Evidence map›Paper›PMID 34912884›Full record

ArticleERJ open research2021

Breastfeeding and risk of childhood asthma: a systematic review and meta-analysis.

Mike Xue, Emily Dehaas, Nagendra Chaudhary, Paul O'Byrne, Imran Satia, Om P Kurmi

Open access · goldAbstract read
In one paragraph

Article in ERJ open research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 4 pooled it
7.8field-weighted citation impact, top 2% 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

50 citing papers in PubMed, 4 syntheses or guidelines pooled it, 80 citations in OpenAlex.

  1. Pooled it
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  15. 2024 edition of the Rourke Baby Record.Canadian family physician Medecin de famille canadien · 2025
    Review
  16. Why Every Asthma Patient Tells a Different Story.Journal of clinical medicine · 2025
    Article
  17. Review
  18. Article
  19. Article
  20. Moderate-to-late prematurity: understanding respiratory consequences and modifiable risk factors.European respiratory review : an official journal of the European Respiratory Society · 2025
    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

6 authors at 5 institutions in 3 countries.

Mike XueDept of Family Medicine, Queen's University, Kingston, Canada.
Emily DehaasDept of Medicine, University of Toronto, Toronto, Canada.
Nagendra ChaudharyDept of Pediatrics, Universal College of Medical Sciences, Bhairahawa, Nepal.ORCID https://orcid.org/0000-0002-3216-8671
Paul O'ByrneDept of Medicine, Division of Respirology, McMaster University, Hamilton, Canada.
Imran SatiaDept of Medicine, Division of Respirology, McMaster University, Hamilton, Canada.ORCID https://orcid.org/0000-0003-4206-6000
Om P KurmiDept of Medicine, Division of Respirology, McMaster University, Hamilton, Canada.
St. Joseph’s Healthcare Hamilton · CACollege of Medical Sciences · NPIntelligent Health (United Kingdom) · GBQueen's University · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the relationship between breastfeeding and the development of paediatric asthma.

methodsA systematic review and meta-analysis was conducted with MEDLINE, Embase, CINAHL and ProQuest Nursing and Allied Health source databases. Retrospective/prospective cohorts in children aged <18 years with breastfeeding exposure reported were included. The primary outcome was a diagnosis of asthma by a physician or using a guideline-based criterion. A secondary outcome was asthma severity.

results42 studies met inclusion criteria. 37 studies reported the primary outcome of physician-/guideline-diagnosed asthma, and five studies reported effects on asthma severity. Children with longer duration/more breastfeeding compared to shorter duration/less breastfeeding have a lower risk of asthma (OR 0.84, 95% CI 0.75-0.93; I

conclusionThe findings suggest that the duration and exclusivity of breastfeeding are associated with a lower risk of asthma in children aged <7 years.

Identifiers

PMID34912884
PMCPMC8666625
OpenAlexW3197318266

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.