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Effects of Neonatal Feeding Patterns on Infant Health
Shi Xiaoli1, Hao Weiyan1, Dandan Li2
1Neonatal Care Unit of Pediatric Internal Medicine, Laizhou People's Hospital, Yantai, 261400 Shandong, China.
Insights
Early infant feeding methods significantly impact growth and development. Breastfeeding and mixed feeding promote better nutritional status and cognitive development compared to artificial feeding in infants up to three years old.
Area of Science:
- Pediatrics
- Neonatal Nutrition
- Child Development
Background:
- Early and appropriate infant feeding is crucial for nutritional status, immunity, and long-term health, potentially preventing adult chronic diseases.
- Understanding the impact of different neonatal feeding methods on infant growth and development is essential for establishing optimal infant care guidelines.
Purpose of the Study:
- To evaluate the effect of neonatal feeding methods (exclusive breastfeeding, artificial feeding, mixed feeding) on infant physical growth and psychomotor development.
- To assess the influence of early feeding practices on growth rate and overall development in infants aged 0-3 years.
Main Methods:
- A cohort of 600 healthy newborns (37-40 weeks gestation, 2350-4100g) were categorized into exclusive breastfeeding (32.3%), artificial feeding (34.5%), and mixed feeding (33.2%) groups.
- Nutritional status was assessed using the Kaup index. Intellectual and behavioral development were evaluated using the Developmental Screening Test (DST) and Bailey Infant Development Scale (BIDS).
- Growth parameters (weight-for-age, height-for-age, weight-for-height Z-scores) were analyzed using WHO 2006 standards, with statistical analysis performed using SPSS 24.0.
Main Results:
- No significant differences in WAZ and HAZ at 3 months. From 0-6 months, WAZ and HAZ were higher in breastfeeding and mixed feeding groups compared to artificial feeding.
- From 6-12 months, artificial feeding showed better WAZ and HAZ. Mixed feeding group exhibited higher scores in MI, DQ, PDI, and MDI from 12-36 months compared to other groups.
- Artificial feeding group had a significantly higher prevalence of illness (57.8%) compared to breastfeeding (22.2%) and mixed feeding (19.8%) groups. Normal psychological development was higher in breastfeeding (88.7%) and mixed feeding (88.9%) groups.
Conclusions:
- Supplementing with formula milk in the initial days can reduce infant illness incidence when colostrum secretion is low.
- Breast milk provides essential immune substances for disease resistance. Mother-infant bonding is fundamental for infant mental health development.
- Mixed feeding and exclusive breastfeeding are associated with better nutritional outcomes, reduced illness, and improved cognitive and motor development in infants up to 3 years.
Objective:
Early and reasonable feeding mode can not only ensure the good nutritional condition of infants but also enhance the infant immunity and resistance, which has a certain role in promoting health and preventing the occurrence of chronic diseases in adulthood. In this study, the effect of neonatal feeding methods on the infant body, the influence of early feeding on the growth rate, and development of infants aged 0-3.
Method:
From January 2016 to June 2019, a total of 600 infants who have been systematically managed in our hospital since birth were selected. All newborns were 37-40 weeks old, weighing 2350-4100 g, without congenital diseases. They were grouped according to feeding methods. 194 infants were exclusively breastfed, 32.3%; 207 people were artificially fed, 34.5%; 199 people were mixed fed, 33.2%. The Kaup index method was used to judge the nutritional status. Developmental Screening Test for ages 0 to 6 (DST) and Bailey Infant Development Scale (BIDS) were used to rate the intellectual and behavioral development of infants and children. According to the growth and development reference standard of 0 ~ 4-year-old children recommended by who in 2006, the age weight standard deviation score (WAZ), age length (height) standard deviation score (HAZ), and body (long) height-weight standard deviation score (WHZ) were performed, and the statistical analysis was performed with SPSS24.0 software. The height, weight, intelligence, and motor development of infants in the three groups at 1 month, 3 months, 6 months, 12 months, 24 months, and 36 months were analyzed and compared, and the test results were recorded in detail.
Result:
There was no significant difference in 3-month-old WAZ and HAZ among the three groups (P > 0.05). Within 6 months, the WAZ and HAZ values of the pure breastfeeding group and mixed feeding group were higher than those of the artificial feeding group (P < 0.05). From 6 months to 12 months, the WAZ and HAZ values of the artificial feeding group were better than those of artificial feeding group and mixed feeding group (P < 0.05). The scores of MI, DQ, PDI, and MDI in the mixed feeding group within 12-36 months were slightly higher than those in the breastfeeding group and significantly better than those in the artificial feeding group (P < 0.05). The prevalence of the breastfeeding group was 22.2% (43/194) and mixed feeding group was 19.8% (39/199), which was lower than that of the artificial feeding group 57.8% (120/207), P < 0.01. The number of people with normal psychological development was 88.7% (172/194) in the breastfeeding group and 88.9% (177/199) in the mixed feeding group, which was higher than 76.3% (158/207) in the artificial feeding group (P < 0.01).
Conclusion:
When there is little colostrum secretion in the first 2-3 days of delivery, appropriate addition of formula milk can reduce the incidence of diseases in newborn infants. Breast milk is the most perfect natural food. The immune substance in breast milk is an important element for infants to resist diseases. The communication between mother and child is the first condition for the development of infant mental health.
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