Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 543
Filtrar
1.
BJOG ; 127(11): 1324-1336, 2020 10.
Artículo en Inglés | MEDLINE | ID: mdl-32531146

RESUMEN

BACKGROUND: Early reports of COVID-19 in pregnancy described management by caesarean, strict isolation of the neonate and formula feeding. Is this practice justified? OBJECTIVE: To estimate the risk of the neonate becoming infected with SARS-CoV-2 by mode of delivery, type of infant feeding and mother-infant interaction. SEARCH STRATEGY: Two biomedical databases were searched between September 2019 and June 2020. SELECTION CRITERIA: Case reports or case series of pregnant women with confirmed COVID-19, where neonatal outcomes were reported. DATA COLLECTION AND ANALYSIS: Data were extracted on mode of delivery, infant infection status, infant feeding and mother-infant interaction. For reported infant infection, a critical analysis was performed to evaluate the likelihood of vertical transmission. MAIN RESULTS: Forty nine studies included information on mode of delivery and infant infection status for 655 women and 666 neonates. In all, 28/666 (4%) tested positive postnatally. Of babies born vaginally, 8/292 (2.7%) tested positivecompared with 20/374 (5.3%) born by Caesarean. Information on feeding and baby separation were often missing, but of reported breastfed babies 7/148 (4.7%) tested positive compared with 3/56 (5.3%) for reported formula fed ones. Of babies reported as nursed with their mother 4/107 (3.7%) tested positive, compared with 6/46 (13%) for those who were reported as isolated. CONCLUSIONS: Neonatal COVID-19 infection is uncommon, rarely symptomatic, and the rate of infection is no greater when the baby is born vaginally, breastfed or remains with the mother. TWEETABLE ABSTRACT: Risk of neonatal infection with COVID-19 by delivery route, infant feeding and mother-baby interaction.


Asunto(s)
Alimentación Artificial/estadística & datos numéricos , Lactancia Materna/estadística & datos numéricos , Cesárea/estadística & datos numéricos , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/transmisión , Fórmulas Infantiles , Transmisión Vertical de Enfermedad Infecciosa/estadística & datos numéricos , Neumonía Viral/epidemiología , Neumonía Viral/transmisión , Complicaciones Infecciosas del Embarazo/epidemiología , Betacoronavirus , Extracción de Leche Materna , China/epidemiología , Parto Obstétrico/estadística & datos numéricos , Femenino , Humanos , Recién Nacido , Leche Humana , Relaciones Madre-Hijo , Pandemias , Embarazo , Factores de Riesgo
2.
Am J Trop Med Hyg ; 103(1): 515-519, 2020 07.
Artículo en Inglés | MEDLINE | ID: mdl-32431274

RESUMEN

Adequate dietary intake is critically important for child growth and development. This study aimed to analyze the prevalence of undernutrition and its association with infant and child feeding index (ICFI). This cross-sectional study was conducted among children (younger than5 years) and their mothers from Lhaviyani Atoll, Maldives. The data were obtained by interviewing the children's mothers via pretested questionnaires. Infant and child feeding index scores were calculated from the dietary information. Weight-for-age z-scores (WAZ), length/height-for-age z-scores (LAZ/HAZ), and weight-for-length/height z-scores were calculated from anthropometric data taken according to the WHO criterion. Linear regression tests were used to find the association of nutritional status with ICFI scores. A total of 800 children and their mothers participated in this study. The prevalence of underweight, stunting, and wasting was 24.6%, 32.4%, and 16.3%, respectively. The mean ICFI scores (13.0) of children aged 6-8 months were better than those of children in other age-groups. In food groups, the intake of fish was higher among the respondents, whereas the consumption of vegetables and fruits was lower. Infant and child feeding index scores were significantly associated (P < 0.05) with WAZ and LAZ/HAZ after adjustment for confounders. Overall, the findings showed that Maldivian children consumed the limited number of food items that resulted in an inadequate intake of nutrients which further resulted in the high prevalence of malnutrition.


Asunto(s)
Dieta/estadística & datos numéricos , Trastornos del Crecimiento/epidemiología , Desnutrición/epidemiología , Delgadez/epidemiología , Síndrome Debilitante/epidemiología , Alimentación Artificial/estadística & datos numéricos , Lactancia Materna/estadística & datos numéricos , Preescolar , Estudios Transversales , Productos Lácteos , Carbohidratos de la Dieta , Huevos , Femenino , Frutas , Humanos , Islas del Oceano Índico/epidemiología , Lactante , Modelos Lineales , Masculino , Carne , Proteínas de Vegetales Comestibles , Alimentos Marinos , Verduras
3.
PLoS One ; 15(4): e0230978, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32236145

RESUMEN

BACKGROUND: Acute respiratory infection (ARI) and diarrhoea are the leading causes of childhood morbidity and mortality in Ethiopia. Understanding the associations between infant and young child feeding (IYCF) and ARI and diarrhoea can inform IYCF policy interventions and advocacy in Ethiopia. This study aimed to investigate the relationship between IYCF practices and ARI and diarrhoea in Ethiopian children. METHODS: This study used the Ethiopia Demographic and Health Survey (EDHS) data for the years 2000 (n = 3680), 2005 (n = 3528), 2011 (n = 4037), and 2016 (n = 3861). The association between IYCF practices and (i) ARI and (ii) diarrhoea were investigated using propensity score matching and multivariable logistic regression models. The IYCF practices include early initiation of breastfeeding, exclusive breastfeeding (EBF), predominant breastfeeding, introduction of complementary foods, continued breastfeeding at two years and bottle feeding. RESULTS: Infants and young children who were breastfed within 1-hour of birth and those who were exclusively breastfed had a lower prevalence of ARI. Infants who were exclusively and predominantly breastfed had a lower prevalence of diarrhoea. Early initiation of breastfeeding (Odds ratio [OR]: 0.81; 95% confidence interval [CI]: 0.72, 0.92) and EBF (OR: 0.65; 95% CI: 0.51, 0.83) were associated with lower risk of ARI. Bottle-fed children had higher odds of ARI (OR: 1.36; 95% CI: 1.10, 1.68). Early initiation of breastfeeding and EBF were associated with lower odds of diarrhoea (OR: 0.88; 95% CI: 0.79, 0.94 for Early initiation of breastfeeding and OR: 0.51; 95% CI: 0.39, 0.65 for EBF). Infants who were predominantly breastfed were less likely to experience diarrhoea (OR: 0.69; 95% CI: 0.53, 0.89). CONCLUSION: The recommended best practices for preventing ARI and diarrhoeal diseases in infants and young children namely: the early initiation of breastfeeding, EBF and avoidance of bottle feeding should be institutionalized and scale-up in Ethiopia as part of implementation science approach to cover the know-do-gaps.


Asunto(s)
Fenómenos Fisiológicos Nutricionales Infantiles , Diarrea/epidemiología , Fenómenos Fisiológicos Nutricionales del Lactante , Infecciones del Sistema Respiratorio/epidemiología , Alimentación Artificial/estadística & datos numéricos , Lactancia Materna/estadística & datos numéricos , Preescolar , Diarrea/prevención & control , Etiopía/epidemiología , Femenino , Política de Salud , Encuestas Epidemiológicas , Humanos , Lactante , Alimentos Infantiles/estadística & datos numéricos , Recién Nacido , Modelos Logísticos , Masculino , Análisis Multivariante , Oportunidad Relativa , Prevalencia , Puntaje de Propensión , Infecciones del Sistema Respiratorio/prevención & control , Factores de Riesgo
4.
Hawaii J Health Soc Welf ; 79(2): 42-50, 2020 02 01.
Artículo en Inglés | MEDLINE | ID: mdl-32047874

RESUMEN

Breastfeeding provides optimal nutrition for infants, including short- and longterm health benefits for baby and mother. Maternity care practices supporting breastfeeding after delivery increase the likelihood of exclusive breastfeeding. This study explores trends in early infant feeding practices by maternal race and other characteristics in Hawai'i. Data from a linked 2008-2015 Hawai'i Newborn Metabolic Screening and Birth Certificate file for 128 399 singleton term infants were analyzed. Early infant feeding occurring 24-48 hours after delivery and before discharge was categorized: Early formula feeding; early mixed feeding; and early exclusive breastfeeding. Differences were assessed over time by maternal race and other socio-demographic characteristics. Further assessment of maternal race included a generalized logit model adjusting for maternal age, marital status, county of residence, type of birth attendant, and birth year. Statewide, early exclusive breastfeeding increased from 58.8% in 2008 to 79.1% in 2015 (relative increase=+35%); early mixed feeding declined from 31.1% to 16.0% (relative decrease=-49%) and early formula feeding declined from 10.1% to 4.9% (relative decrease=-51%). Most maternal race subgroups experienced increases in early exclusive breastfeeding and decreases in mixed and formula. Japanese mothers were 2.15 (95%CI=1.90-2.42) and Korean mothers were 1.73 (95%CI=1.37-2.18) times more likely to practice early exclusive breastfeeding compared with white mothers. Several subgroups were less likely to practice early exclusive breastfeeding compared with white mothers. Substantial increases in early exclusive breastfeeding in Hawai'i occurred across all subgroups. Development of culturally appropriate hospital practices, particularly in those with persistently lower estimates, could help improve early exclusive breastfeeding.


Asunto(s)
Alimentación Artificial/estadística & datos numéricos , Lactancia Materna/estadística & datos numéricos , Adulto , Estudios Transversales , Grupos Étnicos/estadística & datos numéricos , Femenino , Hawaii/epidemiología , Humanos , Recién Nacido , Tamizaje Neonatal/métodos , Evaluación de Programas y Proyectos de Salud , Estudios Retrospectivos , Adulto Joven
5.
Cien Saude Colet ; 25(2): 449-459, 2020 Feb.
Artículo en Portugués | MEDLINE | ID: mdl-32022186

RESUMEN

The aim of this paper is to identify eating patterns of children aged 6, 9 and 12 months and their association with socioeconomic, behavioral, birth and nutrition variables. Cross-sectional study with children from a cohort in Viçosa-MG, with 112 children at 6 months, 149 at 9 months and 117 at 12 months. Food intake was assessed by a 24-hour recall and patterns extracted by cluster analysis. Breast milk was identified in at least one dietary pattern every month. There was a low participation of ultra-processed foods in the identified dietary patterns. At month 6, children with lower family income were less likely to belong to the dietary pattern composed of milk formulas. Already overweight/obesity was 3.69 times higher in children who made up the pattern 2 (dairy formulas, vegetables, vegetables, beef and pear). At 12 months height deficit (PR = 3.28) and bottle use (PR = 4.51) were associated with the dietary pattern composed of milk formulas and cow's milk. The dietary patterns identified reflected the important participation of breast milk in children's diets. Dietary patterns with the presence of other types of milk were associated with nutritional deviations and bottle feeding.


Asunto(s)
Alimentación Artificial/estadística & datos numéricos , Lactancia Materna/estadística & datos numéricos , Dieta/estadística & datos numéricos , Conducta Alimentaria , Factores de Edad , Animales , Estudios de Cohortes , Estudios Transversales , Humanos , Lactante , Fenómenos Fisiológicos Nutricionales del Lactante , Leche , Factores Socioeconómicos
6.
Ciênc. Saúde Colet ; 25(2): 449-459, Feb. 2020. tab
Artículo en Portugués | LILACS | ID: biblio-1055835

RESUMEN

Resumo O objetivo deste artigo é identificar padrões alimentares de crianças com 6, 9 e 12 meses e sua associação com variáveis socioeconômicas, comportamentais, de nascimento e nutrição. Estudo transversal com crianças de uma coorte em Viçosa-MG, sendo 112 crianças com 6 meses, 149 com 9 meses e 117 com 12 meses. O consumo alimentar foi avaliado por um recordatório de 24 horas e os padrões extraídos por análise de agrupamentos. O leite materno foi identificado em pelo menos um padrão alimentar em todos os meses. Houve baixa participação de alimentos ultraprocessados nos padrões alimentares identificados. No 6º mês, crianças com menor renda familiar tiveram menos chance de pertencer ao padrão alimentar composto por fórmulas lácteas. Já o sobrepeso/obesidade foi 3,69 vezes maior em crianças que compunham o padrão 2 (fórmulas lácteas, verduras, legumes, carne bovina e pera). Aos 12 meses o déficit de estatura (RP = 3,28) e o uso de mamadeira (RP = 4,51) estiveram associados ao padrão alimentar composto por fórmulas lácteas e leite de vaca. Os padrões alimentares identificados refletiram a importante participação do leite materno na alimentação das crianças. Padrões alimentares com a presença de outros tipos de leite, foram associados a desvios nutricionais e uso de mamadeiras.


Abstract The aim of this paper is to identify eating patterns of children aged 6, 9 and 12 months and their association with socioeconomic, behavioral, birth and nutrition variables. Cross-sectional study with children from a cohort in Viçosa-MG, with 112 children at 6 months, 149 at 9 months and 117 at 12 months. Food intake was assessed by a 24-hour recall and patterns extracted by cluster analysis. Breast milk was identified in at least one dietary pattern every month. There was a low participation of ultra-processed foods in the identified dietary patterns. At month 6, children with lower family income were less likely to belong to the dietary pattern composed of milk formulas. Already overweight/obesity was 3.69 times higher in children who made up the pattern 2 (dairy formulas, vegetables, vegetables, beef and pear). At 12 months height deficit (PR = 3.28) and bottle use (PR = 4.51) were associated with the dietary pattern composed of milk formulas and cow's milk. The dietary patterns identified reflected the important participation of breast milk in children's diets. Dietary patterns with the presence of other types of milk were associated with nutritional deviations and bottle feeding.


Asunto(s)
Humanos , Animales , Lactante , Alimentación Artificial/estadística & datos numéricos , Lactancia Materna/estadística & datos numéricos , Dieta/estadística & datos numéricos , Conducta Alimentaria , Factores Socioeconómicos , Estudios Transversales , Estudios de Cohortes , Factores de Edad , Leche , Fenómenos Fisiológicos Nutricionales del Lactante
7.
PLoS One ; 15(1): e0228375, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31999780

RESUMEN

We analyzed the association between birthweight, nutritional status and transverse maxillary growth in 7- to 9-year-old schoolchildren. We undertook a cross-sectional survey nested in a population-based cohort study of 158 schoolchildren. The participants lived in the urban area of a small town within the Western Brazilian Amazon. The outcome was represented by the upper intermolar distance given in millimeters (mm), as an indicator of the degree of maxillary bone growth in its transverse dimension. The exposures were sex, birthweight, the bottle-feeding pattern operationalized by a scale corresponding to the age of introduction of the bottle and Body Mass Index-for-age z-score (BAZ) at 4 to 6 ys. Path analysis was employed to estimate standardized direct, indirect and total effects of exposures on the outcome using structural equations model (SEM) supported by Mplus 7 program. The values of standardized coefficients (SC) showed significant direct positive effects of sex (SC = 0.203; p = 0.006), birth weight (SC = 0.155; p = 0.030) and BAZ (SC = 0.165; p = 0.014) on transverse maxillary growth. The indirect effects (SC = 0.057; p = 0.012) and the total effect (SC = 0.261; p<0.001) of sex on the outcome were statistically significant. The indirect effects of birth weight on the outcome were not significant (SC = 0.018; p = 0.488), however, the total effect was significant (SC = 0.174; p = 0.011). In conclusion, sex, birthweight, bottle beginning age and BAZ showed association with the transverse growth of the maxillary bone. In addition to contributing to an adequate birth weight of the child, policies and programs that favor prenatal care and conditions to guarantee a full-term birth can positively affect transverse growth of the maxilla. From a Public Health Surveillance point of view, children with reduced birthweight, inadequate breastfeeding pattern and nutritional deficit for age may be more likely to develop atrophy of the jaws which, depending on the severity, may result in malocclusion with an important impact on quality of life.


Asunto(s)
Peso al Nacer , Alimentación Artificial/estadística & datos numéricos , Maxilar/crecimiento & desarrollo , Brasil/epidemiología , Niño , Salud del Niño , Preescolar , Femenino , Humanos , Salud del Lactante , Masculino , Salud Materna , Estado Nutricional , Salud Urbana
8.
Artículo en Inglés | MEDLINE | ID: mdl-31817170

RESUMEN

This study sought to estimate the prevalence of maternal smoking and its association with exclusive breastfeeding vs. formula feeding. A cross-sectional study was performed on postpartum women at a public hospital in Spain, between January and August 2018. The main variables studied were their age, level of study, smoking habits, and chosen mode of infant feeding. In total, 948 postpartum women were included. Of these, 12.45% were smokers who smoked a mean of 7.23 cigarettes/day. Among the group of smokers, the probability of feeding the newborns with formula milk was multiplied by 2.32 ([95%CI 1.50-3.58] p < 0.001). When stratifying tobacco use into mild, moderate and severe, we found a statistically significant dose-response pattern. These associations and their statistical significance were maintained when adjusting by age and level of study. In conclusion, in the group of postpartum mothers who smoked, the probability of feeding the newborns with formula milk doubled. Our data highlight the need to improve health education programs in women of childbearing age, especially during pregnancy.


Asunto(s)
Alimentación Artificial/psicología , Lactancia Materna/psicología , Fórmulas Infantiles , Conducta Materna , Fumar/psicología , Adulto , Alimentación Artificial/estadística & datos numéricos , Lactancia Materna/estadística & datos numéricos , Estudios Transversales , Femenino , Humanos , Lactante , Recién Nacido , Masculino , Madres/educación , Periodo Posparto , Prevalencia , Fumar/epidemiología , España/epidemiología
9.
Adv Neonatal Care ; 19(6): 468-473, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31764135

RESUMEN

BACKGROUND: The dose-response benefits of human milk for preterm infants are well documented. Understanding factors that influence duration of mother's own milk (MOM) receipt may have important clinical implications. PURPOSE: To identify variables that significantly affect whether or not preterm infants receive their own mother's milk at discharge. METHODS: Maternal-infant dyads were eligible for inclusion if the infant was born between August 1, 2010, and July 31, 2015, was born at 32 weeks' gestation or less, or was 1800 g or less (institutional donor milk receipt criteria). Bivariate and multivariable regression analyses were performed. RESULTS: Of 428 observations, 258 (60.3%) received MOM at discharge and 170 (39.7%) did not. Maternal characteristics that were protective for MOM receipt at discharge were non-Hispanic race, married, partner support, more educated, and private insurance. Protective infant characteristics were higher gestational age at birth, higher percentage of MOM feedings, fewer ventilator days, and more days of direct lactation. In multivariable logistic regression, the odds of receiving MOM at discharge significantly (odds ratio = 1.93; 95% confidence interval, 1.72-2.16; P < .001) increased with the increasing proportion of MOM. Regression analysis showed that gestational age and increased maternal age increased the likelihood of MOM receipt at discharge. IMPLICATIONS FOR PRACTICE: Clinicians will understand the significant effects even small increases in milk volume have on duration of MOM receipt at discharge, informing them of the importance of strategies to encourage and improve milk expression. IMPLICATIONS FOR RESEARCH: Future research studying critical time periods when mothers are most likely to reduce milk expression may have significant clinical importance.


Asunto(s)
Alimentación Artificial , Lactancia Materna , Extracción de Leche Materna/psicología , Leche Humana , Alta del Paciente/normas , Adulto , Alimentación Artificial/métodos , Alimentación Artificial/estadística & datos numéricos , Lactancia Materna/métodos , Lactancia Materna/estadística & datos numéricos , Consejo/métodos , Femenino , Edad Gestacional , Conocimientos, Actitudes y Práctica en Salud , Humanos , Lactante , Recien Nacido Prematuro , Recién Nacido de muy Bajo Peso , Unidades de Cuidado Intensivo Neonatal/normas , Unidades de Cuidado Intensivo Neonatal/estadística & datos numéricos , Masculino , Conducta Materna/psicología , Necesidades Nutricionales
10.
BMC Pregnancy Childbirth ; 19(1): 388, 2019 Oct 28.
Artículo en Inglés | MEDLINE | ID: mdl-31660900

RESUMEN

BACKGROUND: The first few weeks after childbirth are critical, as women may encounter lactation problems and postpartum depression during this period. However, it is still unclear whether early breastfeeding behaviours are related to the symptoms of postnatal depression (PND) in Chinese populations. Therefore, the current study aimed to investigate the association between symptoms of PND and infant feeding practices based on a large-scale Chinese cohort. METHODS: A prospective study of the community-based cohort was conducted from January 2015 to December 2016. Infant feeding outcomes, including exclusive/partial breastfeeding and formula feeding, were assessed according to the WHO guidelines. Symptoms of PND were assessed by the Edinburgh Postnatal Depression Scale at 4 weeks postpartum. Multivariate generalized estimating equation models were applied to investigate the associations between depressive symptoms and infant feeding behaviours. RESULTS: A total of 956 mother-infant pairs were included. Fifty-six mothers presented screen-positive symptoms of PND with a cut-off ≥10. The percentage of early breastfeeding initiation was 75.8%, while the average duration of exclusive breastfeeding was 3.90 ± 2.33 months. Postnatal depressive symptoms were associated with a shorter breastfeeding duration (8.02 vs. 6.32 months, P < 0.05) and earlier formula introduction (4.98 vs. 3.60 months, P < 0.05). After adjustments were made for covariates, postnatal depressive symptoms were associated with an increased risk of the discontinuation of exclusive and partial breastfeeding (ß = - 0.049, P = 0.047 and ß = - 0.082, P = 0.006, respectively). Compared to mothers without symptoms of PND, mothers with depressive symptoms were more likely to supplement formula for their infants in the first year of life (ß =0.074, P = 0.016). These associations were still significant in the sensitivity analyses, using an EPDS cut-off of ≥13. CONCLUSIONS: Our findings indicate that depressive symptoms at 4 weeks postpartum are associated with the cessation of exclusive and partial breastfeeding duration and the introduction of formula in the 12 months of delivery. Early psychosocial assessment and social support should be offered to mothers in the early postpartum period to indirectly prevent adverse breastfeeding outcomes.


Asunto(s)
Alimentación Artificial , Lactancia Materna , Depresión Posparto , Conducta Materna/psicología , Adulto , Alimentación Artificial/métodos , Alimentación Artificial/psicología , Alimentación Artificial/estadística & datos numéricos , Lactancia Materna/métodos , Lactancia Materna/psicología , Lactancia Materna/estadística & datos numéricos , China/epidemiología , Depresión Posparto/diagnóstico , Depresión Posparto/epidemiología , Depresión Posparto/fisiopatología , Femenino , Humanos , Fórmulas Infantiles , Recién Nacido , Masculino , Madres/psicología , Evaluación de Necesidades , Evaluación de Resultado en la Atención de Salud , Periodo Posparto/psicología , Estudios Prospectivos , Escalas de Valoración Psiquiátrica , Apoyo Social
11.
Artículo en Inglés | MEDLINE | ID: mdl-31635280

RESUMEN

Breastfeeding to 12 months and beyond offers considerable health benefits to both infants and mothers. Despite these recognized benefits, relatively few women in high income countries breastfeed for 12 months, and rarely breastfeed to 24 months. The aim of this study was to identify the prevalence and determinants of continued breastfeeding to 12 and 24 months amongst a cohort of Australian women participating in the Adelaide-based Study of Mothers' and Infants' Life Events affecting oral health (SMILE). Duration of breastfeeding was known for 1450 participants and was derived from feeding related data collected at birth, 3, 6, 12 and 24 months. Multivariable logistic regression analysis was used to investigate the relationship between explanatory variables and continued breastfeeding to 12 and 24 months. In total, 31.8% of women breastfed to 12 months and 7.5% to 24 months. Women who were multiparous, university educated, had not returned to work by 12 months and whose partners preferred breastfeeding over bottle feeding were more likely to be breastfeeding at 12 months. While women who had introduced complementary foods before 17 weeks and formula at any age were less likely to be breastfeeding at 12 months. Mothers who were born in Asian countries other than India and China, had not returned to work by 12 months and had not introduced formula were more likely to be breastfeeding at 24 months. The majority of the determinants of continued breastfeeding are either modifiable or could be used to identify women who would benefit from additional breastfeeding support and encouragement.


Asunto(s)
Alimentación Artificial/estadística & datos numéricos , Lactancia Materna/estadística & datos numéricos , Madres , Adulto , Estudios de Cohortes , Femenino , Humanos , Renta , Lactante , Estudios Longitudinales , Madres/estadística & datos numéricos
12.
Breastfeed Med ; 14(7): 499-507, 2019 09.
Artículo en Inglés | MEDLINE | ID: mdl-31509466

RESUMEN

Background: Increasing the proportion of infants who are breastfed and extending breastfeeding duration are high-priority U.S. goals. Evaluation of progress is based on federal survey data, but federal survey questions do not reflect contemporary feeding practices. Materials and Methods: Our objective was to evaluate the Brief Breastfeeding and Milk Expression Recall Survey (BaByMERS) in estimating breast milk feeding and milk expression practices and compare to estimates from simultaneously administered federal survey questions. We surveyed women with child(ren) younger than the age of 6 years attending a large children's hospital for urgent or primary care. We estimated the proportions who participated in various breast milk feeding and milk expression practices and the durations of each and examined agreement between the surveys. We compared respondents with high versus low disagreement using log-binomial regression. Results: Of 225 respondents, 51% had less than a Bachelor's degree, and 44% identified as a race other than white. Similar proportions on each survey reported ever having breastfed or fed breast milk (84%). Proportions still breastfeeding or feeding breast milk at 6 and 12 months differed slightly by survey. Dyads (9%) who fed at the breast and fed expressed milk for nonidentical periods had estimates for the duration of breastfeeding or feeding breast milk that were lower per the federal survey. Respondents who answered the federal survey before the BaByMERS were more likely to provide discrepant responses (risk ratio = 3.40, 95% confidence interval: 1.18-9.80). Conclusions: This study offers further validation of brief interviewer-administered questions to collect quality data recalled about infant feeding and lactation for research purposes.


Asunto(s)
Alimentación Artificial/estadística & datos numéricos , Lactancia Materna/estadística & datos numéricos , Extracción de Leche Materna/estadística & datos numéricos , Conducta Alimentaria , Madres , Adulto , Conducta de Elección , Grupos Étnicos , Conducta Alimentaria/psicología , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Lactante , Recién Nacido , Madres/educación , Madres/estadística & datos numéricos , Encuestas Nutricionales , Estados Unidos/epidemiología
13.
Breastfeed Med ; 14(8): 551-559, 2019 10.
Artículo en Inglés | MEDLINE | ID: mdl-31424266

RESUMEN

Purpose: We sought to determine the role of depression and anxiety in breastfeeding cessation. Materials and Methods: Participants underwent a baseline visit with a structured clinical interview in the third trimester of pregnancy. Monthly phone interviews assessed current mood symptoms and infant feeding status. We assessed the association between baseline mood and infant feeding outcomes using Cox proportional hazards regression, adjusting for infant feeding intention and sociodemographic confounders. Results: We enrolled 222 mother-infant dyads in late pregnancy, of whom 206 completed assessments through 12 months postpartum. We enriched our study with symptomatic women by enrolling 87 women with current depression or anxiety (Current), 64 women with a history of depression or anxiety (Past), and 71 women with no psychiatric history (Never). In multivariable-adjusted analyses, baseline diagnosis was not associated with breastfeeding outcome, but baseline symptoms of depression (Beck Depression Inventory ≥11) or anxiety (Spielberger State Anxiety ≥40) were associated with earlier introduction of formula (depression: adj hazard ratio [HR] 1.52, 95% confidence interval [CI] 1.01-2.30; anxiety: 1.70, 95% CI 1.01-2.87); and any cessation of breastfeeding (depression: adj HR 2.02, 95% CI 1.23-3.31; anxiety: 1.83, 95% CI 1.00-3.33), as were depression symptoms among women who were being treated with antidepressants, compared with untreated asymptomatic women (formula: adj HR 2.27, 95% CI 1.29-4.02; cessation: 2.32, 95% CI 1.17-4.61). History of childhood trauma (adj HR 1.34, 95% CI 1.12-1.61), disordered eating symptoms (adj HR 1.22, 95% CI 1.02-1.46), and poor sleep quality in pregnancy (adj HR 1.32, 95% CI 1.09-1.60) were independently associated with earlier introduction of formula. Conclusions: Baseline mood symptoms were independently associated with earlier formula introduction and cessation of breastfeeding. History of childhood trauma, disordered eating symptoms and poor sleep quality were associated with earlier formula introduction. Targeted support may enable women with these symptoms to achieve their feeding goals.


Asunto(s)
Ansiedad/epidemiología , Lactancia Materna/psicología , Depresión Posparto/epidemiología , Depresión/epidemiología , Adulto , Alimentación Artificial/psicología , Alimentación Artificial/estadística & datos numéricos , Lactancia Materna/estadística & datos numéricos , Femenino , Humanos , Lactante , Recién Nacido , Estudios Longitudinales , North Carolina/epidemiología , Periodo Posparto , Embarazo , Tercer Trimestre del Embarazo , Modelos de Riesgos Proporcionales , Escalas de Valoración Psiquiátrica
14.
Artículo en Inglés | MEDLINE | ID: mdl-31331011

RESUMEN

The global nutrition transition has contributed to child obesity and dental caries in developing countries, including Vietnam. Few studies have described the nutrition and oral health of mothers and children. This a descriptive study of the nutrition and oral health characteristics of a convenience sample of 571 children aged 2 to 5 years and their mothers from 5 urban preschools in Central and South Vietnam. The mothers completed a written survey, and the children received dental exams and weight/height measurements. High rates of bottle-feeding and the consumption of sweets were reported. One in 4 children were overweight/obese. Dental caries increased in prevalence and severity by age-at 5 years, 86.7% of children had tooth decay in an average of 8.5 teeth, and 70.9% experienced mouth pain. Most mothers and children suffered from untreated dental disease. Public health programs should focus on nutrition and oral health promotion, as well as dental treatment from pregnancy and birth onward.


Asunto(s)
Caries Dental/epidemiología , Estado Nutricional , Salud Bucal , Sobrepeso/epidemiología , Adulto , Alimentación Artificial/estadística & datos numéricos , Preescolar , Femenino , Humanos , Masculino , Prevalencia , Vietnam/epidemiología
15.
Breastfeed Med ; 14(8): 533-537, 2019 10.
Artículo en Inglés | MEDLINE | ID: mdl-31314569

RESUMEN

Objective: Early exposure to formula can interfere with successful long-term breastfeeding. The objective of this study was to determine whether limiting the volume of formula used in the first month attenuates formula's detrimental impact on long-term breastfeeding success. Materials and Methods: Using detailed data on dietary intake from a randomized clinical trial, we conducted a secondary analysis of the association between volume of formula received in the first month and breastfeeding cessation before 6 and 12 months of age. We used descriptive statistics and multivariable logistic regression, respectively, to explore this association without and with adjustment for demographic and clinical predictors of infant feeding. Results: Among 199 breastfeeding infants, 80 (40%) received formula daily at 1 month of age, and breastfeeding cessation before 6 and 12 months of age was higher for these infants (46% and 67%) than for those breastfed exclusively (6% and 27%) (p < 0.0005 for each). The risk of cessation did not differ between those who received ≤4 fl oz daily in the first month (11%) and those who did not receive formula in the first month (6%) (p = 0.42). Adjusting for gestational age, race/ethnicity, income, and intention to breastfeed exclusively, the odds ratio for the outcome of cessation before 6 months was 1.15 (95% confidence interval = 0.20-6.67) for infants who received ≤4 fl oz daily compared with those who breastfed exclusively. Conclusion: Limiting formula volumes to ≤4 fl oz daily may attenuate the deleterious association between early formula use and subsequent successful breastfeeding.


Asunto(s)
Alimentación Artificial/estadística & datos numéricos , Lactancia Materna/estadística & datos numéricos , Fórmulas Infantiles , Adulto , Alimentación Artificial/métodos , Lactancia Materna/métodos , Conducta Alimentaria , Femenino , Humanos , Lactante , Recién Nacido , Intención , Modelos Logísticos , Masculino , Análisis Multivariante , Factores de Tiempo
16.
J Agric Food Chem ; 67(28): 8061-8069, 2019 Jul 17.
Artículo en Inglés | MEDLINE | ID: mdl-31264412

RESUMEN

Food processing of infant formula alters chemical structures, including the formation of Maillard reaction products between proteins and sugars. We detected early Maillard reaction products, so-called Amadori products, in stool samples of formula-fed infants. In total, four Amadori products (N-deoxylactulosyllysine, N-deoxyfructosyllysine, N-deoxylactulosylleucylisoleucine, N-deoxyfructosylleucylisoleucine) were identified by a combination of complementary nontargeted and targeted metabolomics approaches. Chemical structures were confirmed by preparation and isolation of reference compounds, LC-MS/MS, and NMR. The leucylisoleucine Amadori compounds, which most likely originate from ß-lactoglobulin, were excreted throughout the first year of life in feces of formula-fed infants but were absent in feces of breastfed infants. Despite high inter- and intraindividual differences of Amadori products in the infants' stool, solid food introduction resulted in a continuous decrease, proving infant formula as the major source of the excreted Amadori products.


Asunto(s)
Alimentación Artificial/estadística & datos numéricos , Heces/química , Productos Finales de Glicación Avanzada/química , Fórmulas Infantiles/análisis , Cromatografía Liquida , Femenino , Manipulación de Alimentos , Humanos , Lactante , Fórmulas Infantiles/efectos adversos , Espectroscopía de Resonancia Magnética , Reacción de Maillard , Masculino , Espectrometría de Masas en Tándem
17.
Breastfeed Med ; 14(7): 475-481, 2019 09.
Artículo en Inglés | MEDLINE | ID: mdl-31180233

RESUMEN

Background: Despite the known benefits of breastfeeding, many women in the United States do not exclusively breastfeed for the recommended 6 months due to various factors. Limited studies have examined the association between prenatal stressful life events and exclusive breastfeeding duration. The aim of this study was to examine the association between prenatal stressful life events and exclusive breastfeeding duration for 3 months among mothers in the United States. Materials and Methods: We analyzed data from 2009 to 2011 (Phase 6) Pregnancy Risk Assessment and Monitoring System (PRAMS; n = 43,934). Multivariable logistic regression analyses were performed to estimate adjusted odds ratios (ORs) and 95% confidence intervals (95% CIs). Results: Overall, 43% of the study participants exclusively breastfed for 3 months and 52.1% reported having no stressful life events during pregnancy. In the multivariable model, there was a statistically significant interaction between maternal age and number of stressful life events on 3-month exclusive breastfeeding, the odds of exclusive breastfeeding for 3 months were lower among women ≤24 years old who experienced at least ≥2 stressful life events compared with women who did not experience any stressful life events: OR 95% CI 0.80 (0.66-0.98) for 1-2 stressful life events, 0.67 (0.54-0.82) for 3-5 stressful life events, and 0.58 (0.43-0.80) for ≥6 stressful life events, respectively. Conclusions: Identification of stressful life event exposure among young mothers is important for extending support toward this population to increase exclusive breastfeeding duration.


Asunto(s)
Alimentación Artificial/psicología , Lactancia Materna/psicología , Conducta Materna/psicología , Madres/estadística & datos numéricos , Estrés Psicológico/epidemiología , Adulto , Alimentación Artificial/estadística & datos numéricos , Lactancia Materna/estadística & datos numéricos , Conducta de Elección , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Lactante , Fórmulas Infantiles , Fenómenos Fisiológicos Nutricionales del Lactante , Recién Nacido , Acontecimientos que Cambian la Vida , Estudios Longitudinales , Factores de Tiempo , Estados Unidos/epidemiología , Adulto Joven
18.
Clin Pediatr (Phila) ; 58(8): 857-863, 2019 07.
Artículo en Inglés | MEDLINE | ID: mdl-30938192

RESUMEN

The Neonatal Eating Assessment Tool (NeoEAT)-Bottle-feeding is a parent-report assessment of bottle-feeding behavior in infants less than 7 months old with evidence of validity and reliability. The purpose of this study was to establish norm-reference values to guide score interpretation and clinical decision making. Parents of 478 healthy, typically developing infants completed the NeoEAT-Bottle-feeding. Descriptive statistics were calculated for the following age groups: 0 to 2, 2 to 4, 4 to 6, and 6 to 7 months. NeoEAT-Bottle-feeding total scores decreased with increasing infant age. The Infant Regulation subscale contributed the most to the total score and remained high across the first 6 months of life, then decreased dramatically in the 6- to 7-month age group. The 90th and 95th percentile values for the total score and subscale scores can be used to identify infants with problematic feeding, guide referral, tailor treatment, and assess response to treatment.


Asunto(s)
Alimentación Artificial/estadística & datos numéricos , Desarrollo Infantil , Encuestas y Cuestionarios/normas , Conducta Alimentaria , Femenino , Humanos , Recién Nacido , Masculino , Tamizaje Neonatal/normas , Psicometría , Reproducibilidad de los Resultados
19.
Breastfeed Med ; 14(5): 347-353, 2019 06.
Artículo en Inglés | MEDLINE | ID: mdl-30939039

RESUMEN

Background: Most mothers in the United States express their milk, which is then bottle fed to their infants. The National Immunization Survey (NIS), used to report national breastfeeding prevalence, asks about infant breast milk consumption, regardless of whether it is consumed at the mother's breast or from a bottle. The NIS data are often erroneously interpreted, however, to mean prevalence of at-the-breast feeding. We hypothesized that over half of infants classified as breastfed at 3, 6, and 12 months by the NIS questions would also be consuming expressed breast milk. Materials and Methods: A convenience sample of 456 mothers of infants 19-35 months of age recruited through ResearchMatch.org completed an online infant-feeding questionnaire. The questionnaire included both the NIS questions and more-detailed questions about feeding mode, distinguishing between at-the-breast and bottle. Results: Based on responses of our sample to the NIS questions, it could be interpreted that 74%, 64%, and 39% of mother-infant dyads were at-the-breast feeding at 3, 6, and 12 months, respectively. However, at each time point, most infants consumed at least some breast milk from a bottle. As infants got older, the proportion of breast milk consumed from a bottle increased. Conclusions: In this U.S. sample, the predominant breast milk feeding style involves both at-the-breast and expressed breast milk feeding. Future research and national surveillance should consider including separate measures of maternal breast milk expression and infant consumption of expressed breast milk to enable meaningful exploration of maternal and infant outcomes associated with these asynchronous behaviors.


Asunto(s)
Alimentación Artificial/estadística & datos numéricos , Lactancia Materna/estadística & datos numéricos , Extracción de Leche Materna/estadística & datos numéricos , Leche Humana/inmunología , Madres , Lactancia Materna/psicología , Preescolar , Estudios Transversales , Femenino , Humanos , Lactante , Fenómenos Fisiológicos Nutricionales del Lactante , Masculino , Encuestas y Cuestionarios , Estados Unidos/epidemiología
20.
Early Hum Dev ; 132: 18-23, 2019 05.
Artículo en Inglés | MEDLINE | ID: mdl-30928831

RESUMEN

BACKGROUND: The current literature does not provide accurate information about the association between use of artificial nipples and sucking patterns in infants. AIMS: We aimed to investigate whether pacifier use and/or bottle-feeding were associated with nutritive sucking (NS) and non-nutritive sucking (NNS) patterns. STUDY DESIGN: Cross-sectional study. SUBJECTS: 429 full-term infants/mothers. OUTCOME MEASURES: Data were collected through a questionnaire and observations of NS during breastfeeding and NNS (finger sucking). Multivariate logistic regression was used to analyze the adjusted associations between artificial nipple use and between NS and NNS changes. RESULTS: There were higher frequencies of changes in the NNS and NS patterns in the group that used artificial nipples. Regarding the type of artificial nipple, pacifier use had a greater influence on changes in the NNS pattern whereas the use of a baby bottle presented a greater number of associations with changes in the NS pattern. CONCLUSION: The findings suggest that the use of artificial nipples may be associated with changes in the sucking patterns of infants, demonstrating the possible existence of nipple confusion and its effect on breastfeeding.


Asunto(s)
Alimentación Artificial/efectos adversos , Succión del Dedo , Chupetes/efectos adversos , Conducta en la Lactancia , Adulto , Alimentación Artificial/estadística & datos numéricos , Femenino , Humanos , Recién Nacido , Masculino , Chupetes/estadística & datos numéricos , Clase Social
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA
...