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Published on: February 15, 2018
Breastfeeding, growth and diarrhoea in rural Bangladesh children
Insights
Exclusive breastfeeding did not significantly impact infant growth compared to supplementation. However, exclusively breastfed infants experienced more frequent and longer diarrheal episodes during their first year.
Area of Science:
- Pediatrics
- Nutrition Science
- Public Health
Background:
- Breastfeeding is recognized for its protective effects against infant illnesses.
- Understanding the impact of exclusive breastfeeding versus supplementation on infant health outcomes is crucial for public health recommendations.
Purpose of the Study:
- To compare the growth patterns of exclusively breastfed infants with those receiving breast milk plus supplements.
- To investigate differences in the incidence and duration of diarrheal illness between these two feeding groups.
Main Methods:
- A study involving 223 children in a rural setting.
- Monthly anthropometric measurements up to 12 months, then quarterly.
- Weekly maternal interviews to record feeding history and diarrheal illness data.
Main Results:
- No significant difference in average weight between exclusively breastfed infants and those receiving supplements.
- Growth in weight and height paralleled the Harvard standard for both groups up to 4 months.
- Exclusively breastfed infants had a higher incidence and longer duration of diarrhea during the first year.
Conclusions:
- While exclusive breastfeeding supports normal infant growth, supplementation may reduce the frequency and duration of diarrheal episodes in the first year.
- Findings suggest a trade-off between growth and protection against common childhood illnesses like diarrhea.
Abstract:
It has been observed that breastfeeding protects infants from many illnesses. We examined whether breastfeeding alone or with a supplement maintained normal growth and whether the incidence of diarrhoea was different in the two groups. The study was conducted on 223 children in a rural area. Anthropometric measurements were obtained every month up to 12 months and then every 3 months. The history of feeding was recorded. The mothers were visited weekly to record information on diarrhoeal illness. Homemade supplements were used. The average weight of exclusively breastfed children was not significantly different from that of those who were breastfed with supplements. The average weight paralleled the Harvard standard up to the 4th month, and the increase in height showed the same pattern. During the first year the incidences and duration of diarrhoeal attacks were higher in the exclusively breastfed children than in the supplemented groups. On average there were 3.2 attacks of diarrhoea per child per year and the average duration was 15.9 days per child per year during the first 2 years.
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