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Author Spotlight: Implications of Non-Nutritive Sucking on Speech Emergence and Infant Development
Published on: April 19, 2024
Feeding and developmental outcomes of infants in a South African community
Bronwyn Eales1, Esedra Krüger1, Marien Graham2
1Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa.
Insights
Early feeding issues in infants are linked to developmental challenges. Cup feeding may affect language, while poor sucking is tied to behavioral problems, highlighting the need for early intervention in lower-middle-income countries (LMICs).
Area of Science:
- Pediatrics
- Developmental Psychology
- Public Health
Background:
- Infants in lower-middle-income countries (LMICs) face environmental risks impacting feeding and development.
- Feeding difficulties can cascade into broader developmental challenges.
Purpose of the Study:
- To investigate the relationship between infant feeding practices and developmental outcomes.
- To identify specific feeding issues associated with developmental delays.
Main Methods:
- Retrospective analysis of feeding and development data from 144 infants.
- Study conducted at a primary health care clinic in Gauteng, South Africa.
- Infants' mean age was 8.8 months (SD 2.2).
Main Results:
- Early cup feeding predicted expressive language and articulation difficulties.
- Gagging, spitting, vomiting, pocketing, force feeding, and poor sucking were linked to behavioral and social-emotional issues.
- Breastfeeding demonstrated a protective effect on language development.
Conclusions:
- Early identification and intervention for feeding risks are crucial in LMICs.
- Addressing feeding difficulties can mitigate long-term developmental consequences.
- Primary prevention strategies are essential for infant well-being in resource-limited settings.
Background:
Prevalent environmental risk factors place infants in lower-middle-income countries (LMICs) at an increased risk for feeding and developmental difficulties.
Aim:
This study aimed to determine the relationship between feeding and developmental outcomes in infants, as early feeding difficulties may have a cascading effect on developmental outcomes and vice versa.
Methods:
Data on 144 infants' feeding and development [mean age (standard deviation) = 8.8 months (2.2)] from a primary health care clinic in Gauteng, South Africa were retrospectively analysed.
Results:
Early introduction of cup feeding was found to be a predictor of possible expressive language and articulation difficulties. Gagging, spitting, or vomiting, pocketing, the use of force feeding, and poor sucking and chewing abilities were significantly associated with behavioural and social-emotional difficulties. Breastfeeding was found to be a protective factor for language development. The results emphasise the importance of primary prevention and early identification of risks in late infancy in LMIC.
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