Evidence map›Paper›PMID 40563068›Full record

ArticleEuropean journal of pediatrics2025

The global burden of suboptimal breastfeeding from 1990 to 2019: results and insights of the Global Burden of Disease.

Andrea Miatton, Alessandra Buja, Claudia Cozzolino, Simona Fortunata Mafrici, Giulia Zamagni, Lorenzo Monasta, Giovanni Damiani

Abstract read
PubMed Publisher
In one paragraph

Article in European journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Observational
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

7 authors.

Andrea MiattonDepartment of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy.
Alessandra BujaDepartment of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy. alessandra.buja@unipd.it.
Claudia CozzolinoDepartment of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy.
Simona Fortunata MafriciDepartment of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy.
Giulia ZamagniInstitute for Maternal and Child Health-IRCCS "Burlo Garofolo," Trieste, Trieste, Italy.
Lorenzo MonastaInstitute for Maternal and Child Health-IRCCS "Burlo Garofolo," Trieste, Trieste, Italy.
Giovanni DamianiDepartment of Biomedical, Surgical and Dental Sciences, University of Milan, 20122, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The practice of breastfeeding is universally recommended because of its beneficial short and long-term impact on maternal and child health. UNICEF and WHO are promoting a global call to action to reach the goal of 50% exclusive breastfeeding by 2025. This study aims to show the global epidemiological picture of suboptimal breastfeeding over the years and its impact on health due to diarrhea and lower respiratory tract infections. We explored non-exclusive and discontinued breastfeeding data from the Global Burden of Diseases study 2019. We compared risk-weighted prevalence (summary exposure values) and outcome measures for diarrheal diseases and lower respiratory infections (years lived with disability and years of life lost) across countries and macroareas and over time. In 2019, North America had the highest risk-weighted prevalence for non-exclusive breastfeeding (25.3 SEV) and discontinued breastfeeding (25.3 SEV). By contrast, YLDs were highest in the Middle East and North Africa (37.8 per 100,000) and YLLs in Sub-Saharan Africa (4693.2 per 100,000) due to non-exclusive breastfeeding. From 1990 to 2019, YLLs due to suboptimal breastfeeding in children under 5 years of age decreased by 70%, and the gap between high- and low-income countries also decreased (by 48% for diarrheal diseases and 13% for lower respiratory infections, comparing North America and sub-Saharan Africa). Conclusion: Policymakers around the world should recognize the gap that persists between expectations and goals and work to meet international recommendations and improve child and maternal health. What is Known: • Exclusive and prolonged breastfeeding reduces infant mortality, improves nutrition, and has lasting positive effects on health • Health policies such as the International Code of Marketing of Breastmilk Substitutes and the Baby-Friendly Hospital Initiative have not fully fostered breastfeeding practices What is New: • Over the past 30 years, progress has been made in reducing mortality and disability associated with suboptimal breastfeeding • Suboptimal breastfeeding remains widespread globally and affects high-income countries as much or more than low-income countries.

Indexed as

Breast FeedingDiarrheaGlobal Burden of DiseaseGlobal HealthRespiratory Tract InfectionsChild, PreschoolFemaleHumansInfantInfant, NewbornPrevalenceBreastfeedingChild healthDiarrheaDisabilityGlobal Burden of DiseasePremature mortalityRespiratory infections

Identifiers

What OpenQuestion holds

Textmetadata
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.