CRIANÇAS AMAMENTADAS NO PEITO TÊM MENOS CHANCE DE DESENVOLVER RESPIRAÇÃO BUCAL? REVISÃO SISTEMÁTICA E METANÁLISE

• Autor(a) principal: Savian, Cristiane Medianeira
• Data de Publicação: 2018
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional Universidade Franciscana
• Texto Completo: http://www.tede.universidadefranciscana.edu.br:8080/handle/UFN-BDTD/749
• topic: Metanálise; Aleitamento Materno; Respiração Bucal; Sucção de Dedo; Desmame.; Meta-Analysis; Breast Feeding; Mouth Breathing; Fingersucking; Weaning.; Saúde Materno Infantil

Introduction: The World Health Organization recommends exclusive breastfeeding during the first six months of life and its maintenance as a nutritional complement for up to two or more years so that children can receive all the benefits of breast milk for healthy growth and development. Therefore, studies on factors associated with weaning, as well as its consequences, may reveal important data for maintaining this important practice for the mother-baby binomial. Objectives: In this context, this dissertation contemplates two articles whose objectives were: (1) Identify the scientific productions published in the literature on the association between digital sucking and early weaning in children; (2) Verify the association between the type of breastfeeding and the development of the respiratory pattern in children. Article 1: In order to answer the first objective, an integrative review was performed which included searching the MEDLINE / PubMed, Scielo and Scopus databases for the combination of descriptors and free terms of the Mesh database "child OR children", "fingersucking OR thumbsucking" and "weaning ", Associated with each other by the Boolean operator AND. The search period comprised the months of August and September of 2018. After the removal of the duplicate articles, 106 articles were obtained whose abstracts and titles were read by two independent researchers. After the application of the eligibility criteria, 25 jobs remained and five others were found in their references. After reading the 30 articles in full, five were selected. Of these, only one found a statistically significant association between the achievement of the digital sucking habit with early weaning (p = 0.0000), while the others did not prove this association. Thus, to date there are few studies on the subject and there seems to be no clear association between digital sucking and early weaning. It is suggested to carry out more research with this theme, especially those of longitudinal design, which will better establish the cause-effect relationship between the study variables. Article 2: In order to answer the objective of the second article of this dissertation, a systematic review with meta-analysis, elaborated from searches in the electronic databases Cochrane Library, EMBASE, LILACS, MEDLINE / PubMed, Science Direct, Scopus and Web of Science, as well as like Google Scholar and Opengrey, are considered gray literature. For each one the search strategy used was adapted. Also, the references of the selected articles were considered. Observational studies evaluating the association between the type of breastfeeding and the development of the respiratory pattern in children were included. The selection of articles was carried out by two independent researchers, both in the first phase (reading titles and abstracts), and in the second (reading the articles selected in the first phase, in its entirety). To evaluate the quality of included studies, the MAStARI (Meta Analysis of Statistics and Review Instrument) tool was used, and a meta-analysis of the results was performed. After the duplicates were removed, the search resulted in 840 articles, of which seven were included. The overall prevalence of mouth breathers was 44% (95% CI, 38-49) (total sample = 912). Breast-fed infants presented a protective factor for the development of mouth breathing (OR = 0.62, 95% CI, 0.41-0.93) compared to non-breastfed infants, and those breastfed for more than 12 months and more that 24 months had respectively 41% and 11 34% less chance of developing it. There was no association between exclusive breastfeeding for less than or up to six months and the occurrence of mouth breathing (OR = 0.60; 95% CI, 0.31-1.18). Based on the limited evidence found, it was concluded that breastfeeding was considered a protective factor for the occurrence of mouth breathing. This, in turn, presented reductions with the increase in the time of breastfeeding, especially until the 2 years of breastfeeding. Product: The product resulting from this dissertation was the meta-analysis: "Do breastfed children have a lower chance of developing mouth breathing? Systematic review and meta-analysis". It should be emphasized that this reveals another important benefit of breastfeeding, which is to protect children from the development of mouth breathing, reinforcing that in clinical practice it is imperative that the health team provid