Duration of Breastfeeding, Bottle-Feeding, and Parafunctional Oral Habits in Relation to Anxiety Disorders Among Children

ÖRENGÜL A. C., Tarakcioglu M. C., Gormez V., Akkoyun S., Zorlu A., ALIYEVA N., ...More

BREASTFEEDING MEDICINE, vol.14, no.1, pp.57-62, 2019 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 14 Issue: 1
  • Publication Date: 2019
  • Doi Number: 10.1089/bfm.2018.0013
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.57-62
  • Istanbul University Affiliated: Yes


Objective: The aim of the present study is to investigate the duration of breastfeeding in relation to various parafunctional oral habits in children with anxiety disorders. Materials and Methods: The study includes 195 children and adolescents with anxiety disorders and age- and gender-matched 255 healthy control subjects. Diagnoses were made with semistructured interview (K-SADS). Information about breastfeeding and parafunctional oral habits was investigated via a questionnaire prepared for the study. Results: The mean age was 11.502.50 years for clinical group and 11.27 +/- 2.33 years for controls. Fifty-four percent of the clinical group and 56% of the control group were female subjects. Duration of exclusive (4.72 +/- 2.86, 5.55 +/- 2.36; p=0.002) and total breastfeeding (12.38 +/- 10.32, 15.89 +/- 9.09; p<0.001) was significantly lower and duration of bottle-feeding (22.30 +/- 19.54, 16.64 +/- 12.79; p=0.005) was higher than controls in the clinical group. Duration of exclusive breastfeeding was significantly correlated with duration of bottle-feeding (r=-0.263, p<0.001) and duration of pacifier use (r=-0.249, p=0.001). Multiple regression analysis showed that duration of exclusive breastfeeding (=0.88, p=0.006) and bottle-feeding (=1.02, p=0.005), as well as various oral habits, was associated with diagnosis of an anxiety disorder. Conclusion: Nutrition methods in early years of life may result in long-term consequences regarding anxiety disorders for children. Clinicians should encourage parents for a shorter duration of bottle-feeding and a longer duration of exclusive breastfeeding.