Association between breast milk intake at 9–10 months of age and growth and development among Malawian young children
| Autor: | Per Ashorn, Ulla Ashorn, Chiza Kumwenda, Mary Arimond, John Phuka, Kenneth Maleta, Jaimie Hemsworth, Elizabeth L. Prado, Kathryn G Dewey, Marjorie J Haskell |
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| Přispěvatelé: | Lääketieteen ja biotieteiden tiedekunta - Faculty of Medicine and Life Sciences, Tampere University |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
Malawi Kansanterveystiede ympäristö ja työterveys - Public health care science environmental and occupational health Breastfeeding Breast milk law.invention Body Mass Index 03 medical and health sciences 0302 clinical medicine Child Development Randomized controlled trial Interquartile range law 030225 pediatrics Medicine Humans Single-Blind Method 030212 general & internal medicine Prospective Studies Total energy Fine motor Nutrition and Dietetics Milk Human business.industry Breast milk intake Confounding Body Weight Public Health Environmental and Occupational Health Obstetrics and Gynecology Infant Naisten- ja lastentaudit - Gynaecology and paediatrics Original Articles Breast Feeding Socioeconomic Factors Motor Skills Pediatrics Perinatology and Child Health Female business Demography |
| Zdroj: | Matern Child Nutr |
| Popis: | World Health Organization recommends exclusive breastfeeding for infants for the first 6 months of life, followed by introduction of nutritious complementary foods alongside breastfeeding. Breast milk remains a significant source of nourishment in the second half of infancy and beyond; however, it is not clear whether more breast milk is always better. The present study was designed to determine the association between amount of breast milk intake at 9-10 months of age and infant growth and development by 12-18 months of age. The study was nested in a randomized controlled trial conducted in Malawi. Regression analysis was used to determine associations between breast milk intake and growth and development. Mean (SD) breast milk intake at 9-10 months of age was 752 (244) g/day. Mean (SD) length-for-age z-score at 12 months and change in length-for-age z-score between 12 and 18 months were -1.69 (1.0) and -0.17 (0.6), respectively. At 18 months, mean (SD) expressive vocabulary score was 32 (24) words and median (interquartile range) skills successfully performed for fine, gross, and overall motor skills were 21 (19-22), 18 (16-19), and 38 (26-40), respectively. Breast milk intake (g/day) was not associated with either growth or development. Proportion of total energy intake from breast milk was negatively associated with fine motor (β = -0.18, p = .015) but not other developmental scores in models adjusted for potential confounders. Among Malawian infants, neither breast milk intake nor percent of total energy intake from breast milk at 9-10 months was positively associated with subsequent growth between 12 and 18 months, or development at 18 months. |
| Databáze: | OpenAIRE |
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