The effect of early postnatal nutrition on human t cell leukemia virus type 1 mother-to-child transmission: A systematic review and meta-analysis

Tokuo Miyazawa*, Yoshiyuki Hasebe, Masahiko Murase, Motoichiro Sakurai, Kazuo Itabashi, Naohiro Yonemoto

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

8 Scopus citations

Abstract

The main route of mother-to-child transmission (MTCT) of human T cell leukemia virus type 1 is vertical transmission via breastfeeding. Although the most reliable method for preventing MCTC is exclusive formula feeding (ExFF), short-term breastfeeding (STBF) or frozen–thawed breast milk feeding (FTBMF) has been offered as an alternative method if breastfeeding is strongly desired. The aim of this review was to clarify the pooled risk ratio of MCTC of STBF and FTBMF compared with ExFF. This study was registered with PROSPERO (number 42018087317). A literature search of PubMed, CINAHL, the Cochrane Database, EMBASE, and Japanese databases through September 2018 identified 1979 articles, 10 of which met the inclusion criteria. Finally, 11 articles, including these 10 studies and the report of a recent Japanese national cohort study, were included in the meta-analysis. The pooled relative risks of STBF ≤ 3 months, STBF ≤ 6 months, and FTBMF compared with ExFF were 0.72 (95% confidence interval (CI): 0.30–1.77; p = 0.48), 2.91 (95% CI: 1.69–5.03; p = 0.0001), and 1.14 (95% CI: 0.20–6.50; p = 0.88), respectively. This meta-analysis showed no statistical difference in the risk of MTCT between STBF ≤ 3 months and ExFF, but the risk of MTCT significantly increased in STBF ≤ 6 months.

Original languageEnglish
Article number819
JournalViruses
Volume13
Issue number5
DOIs
StatePublished - 2021/05

Keywords

  • Early postnatal nutrition
  • Human T cell leukemia virus
  • Mother-to-child transmission

ASJC Scopus subject areas

  • Infectious Diseases
  • Virology

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