{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T09:56:04Z","timestamp":1777456564424,"version":"3.51.4"},"reference-count":42,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Breastfeeding Medicine"],"published-print":{"date-parts":[[2025,1,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To analyze the factors associated with weaning in infants with cow\u2019s milk allergy (CMA) treated at a food allergy reference center in a state in the northeast of Brazil.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>A prospective cohort study, with a case group (children with CMA) and two control groups (symptomatic nonallergic children [SC] and asymptomatic [AC]). At the beginning of the study, 30 children comprised the CMA group, 84 the SC group, and 52 the AC group. Survival analysis was performed to compare breastfeeding time between the three groups and an adjusted linear regression model to verify the factors associated with breastfeeding time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      At the beginning of the study, 33.3% of children in the CMA group, 17.1% in the SC group, and 69.6% in the AC group were exclusively breastfeeding (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.005). The most common factors for weaning in children with CMA were the cow\u2019s milk elimination diet (30%), allergic symptoms in the child (20%), and breast engorgement (20%). Children who used a cup as a means of offering infant formula spent 281 more days breastfeeding compared with those who used a baby bottle (B\n                      <jats:sup>std<\/jats:sup>\n                      = 1.39;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.031).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Children with CMA and nonallergic gastrointestinal complaints weaned earlier compared with asymptomatic children. The main causes of weaning in CMA children were maternal difficulty adhering to the elimination diet, breast engorgement, and allergic symptoms in the child. Using a cup was the main factor associated with longer breastfeeding duration, regardless of gastrointestinal symptoms and socioeconomic factors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/bfm.2024.0108","type":"journal-article","created":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T10:02:39Z","timestamp":1730109759000},"page":"65-72","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Factors Associated with Weaning in Infants with Cow\u2019s Milk Allergy: A Cohort Study"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2746-3852","authenticated-orcid":false,"given":"Tatiane Gra\u00e7a","family":"Martins","sequence":"first","affiliation":[{"name":"Graduate Program in Health Sciences, Federal University of Sergipe, Aracaju, Brazil."},{"name":"Reference Center for Food Allergy of Sergipe (RCFAS), Federal University of Sergipe, Aracaju, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne Jardim","family":"Botelho","sequence":"additional","affiliation":[{"name":"Graduate Program in Health Sciences, Federal University of Sergipe, Aracaju, Brazil."},{"name":"Reference Center for Food Allergy of Sergipe (RCFAS), Federal University of Sergipe, Aracaju, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jackeline Motta","family":"Franco","sequence":"additional","affiliation":[{"name":"Reference Center for Food Allergy of Sergipe (RCFAS), Federal University of Sergipe, Aracaju, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah Cristina Fontes","family":"Vieira","sequence":"additional","affiliation":[{"name":"Graduate Program in Health Sciences, Federal University of Sergipe, Aracaju, Brazil."},{"name":"Reference Center for Food Allergy of Sergipe (RCFAS), Federal University of Sergipe, Aracaju, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruna Franca","family":"Prot\u00e1sio","sequence":"additional","affiliation":[{"name":"Graduate Program in Health Sciences, Federal University of Sergipe, Aracaju, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana","family":"dos Santos","sequence":"additional","affiliation":[{"name":"Reference Center for Food Allergy of Sergipe (RCFAS), Federal University of Sergipe, Aracaju, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Solange Alves","family":"dos Santos","sequence":"additional","affiliation":[{"name":"University Hospital, Federal University of Sergipe, Aracaju, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e1rcia Marques da Silva","family":"Oliveira","sequence":"additional","affiliation":[{"name":"University Hospital, Federal University of Sergipe, Aracaju, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ikaro Daniel de Carvalho","family":"Barreto","sequence":"additional","affiliation":[{"name":"CEBRASPE, Brazilian Center for Research in Evaluation and Selection and Event Promotion, Bras\u00edlia, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricardo Queiroz","family":"Gurgel","sequence":"additional","affiliation":[{"name":"Graduate Program in Health Sciences, Federal University of Sergipe, Aracaju, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,1,15]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"World Health Organization. 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