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A previous study investigated the influence of thumb sucking and pacifier use on breastfeeding patterns in exclusively breastfed infants, on the duration of exclusive breastfeeding, and on the total breastfeeding duration.
One important factor may be differences in breastfeeding patterns, especially the duration of exclusive breastfeeding.
31 However, three recent prospective observational studies have failed to confirm an association between breastfeeding patterns and later celiac disease.
The challenge of how to improve breastfeeding, with an overview of breastfeeding patterns in the 1990s, is summarised among the World Summit for Children goals.
For more persistent exposures, biomarkers give more long-term exposure estimates that are influenced by changes in diet or behavior, for example, by breastfeeding patterns.
Analysis methods will follow the CONSORT guidelines [ 28] and recommendations of the GHENT group related to the mother-to-child transmission studies [ 29, 30] and breastfeeding patterns [ 31].
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Breastfeeding pattern, infant growth, and disease events were recorded monthly in the first year, three-monthly in the second, and annually thereafter.
Breastfeeding pattern and duration were considered simultaneously in Cox regression analyses.
In addition, with regard to breastfeeding pattern, we confirm the considerable negative effects of mixed breastfeeding with solids.
Both breastfeeding pattern and duration are associated with postnatal HIV acquisition; their relative contribution has not been reliably quantified.
Both breastfeeding pattern and duration are therefore associated with acquisition of HIV, but to date a more precise estimate of postnatal transmission at times points according to breastfeeding exclusivity has not been reliably quantified in the same study.
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