Associations Between Breast Milk Feeding, Introduction of Solid Foods, and Weight Gain in the First 12 Months of Life

ABSTRACT Background Formulas often contain high amounts of added sugars, though little research has studied their connection to obesity. Objectives This study assessed the contribution of added sugars from formulas during complementary feeding on total added sugar intakes, and the association between these sugars and upward weight-for-age percentile (WFA%) crossing (i.e., participants crossing a higher threshold percentile were considered to have an upward crossing). Methods Data from three 24-hour dietary recalls for infants (n = 97; 9–12 months) and toddlers (n = 44; 13–15 months) were obtained in this cross-sectional analysis. Foods and beverages with added sugars were divided into 17 categories. Pearson's correlations were used to test relations between added sugar intake and upward WFA% crossing, followed by multivariable regressions when significant. ANOVA compared intakes of all, milk-based, and table foods between primarily formula-fed compared with breastfed participants. Multivariable regressions were used to test effects of added sugars and protein from all foods compared with added sugars and protein from milk-based sources on upward WFA% crossing. Results Added sugars from formulas comprised 66% and 7% of added sugars consumed daily by infants and toddlers, respectively. A significant association was observed between upward WFA% crossing and added sugars from milk-based sources after controlling for gestational age, sex, age, introduction to solid foods, mean energy intakes, and maternal pre-pregnancy BMI and education (β = 0.003; 95% CI, 0.000–0.007; P = 0.046). Primarily formula-fed participants consumed nearly twice the energy from added sugars (P = 0.003) and gained weight faster (upward WFA% crossing = 1.1 ± 1.2 compared with 0.3 ± 0.6, respectively; P < 0.001) than their breastfed counterparts. Conclusions Added sugars in formulas predict rapid weight gain in infants and toddlers. Educating mothers on lower-sugar options may enhance childhood obesity prevention.

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The enablers and barriers to continue breast milk feeding in women returning to work

Journal of Advanced Nursing ◽

10.1111/jan.12884 ◽

2016 ◽

Vol 72 (4) ◽

pp. 825-835 ◽

Cited By ~ 10

Author(s):

Zaharah Sulaiman ◽

Pranee Liamputtong ◽

Lisa H. Amir

Keyword(s):

Breast Milk ◽

Returning To Work ◽

Milk Feeding

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The Use of Whole Cow's Milk in Infancy

PEDIATRICS ◽

10.1542/peds.89.6.1105 ◽

1992 ◽

Vol 89 (6) ◽

pp. 1105-1109 ◽

Cited By ~ 2

Author(s):

Keyword(s):

Breast Milk ◽

American Academy ◽

Infant Formula ◽

Iron Status ◽

The United States ◽

Cow’S Milk ◽

Cow's Milk ◽

Solid Foods ◽

American Academy Of Pediatrics ◽

Iron Deficient

The pediatrician is faced with a difficult challenge in providing recommendations for optimal nutrition in older infants. Because the milk (or formula) portion of the diet represents 35% to 100% of total daily calories and because WCM and breast milk or infant formula differ markedly in composition, the selection of a milk or formula has a great impact on nutrient intake. Infants fed WCM have low intakes of iron, linoleic acid, and vitamin E, and excessive intakes of sodium, potassium, and protein, illustrating the poor nutritional compatibility of solid foods and WCM. These nutrient intakes are not optimal and may result in altered nutritional status, with the most dramatic effect on iron status. Infants fed iron-fortified formula or breast milk for the first 12 months of life generally maintain normal iron status. No studies have concluded that the introduction of WCM into the diet at 6 months of age produces adequate iron status in later infancy; however, recent studies have demonstrated that iron status is significantly impaired when WCM is introduced into the diet of 6-month-old infants. Data from studies abroad of highly iron-deficient infant populations suggest that infants fed partially modified milk formulas with supplemental iron in a highly bioavailable form (ferrous sulfate) may maintain adequate iron status. However, these studies do not address the overall nutritional adequacy of the infant's diet. Such formulas have not been studied in the United States. Optimal nutrition of the infant involves selecting the appropriate milk source and eventually introducing infant solid foods. To achieve this goal, the American Academy of Pediatrics recommends that infants be fed breast milk for the first 6 to 12 months. The only acceptable alternative to breast milk is iron-fortified infant formula. Appropriate solid foods should be added between the ages of 4 and 6 months. Consumption of breast milk or iron-fortified formula, along with age-appropriate solid foods and juices, during the first 12 months of life allows for more balanced nutrition. The American Academy of Pediatrics recommends that whole cow's milk and low-iron formulas not be used during the first year of life.

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Breast milk leukocytes

PEDIATRICS ◽

10.1542/peds.58.5.769 ◽

1976 ◽

Vol 58 (5) ◽

pp. 769-770

Author(s):

Jane Pitt

Keyword(s):

Gastrointestinal Tract ◽

Breast Milk ◽

Human Milk ◽

Apparent Increase ◽

Human Colostrum ◽

Available Information ◽

Portal Of Entry ◽

Milk Feeding

The apparent increase in frequency of neonatal necrotizing enterocolitis1 and the recognition that the gastrointestinal tract is often the portal of entry in neonatal sepsis2 has renewed interest in breast milk as a source of newborn immunity. Attention has recently focussed on milk leukocytes. The purpose of this commentary is to summarize the available information on this subject and to examine the implications that this knowledge may have on the possible use of human milk-feeding to protect the newborn from infection. Human colostrum and early milk contain 1 to 2 x 106 leukocytes; 80% to 90% of these are monocytic phagocytes and the remainder are lymphocytes.3,4

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Recurrent late-onset neonatal sepsis traced to breast milk: A case report

Journal of Neonatal-Perinatal Medicine ◽

10.3233/npm-210851 ◽

2021 ◽

pp. 1-4

Author(s):

G. Stepanovich ◽

S.M. Donn

Keyword(s):

Breast Milk ◽

Neonatal Intensive Care ◽

Late Onset ◽

Bacterial Load ◽

Gi Tract ◽

Reduction Strategy ◽

Late Onset Sepsis ◽

Nutritional Benefits ◽

Culture Positive ◽

Milk Feeding

Breast milk feeding is an important late-onset sepsis reduction strategy in the Neonatal Intensive Care Unit (NICU). However, multiple studies have reported transfer of bacteria-contaminated breast milk to infants. We describe a case of culture-positive breast milk resulting in persistent Enterococcus bacteremia in an infant. Beyond the development of an infant’s innate and specific immunity as well as colonization of the gastrointestinal (GI) tract with commensal organisms, the risk of bacterial translocation from the GI tract into the bloodstream is shaped and modified by maternal health, birth history, and an infant’s NICU course. While freezing and/or pasteurizing breast milk reduces or eliminates its bacterial load, it also diminishes its immunologic and nutritional benefits.

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A Retrospective Study Identifying Breast Milk Feeding Disparities in Infants with Cleft Palate

Journal of the Academy of Nutrition and Dietetics ◽

10.1016/j.jand.2018.05.008 ◽

2018 ◽

Vol 118 (11) ◽

pp. 2154-2161 ◽

Cited By ~ 4

Author(s):

Michele M. Gottschlich ◽

Theresa Mayes ◽

Chris Allgeier ◽

Laura James ◽

Jane Khoury ◽

...

Keyword(s):

Retrospective Study ◽

Breast Milk ◽

Cleft Palate ◽

Milk Feeding

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Intermittent Kangaroo Mother Care and the Practice of Breastfeeding Late Preterm Infants: Results from Four Hospitals in Different Provinces of China

10.21203/rs.2.18645/v2 ◽

2020 ◽

Author(s):

Bo Zhang ◽

Zhiying Duan ◽

Yingxi Zhao ◽

Sarah Williams ◽

Stephen Wall ◽

...

Keyword(s):

Breast Milk ◽

Preterm Infants ◽

Exclusive Breastfeeding ◽

Kangaroo Mother Care ◽

Late Preterm ◽

Feeding Practice ◽

Late Preterm Infants ◽

Breastfeeding Rate ◽

Milk Feeding

Abstract Background China has an extremely low exclusive breastfeeding rate. Kangaroo mother care (KMC) has been shown to increase the exclusive breastfeeding rate among infants born extremely or very preterm. However, there is limited evidence surrounding intermittent KMC and exclusive breastfeeding in late preterm infants. In our study we investigated the association between the provision of intermittent KMC and breastfeeding practice for late preterm infants in four hospitals in different provinces of China. Methods Intermittent KMC was recommended to the mothers of all preterm infants admitted to the postnatal wards of participating hospitals between March 2018 and March 2019. Those who agreed to practice KMC were enrolled in the “KMC group”, those who did not were enrolled in the “No KMC group”. Basic maternal socio-demographic information was collected, feeding practice; outcome and method, were recorded daily whilst in hospital. A follow-up survey of feeding practice was conducted 42 days after discharge. Calculations for feeding practice were performed separately for both groups. Logistics regression was used to analyze the association between KMC and feeding outcome and method, adjusting for socio-demographic covariates. Results Among the 844 mothers participating in the study, 627 (74.3%) chose to perform KMC. More of the mothers who provided KMC were exclusively breast milk feeding their infants in the 24 hours before hospital discharge (54.6%) and at follow-up (57.3%), compared to mothers who did not provide KMC (34.6% at discharge and 33.2% at follow-up,). Mothers in the KMC group were more likely to be breastfeeding (method) than mothers in the No KMC group (65.3% vs. 52.1% at discharge, and 83.1% vs. 67.3% at follow up). Logistic regression indicated that compared with the No KMC group, mothers who provided KMC were twice as likely to be exclusively breast milk feeding their infants at discharge (OR=2.15 (1.53-3.02)), use breastfeeding method at discharge as opposed to other means such as bottle or cup feeding (OR=1.61 (1.15-2.25)), be exclusive breast milk feeding at follow-up (OR=2.55 (1.81-3.61)), and use breastfeeding method at follow-up (OR=2.09 (1.44-3.02)). Conclusions Intermittent KMC was associated with a nearly doubled increase in exclusive breast milk feeding (outcome) and breastfeeding (method) at both discharge and 42 days after discharge for late preterm infants. This is especially important in China where exclusive breastfeeding rates are low, intermittent KMC provides a feasible means to increase the likelihood of these vulnerable infants receiving the benefits of exclusive breastmilk.

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Miyik-Miyikan Aromatherapy on Postpartum Back Massage Increases Baby Weight Gain

Journal of Health and Medical Sciences ◽

10.31014/aior.1994.04.01.149 ◽

2021 ◽

Vol 4 (1) ◽

Author(s):

Made Widhi Gunapria Darmapatni ◽

◽

Ni Nyoman Suindri ◽

Ni Gusti Kompiang Sriasih

Keyword(s):

Weight Gain ◽

Breast Milk ◽

Milk Production ◽

Control Group ◽

Whitney Test ◽

Breast Milk Production ◽

Mann Whitney Test ◽

Quasi Experimental ◽

The Difference ◽

Back Massage

Back Massage technique combined with holistic aromatherapy treatment can be an effective therapy for postnatal mothers to increasing breast milk production. This study aims to analyze the effect of Miyik-miyikan aromatherapy on back massage. The increase of breast milk production in postpartum mothers can be seen from the baby’s weight gain. This study was conducted at an inpatient Primary Health Center in Denpasar, in June-October to 30 mothers. This study was designed in a quasi-experimental pre-posttest control group with a time series approach. The observation of the baby’s weight gain and breastfeeding satisfaction starts from day 1, day 7, and day 14 after delivery. This study was analyzed using the Kruskal Wallis Test and the Mann Whitney test. The result of the study showed that the Kruskal Wallis test is p <0,05, meaning that there was a difference in breast milk production in the two groups of intervention. Additionally, the Mann Whitney test showed the difference of baby weight on the 7th day to those in the Miyik-miyikan and Cananga group, and on the 14th day in the Cananga, Miyik-miyikan, and Champak group. Thus, the use of Miyik-miyikan aromatherapy on a back massage can be done earlier after delivery

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