Breastfeeding, growth and diarrhoea in rural Bangladesh children

Human Nutrition. Clinical Nutrition
|March 1, 1984
PubMed

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.

Related Concept Videos

Anatomy of the Intestines01:23

Anatomy of the Intestines

Although digestion of proteins, carbohydrates, and lipids may begin in the stomach, it is completed in the intestine. The absorption of nutrients, water, and electrolytes from food and drink also occurs in the intestine. The intestines can be divided into two structurally distinct organs—the small and large intestines.
Small Intestines
The small intestine is an ~7 meter-long tube with an inner diameter of just 2.5 cm. Since most nutrients are absorbed here, the inner lining of the small...
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
Development of Human Microbiota01:30

Development of Human Microbiota

The human microbiota begins developing at birth and undergoes continual change as we age. Infancy marks a critical period of microbial sensitivity, offering a “window of opportunity” during which beneficial microbes help mature the immune system. By age three, children typically develop a more stable and diverse microbial community. Newborns acquire microbes from their immediate environment; vaginal delivery favors maternal vaginal microbes, while cesarean births favor microbes from the skin...
Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
Cholera01:25

Cholera

Cholera is an acute gastrointestinal disease caused by the Gram-negative bacterium Vibrio cholerae. It is transmitted primarily via the fecal-oral route through the ingestion of contaminated water or food.Vibrio cholerae is a motile, Gram-negative bacterium of the family Vibrionaceae, primarily associated with waterborne outbreaks in areas with inadequate sanitation. Although over 200 serogroups of V. cholerae exist, only O1 and O139 are responsible for epidemic cholera. The O1 serogroup,...
Giardiasis01:12

Giardiasis

Giardiasis is a globally prevalent intestinal infection caused by the protozoan parasite Giardia duodenalis (also known as G. lamblia or G. intestinalis). This flagellated protozoan is the most frequently identified intestinal parasite in the United States and worldwide. Transmission primarily occurs via the fecal-oral route, with infection arising from ingestion of water or food contaminated with cysts. Individuals in low-resource settings, international travelers, outdoor enthusiasts, daycare...