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Maternal & Child Nutrition

Nina J Berry, Karleen D Gribble
The use of health and nutrition content claims in infant formula advertising is restricted by many governments in response to WHO policies and WHA resolutions. The purpose of this study was to determine whether such prohibited claims could be observed in Australian websites that advertise infant formula products. A comprehensive internet search was conducted to identify websites that advertise infant formula available for purchase in Australia. Content analysis was used to identify prohibited claims. The coding frame was closely aligned with the provisions of the Australian and New Zealand Food Standard Code, which prohibits these claims...
October 14, 2016: Maternal & Child Nutrition
Nuzhat Choudhury, Mohammad Jyoti Raihan, Sabiha Sultana, Zeba Mahmud, Fahmida Dil Farzana, Md Ahshanul Haque, Ahmed Shafiqur Rahman, Jillian L Waid, Ahmed Mushtaque Raza Chowdhury, Robert E Black, Tahmeed Ahmed
Globally, undernutrition affects nearly half of all children aged less than 5 years. It is more prominent in low- and middle-income countries. This study aimed to identify the age-specific risk factors for different categories of undernutrition among Bangladeshi children aged less than 2 years. Data of 10,291 children aged less than 2 years were collected between October 2011 to November 2013 through the Food Security Nutritional Surveillance Project in Bangladesh. Simple logistic regression established bivariate relationships between the categories of undernutrition and the relevant risk factors...
October 12, 2016: Maternal & Child Nutrition
Karleen Gribble, Nina Berry, Marko Kerac, Michelle Challinor
A cross-sectional examination of the accuracy of volume markers on infant feeding bottles available for sale in Australia between December 2013 and February 2014 was carried out. Ninety-one bottles representing 28 different brands were examined. Eighty-eight bottles were hard sided. Volumes in these bottles were marked in a combination of milliliters and ounces. Thirty-six (41%) bottles claimed compliance with the European standard EN14350, five (6%) with non-existent Australian standards, and forty-seven (54%) bottles had no standard claim...
October 11, 2016: Maternal & Child Nutrition
Meley Woldeghebriel, Amber Hromi-Fiedler, Anna Lartey, Daniel Gallego-Perez, Adam Sandow, Rafael Pérez-Escamilla
While literature describing immigrant's breastfeeding practices exists, especially among those living within developed countries, there is a significant gap in knowledge on how the host culture may influence the EBF behaviors of refugees, especially those living in protracted situations within sub-Saharan Africa. A cross-sectional study was conducted in the Buduburam Refugee Settlement in Ghana from July-August 2008 to explore the association between the amount of time living in Ghana and exclusive breastfeeding practices among Liberian refugees and Ghanaians in surround villages...
October 11, 2016: Maternal & Child Nutrition
Ana Amélia Freitas-Vilela, Andrew D A C Smith, Gilberto Kac, Rebecca M Pearson, Jon Heron, Alan Emond, Joseph R Hibbeln, Maria Beatriz Trindade Castro, Pauline M Emmett
Little is known about how dietary patterns of mothers and their children track over time. The objectives of this study are to obtain dietary patterns in pregnancy using cluster analysis, to examine women's mean nutrient intakes in each cluster and to compare the dietary patterns of mothers to those of their children. Pregnant women (n = 12 195) from the Avon Longitudinal Study of Parents and Children reported their frequency of consumption of 47 foods and food groups. These data were used to obtain dietary patterns during pregnancy by cluster analysis...
October 9, 2016: Maternal & Child Nutrition
Anita M Nucci, Suvi M Virtanen, Susa Sorkio, Sonja Bärlund, David Cuthbertson, Ulla Uusitalo, Margaret L Lawson, Marja Salonen, Carol L Berseth, Anne Ormisson, Eveliina Lehtonen, Erkki Savilahti, Dorothy J Becker, John Dupré, Jeffrey P Krischer, Mikael Knip, Hans K Åkerblom
Differences in breastfeeding, other milk feeding and complementary feeding patterns were evaluated in infants at increased genetic risk with and without maternal type 1 diabetes (T1D). The Trial to Reduce IDDM in the Genetically at Risk is an international nutritional primary prevention double-blinded randomized trial to test whether weaning to extensively hydrolyzed vs. intact cow's milk protein formula will decrease the development of T1D-associated autoantibodies and T1D. Infant diet was prospectively assessed at two visits and seven telephone interviews between birth and 8 months...
October 7, 2016: Maternal & Child Nutrition
Calistus Wilunda, Shiro Tanaka, Fabian Esamai, Koji Kawakami
It is unclear whether routine prenatal anemia control interventions can reduce anemia risk in young children. This study examines the associations between prenatal iron supplementation and/or deworming and anemia in children aged 6-23 months in sub-Saharan Africa (SSA). We analyzed data from Demographic and Health Surveys conducted between 2003 and 2014 in 25 SSA countries. The surveys collected data on prenatal iron supplementation and deworming and determined children's hemoglobin levels through blood testing...
October 7, 2016: Maternal & Child Nutrition
Sophia Komninou, Victoria Fallon, Jason Christian Grovenor Halford, Joanne Alison Harrold
The majority of research examining the barriers to breastfeeding focuses on the physical challenges faced by mothers rather than the risks of encountering negative emotional and practical feeding experiences. We aimed to quantify the emotional and practical experiences of the overall sample of breastfeeding mothers and identify the differences in the emotional and practical experiences of exclusively breastfeeding mothers and combination feeding mothers, by feeding type and intention. Eight hundred forty-five mothers with infants up to 26 weeks of age and who had initiated breastfeeding were recruited through relevant social media via advertisements providing a link to an online survey...
October 7, 2016: Maternal & Child Nutrition
Maria Beatriz Trindade de Castro, Dayana Rodrigues Farias, Jaqueline Lepsch, Roberta Hack Mendes, Aline Alves Ferreira, Gilberto Kac
The association between the quality of maternal dietary fat intake during pregnancy and the infant's birthweight (BW) remains controversial. Our goal was to investigate the association between maternal dietary fat intake during pregnancy and the rate of large for gestational age (LGA) newborns. This study employed a cross-sectional analysis of 297 pairs of mothers/children attending a public maternity at Rio de Janeiro, Brazil. BW for gestational age according to the Intergrowth 21st was defined as follows: adequate for gestational age (AGA ≤ 90th percentile) and LGA (>90th percentile)...
October 3, 2016: Maternal & Child Nutrition
Michelle Harrison, Wendy Brodribb, Julie Hepworth
Evidence supports the establishment of healthy feeding practices early in life to promote lifelong healthy eating patterns protective against chronic disease such as obesity. Current early childhood obesity prevention interventions are built on extant understandings of how feeding practices relate to infant's cues of hunger and satiety. Further insights regarding factors that influence feeding behaviors in early life may improve program designs and outcomes. Four electronic databases were searched for peer-reviewed qualitative studies published between 2000 to 2014 with transitional infant feeding practice rationale from developed countries...
October 3, 2016: Maternal & Child Nutrition
Shrish Budree, Elizabeth Goddard, Kirsty Brittain, Shihaam Cader, Landon Myer, Heather J Zar
Childhood malnutrition is highly prevalent in low- and middle-income countries. The choices of complementary foods, which are important in infant nutrition, are poorly described in this setting. We investigated infant feeding practices in a South African birth cohort, the Drakenstein Child Health Study. Longitudinal feeding data were collected from March 2012 to March 2015. Feeding practices at birth, 6-10 and 14 weeks and 6, 9, and 12 months, were investigated using food frequency questionnaires. Anthropometry was measured at birth and 12 months...
October 2, 2016: Maternal & Child Nutrition
William Johnson, Momodou K Darboe, Fatou Sosseh, Patrick Nshe, Andrew M Prentice, Sophie E Moore
Prenatal supplementation with protein-energy (PE) and/or multiple-micronutrients (MMNs) may improve fetal growth, but trials of lipid-based nutritional supplements (LNSs) have reported inconsistent results. We conducted a post-hoc analysis of non-primary outcomes in a trial in Gambia, with the aim to test the associations of LNS with fetal growth and explore how efficacy varies depending on nutritional status. The sample comprised 620 pregnant women in an individually randomized, partially blinded trial with four arms: (a) iron and folic acid (FeFol) tablet (usual care, referent group), (b) MMN tablet, (c) PE LNS, and (d) PE + MMN LNS...
October 2, 2016: Maternal & Child Nutrition
Pili Kamenju, Enju Liu, Ellen Hertzmark, Donna Spiegelman, Rodrick Kisenge, Roland Kupka, Said Aboud, Karim P Manji, Christopher Duggan, Wafaie W Fawzi
Complementary feeding is crucial for improving child survival and promoting growth and development, particularly among HIV-exposed children who have higher risk of morbidity and mortality than their un-exposed peers. This prospective study employed an infant and child feeding index (ICFI) to measure complementary feeding and determine its association with nutritional status among 2092 HIV-exposed infants followed from 6 to 24 months of age in Dar es Salaam, Tanzania. The ICFI measured both quality and quantity of complementary feeding, including current breastfeeding status, food consistency, dietary diversity scores (DDS), food group frequency score, and meal frequency...
September 30, 2016: Maternal & Child Nutrition
Cara Safon, Danya Keene, William J Ugarte Guevara, Sara Kiani, Darby Herkert, Erick Esquivel Muñoz, Rafael Pérez-Escamilla
Breastfeeding has been shown to improve maternal and child health. In Nicaragua, the primary risk of death and disability-adjusted life years among children under 5 years of age is suboptimal breastfeeding. Although the Nicaraguan Ministry of Health promotes exclusive breastfeeding from within the first half hour through the first 6 months of life, less than a third of children in the country under 6 months of age are exclusively breastfed. As part of a larger, mixed-methods study, 21 semi-structured, in-depth interviews were conducted with new mothers recruited from three primary health centers between June and August 2015 in order to identify the social, cultural, and structural factors that contribute to infant feeding practices and the discrepancy between recommendations and practices among mothers who delivered at an urban public hospital in León, Nicaragua...
September 20, 2016: Maternal & Child Nutrition
Scott B Ickes, Grace A Heymsfield, Timothy W Wright, Charles Baguma
: We conducted 40 in-depth interviews and eight focus groups among mothers and fathers (n = 91) of diverse ages in western Uganda to define the relevant domains of maternal capabilities and their relationship to infant and young child feeding practices. This study was directed by a developing theory of maternal capabilities that posits that the impact of health-directed interventions may be limited by unmeasured and poorly understood maternal characteristics. Ugandan caregivers defined three major life events that constrain women's capabilities for childcare: early pregnancy, close child spacing, and polygamous marriage...
September 20, 2016: Maternal & Child Nutrition
Raffaele Bruno, Elisabetta Petrella, Valentina Bertarini, Giulia Pedrielli, Isabella Neri, Fabio Facchinetti
This study aims to determine whether the prescription of a detailed lifestyle programme in overweight/obese pregnant women influences the occurrence of gestational diabetes (GDM), and if this kind of prescription increases the adherence to a healthier lifestyle in comparison to standard care. The study was designed as a randomized controlled trial, with open allocation, enrolling women at 9-12 weeks of pregnancy with a BMI ≥ 25 kg/m(2) . The women assigned to the Intervention group (I = 96) received a hypocaloric, low-glycaemic, low-saturated fat diet and physical activity recommendations...
September 19, 2016: Maternal & Child Nutrition
Melissa C Bartick, Eleanor Bimla Schwarz, Brittany D Green, Briana J Jegier, Arnold G Reinhold, Tarah T Colaizy, Debra L Bogen, Andrew J Schaefer, Alison M Stuebe
The aim of this study was to quantify the excess cases of pediatric and maternal disease, death, and costs attributable to suboptimal breastfeeding rates in the United States. Using the current literature on the associations between breastfeeding and health outcomes for nine pediatric and five maternal diseases, we created Monte Carlo simulations modeling a hypothetical cohort of U.S. women followed from age 15 to age 70 years and their children from birth to age 20 years. We examined disease outcomes using (a) 2012 breastfeeding rates and (b) assuming that 90% of infants were breastfed according to medical recommendations...
September 19, 2016: Maternal & Child Nutrition
Emma Loughrill, David Wray, Tatiana Christides, Nazanin Zand
Adequate intake of calcium and phosphorus in the appropriate ratio of 1-2:1 (Ca:P), in addition to magnesium and vitamin D, is vital for bone health and development of an infant. In this feasibility study, the ratio of Ca:P in conjunction with vitamin D and other essential elements (Cu, Fe, K, Mg, Na, and Zn) in a range of commercial infant food products in the UK is investigated. The elemental analysis was carried out using inductively coupled plasma optical emission spectrometry, and vitamin D levels were determined using an enzyme-linked immunosorbent assay...
September 9, 2016: Maternal & Child Nutrition
Kelsey N Dancause, Dima Mutran, Guillaume Elgbeili, David P Laplante, Sue Kildea, Helen Stapleton, David McIntyre, Suzanne King
Prenatal maternal stress can adversely affect birth outcomes, likely reflecting effects of maternal stress hormones on fetal development. Maternal stress might also induce behavioural changes, such as dietary change, that might influence fetal development. Few studies have documented relationships between stress and dietary change in pregnancy. We analysed stress and dietary change among 222 pregnant women exposed to the 2011 Queensland Floods. We assessed women's objective hardship, subjective distress and cognitive appraisal of the disaster; changes in their diets and their associations with infants' gestational age, weight, length and head circumference at birth, head circumference to birth length ratio (HC/BL) and ponderal index...
August 26, 2016: Maternal & Child Nutrition
Yunhee Kang, Sungtae Kim, Sisay Sinamo, Parul Christian
Few trials have shown that promoting complementary feeding among young children is effective in improving child linear growth in resource-challenged settings. We designed a community-based participatory nutrition promotion (CPNP) programme adapting a Positive Deviance/Hearth approach that engaged mothers in 2-week nutrition sessions using the principles of 'learning by doing' around child feeding. We aimed to test the effectiveness of the CPNP for improving child growth in rural Ethiopia. A cluster randomized trial was implemented by adding the CPNP to the existing government nutrition programmes (six clusters) vs...
August 22, 2016: Maternal & Child Nutrition
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