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Does type of feeding in infancy influence lipid profile in later life?
Devender Chhonker1, M M A Faridi, Manish Narang
1Department of Pediatrics, University College of Medical Sciences & Guru Teg Bahadur Hospital, 110095, Shahdara, Delhi, India.
Insights
Exclusive breastfeeding (EBF) and mixed feeding (MF) show distinct infant lipid profiles, particularly in total cholesterol and HDL-C, though differences normalize by one year. The HDL-C:LDL-C ratio remains higher in breastfed infants.
Area of Science:
- Pediatrics
- Nutrition Science
- Biochemistry
Background:
- Infant feeding practices significantly influence early-life health.
- Understanding the impact of breastfeeding on lipid profiles is crucial for long-term cardiovascular health.
- Existing research shows varied effects of different feeding modalities on infant metabolism.
Purpose of the Study:
- To compare the serum lipid profiles of exclusively breastfed (EBF) infants versus mixed-fed (MF) infants.
- To track changes in total cholesterol, HDL-C, and triglycerides from 6 months to 1 year of age.
- To investigate the implications of infant feeding on lipid parameters relevant to cardiovascular health.
Main Methods:
- Prospective comparative study of 199 healthy term infants (105 EBF, 94 MF) from 6 months to 1 year.
- Serum lipid levels (Total Cholesterol, HDL-C, Triglycerides) measured at 6, 9, and 12 months.
- Statistical analysis using SPSS software to compare lipid profiles between feeding groups.
Main Results:
- At 6 months, exclusively breastfed infants had significantly higher mean total cholesterol than mixed-fed infants.
- At 9 months, significant differences were observed in HDL-C and triglyceride levels between EBF and MF groups.
- Lipid profiles were comparable at 1 year, but the HDL-C:LDL-C ratio was significantly higher in the EBF group.
Conclusions:
- Exclusive breastfeeding and mixed feeding result in differential infant lipid profiles during the first year of life.
- Early differences in lipid parameters may have long-term implications for cardiovascular health.
- The higher HDL-C:LDL-C ratio in breastfed infants at 1 year suggests a potentially more favorable lipid profile.
Objective:
To compare the lipid profile of exclusively breastfed and mixed-fed, term, appropriate for gestation age infants from 6 mo to 1 y of age.
Methods:
This prospective comparative study included one hundred ninety nine consecutive term healthy infants; 105 on exclusive breastfeeding (EBF) and 94 receiving mixed feeding (MF). These children were recruited at 6 mo of age and followed till 1 y of age. Serum lipid levels of babies were determined at recruitment (6 mo), 9 mo and 1 y of age. Statistical analysis was carried out using SPSS software.
Results:
The mean total cholesterol (TC) at 6 mo in exclusively breastfed group (156.38 ± 50.42 mg/dl) was significantly higher than mixed fed group (139.5 ± 37.59 mg/dl). At 9 mo, high density lipoprotein cholesterol (HDL-C) and triglycerides (TG) levels were significantly different in EBF group than MF group. The lipid profile of both group of babies was comparable at 1 y of age. The HDL-C: LDL-C ratio was significantly different between the two groups (higher in breastfed group) at 1 y.
Conclusions:
The present study highlights differential lipid profile of exclusively breastfed infants and mixed fed infants.
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