Relation of infant diet to childhood health: seven year follow up of cohort of children in Dundee infant feeding study

AbstractObjectiveTo determine the association between household food security and infant complementary feeding practices in rural Bangladesh.DesignProspective, cohort study using structured home interviews during pregnancy and 3 and 9 months after delivery. We used two indicators of household food security at 3-months’ follow-up: maternal Food Composition Score (FCS), calculated via the World Food Programme method, and an HHFS index created from an eleven-item food security questionnaire. Infant feeding practices were characterized using WHO definitions.SettingTwo rural sub-districts of Kishoreganj, Bangladesh.SubjectsMother–child dyads (n 2073) who completed the 9-months’ follow-up.ResultsComplementary feeding was initiated at age ≤4 months for 7 %, at 5–6 months for 49 % and at ≥7 months for 44 % of infants. Based on 24 h dietary recall, 98 % of infants were still breast-feeding at age 9 months, and 16 % received ≥4 food groups and ≥4 meals (minimally acceptable diet) in addition to breast milk. Mothers’ diet was more diverse than infants’. The odds of receiving a minimally acceptable diet for infants living in most food-secure households were three times those for infants living in least food-secure households (adjusted OR=3·0; 95 % CI 2·1, 4·3). Socio-economic status, maternal age, literacy, parity and infant sex were not associated with infant diet.ConclusionsHHFS and maternal FCS were significant predictors of subsequent infant feeding practices. Nevertheless, even the more food-secure households had poor infant diet. Interventions aimed at improving infant nutritional status need to focus on both complementary food provision and education.

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Undernutrition among Bedouin Arab children: a follow-up of the Bedouin Infant Feeding Study

American Journal of Clinical Nutrition ◽

10.1093/ajcn/61.3.495 ◽

1995 ◽

Vol 61 (3) ◽

pp. 495-500 ◽

Cited By ~ 15

Author(s):

M R Forman ◽

G L Hundt ◽

H W Berendes ◽

K Abu-Saad ◽

L Zangwill ◽

...

Keyword(s):

Infant Feeding ◽

Arab Children ◽

Feeding Study

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Maryland Infant Feeding Study: Dietary Patterns Among WIC Infants

PsycEXTRA Dataset ◽

10.1037/e584762012-201 ◽

2008 ◽

Author(s):

Kristen Marie Hurley ◽

Margo Candelaria ◽

Maureen M. Black

Keyword(s):

Infant Feeding ◽

Dietary Patterns ◽

Feeding Study

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Efficacy of Mobile phone use on adherence to Nevirapine prophylaxis and retention in care among the HIV-exposed infants in prevention of mother to child transmission of HIV: a randomized controlled trial

BMC Pediatrics ◽

10.1186/s12887-021-02660-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Lilian M. N. Kebaya ◽

Dalton Wamalwa ◽

Nyambura Kariuki ◽

Bashir Admani ◽

Philip Ayieko ◽

...

Keyword(s):

Mobile Phone ◽

Infant Feeding ◽

Retention In Care ◽

Control Group ◽

Hiv Exposed Infants ◽

Randomized Controlled ◽

Phone Calls ◽

Hiv Exposed ◽

To Receive

Abstract Background HIV is a major contributor to infant mortality. A significant gap remains between the uptake of infant and maternal antiretroviral regimens and only a minority of HIV-exposed infants receives prophylaxis and safe infant feeding. Losses to follow-up of HIV-exposed infants are associated with shortcomings of facility-based PMTCT models with weak community support of linkages. Use of mobile phones offers an opportunity for improving care and promoting retention assessed by timely attendance of scheduled appointments for the mother-baby pairs and achievement of an HIV-free generation. The objective of this study was to compare self-reported adherence to infant Nevirapine (NVP) prophylaxis and retention in care assessed by timely attendance of scheduled appointments over 10 weeks in HIV exposed infants randomized to 2-weekly mobile phone calls (intervention) versus no phone calls (control). Methods In this open label randomized controlled study, one hundred and fifty HIV infected women drawn from 3 health facilities in Western Kenya and their infants were randomly assigned to receive either phone-based reminders on PMTCT messages or standard health care messages (no calls) within 24 h of delivery. Women in the intervention arm continued to receive fortnightly phone calls. At 6- and 10-weeks following randomization we collected data on infant adherence to Nevirapine, mode of infant feeding, early HIV testing and retention in care in both study arms. All analyses were intention to treat. Results At 6 weeks follow-up, 90.7% (n = 68) of participants receiving phone calls reported adherence to infant NVP prophylaxis, compared with 72% (n = 54) of participants in the control group (p = 0.005). Participants in the intervention arm were also significantly more likely to remain in care than participants in the control group [78.7% (n = 59) vs. 58.7% (n = 44), p = 0.009 at 6 weeks and 69.3% (n = 52) vs. 37.3% (n = 28), p < 0.001 at 10 weeks]. Conclusions These results suggest that phone calls are potentially an important tool to improve adherence to infant NVP prophylaxis and retention in care for HIV-exposed infants. Trial registration PACTR202007654729602. Registered 6 June 2018 - Retrospectively registered, https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=3449

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The SHINE Trial Infant Feeding Intervention: Pilot Study of Effects on Maternal Learning and Infant Diet Quality in Rural Zimbabwe

Clinical Infectious Diseases ◽

10.1093/cid/civ846 ◽

2015 ◽

Vol 61 (suppl 7) ◽

pp. S710-S715 ◽

Cited By ~ 10

Author(s):

Amy Desai ◽

Laura E. Smith ◽

Mduduzi N. N. Mbuya ◽

Ancikaria Chigumira ◽

Dadirai Fundira ◽

...

Keyword(s):

Pilot Study ◽

Infant Feeding ◽

Diet Quality ◽

Infant Diet

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THE PIMA INFANT FEEDING STUDY: BREAST FEEDING AND GASTROENTERITIS IN THE FIRST YEAR OF LIFE

American Journal of Epidemiology ◽

10.1093/oxfordjournals.aje.a113752 ◽

1984 ◽

Vol 119 (3) ◽

pp. 335-349 ◽

Cited By ~ 22

Author(s):

M. R. FORMAN ◽

B. I. GRAUBARD ◽

H. J. HOFFMAN ◽

R. BEREN ◽

E. E. HARLEY ◽

...

Keyword(s):

Infant Feeding ◽

Breast Feeding ◽

First Year ◽

Feeding Study ◽

First Year Of Life

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Later Risk of Wheezing/Asthma and Allergy in Offspring of 2 Vitamin D (VitD) Pregnancy Cohorts: Post Hoc Analysis

Current Developments in Nutrition ◽

10.1093/cdn/nzaa054_168 ◽

2020 ◽

Vol 4 (Supplement_2) ◽

pp. 1096-1096

Author(s):

Carol Wagner ◽

Myla Ebeling ◽

Judy Shary ◽

John Baatz ◽

Danforth Newton ◽

...

Keyword(s):

Chi Square ◽

Childhood Health ◽

Post Hoc Analysis ◽

Funding Sources ◽

Long Term Effect ◽

Adverse Pregnancy ◽

Student’S T ◽

Post Hoc ◽

In Pregnancy

Abstract Objectives Maternal vitD deficiency as defined by circulating 25(OH)D concentration is linked with certain adverse pregnancy outcomes (e.g., preterm birth) and childhood outcomes (e.g., asthma), with the effect seemingly more pronounced if deficiency occurs earlier in pregnancy. OBJ: Assess the long-term effect of maternal and neonatal vitD status on later risk of childhood allergy, wheezing and/or asthma to 4 yrs. It was hypothesized that deficiency earlier in pregnancy would have a significant effect on risk that would continue during pregnancy. Methods In this follow-up post hoc analysis of women and their offspring enrolled in 1 of 2 pregnancy vitD supplementation trials (NICHD, n = 348 and Kellogg Foundation, n = 298), women were randomized to either 400, 2000 or 4000 IU vitD/day (NICHD) at 12–16 wks’ or 400 or 4400 IU/day at 10–14 wks’ (Kellogg). Baseline then monthly 25(OH)D concentration as the primary outcome in both studies and as the indicator of vitD status was measured by RIA until delivery. Neonatal vitD status was measured in cord blood. Follow-up data on the offspring were available through 4 yrs using an EMR with ICD-9 and 10 codes for eczema, wheezing and/or asthma. Student's t-test was used to analyze differences in mean 25(OH)D and eczema, wheezing, and asthma. Chi-square analyses were used to test for differences in incidence of 25(OH)D below 20, 30, and 40 and eczema, wheezing, and asthma. Results In NICHD Pregnancy, 326/348 (93.7%) offspring had EMR data available: 48 (14.7%) had eczema; 32 (9.8%) had wheezing; and 48 (14.7%) had asthma. In Kellogg Pregnancy, 205/298 (68.8%) had EMR data available; 36 (17.6%) had eczema; 14 (6.8%) had wheezing; and 10 (4.9%) had asthma. Maternal baseline 25(OH)D < 30 ng/mL was associated with eczema (P = 0.024) and asthma (P = 0.035) by age 4 yrs. Neonatal 25(OH)D was inversely associated with eczema (P = 0.01) and asthma by age 4 (P = 0.0012). When dichotomized, neonates with 25(OH)D < 20 ng/mL had a significantly higher risk of eczema (P = 0.02) and asthma (P = 0.004) and those below 40 ng/mL had a higher risk of eczema (P = 0.03). Conclusions In this combined cohort of pregnant women and their offspring, both maternal and neonatal vitD status were associated with later allergy, wheezing and asthma risk. Efforts to improve maternal vitD status may have later significant consequences on childhood health outcomes. Funding Sources NIH/NICHD/NCATS.

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