Influence of Alternative Lifestyles on Antibiotic Use during Pregnancy, Lactation and in Children
Alternative lifestyles are likely to be associated with distinct usage of specific medicinal products. Our goal was to find out whether the intake of antibiotics during pregnancy and by children differs according to whether the mothers have alternative or conventional lifestyles. Therefore, we inves...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2021-07-01
|
| Series: | Antibiotics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2079-6382/10/7/837 |
| _version_ | 1827687982622048256 |
|---|---|
| author | Pien Eras Ana Paula Simões-Wüst Carel Thijs |
| author_facet | Pien Eras Ana Paula Simões-Wüst Carel Thijs |
| author_sort | Pien Eras |
| collection | DOAJ |
| description | Alternative lifestyles are likely to be associated with distinct usage of specific medicinal products. Our goal was to find out whether the intake of antibiotics during pregnancy and by children differs according to whether the mothers have alternative or conventional lifestyles. Therefore, we investigated the use of antibiotics by pregnant women and by children up to 11 years of age participating in the KOALA Birth Cohort Study. This cohort comprises two recruitment groups of mother–infant pairs, one with alternative lifestyles (selected via organic food shops, anthroposophic clinicians and midwives, anthroposophic under-five clinics, Rudolf Steiner schools and relevant magazines, <i>n</i> = 491) the other with conventional lifestyles (no selection based on lifestyle, <i>n</i> = 2343). Mothers in the alternative lifestyle group more frequently adhered to specific living rules and identified themselves with anthroposophy more than mothers in the conventional lifestyle group. The results revealed significant differences in antibiotic use during pregnancy and in children from 3 months to 10 years of age between the two groups. The rate of antibiotic use in children was consistently lower in the alternative lifestyle group than in the conventional lifestyle group. Antibiotic use in pregnancy was higher in low educated women, and maternal antibiotic use during lactation was higher after an instrumented delivery in hospital. Antibiotic use in the infant was higher when they had older sibs or were born in hospital, and lower in those who had been longer breastfed. After adjustment for these factors, the differences in antibiotic use between the alternative and conventional groups remained. The results suggest that an alternative lifestyle is associated with cautious antibiotic use during pregnancy, lactation and in children. |
| first_indexed | 2024-03-10T09:47:33Z |
| format | Article |
| id | doaj.art-0a3f4f637ddf4ea58f7089d5a5fddc71 |
| institution | Directory Open Access Journal |
| issn | 2079-6382 |
| language | English |
| last_indexed | 2024-03-10T09:47:33Z |
| publishDate | 2021-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Antibiotics |
| spelling | doaj.art-0a3f4f637ddf4ea58f7089d5a5fddc712023-11-22T03:04:00ZengMDPI AGAntibiotics2079-63822021-07-0110783710.3390/antibiotics10070837Influence of Alternative Lifestyles on Antibiotic Use during Pregnancy, Lactation and in ChildrenPien Eras0Ana Paula Simões-Wüst1Carel Thijs2Department of Epidemiology, CAPHRI Care and Public Health Research Institute, Maastricht University, 6200 Maastricht, The NetherlandsClinic Arlesheim, Research Department, 4144 Arlesheim, SwitzerlandDepartment of Epidemiology, CAPHRI Care and Public Health Research Institute, Maastricht University, 6200 Maastricht, The NetherlandsAlternative lifestyles are likely to be associated with distinct usage of specific medicinal products. Our goal was to find out whether the intake of antibiotics during pregnancy and by children differs according to whether the mothers have alternative or conventional lifestyles. Therefore, we investigated the use of antibiotics by pregnant women and by children up to 11 years of age participating in the KOALA Birth Cohort Study. This cohort comprises two recruitment groups of mother–infant pairs, one with alternative lifestyles (selected via organic food shops, anthroposophic clinicians and midwives, anthroposophic under-five clinics, Rudolf Steiner schools and relevant magazines, <i>n</i> = 491) the other with conventional lifestyles (no selection based on lifestyle, <i>n</i> = 2343). Mothers in the alternative lifestyle group more frequently adhered to specific living rules and identified themselves with anthroposophy more than mothers in the conventional lifestyle group. The results revealed significant differences in antibiotic use during pregnancy and in children from 3 months to 10 years of age between the two groups. The rate of antibiotic use in children was consistently lower in the alternative lifestyle group than in the conventional lifestyle group. Antibiotic use in pregnancy was higher in low educated women, and maternal antibiotic use during lactation was higher after an instrumented delivery in hospital. Antibiotic use in the infant was higher when they had older sibs or were born in hospital, and lower in those who had been longer breastfed. After adjustment for these factors, the differences in antibiotic use between the alternative and conventional groups remained. The results suggest that an alternative lifestyle is associated with cautious antibiotic use during pregnancy, lactation and in children.https://www.mdpi.com/2079-6382/10/7/837restricted antibiotics usepregnancylactationchildrenlifestylealternative |
| spellingShingle | Pien Eras Ana Paula Simões-Wüst Carel Thijs Influence of Alternative Lifestyles on Antibiotic Use during Pregnancy, Lactation and in Children Antibiotics restricted antibiotics use pregnancy lactation children lifestyle alternative |
| title | Influence of Alternative Lifestyles on Antibiotic Use during Pregnancy, Lactation and in Children |
| title_full | Influence of Alternative Lifestyles on Antibiotic Use during Pregnancy, Lactation and in Children |
| title_fullStr | Influence of Alternative Lifestyles on Antibiotic Use during Pregnancy, Lactation and in Children |
| title_full_unstemmed | Influence of Alternative Lifestyles on Antibiotic Use during Pregnancy, Lactation and in Children |
| title_short | Influence of Alternative Lifestyles on Antibiotic Use during Pregnancy, Lactation and in Children |
| title_sort | influence of alternative lifestyles on antibiotic use during pregnancy lactation and in children |
| topic | restricted antibiotics use pregnancy lactation children lifestyle alternative |
| url | https://www.mdpi.com/2079-6382/10/7/837 |
| work_keys_str_mv | AT pieneras influenceofalternativelifestylesonantibioticuseduringpregnancylactationandinchildren AT anapaulasimoeswust influenceofalternativelifestylesonantibioticuseduringpregnancylactationandinchildren AT carelthijs influenceofalternativelifestylesonantibioticuseduringpregnancylactationandinchildren |