Nutrition Research and Practice

The Korean Nutrition Society (한국영양학회)
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Assessing exclusive breastfeeding practices, dietary intakes and body mass index (BMI) of nursing mothers in Ekiti State of Nigeria

  • Received : 2010.02.12
  • Accepted : 2010.06.11
  • Published : 2010.06.30
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Abstract

Breastfeeding is an unequalled way of providing ideal food for the infants. The benefits of breastfeeding practices to infants and mothers are well documented. However, information on breastfeeding practices and its effect on body mass index (BMI) of mothers are scarce, particularly in Ekiti State of Nigeria. Therefore, the present study is designed to assess breastfeeding practices and its association with BMI of mothers. A descriptive and cross-sectional study was conducted among breastfeeding mothers that attended postnatal clinic of the state specialist hospitals and maternity centers in the study location. The specialist hospital and two-third of the nine maternity centers were purposively selected because of their health facilities and personnel. The mother-child pairs (200 respondents) were randomly selected from the study locations. Information on demographic characteristic, socio-economic parameters, nutritional knowledge of breastfeeding and dietary intakes of mothers were collected using questionnaires. BMI of mothers was determined as described by World Health Organization. Age distribution of mothers was between 25-34 years; and almost half of respondents had good educational background and were engaged in different occupations. The respondent monthly income ranged between = N = 3500 - 26000 ($26.92 - $200); and their dietary intakes varied between starchy and protein-based food. The result also showed that the respondent consumed enough nutrients to meet up the recommended daily allowance for protein, carbohydrate, fat, zinc, magnesium, sodium and phosphorous requirements. The BMI classifications showed that over three-fifth of respondents were normal, while the remaining were underweight (6%) and overweight/obese (26.5%). Also, large proportion of respondents engaged in exclusive breastfeeding and with good knowledge of breastfeeding practices. Statistically, exclusive breastfeeding practices had no correlation between the BMI and frequency of breastfeeding. The study, therefore, concluded that mothers had good knowledge of breastfeeding practice; and that there was no association between breastfeeding practices and BMI.

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References

  1. ACC/SCN. Administration Committee on Coordination-Sub-Committee on Nutrition (ACC/SCN). Fourth report on the world nutrition situation. Geneva: 2000.
  2. Yimer G. Malnutrition among children in southern Ethiopia: Levels and risk factors. Ethiopian Journal of Health Development 2000;14:283-92.
  3. Zewditu G, Kelbessa U, Timotewos G, Ayele N. Review the status of malnutrition and trend in Ethiopia. Ethiopian Journal of Health Development 2001;15:55-74.
  4. Ijarotimi OS, Oyeneyin OO. Effect of economic restructuring on household food security and nutritional status of Nigerian children. Journal of Food, Agriculture and Environment. 2005:3: 27-32.
  5. Osmani SR. Poverty and nutrition in South Asia. Abraham Horwitz lecture delivered at the Symposium on Nutrition and Poverty held on the occasion of UN ACC/SCN 24th Session, Kathmandu. Nepal: 1997. p.17-21.
  6. Lisa CS, Lawrence H. Explaining child malnutrition in developing countries: A cross-country analysis. Research Report 2000; 111:4.
  7. Muller O, Krawinkel M. Malnutrition and health in developing countries. CMAJ 2005;173:279-86. https://doi.org/10.1503/cmaj.050342
  8. Kinra S, Nelder RP, Lewendon GJ. 'Deprivation and childhood obesity: a cross sectional study of 20 973 children in Plymouth, United Kingdom'. J Epidemiol Community Health 2000;54: 456-60. https://doi.org/10.1136/jech.54.6.456
  9. Coakley A. Healthy eating: food and diet in low income households. Administration 2001;49:87-103.
  10. Read M, Catteneo A. The optimal duration of exclusive breast feeding. IBFAN Breastfeeding Briefs 2001;31-32:1-10.
  11. Kramer M, Kakuma R. Optimal duration of exclusive breastfeeding. Cochrane Database Syst Rev 2002;CD003517. PMID 11869667.
  12. WHO. Child and Adolescent Health and Development. Exclusive Breastfeeding; 2006.
  13. Montgomery AM. Breastfeeding and postpartum maternal care. Prim 2000;27:237-50.
  14. American Academy of Pediatrics. Breastfeeding and the use of human milk. Pediatrics 1997;100:1035-9. https://doi.org/10.1542/peds.100.6.1035
  15. Institute of Medicine. Nutrition during lactation. Washington, DC: National Academy Press; 1991.
  16. WHO [Internet]. The optimal duration of exclusive breastfeeding: results of a WHO Systematic Review; [cited 2002 January 11] Available from: http://www.who.int/inf-pr-2001/en/note2001-07.html
  17. Atkinson S, Lonnerdal BO. Proteins and non-protein nitrogens in human milk. CRC Press; 1989.
  18. Weaver L, Arthur H, Bunn J, Thomas J. Human milk IgA concentrations during the first year of lactation. Arch Dis Child 1998;78:235-9. https://doi.org/10.1136/adc.78.3.235
  19. Heinig MJ, Dewey KG. Health advantages of breastfeeding for mothers: a critical review. Nutr Res Rev 1997;10:35-56. https://doi.org/10.1079/NRR19970004
  20. Labbok MH. Effects of breastfeeding on the mother. Pediatr Clin North Am 2001;48:143-58. https://doi.org/10.1016/S0031-3955(05)70290-X
  21. Ball TM, Wright AL. Health care costs of formula feeding in the first year of life. Pediatrics 1999;103:870-6.
  22. Gartner LM, Morton J, Lawrence RA, Naylor AJ, O'Hare D, Schanler RJ, Eidelman AI. Breastfeeding and the use of human milk. Pediatrics 2005;115:496-506. https://doi.org/10.1542/peds.2004-2491
  23. Anderson JW, Johnstone BM, Remley DT. Breastfeeding and cognitive development: a meta-analysis. Am J Clin Nutr 1999;70: 525-35. https://doi.org/10.1093/ajcn/70.4.525
  24. Drane DL, Logemann JA. A critical evaluation of the evidence on the association between type of infant feeding and cognitive development. Pediatr Epidemiol 2000;14:349-56. https://doi.org/10.1046/j.1365-3016.2000.00301.x
  25. Lykke Mortensen E, Fleischer Michaelsen K, Sanders SA, Reinisch JM. The association between duration of breastfeeding and adult intelligence. JAMA 2002;287:2365-71. https://doi.org/10.1001/jama.287.18.2365
  26. Heinig MJ, Dewey KG. Health advantages of breastfeeding for infants: a critical review. Nutr Res Rev 1996;9:89-110. https://doi.org/10.1079/NRR19960007
  27. Heinig MJ. Host defense benefits of breastfeeding for the infant: effect of breastfeeding duration and exclusivity. Pediatr Clin North Am 2001;48:105-23. https://doi.org/10.1016/S0031-3955(05)70288-1
  28. Gdalevich M, Mimouni D, David M, Mimouni M. Breast-feeding and the onset of atopic dermatitis in childhood: a systematic review and meta-analysis of prospective studies. J Am Acad Dermatol 2001;45:520-7. https://doi.org/10.1067/mjd.2001.114741
  29. Gdalevich M, Mimouni D, Mimouni M. Breast-feeding and the risk of bronchial asthma in childhood: a systematic review with meta-analysis of prospective studies. J Pediatr 2001;139:261-6. https://doi.org/10.1067/mpd.2001.117006
  30. Uhari M, Matysaari K, Niemela M. A meta-analytic review of the risk factors for acute otitis media. Clin Infect Dis 1996;22: 1079-83. https://doi.org/10.1093/clinids/22.6.1079
  31. Lawrence RA, Lawrence RM. Breastfeeding: a guide for the medical profession. 5th edition. Mosby, St. Louis; 1999.
  32. Gahlinger PM, Abramson JH. Computer programs for epidemiologic analysis (CPEA). Makapuu Medical Press, Honolulu, Hawaii; 1993.
  33. Farvid MS, Jalali M, Siassi F, Navid S and Hosseini M. The impact of vitamins and/or mineral supplementation on blood pressure in type 2 diabetes. J Am Coll Nutr 2004;23:272-9. https://doi.org/10.1080/07315724.2004.10719370
  34. Biro G, Hulshof KFAM, Ovesen L, Amorim Cruz JA for the EFCOSUM Group. Selection of methodology to assess food intake. Eur J Clin Nutr 2002;56:25-32.
  35. Bingham SA, Nelson M, Paul AA, Haraldsdottir J, Loken EB, van Staveren WA. Methods for data collection at an individual level. In: Cameron ME, van Staveren WA, eds. Manual on methodology for food consumption studies. New York: Oxford University Press; 1988. p.53-106.
  36. AOAC. Official Methods of Analysis 16th edition, Arlington V.A association of official analytical chemist; 1990.
  37. Temple NJ. Survey of nutrition knowledge of Canadian physicians. J Am Coll Nutr 1999;18:26-9 https://doi.org/10.1080/07315724.1999.10718823
  38. WHO. Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. Geneva: 1995.
  39. Awoyinka A, Adeyemi IA, Ojolo BO. Infant feeding in Nigeria: a case study of practices in Ile-Ife community. Early Child Dev Care 1992;80:21-9. https://doi.org/10.1080/0300443920800104
  40. Cornia, Giovanni Andrea. Poverty, food consumption, and nutrition during the transition to the market economy in Eastern Europe. American Economic Review 1994;84:297-302.
  41. Al-Shoshan AA. Factors affecting mother's choices and decisions related to breast feeding practices and weaning habits. Pakistan Journal of Nutrition 2007;6:318-22. https://doi.org/10.3923/pjn.2007.318.322
  42. Aregai WG. Determinants of weaning practices. Ethiopian Journal of health development 2000;14:183-9.
  43. Sachdev PHS, Krishna J, Puri RK, Satyanarayana L, Kumar S. Water supplementation in exclusively breastfed infants during summer in the tropics. Lancet 1992;337:929-33.
  44. WHO/UNICEF. Innocenti Declaration on the protection, promotion and support of breastfeeding. Geneva: 1990.
  45. Achidi E, Perlmann H, Salimonu L, Perlmann P, Walker O, Asuzu M. A longitudinal study of seroreactivities to Plasmodium falciparum antigens in Nigerian infants during their first year of life. Acta Trop 1995;59:173-83. https://doi.org/10.1016/0001-706X(95)00076-Q
  46. Cohen RJ, Brown KH, Canahauti J, Rvera L, Dewey KG. Effects of age of introduction of complementary foods on infant breast milk intake, total energy intake and growth: a randomized intervention study in Honduras. Lancet 1994;344:288-93. https://doi.org/10.1016/S0140-6736(94)91337-4

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