Rao S, Rajpathak V
Department of Biometry and Nutrition, Maharashtra Association for Cultivation of Science, Pune.
Indian Pediatr. 1992 Dec;29(12):1533-9.
During the critical period of infancy, breastfeeding and weaning practices play an important role in determining the growth of an infant. The present study investigates the issue by observing 225 infants from Low Socio Economic (LSE) class (n = 150) and High Socio Economic (HSE) class (n = 75) for weight, height, and feeding practices. Almost all artificially fed (AF) infants in LSE class were malnourished while this was not so in the HSE class. However, the proportion of malnourished children in the LSE class for partially breastfed (BF + AF) group was comparable with exclusively breastfed (BF) group and was significantly lower (p < 0.01) than AF group indicating protective effect of partial breastfeeding against risks of contamination associated with weaning foods in such communities: The real bottleneck thus appears to be the lack of knowledge of handling and giving weaning foods in adequate quantities. Educating mothers appears to be the meaningful solution for improving the nutritional status of infants in poor communities.
在婴儿的关键时期,母乳喂养和断奶方式对婴儿的生长发育起着重要作用。本研究通过观察225名来自低社会经济阶层(LSE,n = 150)和高社会经济阶层(HSE,n = 75)的婴儿的体重、身高和喂养方式来调查这一问题。LSE阶层中几乎所有人工喂养(AF)的婴儿都营养不良,而HSE阶层并非如此。然而,LSE阶层中部分母乳喂养(BF + AF)组的营养不良儿童比例与纯母乳喂养(BF)组相当,且显著低于AF组(p < 0.01),这表明在这类社区中,部分母乳喂养对与断奶食品相关的污染风险具有保护作用:因此,真正的瓶颈似乎是缺乏正确处理和适量给予断奶食品的知识。对母亲进行教育似乎是改善贫困社区婴儿营养状况的有效解决办法。