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Published on: January 29, 2018
Undernutrition in British Haredi infants within the Gateshead Millennium cohort study
Charlotte M Wright1, David H Stone, Kathryn N Parkinson
1Department of Child Health, Paediatric Epidemiology and Community Health (PEACH) Unit, Yorkhill Hospitals, University of Glasgow, Glasgow, UK. cmw7a@clinmed.gla.ac.uk
Insights
Haredi infants experienced significant weight faltering due to large family size and delayed introduction of solids. These factors, common in less affluent societies, impacted infant growth patterns.
Area of Science:
- Pediatric Nutrition
- Growth Monitoring
- Sociodemographic Factors in Health
Background:
- Infant growth patterns can vary significantly between different religious and cultural groups.
- Observed differences in weight faltering within a UK cohort prompted further investigation into a minority Haredi community.
Purpose of the Study:
- To explore the characteristics of the Haredi community that may explain observed differences in infant growth patterns.
- To identify factors contributing to weight faltering in Haredi infants compared to the general cohort.
Main Methods:
- Prospective population-based cohort study of 961 term infants, including 33 from the Haredi community.
- Data collected via postal questionnaires and measurements at 13 months of age.
- Analysis included comparisons of weight, height, family size, breastfeeding duration, and timing of solids introduction.
Main Results:
- Haredi infants were significantly lighter and shorter by 13 months compared to the remainder of the cohort.
- Haredi infants had a higher incidence of weight faltering (48% vs. 11%).
- Large family size, longer breastfeeding duration, and delayed introduction of solids were identified as key factors explaining growth differences.
Conclusions:
- Extreme growth patterns in Haredi children are linked to large family size and delayed/inadequate introduction of complementary solids.
- These feeding practices are known risk factors for malnutrition, particularly in less affluent settings.
- Understanding community-specific factors is crucial for addressing infant malnutrition and promoting healthy growth.
Objective:
During a study of weight faltering it was observed that infants from a minority Haredi (ultra-Orthodox Jewish) religious group showed very different growth patterns from the rest of the cohort. The authors thus set out to explore the characteristics of the community that may explain these differences.
Setting And Subjects:
Gateshead Millennium Study cohort, UK.
Design:
Prospective population-based cohort study of 961 term infants (of whom 33 were from the Haredi community) recruited shortly after birth and followed by postal questionnaires and measurement at age 13 months.
Results:
At birth Haredi children had similar weights to the rest of the cohort, but by the age of a year the Haredi babies were significantly lighter (mean difference -1.06; p<0.001) and shorter even after allowing for parental heights (length z score mean difference -0.5; p=0.02). They were much more likely to have had weight faltering at some point: Haredi 48%, remainder 11%; RR=4.36; p<0.001. The Haredi families were much larger (54% had 5-12 siblings) were breast fed for longer (67% >4 months vs 15% of remainder; p<0.01) and started solids later (mean difference (CI) 7.5 (5.3 to 9.8) weeks; p<0.001) and these factors largely explained the differences in weight gain.
Conclusions:
The extreme growth patterns seen in these children seem to relate to large family size and delayed and inadequate introduction of complementary solids, which are known risk factors for malnutrition in less affluent societies.
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