scholarly journals The association of infant feeding patterns with food allergy symptoms and food allergy in early childhood

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Joacy G. Mathias ◽  
Hongmei Zhang ◽  
Nelis Soto-Ramirez ◽  
Wilfried Karmaus
Keyword(s):  
Food Allergy ◽  
Breast Milk ◽  
Infant Feeding ◽  
Significant Risk ◽  
Feeding Practices ◽  
Solid Food ◽  
Mixed Feeding ◽  
Feeding Patterns ◽  
Persistent Symptoms

Abstract Background The role of infant feeding for food allergy in children is unclear and studies have not addressed simultaneous exposures to different foods. The goal of this study was to analyze existing data on feeding practices that represent realistic exposure and assess the risk of food allergy symptoms and food allergy in children. Methods The Infant Feeding Practices Study II conducted by the CDC and US-FDA enrolled pregnant women and collected infant feeding information using nine repeated surveys. Participants were re-contacted after 6 years. Food allergy data were collected at 4, 9, 12, and 72 months. In total, 1387 participants had complete infant feeding pattern data for 6 months and information on food allergy symptoms and doctors’ diagnosed food allergy. Feeding patterns constituted six groups: 3-months of feeding at breast followed by mixed feeding, 3-months of breast milk and bottled milk followed by mixed feeding, 1-month of feeding at breast followed by mixed feeding, 6-months of mixed feeding i.e., concurrent feeding of breast milk, bottled milk and formula, 2–3 months of formula followed by formula and solid food, and formula and solid food since the first month. To estimate risks of food allergy, we used linear mixed models, controlling for potential confounders. Results Of the 328 children with food allergy symptoms in infancy and at 6 years, 52 had persistent symptoms from infancy. Children exposed to mixed feeding had a higher risk of food allergy symptoms (Risk Ratio [RR] 1.54; 95% Confidence Interval [CI] 1.04, 2.29) compared to 3-months of feeding at breast adjusted for confounding. No statistically significant risk of infant feeding patterns was found for doctors’ diagnosed food allergy. Paternal allergy posed a higher risk for food allergy symptoms (RR 1.36; 95% CI 1.01, 1.83). Prenatal maternal smoking increased the risk for doctors’ diagnosed food allergy (RR 2.97; 95% CI 1.53, 5.79). Conclusions Analysis of this prospective birth cohort suggest that introduction of multiple feeding source may lead to food allergy symptoms. Future efforts are needed to determine acceptable approaches to improve the ascertainment of food allergy in children and the role of infant feeding.

scholarly journals Does concurrent breastfeeding alongside the introduction of solid food prevent the development of food allergy?

2016 ◽  
Vol 5 ◽  
Author(s):  
Carina Venter ◽  
Kate Maslin ◽  
Taraneh Dean ◽  
Syed Hasan Arshad
Keyword(s):  
Food Allergy ◽  
Infant Feeding ◽  
Subsequent Development ◽  
Solid Food ◽  
Control Group ◽  
Final Conclusion ◽  
Food Allergens ◽  
Solid Food Introduction ◽  
Food Challenges

AbstractThe timing of introduction of solid food on the subsequent development of food allergy is under debate and the role of concurrent breastfeeding is unclear. The aim of the present study was to investigate the role of solid food introduction whilst concurrently breastfeeding on food allergy outcome, with a specific focus on cows’ milk allergy. Prospectively collected infant feeding data from a birth cohort were analysed. Participants with histories suggestive of food allergy underwent diagnostic food challenges. Children with food allergy were matched to control participants for age and sex. Mann–Whitney U tests, χ2, Fisher exact tests and logistic regression calculations were undertaken. A total of thirty-nine food-allergic children and seventy-eight matched controls were identified, including twenty-two cows’ milk-allergic children and forty-four matched controls. The control group introduced solid food earlier than the food-allergic group (P < 0·05). There was no effect of concurrent breastfeeding alongside cows’ milk introduction or other food allergens on the development of food allergy. Due to small numbers, it was not possible to explore differences for food allergy phenotype. We have therefore found no evidence that introducing solids, or food allergens, whilst breastfeeding has an allergy-preventative effect; however, the results should be interpreted with caution due to sample size. Recommendations regarding infant feeding and food allergy should be carefully considered. Although breastfeeding should be promoted for many health reasons, larger studies looking at the introduction of food allergens on the development of food allergy are needed to make a final conclusion.

Breastfeeding Practices Among Hispanic and Non-Hispanic Women at the Postpartum Visit

2018 ◽  
Vol 34 (3) ◽  
pp. 485-493 ◽  
Author(s):  
Cameryn C. Garrett ◽  
Michelle Azimov ◽  
Khozema Campwala ◽  
Maria Sarmiento ◽  
Kristen Faye Linton
Keyword(s):  
Infant Feeding ◽  
Exclusive Breastfeeding ◽  
Formula Feeding ◽  
Feeding Practice ◽  
Obese Women ◽  
Mixed Feeding ◽  
Postpartum Visit ◽  
Feeding Patterns ◽  
Hispanic Mothers ◽  
Hispanic White

Background: Breastfeeding is an active area in public health advocacy. Despite documented benefits for infants and mothers, exclusive breastfeeding is not universal. Ethnicity, among other variables, has been shown to influence breastfeeding practice. Research aim: Our study aimed to determine which variables are associated with infant feeding patterns at the postpartum visit; compare the sociodemographic variables associated with infant feeding patterns between Hispanic and non-Hispanic mothers; and determine the odds of exclusive breastfeeding, mixed feeding, and exclusive formula feeding associated with sociodemographic characteristics. Methods: A retrospective, cross-sectional two-group comparison design was used. Hispanic and non-Hispanic women’s ( N = 666) infant feeding patterns at 6-week postpartum were analyzed. Group comparisons were made of the demographic characteristics and infant feeding practice. Results: Thirty-four percent of Hispanic participants reported exclusive breastfeeding compared with 59% of non-Hispanic White participants. Language and body mass index were significantly associated with infant feeding patterns among Hispanic participants. Compared with non-Hispanic White participants, Hispanic participants had increased odds of reporting mixed feeding and exclusive formula feeding. Conclusion: Breastfeeding initiatives should target English-speaking Hispanic mothers and obese Hispanic mothers to align breastfeeding rates with medical recommendations. Healthcare providers may benefit from additional training to address barriers to breastfeeding among obese women and to provide culturally sensitive support that encourages continued breastfeeding in this population.

scholarly journals Role of Social Support in Improving Infant Feeding Practices in Western Kenya: A Quasi-Experimental Study

2016 ◽  
Vol 4 (1) ◽  
pp. 55-72 ◽  
Author(s):  
Altrena G Mukuria ◽  
Stephanie L Martin ◽  
Thaddeus Egondi ◽  
Allison Bingham ◽  
Faith M Thuita
Keyword(s):  
Social Support ◽  
Experimental Study ◽  
Infant Feeding ◽  
Feeding Practices ◽  
Infant Feeding Practices ◽  
Western Kenya ◽  
Quasi Experimental

The Role of Doctors in Influencing Infant Feeding Practices in South India

1995 ◽  
Vol 25 (4) ◽  
pp. 178-180 ◽  
Author(s):  
Katy Fidler ◽  
Anthony Costello
Keyword(s):  
Nutrition Education ◽  
Infant Feeding ◽  
Health Care Workers ◽  
Household Income ◽  
South India ◽  
Feeding Practices ◽  
Infant Food ◽  
Infant Feeding Practices ◽  
Care Workers

Infant feeding practices are influenced by many factors including culture, household income, literacy, advice from health care workers and advertising. In South India doctors play a very significant role in influencing a mother's decision about when or whether to supplement breastfeeding with formula feeds. Doctors exert their influence on mothers both directly and indirectly, and they are increasingly targeted by commercial infant food companies. Doctors need continuing education about nutrition education, lactation management, and a greater awareness about the influence of inappropriate promotional practices by companies.

Feeding Patterns and Weight Among First Nations Children

2006 ◽  
Vol 67 (2) ◽  
pp. 79-84 ◽  
Author(s):  
Karen Kuperberg ◽  
Susan Evers
Keyword(s):  
First Nations ◽  
Infant Feeding ◽  
Feeding Practices ◽  
Infant Feeding Practices ◽  
Feeding Patterns ◽  
Dietary Recall ◽  
Whole Milk ◽  
Adults And Children ◽  
Maternal Bmi ◽  
Anthropometric Status

Purpose: Little information is available on the growth and feeding patterns of First Nations children. Our goal was to assess the anthropometric status, feeding practices, and dietary intake of children born in 1994 or 1995 (n=102) and living in Walpole Island First Nation. Methods: Information on demographic characteristics and infant feeding practices was obtained through parent interviews conducted between 1994 and 1999. Parents also completed a 24-hour dietary recall for their children when they were 48 months old. Head circumference was measured at three and 18 months, and weight and length/height at three, 18, 33, and 48 months. Results: Most infants (75%) were breastfed at birth; however, by the time infants were three months old, 39.7% of the mothers had stopped breastfeeding. Over half (57.1%) of the infants were fed solids before age three months, 11.6% were given whole milk before age nine months, and 59.4% had low fat milk before age two years. Body mass index (kg/m2) (BMI) was above the 85th percentile for 27.8% at the 48-month interview, and was associated with a maternal BMI above 25 (OR=7.8, CI=1.1-41.9). Conclusions: Mothers need to be encouraged to follow current infant feeding recommendations. Strategies should be developed to reduce the prevalence of overweight among adults and children in First Nations communities.

scholarly journals Role of infant feeding practices in development of Crohn's disease in childhood.

BMJ ◽  
1989 ◽  
Vol 298 (6688) ◽  
pp. 1617-1618 ◽  
Author(s):  
S. Koletzko ◽  
P. Sherman ◽  
M. Corey ◽  
A. Griffiths ◽  
C. Smith
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Infant Feeding ◽  
Feeding Practices ◽  
Infant Feeding Practices

A BIOCULTURAL INVESTIGATION OF THE WEANLING’S DILEMMA IN KATHMANDU, NEPAL: DO UNIVERSAL RECOMMENDATIONS FOR WEANING PRACTICES MAKE SENSE?

2001 ◽  
Vol 33 (3) ◽  
pp. 321-338 ◽  
Author(s):  
TINA MOFFAT
Keyword(s):  
Breast Milk ◽  
Infant Feeding ◽  
Breast Feeding ◽  
Cultural Beliefs ◽  
Feeding Practices ◽  
Primary Objective ◽  
Infant Feeding Practices ◽  
Urban District ◽  
Feeding Method ◽  
Exclusive Breast Feeding

The primary objective of this report is to use data from a study of infant growth and weaning practices in Kathmandu, Nepal, to investigate universal recommendations about exclusive breast-feeding up to 6 months postpartum. A secondary objective is to demonstrate the complexity of the biocultural nature of infant feeding practices. A sample of 283 children under 5 years of age and their 228 mothers living in a peri-urban district of Kathmandu participated in this study. The children’s height/length and weight were measured three times over 9 months. At each session, a demographic, child health and infant feeding survey was administered; between sessions, in-depth interviews were conducted with mothers regarding infant feeding practices. While a few of the infants under 2 months were receiving non-breast milk foods, at 3 months of age half of the sample had been introduced to non-breast milk foods and by 7 months all infants were eating non-breast milk foods. A comparison of growth indices and velocities between exclusively and partially breast-fed infants from birth to 7 months of age shows no evidence for a difference in nutritional status between the two groups. Although there are cultural rules about breast-feeding that vary by ethnic group, all mothers followed a feeding method that depended on their assessment of whether the child was getting enough breast milk. The conclusion is that exclusive breast-feeding up to 6 months may not be appropriate for all infants. In this sample, breast-feeding duration is not shortened by the early introduction of non-breast milk foods, as the median age of breast-feeding cessation is 36 months. One of the main reasons for severance was the onset of another pregnancy. Investigation of infant feeding practices must be contextualized in the local ecology of the population. While cultural beliefs about breast-feeding are relevant, mothers’ individual assessments of their children’s nutritional needs and demographic events in parents’ lives must also be considered.

Infant Feeding and SIDS

PEDIATRICS ◽  
1976 ◽  
Vol 58 (3) ◽  
pp. 467-468
Author(s):  
Allan S. Cunningham
Keyword(s):  
Breast Milk ◽  
Infant Feeding ◽  
Control Group ◽  
Group 3 ◽  
Breast Fed

Is the role of infant feeding in SIDS really a dead issue, as Beckwith implies in his commentary on the article by Tonkin?1,2 Steele et al. found that 78% of SIDS infants had been exclusively bottle-fed, compared to 52% in a control group.3 Carpenter and Shaddick found that less than 6% of SIDS infants surviving to 3 months of age were exclusively breast-fed, compared to 22% of 3-month-old controls.4 Cameron and Asher found that 80% of their patients were receiving no breast milk at all by 1 month, compared to 39% of infants attending city clinics.3

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