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- Title
Do early infant feeding patterns relate to breast-feeding continuation and weight gain? Data from a longitudinal cohort study.
- Authors
Casiday, R. E.; Wright, C. M.; Panter-Brick, C.; Parkinson, K. N.
- Abstract
OBJECTIVES:: To describe the first-week feeding patterns for breast- vs bottle-fed babies, and their association with sustained breast-feeding and infant weight gain at 6 weeks. DESIGN:: A longitudinal cohort study. SETTING:: Feeding diaries were completed by mothers in an urban UK community shortly after birth; follow-up weight and feeding data were collected at routine health checks. SUBJECTS:: Mothers of 923 full-term infants born during the recruiting period agreed to join the study. In all, 502 usable diaries were returned from 54% of the cohort. RESULTS:: Breast-fed infants were fed more frequently (2.71?h between feeds) than bottle-fed infants (3.25?h between feeds) and mixed-fed infants (3.14?h between feeds) (P<0.001) in the first week of life, while duration of feeds was similar. Only exclusive breast-feeding in the first week (P<0.001) and maternal education (P=0.004) were related to continued breast-feeding at 6 weeks. Greater first-week feeding frequency (as measured by feed-to-feed interval, h) was associated with higher weight gain at 6 weeks for breast-feeders, but no analysed factors were associated with higher weight gain for bottle-feeders. CONCLUSIONS:: This large-scale study of first-week feeding patterns sheds light on the important and complicated issues of breast-feeding continuation and infant weight gain, with implications for the feeding advice given to mothers. Supplementary bottle feeds were clearly associated with discontinued breast-feeding at 6 weeks. Over that period, higher weight gain was associated with more frequent feeding for breast-fed infants only. SPONSORSHIP:: Henry Smith Charity, SPARKS, Child Growth Foundation.European Journal of Clinical Nutrition (2004) 58, 1290-1296. doi:10.1038/sj.ejcn.1601964 Published online 31 March 2004
- Subjects
BREASTFEEDING; INFANT nutrition; BOTTLE feeding; BODY weight; DIET therapy; COHORT analysis
- Publication
European Journal of Clinical Nutrition, 2004, Vol 58, Issue 9, p1290
- ISSN
0954-3007
- Publication type
Article
- DOI
10.1038/sj.ejcn.1601964