Introduction Of Supplementary Foods Research Articles

Evaluation of Mothers’ Sociodemographic Characteristics and Infant Feeding Attitudes During Pregnancy According to the Iowa Feeding Attitude Scale and Examining the Scale’s Role in Determining Breastfeeding Duration

Introduction: The World Health Organization recommends exclusive breastfeeding for the initial 6 months of life, followed by the introduction of supplementary foods together with breast milk after 6 months, and then continuing to breastfeed until the child reaches 2 years of age. Iowa Infant Feeding Attitude Scale (IIFAS) was developed to identify which infant feeding methods pregnant women are more inclined towards during the early stages of pregnancy. In our study, we aimed to assess the feeding practices of mothers using the IIFAS. Material and methods: The study was planned with consenting pregnant women who applied to the gynaecology clinic, pregnancy outpatient clinic and pediatric outpatient clinic of our hospital. Those who had problems such as drug use, chronic disease, psychological disorder, anatomical disorder that would prevent breastfeeding, syndromic condition, indication for hospitalisation were excluded from the study. A questionnaire regarding the demographic profile of the mothers and the IIFAS was filled out. Subsequently, face-to-face interviews were conducted with the mothers on the seventh day, third month, and sixth month to gather information. Results: The study was completed with 96 mothers. According to the IOWA infant feeding scale scores of the mothers, there were 26 (27.1%) mothers in the breastfeeding-prone group with a score of 70 and above and 70 (72.9%) mothers in the undecided group with a score between 49-69. Since none of the pregnant women scored between 17-48, the group predisposed to formula feeding was not formed. There were no significant variations observed between the groups with regard to age, family type, and mode of delivery; however, there was a notable disparity in the educational and informational statuses of the mothers. Conclusions: The fact that mothers were mostly undecided about the recommendations related to the IIFAS indicates the need for information about breast milk.

Assessment of the Incidence and Contributing Factors of Diarrheal Episodes in Children Under Five Years Admitted to Hoima Regional Referral Hospital, Hoima District

Diarrhea is a major public health concern worldwide, with 2.5 billion cases occurring annually among children under five. Nearly three-quarters of child deaths are due to diarrhea, with 16,000 children under five dying daily from preventable causes like pneumonia, diarrhea, and malaria. This study aimed to determine factors influencing diarrhea in children under five admitted at Hoima Regional Referral Hospital. A crosssectional study was conducted, with 238 mothers randomly sampled from the population whose children were admitted. The prevalence of diarrhea among children under five admitted at Hoima Regional Referral Hospital was 24.4% at the time of data collection. Factors influencing this high prevalence include the child's vaccination status, the introduction of supplementary foods at an early age, early weaning, and the child's age. Mothers often do not practice exclusive breastfeeding, but introduce their children to other foods at a very early age, coupled with early weaning practices.

Impact of Socio-demographic and Anthropometric Variables on Eruption Time of Permanent Teeth among Kurds Aged 5-15 Years in Duhok Governorate-Kurdistan Region, Iraq

Introduction: Many variables affect tooth eruption time. Eruption time and sequence of teeth is important as part of dental treatment planning in paediatric dentistry, orthodontics treatment, and forensic dentistry to estimate age of the child. Aim: The aim was to study the effect of different socio-demographic and anthropometric variables on eruption time of permanent teeth among Kurds aged 5-15 years in Duhok governorate-Kurdistan Region-Iraq. Materials and Methods: A cross-sectional study was conducted on 1418 randomly selected healthy Kurdish students aged 5-15 years of both genders in Duhok governorate. All were clinically examined for tooth emerging through the oral mucosa. Normally and delayed teeth eruption time was correlated to different variables such as gender, residency, socioeconomic status, Body Mass Index (BMI), parents’ job, smoking habits, education, consanguinity, nutritional details, feeding pattern, birth weight, and pregnancy outcomes. Data were analysed using the Statistical Package for Social Sciences (SPSS, version 22.0). Numerical variables were presented and summarised as means and standard deviations. Categorical variables were presented as frequencies and percentages. Chi-square test was used to test association between categorical variables. A p-value of ≤0.05 was considered statistically significant. Results: There were a statistically significant differences with p-value<0.05 between permanent teeth eruption time in relation to gender, BMI, second year nursing pattern variables, while there were no statistically significant association (p>0.05) among eruption time and socioeconomic status, residence, parent’s (education, job, smoking habit), several nutritional details, pregnancy outcome, birth weight, nursing at first year, and finally the introduction of supplementary food for the child. Conclusion: Normal and delayed Eruption time and factors affecting it will be useful in treatment planning in paediatric and orthodontic dentistry as well as in forensic dentistry.

Succession of Gut Microbial Structure in Twin Giant Pandas During the Dietary Change Stage and Its Role in Polysaccharide Metabolism.

Adaptation to a bamboo diet is an essential process for giant panda growth, and gut microbes play an important role in the digestion of the polysaccharides in bamboo. The dietary transition in giant panda cubs is particularly complex, but it is an ideal period in which to study the effects of gut microbes on polysaccharide use because their main food changes from milk to bamboo (together with some bamboo shoot and coarse pastry). Here, we used 16S rDNA and internal transcribed spacer 1 (ITS1) DNA sequencing and metagenomic sequencing analysis to investigate the succession of the gut microbial structure in feces sampled from twin giant panda cubs during the completely dietary transition and determine the abundances of polysaccharide-metabolizing genes and their corresponding microbes to better understand the degradation of bamboo polysaccharides. Successive changes in the gut microbial diversity and structure were apparent in the growth of pandas during dietary shift process. Microbial diversity increased after the introduction of supplementary foods and then varied in a complex way for 1.5–2 years as bamboo and complex food components were introduced. They then stabilized after 2 years, when the cubs consumed a specialized bamboo diet. The microbes had more potential to metabolize the cellulose in bamboo than the hemicellulose, providing genes encoding cellulase systems corresponding to glycoside hydrolases (GHs; such as GH1, GH3, GH5, GH8, GH9, GH74, and GH94). The cellulose-metabolizing species (or genes) of gut bacteria was more abundant than that of gut fungi. Although cellulose-metabolizing species did not predominate in the gut bacterial community, microbial interactions allowed the giant pandas to achieve the necessary dietary shift and ultimately adapt to a bamboo diet.

Growing up in Ancient Sardinia: Infant-toddler dietary changes revealed by the novel use of hydrogen isotopes (δ2H).

Detailed information about the lives and deaths of children in antiquity is often in short supply. Childhood dietary histories are, however, recorded and maintained in the teeth of both juveniles and adults. Primary tooth dentinal collagen does not turn over, preserving a sequential record of dietary changes. The use of nitrogen (δ15N) and carbon (δ13C) isotope values of incrementally sampled dentin are used in the study of breastfeeding practices but evidence for the addition of weaning foods, both in terms of mode and, particularly, duration, has remained analytically inaccessible to date. Here, we demonstrate how the novel use hydrogen isotope (δ2H) values of sequentially micro-sampled dentin collagen, measured from individuals excavated from a Punic cemetery, in Sardinia, Italy, can serve as a proxy for weaning food type and duration in ancient childhood diet. The weaning rate and age, based on the decline in δ15N and δ13C values of permanent first molars and the concomitant increase in δ2H, appears to be broadly similar among six individuals. Hydrogen isotopes vary systematically from a low value soon after birth, rising through early childhood. The early post-birth values can be explained by the influence of 2H-depleted lipids from mother’s breastmilk and the later δ2H rise is consistent with, among other things, a substantial portion of boiled foodstuffs, such as the higher δ2H values observed in porridge. Overall δ2H in dentin shows great promise to elucidate infant and childhood feeding practices, and especially the introduction of supplementary foods during the weaning process.

Age at introduction of new foods and advanced beta cell autoimmunity in young children with HLA-conferred susceptibility to type 1 diabetes

Evidence for the role of infant feeding in the development of beta cell autoimmunity is inconsistent. We set out to study the effects of breastfeeding and of age at introduction of supplementary foods on the development of beta cell autoimmunity. A prospective birth cohort of 3,565 infants with HLA-DQB1-conferred susceptibility to type 1 diabetes was recruited between 1996 and 2001 from two university hospital areas in Finland. Blood samples were collected at 3- to 12-month intervals to measure antibodies against islet cells, insulin, glutamate dehydroxylase and islet antigen 2. The families kept a record on the age at introduction of new foods, and for each visit completed a structured dietary questionnaire. The endpoint was repeated positivity for islet cell antibodies together with at least one of the other three antibodies. The overall or exclusive duration of breastfeeding was not associated with the risk of developing the endpoint. An early age at introduction of fruits and berries (< or =4 months) was related to increased risk of developing positivity for the endpoint (hazard ratio [95% CI] for earliest tertile 2.02 [1.03-3.95] and for midtertile 1.97 [1.06-3.64] compared with latest tertile >4 months). Also, introducing roots between 3 and 3.9 months (midtertile) was related to increased risk of the endpoint (hazard ratio [95% CI] for the earliest tertile 1.04 [0.57-1.90] and for midtertile 1.82 [1.19-2.79] compared with latest tertile). These associations were independent of several putative socio-demographic and perinatal confounding factors. Our findings suggest that an early age at introduction of fruits and berries and roots associates independently with beta cell autoimmunity, contradicting earlier findings from smaller birth cohort studies.

Duração do aleitamento materno, regime alimentar e fatores associados segundo condições de vida em Salvador, Bahia, Brasil

This cross-sectional study aimed to identify breastfeeding duration, infant feeding regimes, and factors related to living conditions among 811 children under 24 months of age in Salvador, Bahia, Brazil. Data were statistically analyzed by survival analysis, Pearson's chi-square test, and multivariate logistic regression. Median duration of exclusive, predominant, and total breastfeeding was 30.6, 73.0, and 131.5 days, respectively. Exclusive or predominant breastfeeding was discontinued in 83.6% of the subjects. Children with poor living conditions were 2.3 times more likely (95%CI: 1.09-5.01) to receive early supplementary food, whereas the figure for the very poor increased to 2.5 (95%CI: 1.20-5.34). Early exclusive or predominant breastfeeding discontinuation was associated with early pregnancy and poor living conditions of the children and their families. Programs directed towards proper breastfeeding and healthy feeding practices in childhood should consider the social factors associated with early introduction of supplementary foods in this population.

The role of the Swedish Child Health Services in breastfeeding promotion.

Sweden has one of the highest breastfeeding incidence and duration rates among industrialized countries. Although the Child Health Services offer breastfeeding support to all mothers, there are geographical differences in breastfeeding frequency at different ages. The aims of this study were to describe the present activities in the Child Health Services regarding breastfeeding promotion and to find research evidence regarding interventions. Thirty-three out of 42 healthcare districts replied to a questionnaire. Differences were found in the transfer of responsibility for newborn infants from hospital to Child Health Centres, criteria for and timing of home visits and recommendations regarding introduction of supplementary food and breastfeeding education for parents and professionals. There were also regional differences in breastfeeding statistics and follow-up periods. The following recommendations were made on the basis of the survey and relevant literature: transfer of responsibility for newborn infants must guarantee follow-up of all mother-infant pairs; uniform breastfeeding assessment and documentation must be established; all mother-infant pairs must be offered early home visits, continued on a regular basis by health visitors; drop-in consultations must be established; a telephone hotline must be set up; for preventive purposes, growth charts must be used based on breastfed infants; evidence-based guidelines for the introduction of other foods must be followed; information must be provided in parent groups; breastfeeding statistics must use WHO definitions; polyclinics must be available for service to mothers/infants after early discharge and as resources for Child Health Centres; Child and Maternal Health Centres must collaborate; quality assurance programs must be established; breastfeeding courses must be offered in the under- and postgraduate training of professionals; compulsory in-service education must be offered; lactation consultant training must be offered at the university level; and lactation consultant positions must be established.

Addition of Supplementary Foods and Infant Growth (2 to 24 Months)

Objective: To determine the effect of adding supplementary foods on infant growth 2 to 8 and 12 to 24 months.Methods: Length (cm/month) and weight (kg/month) of white infants (n = 94) were measured five to nine times from 2 to 24 months of age. Mothers reported birth weights, infants’ ages at first introduction of supplementary food, illnesses and information sources about infant feeding. Simple linear regression equations were used to compute slopes for each child (unit changes in length and in weight by age). Stepwise linear regression was used to determine the effect on weight and length slopes by the introduction of supplementary foods (e.g., an infant’s age when cereal, fruit, juice, vegetables and a meat cluster were first added) to the diet. Breast feeding (months duration or ever fed), illness scores and gender were covariates in the regression models.Results: A significant model (F = 10.09, p = .002) for weight gain (2 to 8 months) showed that gender explained 10% of the variance; for length slope, the model was non-significant and gender explained 3% of the variance. Females had a slower weight gain compared to that of males. None of the covariates or supplementary foods were retained in the models. Weight prior to 12 months was the best predictor (p = .0001, 54% of the variance) of weight gain 12 to 24 months.Conclusions: Unit changes in weight or length for an infant’s age were not statistically associated with the timing of when supplementary foods were first added to the diet 2 to 8 or 12 to 24 months. Weight prior to 12 months was a significant predictor of weight gain 12 to 24 months.

A one-year community study of under-fives in rural Ethiopia: health andbehavioural determinants of morbidity

Based on a one-year weekly home surveillance study, morbidity patterns of 1,304 children under five years ofage in a rural Ethiopian community were measured, together with nutritional and health behavioural determinants. Using Poisson regression models, the study showed that nutritional and health care factors make a significant impact on under-five morbidity. Gastroenteritis was particularly associated with child care factors, while acute respiratory infections were particularly associated with nutritional factors. Lack of immunization, low birthweight and pre-term delivery (more than one month early) were not found to have any independent effect on morbidity. Breast feeding was universal, but the introduction of supplementary foods was found to protect from excess morbidity. The study concludes by discussing possible applications of the results in inter vention programmes.

Premature weaning in east Bhutan: only if mother is pregnant again.

The relationship between breast-feeding and subsequent pregnancy in East Bhutan is examined, against the background of local attitudes to family planning. Ninety-eight mothers who had given birth 30-36 months earlier were interviewed. Semisolid supplementary feeding was introduced at a median age of 3 months. Median total duration of breast-feeding was 28 months, and day and night breast-feeding on demand was continued throughout. Median duration of postpartum amenorrhoea was 12 months, and was associated with the timing of the introduction of supplementary foods. There was a significant association between the occurrence of a subsequent pregnancy and early termination of breast-feeding. The relationships between breast-feeding pattern and pregnancy interval are complex, and their relative influence changes with time. During the first year postpartum, infertility during lactational amenorrhoea is important. During the second year there is a strong negative effect on lactation from the next pregnancy. The only important reason for ceasing to breast-feed within 2 years seems to be a new pregnancy.

Environmental Factors, Maternal Attributes, and Children's Age at Introduction of Supplementary Foods in Rural and Urban Maharashtra and Gujarat

We studied the influence of environmental conditions on age at introduction of supplementary foods in 1,762 children. The conditions included religion, type of family, income, and use of health services as well as maternal age, literacy status, and work outside the home. All these factors resulted in frequent delays in the introduction of supplementary foods’ even to later than 12 months of age, and in the poor nutrition and health status of children. The study implies that nutrition education is essential for creating an awareness of desirable weaning practices among mothers.

Constraints on weaning: evidence from Ethiopia and Sudan

Evidence on infant weaning processes provided by field research in Addis Ababa, Ethiopia, and among a refugee population of Eritreans in the Sudan is presented. The study in Addis Ababa, where households were economically disadvantaged but the situation was nutritionally stable, allowed the identification of factors constraining weaning, which includes both the introduction of supplementary foods and the termination of breast-feeding. While the timing of each aspect of weaning was the outcome of the interaction between mother and infant factors, 'infant-centred' factors were more important in the commencement and 'mother-centred' factors in the completion of weaning. The refugee population had in normal times a similar weaning regime, but under the unstable conditions of flight and life in a refugee camp the process had been significantly altered. Investigation of the factors which have led to altered weaning processes elaborates and confirms the model derived from the Addis Ababa study.

Breast feeding, fertility and child health: a review of international issues.

Breast feeding is of central importance to child survival, growth and development, especially in non-industrialized countries. It also protects the mother against further pregnancy. In the light of the increase in the world's population, the implications of the decrease in breast feeding worldwide are serious. There is a direct association between child health and survival and breast feeding. In this paper, the contraceptive effect of breast feeding is reviewed. The emphasis is on families in non-industrialized societies. The importance of suckling frequency and duration, and the timing of introduction of supplementary foods to the baby, are discussed. Limitations of the method, and recommendations to maximize its effectiveness, are given. It is noted that protection of breast feeding both as a means of improving child health and of spacing births will require positive action at local and at governmental levels.

Effect of supplementary food on suckling patterns and ovarian activity during lactation.

Patterns of infant feeding, basal prolactin concentrations, and ovarian activity were studied longitudinally in 27 breast-feeding mothers from delivery until first ovulation. Suckling frequency (6.1 feeds/day) and suckling duration (122 mins/day) reached peak values four weeks post partum and remained relatively constant until the introduction of supplementary food at a mean of 16 weeks post partum. There were subsequently sharp declines in both the frequency and duration of suckling, both of which correlated closely with basal prolactin concentrations. None of the 27 mothers ovulated during unsupplemented breast-feeding, but within 16 weeks of introducing supplements ovarian follicular development had returned in 20 and ovulation in 14 mothers. The mothers who ovulated within 16 weeks of giving supplements had reduced frequency and duration of suckling more quickly and weaned more abruptly than those who continued to suppress ovulation. These data suggest that the introduction of supplementary food may exert an important and hitherto unrecognised effect on the timing of first ovulation by reducing the frequency and duration of suckling episodes.

Victims of childhood deaths.

Out of 471 children studied in rural Bangladesh by anthropometry and feeding pattern, 28 expired. Records of dentition and kinds and dates of introduction of supplementary food by parents were maintained. The anthropometry of the deceased were compared with the age matched survivors from the same village. The average weight, height, arm circumference, number of erupted teeth between 10 and 15 months and income of the survivors were higher than those who died. These data suggest that children who die in infancy are less well nourished from their birth, grow at a slower rate and are mainly from poorest and 3rd and 2nd degree malnourished groups.