Evidence map›Paper›PMID 41374055›Full record

ReviewNutrients2025

Breastfeeding as a Strategic Driver for One Health: A Narrative Review.

Vanessa Machado, Simone Cecílio Hallak Regalo, Luciano Maia Alves Ferreira, Roberta Lopes de Castro Martinelli, Luciana Vitaliano Voi Trawitzki, Selma Siéssere, José João Mendes, João Botelho

Abstract readReview
In one paragraph

Review in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Vanessa MachadoSchool of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14049-900, SP, Brazil.ORCID 0000-0003-2503-260X
Simone Cecílio Hallak RegaloSchool of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14049-900, SP, Brazil.ORCID 0000-0003-4110-8299
Luciano Maia Alves FerreiraEgas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health and Science, 2829-511 Almada, Portugal.ORCID 0000-0001-7536-9193
Roberta Lopes de Castro MartinelliLingual Frenulum Inspection Department, Hospital Santa Therezinha, Brotas 17380-000, SP, Brazil.
Luciana Vitaliano Voi TrawitzkiSchool of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14049-900, SP, Brazil.ORCID 0000-0002-2970-1113
Selma SiéssereSchool of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14049-900, SP, Brazil.ORCID 0000-0001-9756-3771
José João MendesEgas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health and Science, 2829-511 Almada, Portugal.ORCID 0000-0003-0167-4077
João BotelhoEgas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health and Science, 2829-511 Almada, Portugal.ORCID 0000-0002-1019-8263

Funding

Fundação para a Ciência e Tecnologia 10.54499/UIDB/04585/2020
6 · The paper itself

Abstract

Breastfeeding is a renewable biological system that simultaneously advances human, environmental, and societal health. Human milk provides unparalleled nutrition and immunological protection, improving infant survival, neurodevelopment, and long-term metabolic outcomes, while reducing maternal risk of breast and ovarian cancer. However, and despite decades of evidence, only 48% of infants under six months are exclusively breastfed worldwide, and breastfeeding remains absent from most sustainability and One Health strategies. This narrative review synthesizes evidence demonstrating that breastfeeding functions as a low-carbon, zero-waste food system that avoids greenhouse gas emissions, land conversion, water consumption, and biodiversity loss linked to commercial milk formula production. At the societal level, breastfeeding reduces health-system costs, strengthens emergency resilience when supply chains fail, and generates long-term economic returns. By integrating evidence across human health, environmental impact and social determinants, this review positions breastfeeding as a strategic One Health intervention and a high-value investment for achieving multiple Sustainable Development Goals. Strengthening policy support-including protection against formula marketing, workplace accommodations, and expansion of baby-friendly systems-is essential to unlock breastfeeding's potential for planetary and public health.

Indexed as

Breast FeedingFemaleGlobal HealthHealth PromotionHumansInfantInfant, NewbornMilk, HumanPublic HealthSustainable Developmentanimal healthbreastfeedingeconomicenvironmental healthhuman healthOne Healthsocial

Identifiers

PMID41374055
PMCPMC12694379

What OpenQuestion holds

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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.