Growth of children in exclusive breastfeeding in their first semester of life

Authors

  • Rosângela Aparecida Augusto Universidade de São Paulo; Faculdade de Saúde Pública; Departamento de Epidemiologia
  • José Maria Pacheco de Souza Universidade de São Paulo; Faculdade de Saúde Pública; Departamento de Epidemiologia

DOI:

https://doi.org/10.7322/jhgd.19827

Keywords:

Growth, Children Nutrition, Breastfeeding, Linear Regression

Abstract

There are controversies about the growth of infants who are exclusively breastfed (EB) from three to six months of life, although the World Health Organization recommends that exclusive breastfeeding (EB) until the sixth month of life assures an adequate growth. OBJECTIVE: To measure the average velocity of daily increment in weight (VDIW) in the first two life quarters, according to the duration of EB, adjusted for other possible determinants of growth. METHODS: a cohort of 347 newborns in a university hospital of São Paulo was studied in the years of 1998 and 1999, using multiple linear regression, and applying hierarchical modeling. RESULTS: 17.5% of the children were EB at three months; 2.4% at six months. In the first quarter, among the girls, larger VDIW is related to larger duration of EB. For the boys, VDIW does not differ according to the duration of EB. Children's VDIW in the second quarter of age was not influenced by EB duration. CONCLUSIONS: EB assures adequate growth in the first two life quarters; the apparent alterations of the growth of children in EB should be evaluated with caution, in order to avoid the unnecessary introduction of complementary feeding.

References

Arifeen SE, Black RE, Caufield LE, Antelman G, Baqui AH. Determinants of infant growth in the slums of Dhaka: size and maturity at birth, breastfeeding and morbidity. Eur. J. Clin Nutr. 2001;55:167-78.

Barros FC, Victora CG, Vaughan JP. Amamentação e dieta In: Epidemiologia das desigualdades: um estudo longitudinal de6000 crianças brasileiras. São Paulo: Hucitec.1989; 117-27.

Barros Filho AA, Barbieri MA, Santoro JR, Bettiol H. Crescimento de lactentes até os 6 meses de idade alimentados com leite materno e com leite artificial. Medicina, Ribeirão Preto. 1996; 29: 479-487.

Diaz S, Herreros C, Avarena R, Casado ME, Reyes MV, Schiappcasse V. Breast-feeding duration and growth of fully breast-fed infants in a poor urban Chilean population. Am J Clin Nutr. 1995; 62 :371-6.

Hitchcock NE, Gracy M, Owles EN. Growth of healthy breast-fed infants in first six months. Lancet. 1981; 11: 64-5.

Juez G, Díaz S, Casado ME, Durán E, Salvatiera A-M, Peralta O, Croxato HB. Growth pattern of selected urban Chile an infants during exclusive breast –feeding. Am J Clin Nutr.1983; 38: 462-8.

Leão M, Coitinho DC, Recine E, Costa LAL,Lacerda AJ. O perfil do aleitamento materno no Brasil. In: Monteiro MFG, Cervini R., organizadores. Perfil estatístico de crianças e mães no Brasil: aspectos de saúde e nutrição das crianças no Brasil. Rio de Janeiro. FIBGE/UNICEF/INAN; 1989; 97-109.

Longo GZ, Souza JMP, Souza SB, Szarfarc SC. Crescimento de crianças até os seis meses de idade segundo categorias de aleitamento materno. Rev. Bras. Saúde Materno Infantil. 2005; 5 Supl 1: 109-118.

Marques RFSV, Lopez FA, Braga JAP. O C. O crescimento de crianças alimentadas com leite materno exclusivo nos primeiros 6 meses devida. J. Pediatria. 2004; 80 Supl 2: S99-105.

Martorell R, Khan LK, Schoroeder DG. Reversibility of stunting: epidemiological findings in children from developing countries. Eur J Clin Nutr. 1994;48 Suppl1:S45-S57.

Mathur S, Mathur GP, Gupta V, Singh YD,Kushwaha KP, Verma A, Rathi AK. Growth patterns in breastfed babies during first six months of life. Indian Pediatric. 1994; 31(Supl3): 275-8.

Murahovschi J, Teruya KM, Nascimento ET, Bueno LLGS, Pinheiro L, Maneta ME et al. Curvas e tabelas de crescimento de lactentes brasileiros de zero a seis meses de idade alimentados exclusivamente com leite materno. J Pediatria. 1987; 63(Supl 4): 1-25.

Onis M, Victora CG. Gráficos de crescimento para bebês alimentados com leite materno. J. Pediatria. 2004;80(2):85-87.

Pimentel VAF, Joaquim MCM, Pimentel EF, Garcia DMM. El crescimiento de los niños alimentados exclusivamente com leche materna durante los seis primeiros meses de vida. Bol. Oficina Sanit Panam. 1991;110:311-8.

Posada ME, Rubén M, Esquivel M. On growth of children: effect of some socioeconomic and genetic factors. Acta Paediatr Hung. 1987;28:37-43.

Puccini RF, Wechsler R, Silva EMK, Resegue R. Fatores de risco para morbidade e desnutrição em crianças acompanhadas em programa de atenção à saúde da criança. J. Pediatria. 1997;73(Supl 4):S244-251.

Rivera J, Ruel MT. Growth retardation in the first three months of life among rural Guatemala children. Eur J Clin Nutr. 1997;51:92-6.

Seward JK, Serdula MK. Infant feeding and growth: task force on infant-feeding practices. Pediatrics. 1984;74(Suppl 1): 728-62.

Siqueira AAF, Santos JLF, Saqueiro CG, Luz ET, Araújo MCA. Estado Nutricional e hábito de fumar maternos, crescimento intra-uterino e pós-natal. Rev Saúde Pública. 1985; 19:37-50.

Stata Corp. Stata statistical software: Release 8.2 College Station, TX: Stata Corporation,2003.

Victora CG, Huttly AR, Fuchs SC, Olinto MTA. The role of conceptual frameworks in epidemiological analysis: A hierarchical approach. Int. Journ of Epidem. 1997; 26:224-7.

Waterlow JC, Ashworth A, Griffiths M. Faltering infant growth in less-developed countries. Lancet. 1980;v ii:1176-8.

Waterlow JC, Thomson AM. Observations on the adequacy of breastfeeding. Lancet. 1979;2 :238-42.

Whitehead RG, Paul AA. Growth charts and the assessment of infant feeding practices in the western world and in developing countries. Early Hum Dev. 1984; 9: 187-207.

World Health Organization (WHO). Expert consultation on the optimal duration of exclusive breastfeeding. Conclusions and recommendations. World Wealth Organization. Document A54/INF.DOC./4,Geneva, 28-30 March 2001.

Zeferino AMB, Barros Filho AA, Bettiol H, Barbieri MA. Acompanhamento do crescimento. Jornal de Pediatria. 2003;19(Supl.1):S23-31.

WHO Multicentre Growth Reference Study Group. Breastfeeding in the WHO Multicentre Growth Reference Study. Acta Paediatr. 2006;(Suppl 450):16-26.

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Published

2007-08-01

Issue

Vol. 17 No. 2 (2007)

Section

Original Research

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