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Asthma is the leading cause of admission to hospital in Australian
children, and its prevalence is increasing. Exposures early in life are
critical, but the preventive role, if any, of breast feeding is
controversial. In a prospective birth cohort study, Oddy et al (p 815)
followed up 2187 children to age 6, generating comprehensive data on
breast feeding, asthma, and atopy. After adjustment for confounders,
exclusive breast feeding for at least 4 months was associated with a
significantly reduced risk of asthma and atopy at age 6. This has
implications for the understanding of the cause of atopic disease and
suggests that interventions to optimise breast feeding practice may
help to prevent childhood asthma.