TY - JOUR
T1 - The relationship between infants' preceding appetite, illness, and growth performance and mothers' subsequent feeding practice decisions
AU - Piwoz, Ellen G.
AU - Black, Robert E.
AU - Lopez de Romaña, Guillermo
AU - Creed de Kanashiro, Hilary
AU - Brown, Kenneth H.
N1 - Funding Information:
Acknow(ed~emenrs---Theses tudies were supported primarily by the Diarrhea1 Disease Control Program of the World Health Organization and by the International Center for Development Research. Additional funds were provided by the Office of Nutrition, U.S. Agency for International Development (Dietary Management of Diarrhea Program. Cooperative Agreement No. DAN-1010-A-00-.51 19-00). Funds for this analysis were provided by a Woodrow Wilson Research Grant in Women’s Studies. The authors express their appreciation to the staff of the Institute de Investigation Nutritional who collected and organized all of the data, and to Drs Stan Becker. Laura Cault%d. and Marie Diener-West for their thoughtful comments on this manuscript.
PY - 1994/9
Y1 - 1994/9
N2 - Data from a longitudinal study of 153 low-income Peruvian infants were used to examine (i) whether infant characteristics such as appetite, illness and past growth performance are related to subsequent changes in their feeding practices (e.g. addition of non-human milks, solid foods, weaning), and (ii) whether this relationship depends on maternal characteristics such as feeding exposure and experience (MFEE). With one exception, infants were breastfed from birth. Feeding practices during the first month of life were related to practices throughout infancy. Most mothers changed their practices once (61%) or twice (34%) from birth to 6 months. Low weight gains from 1 to 2 (P < 0.003) and 2 to 3 (P < 0.04) months were identified as significant predictors of feeding changes during the following months, using logistic regression models that also adjusted for MFEE, infant gender, previous practice, and previous practice change. The interaction between past weight gain and MFEE (objective ii) was not statistically significant in the logistic regression models. However, when analyzed separately, the relationships between low weight gains and subsequent feeding changes were observed for high but not low MFEE mothers. The prevalences of anorexia and infection (diarrhea, respiratory, and/or fever), and poor length gain during the previous month were not related to subsequent changes in feeding practices. These results suggest that poor growth influences feeding practices from 2 to 4 months, when exclusive breastfeeding is recommended.
AB - Data from a longitudinal study of 153 low-income Peruvian infants were used to examine (i) whether infant characteristics such as appetite, illness and past growth performance are related to subsequent changes in their feeding practices (e.g. addition of non-human milks, solid foods, weaning), and (ii) whether this relationship depends on maternal characteristics such as feeding exposure and experience (MFEE). With one exception, infants were breastfed from birth. Feeding practices during the first month of life were related to practices throughout infancy. Most mothers changed their practices once (61%) or twice (34%) from birth to 6 months. Low weight gains from 1 to 2 (P < 0.003) and 2 to 3 (P < 0.04) months were identified as significant predictors of feeding changes during the following months, using logistic regression models that also adjusted for MFEE, infant gender, previous practice, and previous practice change. The interaction between past weight gain and MFEE (objective ii) was not statistically significant in the logistic regression models. However, when analyzed separately, the relationships between low weight gains and subsequent feeding changes were observed for high but not low MFEE mothers. The prevalences of anorexia and infection (diarrhea, respiratory, and/or fever), and poor length gain during the previous month were not related to subsequent changes in feeding practices. These results suggest that poor growth influences feeding practices from 2 to 4 months, when exclusive breastfeeding is recommended.
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U2 - 10.1016/0277-9536(94)90047-7
DO - 10.1016/0277-9536(94)90047-7
M3 - Article
C2 - 7973881
AN - SCOPUS:0028166207
SN - 0277-9536
VL - 39
SP - 851
EP - 860
JO - Social Science and Medicine
JF - Social Science and Medicine
IS - 6
ER -