scholarly journals Nutritional status of infants with cow's milk allergy who consume breast milk vs. hypoallergenic formula

2017 ◽  
Vol 56 (5) ◽  
pp. 311
Author(s):  
Mulya Safri ◽  
Aulia Rahman Putra ◽  
Vidya Chatmayani Mulya

Background Infants with CMA are prone to suffer malnutrition because of the inability to absorb nutrients due to bowel inflammation. Breast milk and hypoallergenic formula is the best nutritional intake in CMA infants.Objective To compare the nutritional status of CMA infants who were consumed breast milk and hypoallergenic milk.Methods We conducted a cross-sectional study included a total of 63 CMA infants aged 3-6 months collected by consecutive sampling. Infant’s nutritional status measured by anthropometric exam were divided into well-nourished (-2 to 2 SD) or malnourished (<-2 or >2 SD). Type of milk consumption were asked directly to parents/caregivers through interviews.Results Most of our subject are well-nourished (75%). The number of CMA infants who were consumed breast milk or hypoallergenik milk is not a lot of difference, 51% vs 49%, respectively. There is no significant difference between the nutritional status of CMA infants who consumed breast milk and hypoallergenic milk (P=0.61).Conclusion because there were no differences between the nutritional status of CMA infants who consumed breast milk and hypoallergenic milk. Therefore it is recommended giving breast milk or hypoallergenic milk for the first 6 months of life to reduce cow’s milk protein exposure.

2017 ◽  
Vol 56 (6) ◽  
pp. 325
Author(s):  
Surya Jayanti Kadek ◽  
Dewi Kumara Wati Ketut ◽  
Karyana Putu Gede

Background About 60% of individuals with atopic dermatitis (AD) develop their first manifestation during infancy. Cow’s milk (CM) exposure is considered to be a risk factor for AD.Objective To evaluate for an association between cow’s milk exposure and atopic dermatitis in infants > 6 months of age.  Methods This cross-sectional study consisted of subjects from a previous study and new subjects recruited in order to meet the minimum required number of subjects. Our study population comprised 120 infants, born between 1 February and 30 November, 2012 in Sanglah Hospital, Denpasar. Subjects were divided into CM and non-CM groups and analyzed for their risk of AD. Subjects were included to CM group if they were fed with cow’s milk/formula  and included to non-CM group if they were breastfeed exclusively in the first six months of life. Other possible risk factors were assessed by multivariate analysis. Results One hundred twenty subjects were enrolled and analyzed (59 in the CM and 61 in the non-CM groups). The prevalence of AD was 30%. Multiple logistic regression analysis revealed a significant association between CM exposure and AD, with odds ratio (OR) 2.37 (95%CI 1.036 to 5.420; P=0.04). In addition, maternal diet including eggs and/or cow’s milk during the breastfeeding period was significantly associated with AD in infants (OR 3.18; 95%CI 1.073 to 9.427; P=0.04).Conclusion Cow’s milk exposure is significantly associated with atopic dermatitis in infants  > six months of age. 


Nutrients ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 2397
Author(s):  
Diana Sunardi ◽  
Saptawati Bardosono ◽  
Ray W. Basrowi ◽  
Erika Wasito ◽  
Yvan Vandenplas

Anemia has been acknowledged as worldwide problem, including in Indonesia. This cross-sectional study aims to explore dietary determinants as risk factors for anemia in children aged 6–36 months living in a poor urban area of Jakarta. The study was done in Kampung Melayu sub-district in Jakarta, Indonesia. Data was collected within two weeks in September–October 2020. A structured questionnaire for a 24-h recall and a semi-quantitative Food Frequency Questionnaire (FFQ) were used to collect the dietary intake data, and venous blood was withdrawn to determine the hemoglobin levels. Bivariate chi-square and multiple logistic regression tests were executed to explore the dietary determinant factors for anemia. We recruited 180 subjects. The average hemoglobin concentration was 11.4 ± 1.7 mg/dL; the anemia prevalence was 29.4%. The following variables were significantly associated with higher risk of anemia: no cow’s milk formula consumption, inadequate intake of fats, protein, calcium, vitamin D, iron, zinc, vitamin A, vitamin C, vitamin B6, and vitamin B12. Only cow’s milk formula consumption and zinc intake were revealed as the determinant factors of anemia. In conclusion, the prevalence of anemia was 29.4% among children aged 6–36 months old. Anemia was significantly associated with two dietary determinants as risk factors that are cow’s milk formula consumption and zinc intake.


Author(s):  
Sushil Chavan ◽  
Ashok Jadhao ◽  
Uday Narlwar ◽  
Suresh Ughade ◽  
Hemant Adikane

Background: Delayed breastfeeding initiation, colostrum deprivation, supplementary feeding of breast milk substitutes, early introduction of complementary feeding, and incorrect weaning from breast milk are commonly found practices in tribal communities around the world. Aim of the study was to assess the breast-feeding knowledge and practices among mothers belonging to tribal community and having children less than 1 years of age in Melghat area, Maharashtra, India.Methods: Present cross-sectional study was conducted in 14 villages of 4 sub centres of Bijudhawadi, Primary Health Centre in Dharni block of Amravati District, Maharashtra, India. Mothers belonging to tribal community having child less than one year and Mothers who were permanent residents of study area were included in study. Interview was planned as per the convenient time of the mother. Finally, 225 study subjects could be contacted during study period.Results: The mean age of mothers was 22.47 years with SD 3.24 years with range 16 - 35 years. Majority 178 (79.11%) study subjects were having correct knowledge about initiation of breastfeeding. Correct practice of initiation of breastfeeding within 1 hour was seen in 167 (74.22%) study subjects. Significant difference was seen among correct knowledge and practice Colostrum initiation, Pre-lacteals, Period of exclusive breastfeeding.Conclusions: The present study was an attempt to understand knowledge and practices regarding breastfeeding in the context of tribal mothers in Melghat, Maharashtra, India.


Author(s):  
Dr. Evayline Muthoni Nkirigacha

The objective of the study to examine the breastfeeding knowledge, altitude and practices of lactating mothers 0-6 postpartum. This cross sectional study was conducted on 260 lactating women living in Mwanamukia, Nairobi Kenya. A structured questionnaire was used on social, socio-economic characteristics. SPSS version 20 and analyzed using descriptive statistics and Pearson correlation coefficient determined associations. More than half of the respondents were literate, married and lived in male headed households. Others business people, single and Meru ethnicity. Majority 36-40 years age category. Majority (61.6%) participated in urban agriculture.  57.3% of the respondents owned land.  88.5% had heard about exclusive breastfeeding, 96.2% breastfed exclusively for 4 months, 57.7 knew infant should be breastfed immediately after birth, 26.5% breastfeed after2-24 hours of delivery.67.3% frequent suckling does not increase milk production. 46.9% agreed an infant first food breastmilk, 26.5% cow’s milk and 23.8% porridge. 94.2% altitude exclusively breastfeed 6 months, 46.1% believed feed infant breast milk while 30.4% cow’s milk, 23.4% porridge. 48.1% breast milk sufficient, 82.7%  colostrum  be fed to infant, 17.3% colostrum.81.2% felt good giving infant something to eat before 6 months, 18.8%  afraid  child well cry. 52.7% felt exclusively breastfed not healthier than exclusively breastfed.94.1% breastfed last child. 50% breastfed immediately, 29.2% gave something after one month, 48.1% gave something after 2 months. 52.3% breastfed on demand, 34.2% when child cried. Illiterate Mothers had inappropriate feeding practices (OR1.578, CI 1.762-2.292). The study concludes that knowledge and practice did not have any relationship, altitude influenced feeding habits. 


Author(s):  
Jyoti A. Landge ◽  
Gajanan D. Khadkikar

Background: Prevalence of overweight and obesity is rapidly increasing among adolescent age. One of the reasons is change in lifestyle and behavior practices. Adolescent population and health of adolescents have a special concern. In late adolescence there is transition from school to college or university. This transition to college life often worsens lifestyle and dietary habits among late adolescents. Present study was carried out to assess lifestyle and nutritional status of late adolescent.Methods: A cross sectional study were carried out involving 140 late adolescent students of 17-19 years after obtaining permission from college principle using preformed questionnaire. Subsequently anthropometric measurements like weight in kg and height in meters, waist and hip circumference in centimetre were measured using standard assessment measures.Results: Out of 140 students 51 (36.4%) were boys and 89 (63.6%) were girls. Mean age of the students was 18.13±0.79 years. Overall prevalence of overweight and obesity was 49 (35%) and 29 (20.7%) respectively. No significant difference in BMI for boys and girls. Waist circumference and waist hip ratio was more in girls compared with boys. More than half 53.6% had mixed diet pattern. Among study participants 55.7% have green leafy vegetables in their diet and 62.8% have fruit in their diet. Most frequent unhealthy diet practice was intake of junk food 85% followed by fast food.Conclusions: High prevalence of obesity and overweight in late adolescent indicate an urge to start primordial and primary intervention since childhood.


2018 ◽  
Vol 64 (5) ◽  
pp. 18-29 ◽  
Author(s):  
Ana Livia de Olieira ◽  
Ana Paula Boroni Moreira ◽  
Michele Pereira Netto ◽  
Isabel Cristina Goncalves Leite

Author(s):  
Zeinab E. Afifi ◽  
Rania I. Shehata ◽  
Asmaa F. El Sayed ◽  
El Sayed M. Hammad ◽  
Marwa R. Salem

Abstract Background Nutrition was claimed to be a factor in MS causation, course, complications, and management. Several studies were conducted to assess the nutritional status of MS patients; however, few studies were conducted to assess this problem in Egypt. Therefore, the purpose of the current study was to assess the nutritional status of a sample of MS patients. Methods The researchers conducted an exploratory cross-sectional study among 76 relapsing-remitting MS (RRMS) patients attending Kasr Alainy Multiple Sclerosis Unit (KAMSU) from October 2018 to January 2019 to assess the nutritional status of a sample of MS patients. Data were collected using a structured interview questionnaire including an inquiry about the socioeconomic status, and nutritional status using anthropometric measurements, patient-generated subjective global assessment (PG-SGA), semi-quantitative food frequency questionnaires (SQFFQ), and hemoglobin level measurement. Assessment of fatigue was done using the Modified Fatigue Impact Scale 5-items version. Results The mean age of the study participants was 30 ± 6 years. The disease duration ranged from 2 to 264 months. Malnutrition was prevalent among 67.1% (27.6 % overweight, 36.8% obese, and 2.6% underweight). Half of the investigated patients were anemic. According to the PG-SGA, more than half of the studied patients (53.9%) were classified as moderately or suspected malnourished. The unhealthy dietary habits such as taking only a few meals, junk food intake and skipping breakfast were observed in considerable proportions of the group. The SQFFQ revealed overconsumption of energy and fat, and less than acceptable consumption of dietary fibers by most of the studied patients. Conclusions Overweight, obesity, anemia, and unhealthy dietary habits were prevalent among the RRMS patients attending the KAMSU. Nutrition care service is extremely needed for this group of patients.


Author(s):  
Sambedana Mohanty ◽  
Manasee Panda

AbstractBackgroundAdolescent girls are vulnerable to many problems, undernutrition being the most common. This results in growth restriction resulting in stunting, wasting, underweight and last but not the least iron-deficiency anaemia. Nutritional needs are high during puberty which later leads to complications during pregnancy and its outcomes.Materials and methodsA field based cross-sectional study was carried out to assess the nutritional status of the girls and to determine the various factors responsible for undernutrition. After clearance from the Institution Ethical Committee (IEC) and permission from Child Development Programme Officer (CDPO), the study was conducted in the anganwadi centres (AWC) of urban slums in the field practice area of the Department of Community Medicine from the 1st October 2014 to the 31st October 2016. All the adolescent girls enlisted in the seven anganwadi centres were included as study subjects with their consent. A pre-designed, pre-tested and semi-structured questionnaire was used to collect data on following sections. (a) socio-demographic profile and (b) nutritional status. Dietary intake was taken using the 24-h recall method. Anthropometry was measured and haemoglobin (Hb) was estimated. SPSS version 21 was used for descriptive and analytic statistics.ResultsAmong the 160 girls 98(61.3%), 69(43.1%), 53(33.1%) were underweight, stunted and wasted, respectively. Anaemia was present among 144(90%) of the girls.ConclusionStrict monitoring of weekly iron and folic acid supplementation (WIFS) as well as nutrition education are essential measures to solve the problem of undernutrition among adolescent girls.


BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e046265
Author(s):  
Shotaro Doki ◽  
Shinichiro Sasahara ◽  
Daisuke Hori ◽  
Yuichi Oi ◽  
Tsukasa Takahashi ◽  
...  

ObjectivesPsychological distress is a worldwide problem and a serious problem that needs to be addressed in the field of occupational health. This study aimed to use artificial intelligence (AI) to predict psychological distress among workers using sociodemographic, lifestyle and sleep factors, not subjective information such as mood and emotion, and to examine the performance of the AI models through a comparison with psychiatrists.DesignCross-sectional study.SettingWe conducted a survey on psychological distress and living conditions among workers. An AI model for predicting psychological distress was created and then the results were compared in terms of accuracy with predictions made by psychiatrists.ParticipantsAn AI model of the neural network and six psychiatrists.Primary outcomeThe accuracies of the AI model and psychiatrists for predicting psychological distress.MethodsIn total, data from 7251 workers were analysed to predict moderate and severe psychological distress. An AI model of the neural network was created and accuracy, sensitivity and specificity were calculated. Six psychiatrists used the same data as the AI model to predict psychological distress and conduct a comparison with the AI model.ResultsThe accuracies of the AI model and psychiatrists for predicting moderate psychological distress were 65.2% and 64.4%, respectively, showing no significant difference. The accuracies of the AI model and psychiatrists for predicting severe psychological distress were 89.9% and 85.5%, respectively, indicating that the AI model had significantly higher accuracy.ConclusionsA machine learning model was successfully developed to screen workers with depressed mood. The explanatory variables used for the predictions did not directly ask about mood. Therefore, this newly developed model appears to be able to predict psychological distress among workers easily, regardless of their subjective views.


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