scholarly journals The Importance of Exclusive Breast Milk and Complementary Foods in the Perspective of Islam

Author(s):  
Sri Maryanti ◽  
Meti Maspupah ◽  
Asrianty Masrud ◽  
Sri Hartati ◽  
Dede Trie Kurniawan
2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Andrew Matchado ◽  
Kathryn Dewey ◽  
Christine Stewart ◽  
Per Ashorn ◽  
Ulla Ashorn ◽  
...  

Abstract Objectives 1) to estimate the probability of inadequate amino acid intake among infants 9–10 months of age in rural Malawi 2) to evaluate whether dietary amino acid intake or protein quality are associated with length gain from 6 to 12 months of age Methods We assessed total amino acid intake from breast milk and complementary foods in 285 infants. Breast milk intake and complementary foods were estimated using dose-to-mother deuterium oxide dilution method and repeat 4-pass interactive 24-hour recall interviews, respectively. Amino acid composition values were taken from FAO human milk profile, Tanzania Food Composition table and International Minilist. Protein quality was estimated using Digestible Indispensable Amino Acid Score (DIAAS). Probability of intake below Estimated Average Requirement (EAR) for each amino acid was estimated using National Cancer Institute (NCI) method. We estimated protein quality of complementary food using median DIAAS. We assumed a DIAAS of ≥0.75 to represent a diet or food with good protein quality. Relationships between amino acid intake or protein quality with length gain were assessed using regression models. Length was measured at 6 and 12 months of age and length for age z-score (LAZ) velocity was calculated (ΔLAZ/months). Results The probability of inadequate amino acid intake from breast milk and complementary food that included a lipid-based nutrient supplement (LNS) was 3% for lysine, 0% for tryptophan, threonine, valine, histidine, isoleucine, leucine, sulfur containing amino acids (SAA), and aromatic amino acids (AAA). Without LNS, the probability was 7% for lysine and 0–2% for the other amino acids. The median (interquartile range) DIAAS for complementary food with and without LNS was 0.70 (0.28) and 0.64 (0.32), respectively. Dietary amino acid intake and protein quality were not significantly associated with length gain velocity from 6 to 12 months even after adjusting for confounding factors. Conclusions The prevalence of inadequate amino acid intake in 9–10 months old infants in rural Malawi is very low. However, in conditions of frequent clinical or sub-clinical infections this situation may be different. Linear growth at 6–12 months does not appear to be limited by dietary amino acid intake or protein quality in this setting. Funding Sources The Bill & Melinda Gates Foundation.


2021 ◽  
Vol 6 (5) ◽  
pp. 701-706
Author(s):  
Ida Nuraidah ◽  
Fransisca Noya ◽  
Nilda Yulita Siregar ◽  
Sony Bernike Magdalena Sitorus ◽  
Christina Entoh

The nutritional needs of infants 6-24 months can be met by providing complementary foods with breast milk (MP-ASI). One of the causes of the increasing incidence of malnutrition at 12 to 24 months of age in the world and in Indonesia is the provision of complementary foods that are not in accordance with WHO standards. The purpose of this activity is to increase the knowledge of mothers about complementary foods. This activity was held in Mapane Village on November 7, 2020. The target of this activity is 5 mothers of toddlers. The method of this activity was distributing pre-test questionnaires to participants, distributing leaflets then conducting counseling, and evaluating activities through post-tests. The results of the counseling obtained an increase in the knowledge of mothers under five about complementary foods. The average of knowledge before extension was 74% and the average after extension was 96%. The results of this service recommend that village midwives in Mapane Village be able to provide continuous counseling at each posyandu


2018 ◽  
Vol 2 (1) ◽  
pp. 68-78
Author(s):  
Nur Khalilah ◽  
Nurwijyanti Nurwijyanti ◽  
Nurdina Nurdina

Breast Milk Complementary Foods (MP-ASI) is a supplementary food given to infants other than breast milk after 6 months of age until the age of 24 months. Breast milk complementary foods is given to meet the energy and nutrient needs of infants that are not covered by breast milk. the factors that are suspected to be the cause of mother giving ASI AS early are knowledge, social economy, culture and health cadre role. The purpose of this study was to analyze the factors that influence the provision of early given Breast milk complementary foods in infants aged 0-6 months. The type of this research is quantitative research with analytic observational design with cross sectional. This study was conducted from February to March 2018 at Larangan Health Public Center of Pamekasan with a population of mothers who have babies 0-6 months who provide early Breast milk complementary foods of 86 people. The sample size was 71 respondents, with sampling accidental sampling type. The independent variables are knowledge, socioeconomic, cultural and health cadre's role. The dependent variable is the provision of early Breast milk complementary foods in infants aged 0-6 months. Data were collected using questionnaires. Data were analyzed using test logistic regression with α = 0.05. The results showed that the variable X1 (knowledge) with p = 0.035; OR = 3,725, variable X2 (social economy) p = 0,135; OR = 4,226, X3 (culture) p = 0,003; OR = 9,973, X4 (role of health cadre) p = 0,134; OR = 2, 187. So it can be concluded that the factors that affect Y (provide early Breast milk complementary foods in infants aged 0-6 months) are cultural and knowledge factors, with the most dominant factor is cultural factor with influence of 9.973. Social culture or tradition has a relationship with the provide early Breast milk complementary foods. The mindset of most people still trust it can accelerate the growth of babies by follow the tradition as a adherence to parents. So it can affect the knowledge, perception, and attitudes of a person to something, therefore need more intense health promotion efforts again in order to exclusive coverage of exclusive breastfeeding increases.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Daniel Antiporta ◽  
Ramya Ambikapathi ◽  
Anuradha Bose ◽  
Bruna Maciel ◽  
Tjale Mahopo ◽  
...  

Abstract Objectives To estimate the usual energy and micronutrient intakes of children 9–24 mo of age and evaluate the probability of adequacy of the diet in 7 MAL-ED sites. Methods Breastfeeding was evaluated biweekly from enrolment (≤17 d old) through 24 mo; beginning at 9 mo, monthly 24-hour recalls (up to 17 recalls/child) were used to quantify intakes of complementary foods. Energy, macro- and micro-nutrient intakes were calculated using site-specific food composition tables. Based on the Morseth et al (2016) analysis of the Nepal MAL-ED site, we estimated energy and nutrient intakes from breast milk to derive total energy and nutrient intakes. For each site and 3 mo-age period, we estimated usual intakes of energy and 13 micronutrients for each child, considering age, sex, month and day of the week, then predicted the distribution of intakes by age period and site. We then compared each intake distribution to the recommended dietary allowance to derive the median probability of adequacy (MPA) and respective inter-quartile range (IQR). We evaluated iron and zinc considering bioavailability. Results Among 1669 children, median %energy (%E) from breast milk ranged from 23–71%E at 9–12 mo, and declined to 25–40%E at 21–24 mo. Iron bioavailability was low for all sites, but many diets were of moderate bioavailability for zinc. MPA were 1 (IQR = 0) in Brazil and South Africa, except for iron and vitamin E (both), calcium (South Africa) and zinc (low bioavailable diet in South Africa). MPA for zinc increased from 9–24 mo only for children consuming a diet with moderate bioavailability. MPA increased for many nutrients from 12–24 mo as the nutrient density of complementary foods increased; however, MPA for vitamin A remained low in Bangladesh and Tanzania. In Tanzania, calcium and B12 MPA declined and IQR increased as cow's milk remained in the diets of only some children. For most sites and age groups, MPA were 0 (IQR = 0) for Vitamins D, E and iron. Conclusions MPA increases from 12–24 mo as children consume more nutrient-dense complementary foods. Ways to increase consumption of foods containing vitamins D, E, and A, and calcium are needed, as are ways to increase bioavailability of iron and zinc. Funding Sources The MAL-ED study was supported by the Bill & Melinda Gates Foundation, through grants to the Foundation for the NIH and NIH/FIC.


2010 ◽  
Vol 95 (12) ◽  
pp. 5217-5224 ◽  
Author(s):  
Maria Andersson ◽  
Isabelle Aeberli ◽  
Nadja Wüst ◽  
Alberta M. Piacenza ◽  
Tamara Bucher ◽  
...  

Background: If children and pregnant women in the population are iodine sufficient, it is generally assumed infants are also sufficient. But weaning infants may be at risk of iodine deficiency because iodized salt contributes little dietary iodine during this period. To fill this gap, iodine fortification of infant formula milk (IFM) and complementary foods (CF) is likely important. Objectives: The objective of the study was to first confirm that Swiss school children and pregnant women remain iodine sufficient and then to assess iodine status in infancy and the relative contribution of breast milk and IFM/CF to their iodine intakes. Methods: We measured urinary iodine concentrations (UIC) in national cross-sectional samples of: 1) pregnant women (n = 648); 2) school children (n = 916); 3) infants at three time points: at 3–4 d after birth and at 6 and 12 months (n = 875); and 4) breast-feeding mothers (n = 507). We measured breast milk iodine concentrations in the mothers, assessed iodine sources in infant diets, and analyzed iodine content of commercial IFM/CFs (n = 22) and salt samples from the school children’s households (n = 266). Results: Median (m) UICs in pregnant women (162 μg/liter) and school children (120 μg/liter) were sufficient, and 80% of the household salt was adequately iodized (≥15 ppm). However, mUICs in infants not receiving IFM/CF were not sufficient: 1) mUIC in breast-fed infants (82 μg/liter) was lower than in non-breast-fed infants (105 μg/liter) (P < 0.001) and 2) mUIC in breast-fed weaning infants not receiving IFM/CF (70 μg/liter) was lower than infants receiving IFM (109 μg/liter) (P < 0.01). mUIC was low in lactating mothers (67 μg/liter) and median breast milk iodine concentration was 49 μg/kg. Conclusions: In countries in which iodized salt programs supply sufficient iodine to older children and pregnant women, weaning infants, particularly those not receiving iodine-containing IFM, may be at risk of inadequate iodine intakes.


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