医学
坏死性小肠结肠炎
低出生体重
优势比
置信区间
儿科
荟萃分析
婴儿配方奶粉
出生体重
科克伦图书馆
内科学
怀孕
遗传学
生物
作者
Natalie Strobel,Claire Adams,Daniel McAullay,Karen Edmond
出处
期刊:Pediatrics
[American Academy of Pediatrics]
日期:2022-08-01
卷期号:150 (Supplement 1)
被引量:8
标识
DOI:10.1542/peds.2022-057092d
摘要
We assessed the effect of feeding preterm or low birth weight infants with infant formula compared with mother's own milk on mortality, morbidity, growth, neurodevelopment, and disability.We searched Medline (Ovid), Embase (Ovid), and Cochrane Central Register of Controlled Studies to October 1, 2021.Forty-two studies enrolling 89 638 infants fulfilled the inclusion criteria. We did not find evidence of an effect on mortality (odds ratio [OR] 1.26, 95% confidence interval [CI] 0.91-1.76), infection (OR 1.52, 95% CI 0.98-2.37), cognitive neurodevelopment (standardized mean difference -1.30, 95% CI -3.53 to 0.93), or on growth parameters. Formula milk feeding increased the risk of necrotizing enterocolitis (OR 2.99, 95% CI 1.75-5.11). The Grading of Recommendations Assessment, Development, and Evaluation certainty of evidence was low for mortality and necrotizing enterocolitis, and very low for neurodevelopment and growth outcomes.In preterm and low birth weight infants, low to very low-certainty evidence indicates that feeding with infant formula compared with mother's own milk has little effect on all-cause mortality, infection, growth, or neurodevelopment, and a higher risk of developing necrotizing enterocolitis.
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