Evidence map›Paper›PMID 26369575›Full record

ArticleArchives of disease in childhood2016

Influence of past breast feeding on pattern and severity of presentation of juvenile idiopathic arthritis.

Kimme L Hyrich, Eileen Baildam, Hannah Pickford, Alice Chieng, Joyce E Davidson, Helen Foster, Janet Gardner-Medwin, Lucy R Wedderburn, Wendy Thomson

Open access · hybridAbstract read
In one paragraph

Article in Archives of disease in childhood, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
0.8field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Effects of breast milk on Behçet's disease clinical features.Turkish journal of medical sciences · 2023
    Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review of environmental factors and juvenile idiopathic arthritis.Open access rheumatology : research and reviews · 2019
    Review
  14. Article
  15. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 1 country.

Kimme L HyrichArthritis Research UK Centre for Epidemiology, Centre for Musculoskeletal Research, Institute of Inflammation and Repair, The University of Manchester, Manchester Academic Health Science Centre, Manchester, UK NIHR Manchester Musculoskeletal Biomedical Research Unit, Central Manchester NHS Foundation Trust, Manchester Academic Health Sciences Centre, Manchester, UK.
Eileen BaildamDepartment of Rheumatology, Alder Hey Children's NHS Foundation Trust Hospital, Liverpool, UK.
Hannah PickfordArthritis Research UK Centre for Epidemiology, Centre for Musculoskeletal Research, Institute of Inflammation and Repair, The University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.
Alice ChiengDepartment of Rheumatology, The Royal Manchester Children's Hospital, Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK.
Joyce E DavidsonDepartment of Rheumatology, Royal Hospital for Sick Children, Greater Glasgow and Clyde Health Board and Royal Hospital for Sick Children, Edinburgh, UK.
Helen FosterDepartment of Rheumatology, Newcastle University and Great North Children's Hospital, Newcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Janet Gardner-MedwinDepartment of Rheumatology, Glasgow University, Glasgow, UK.
Lucy R WedderburnInfection, Immunology, and Rheumatology Section UCL Institute of Child Health, University College London, London, UK Department of Rheumatology, Great Ormond Street Hospital NHS Foundation Trust, London, UK Centre for Adolescent Rheumatology at University College London, University College London Hospital, London, UK.
Wendy ThomsonArthritis Research UK Centre for Epidemiology, Centre for Musculoskeletal Research, Institute of Inflammation and Repair, The University of Manchester, Manchester Academic Health Science Centre, Manchester, UK NIHR Manchester Musculoskeletal Biomedical Research Unit, Central Manchester NHS Foundation Trust, Manchester Academic Health Sciences Centre, Manchester, UK.
University of Manchester · GBAlder Hey Children's NHS Foundation Trust · GBNewcastle University · GBRoyal Hospital for Children · GBRoyal Manchester Children's Hospital · GBUniversity of Glasgow · GBUniversity of London · GB

Funding

Arthritis Research UK 20542Department of Health
6 · The paper itself

Abstract

This analysis aimed to study the influence of breast feeding on the pattern and severity of juvenile idiopathic arthritis (JIA) at presentation. The association between ever versus never breast feeding and disease severity at onset was compared in 923 children with JIA recruited to the UK Childhood Arthritis Prospective Study at first presentation to rheumatology. Fifty six per cent of children were ever breast fed (median 3.7 months). Breastfed children reported a lower median age at onset, a lower Childhood Health Assessment Questionnaire (CHAQ), a measure of disease severity, lower parent general evaluation scores and lower pain at presentation. There was a trend towards a higher proportion of breastfed children with rheumatoid factor-negative polyarthritis, but lesser enthesitis-related and psoriatic arthritis. There was a statistically significant inverse association between breast feeding and high CHAQ, even after adjusting for differences in socioeconomic status (adjusted OR 0.61 (95% CI 0.39 to 0.95)). Further work to understand the reasons behind these associations is required.

Indexed as

Breast FeedingArthritis, JuvenileChildChild, PreschoolDisability EvaluationFemaleHealth StatusHumansInfantMaleProspective StudiesQuality of LifeSeverity of Illness IndexSurveys and QuestionnairesUnited KingdomEpidemiologyInfant FeedingRheumatology

Identifiers

PMID26369575
PMCPMC4819639
OpenAlexW2137625668

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.