© 1996 Oxford University Press
research-article |
Feeding Practices and Growth among Low-Income Peruvian Infants: A Comparison of Internationally-Recommended Definitions
* Department of International Health, The Johns Hopkins University School of Hygiene and Public Health Baltimore, MD 21205, USA.
** Instituto de Investigación Nutricional Lima, Peru.
Program in International Nutrition, Department of Nutrition, University of California Davis, CA 95616, USA.
BACKGROUND: Data from a longitudinal study of 153 low-income Peruvian infants were used to assess the relationship between internationally-recommended definitions of feeding practices and infants' monthly weight gain and weight status at 12 months.
METHODS: Infants were classified Into feeding categories using monthly reported data. Analysis of variance was used to assess the relationship between reported usual feeding practices and growth. Reported breastfeeding practices were compared to observed breastfeeding practices and to weighed breast milk intakes to determine the validity of recommended breastfeeding definitions.
RESULTS: Breastfed infants who consumed non-human milks during the first month of life gained less weight during that month (P < 0.002) than exclusively and predominantly breastfed infants. Reported daily nursing frequency was associated with observed nursing frequency and breast milk energy intake (P < 0.05) for Infants <9 months old. Patterns of growth varied according to early diets. Infants who consumed breast milk and non-human milks and those who were fully weaned by 4 months were more likely to be underweight at 12 months than other infants. Infants classified as token breastfeeders (
3 times/24 hours) from 0 to 120 days had monthly gains that were similar to those of fully weaned infants.
CONCLUSIONS: Infant feeding definitions should 1) continue to differentiate exclusively breastfed infants from other infants who are almost exclusively or predominantly breastfed; 2) distinguish partially breastfed infants who consume only non-human milks from those who also consume solid foods; and 3) distinguish partially breastfed infants according to their breastfeeding frequency or the % of their total daily energy that comes from breast milk.
Keywords infant feeding practices, infant growth, nutrition surveys, nutrition assessment
Revised 1 June 1995
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  Growth of healthy infants and the timing, type, and frequency of complementary foods Am. J. Clinical Nutrition, September 1, 2002; 76(3): 620 - 627. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Aarts, E. Kylberg, A. Hornell, Y. Hofvander, M. Gebre-Medhin, and T. Greiner How exclusive is exclusive breastfeeding? A comparison of data since birth with current status data Int. J. Epidemiol., December 1, 2000; 29(6): 1041 - 1046. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. T. Hop, R. Gross, T. Giay, S. Sastroamidjojo, W. Schultink, and N. T. Lang Premature Complementary Feeding Is Associated with Poorer Growth of Vietnamese Children J. Nutr., November 1, 2000; 130(11): 2683 - 2690. [Abstract] [Full Text] [PDF]
|
|