamento de Saúde Comunitária, Faculdade de Medicina, Fortaleza, CE, 60430-160</wicri:regionArea><wicri:noRegion>60430-160</wicri:noRegion></affiliation></author></analytic><series><title level="j">Clinical rheumatology</title><idno type="eISSN">1434-9949</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abatacept (administration & dosage)</term><term>Adalimumab (administration & dosage)</term><term>Adolescent</term><term>Antibodies, Monoclonal, Humanized (administration & dosage)</term><term>Antirheumatic Agents (administration & dosage)</term><term>Arthritis, Juvenile (epidemiology)</term><term>Arthritis, Juvenile (prevention & control)</term><term>Biological Products (administration & dosage)</term><term>Brazil (epidemiology)</term><term>Breast Feeding</term><term>Child</term><term>Cross-Sectional Studies</term><term>Etanercept (administration & dosage)</term><term>Female</term><term>Humans</term><term>Infliximab (administration & dosage)</term><term>Leflunomide (administration & dosage)</term><term>Male</term><term>Methotrexate (administration & dosage)</term><term>Mothers</term><term>Poverty</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Abatacept (administration et posologie)</term><term>Adalimumab (administration et posologie)</term><term>Adolescent</term><term>Allaitement maternel</term><term>Anticorps monoclonaux humanisés (administration et posologie)</term><term>Antirhumatismaux (administration et posologie)</term><term>Arthrite juvénile ()</term><term>Arthrite juvénile (épidémiologie)</term><term>Brésil (épidémiologie)</term><term>Enfant</term><term>Femelle</term><term>Humains</term><term>Infliximab (administration et posologie)</term><term>Jeune adulte</term><term>Mâle</term><term>Mères</term><term>Méthotrexate (administration et posologie)</term><term>Pauvreté</term><term>Produits biologiques (administration et posologie)</term><term>Étanercept (administration et posologie)</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Abatacept</term><term>Adalimumab</term><term>Antibodies, Monoclonal, Humanized</term><term>Antirheumatic Agents</term><term>Biological Products</term><term>Etanercept</term><term>Infliximab</term><term>Leflunomide</term><term>Methotrexate</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Brazil</term></keywords><keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Abatacept</term><term>Adalimumab</term><term>Anticorps monoclonaux humanisés</term><term>Antirhumatismaux</term><term>Infliximab</term><term>Méthotrexate</term><term>Produits biologiques</term><term>Étanercept</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Arthritis, Juvenile</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Arthritis, Juvenile</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Arthrite juvénile</term><term>Brésil</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Breast Feeding</term><term>Child</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Mothers</term><term>Poverty</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Allaitement maternel</term><term>Arthrite juvénile</term><term>Enfant</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Mères</term><term>Pauvreté</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Brésil</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To determine the influence of breastfeeding duration in the clinical activity of low-income juvenile idiopathic arthritis (JIA). Ninety-one JIA patients followed in Fortaleza-CE, Brazil, were cross-sectionally evaluated from May 2015 to April 2016. Breastfeeding duration was obtained by interviewing mothers. Mean age was 14.6 ± 5.2 years with 10.31 ± 3.7 years of disease duration. Polyarticular category predominated, with 39 (42.8%) patients, followed by 23 (25.3%) oligoarticular and 17 (18.7%) enthesitis-related. Forty-seven (61.8%) were receiving methotrexate isolated or combined to leflunomide, which was used by 12 (15.4%); 30 (32.9%) were on biologic DMARD with 16 (53.3%) etanercept, 8 (26.7%) adalimumab, 3 (10%) tocilizumab, and 1 (3.3%) each on infliximab, abatacept, and canakinumab. Mean(SD) CHAQ and JADAS27 were 0.37 ± 0.36 and 5.03 ± 6.1, respectively and 22 (24%) had permanent joint deformities. No family declared monthly income over US$900.00 and 32 (37.2%) earned less than US$300.00. Eighty-three (91%) were ever breastfed; over two-thirds were breastfed for more than 3 months. Those breastfed for more than 6 months had less joint deformities and a tendency to lower JADAS27 and CHAQ scores using minimally adjusted general linear or logistic models, as appropriate. Parental smoking or literacy and family income did not differ regarding breastfeeding time. This is a low-income JIA cohort with the highest breastfeeding prevalence ever reported. Breastfeeding over 6 months was associated with less disease activity.Key Point• Long-term breastfeeding benefits juvenile idiopathic arthritis.</div></front></TEI><affiliations><list><country><li>Brésil</li></country><region><li>Ceará</li></region></list><tree><country name="Brésil"><noRegion><name sortKey="Rocha, Francisco Airton Castro" sort="Rocha, Francisco Airton Castro" uniqKey="Rocha F" first="Francisco Airton Castro" last="Rocha">Francisco Airton Castro Rocha</name></noRegion><name sortKey="Da Rocha, Leila Nascimento" sort="Da Rocha, Leila Nascimento" uniqKey="Da Rocha L" first="Leila Nascimento" last="Da Rocha">Leila Nascimento Da Rocha</name><name sortKey="Da Silva, Marco Felipe Castro" sort="Da Silva, Marco Felipe Castro" uniqKey="Da Silva M" first="Marco Felipe Castro" last="Da Silva">Marco Felipe Castro Da Silva</name><name sortKey="Filho, Valdenir Freire Peixoto" sort="Filho, Valdenir Freire Peixoto" uniqKey="Filho V" first="Valdenir Freire Peixoto" last="Filho">Valdenir Freire Peixoto Filho</name><name sortKey="Landim, Joaquim Ivo Vasques Dantas" sort="Landim, Joaquim Ivo Vasques Dantas" uniqKey="Landim J" first="Joaquim Ivo Vasques Dantas" last="Landim">Joaquim Ivo Vasques Dantas Landim</name><name sortKey="Nour, Mariana Lima" sort="Nour, Mariana Lima" uniqKey="Nour M" first="Mariana Lima" last="Nour">Mariana Lima Nour</name><name sortKey="Rocha, Hermano Alexandre Lima" sort="Rocha, Hermano Alexandre Lima" uniqKey="Rocha H" first="Hermano Alexandre Lima" last="Rocha">Hermano Alexandre Lima Rocha</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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