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EFFECTS OF NUTRITION ON GROWTH AND DEFECATION PATTERNS IN EARLY INFANCY

Year 2007, Volume: 21 Issue: 1, 25 - 33, 01.04.2007

Abstract

Objective: To evaluate the effects of different nutritional patterns on anthropometric data, feeding behavior and defecation patterns. Material and method: Healthy breast-fed and formula-fed infants were evaluated on their growth, feeding and defecation pattern at 3 th and 6 th month of age. Results: At first visit of healthy breast-fed (n=24) and formula-fed (n=23) infants, body weight, lenght, triceps skinfold thickness, postnatal weight gain were higher in BF than FF group. While birth weight was correlated to postnatal weight gain in BF babies such correlation was not present in FF group. Daily feeding frequency, feeding period and defecation frequency at three months of age were higher in BF group than FF group. At six months of age, while there were no differences on body weight, length, head circumference, body mass index, TSF between two groups, postnatal weight gain and head circumference increase were higher in FF group. Daily mean energy and protein intake from complementary foods were lower in BF than FF babies. Conclusion: BF infants grow more rapidly at first three months of life, however at the beginning of complementary food these infants stay behind the FF infants. At both of the different nutritional pattern, feeding and defecation patterns are different however, these differences were over with beginning of complementary foods. Different growth, feeding and defecation patterns in BF and FF infants can be related to growth factors and hormones in breast-milk. 

References

  • Dewey KG, Heinig MJ, Nommsen LA, Peerson JM, Lönnerdal B. Growth of breast-fed and formula-fed infants from 0-18 months: The DARLING study. Pedi- atrics 1992; 89:1035-1041.
  • Agostoni C, Grandi F, Gianni ML, et al. Growth patterns of breast fed and formula fed infants in the first 12 months of life: an Italian study. Arch Dis Child 1999; 81: 395-399.
  • Salmanpera L, Perheentupa J, Siimes M. Exclusively breast-fed healthy infants grow slower than reference infants. Pediatr Res 1985; 19: 307-312.
  • Sievers E, Oldigs HD, Santer R, Schaub J. Feeding patterns in breast-fed and formula-fed infants. Ann Nutr Metab 2002; 46: 243-248.
  • Person LA. Infant feeding and growth: a longitudinal study in three Swedish communities. Ann Hum Biol 1985; 12: 42-52.
  • Owen GM, Garry PJ, Hooper EM. Feeding and growth of infants. Nutr Res 1984; 4: 727-731.
  • Nelson SE, Rogers RR, Ziegler EE, Fomon SJ. Gain in weight and length during early infancy. Early Hum Dev 1989; 19: 223-239.
  • Donma MM, Donma O. Infant feeding and growth: A study on Turkish infants from birth to 6 months. Ped Inter 1999; 41: 542-548.
  • Lucas A, Sarson DL, Blackburn AM, Adrian TE, Aynsley- Green A, Bloom SR. Breast vs bottle: endocrine responses are different with formula feeding. Lancet 1980; 1: 1267-1269.
  • Cavell B. Gastric emptying in infants fed human mil kor infant formula. Acta Paediatr Scand 1981; 70: 639-941.
  • Hörnell A, Aarts C, Kylberg E, Hofvander Y, Gebre- Medhin M. Breastfeeding patterns in exclusively bre- astfed infants: a longitudinal prospective study in Upsala Sweden. Acta Paediatr 1999; 88: 203-211.
  • Oakley JR. Differences in subcutaneous fat in breast and formula-fed infants. Arch Dis Child 1977; 52: 79-80.
  • D’Souza SW, Black P. A study of infant growth in relation to the type of feeding. Early Hum Dev 1979; 3: 245-255.
  • de Bruin NC, Degenhart HJ, Gal S, Westerterp KR, Stijnen T, Visser HKA. Energy utilization and growth in breast-fed and formula-fed infants measured prospectively during the first year of life. Am J Clin Nutr 1988; 67: 885-896.
  • Shepherd RW, Oxborough DB, Holt TL, Thomas BJ, Thong YH. Longitudinal study of the body composition of weight gain in exclusively breast-fed and intake- measured whey-based formula-fed infants to age 3 months. J Pediatr Gastroenterol Nutr 1988; 7: 732-739.
  • Butte NF, Wong WW, Hopkinson JM, Smith EO, Ellis KJ. Infant feeding mode affects early growth and body composition. Pediatrics 2000; 106: 1355-1366.
  • Neufeld LM, Haas JD, Grajeda R, Martorell R. Changes in maternal weight from the first to seconder trimester of pregnancy are associated with fetal growth and infant length at birth. Obstet Gynecol Surv 2004; 59: 643-644.
  • Mortazavi F, Zadeh TK. The relationship between maternal anthropometric measurement and birth weight. Asia Pac J Clin Nutr 2004; 13: 154.
  • Li R, Jewell S, Grummer-Strawn L. Maternal obesity and breast-feeding practices. Am J Clin Nutr 2003; 77: 931- 936.
  • Weaver LT, Ewing G, Taylor LC. The bowel habit of milk- fed infants. J Pediatr Gastroenterol Nutr 1988; 7: 568- 571.
  • Mehta KC, Specker BL, Bartholmey S, Giddens J, Ho ML. Trial on timing of introduction to solids and food type on infant growth. Pediatrics 1998; 102: 569-573.
  • Dewey KG, Heinig MJ, Nommsen-Rivers LA, Lönnerdal B. Low energy intake and growth velocities of breast-fed infants: are there functinel consequences? In: Schurch B, Scrimshaw N, eds. Activity, energy expenditure and energy requirements of infants and children. Lausanne, Switzerland: Proceedings of an International Dietary Energy Consultative Group Workshop, IDECG. c/o Nestle Foundation, 1990; 35-43.
  • Dewey KG, Heinig MJ, Nommsen-Rivers LA, Lönnerdal B. Adequacy of energy intake among breastfed infants in the DARLING study: relationship to growth velocity, morbidity and activity levels. J Pediatr 1991; 119: 538- 547.
  • Cohen RJ, Brown KH, Canahuati J, Rivera LL, Dewey KG. Effects of age of introduction of complementary foods on infant breast milk intake, total energy intake, and growth: a randomised intervention study in Hondu- ras. Lancet 1994; 344: 288-293.
  • Garza C, Butte NF. Energy intakes of human milk-fed infants during the first year. J Pediatr 1990;117: 124-131.
  • Butte NF, Smith EO, Garza C. Heart rates of breast fed and formula fed infants. J Pediatr Gastroenterol Nutr 1991;13: 391-396.

Erken Süt Çocukluğu Döneminde Beslenmenin, Büyüme Ve Dışkılama Özellikleri Üzerine Etkisi

Year 2007, Volume: 21 Issue: 1, 25 - 33, 01.04.2007

Abstract

Amaç: Sağlıklı bebeklerde farklı beslenme tiplerinin antropometrik veriler, beslenmedavranışı ve dışkılama özellikleri üzerine etkisinin araştırılması. Gereç ve yöntem: Anne sütü ve biberon maması alan sağlıklı bebekler üç ve altıaylıkken değerlendirilerek, beslenme, dışkılama özellikleri ve büyümeleri izlenmiştir. Bulgular: AS ile beslenen 24, BM alan 23 bebek karşılaştırıldığında 3. ayda AS grubununvücut ağırlığı, boyu, triseps deri kıvrım kalınlığı ve postnatal kilo alımı, BM grubundan fazlabulundu. AS grubunda, bebeklerin doğum ağırlığı ile 3. aydaki vücut ağırlığı arasında pozitifilişki varken, BM alan grupta bu ilişki yoktu. AS grubunun ilk üç aydaki günlük beslenmesüre ve sayısı ayrıca dışkılama sayısı fazla idi. Altıncı ayda iki grubun ortalama vücut ağırlığı, boyu, baş çevresi, vücut kitle indeksi ve TSFarasında fark bulunmazken, BM grubunun aldığı kilo ve baş çevresi artışı AS grubundandaha fazla idi. AS grubunun ek gıdalardan aldığı ortalama enerji ve protein miktarının BMalan bebeklerden daha az olduğu görüldü.Sonuç: Hayatın ilk üç ayında AS ile beslenen bebekler daha hızlı büyümekte, ancak ekgıdalara geçildikten sonra BM ile beslenen bebeklerin gerisinde kalmaktadır. Her ikibeslenme şeklinde beslenme davranışı ve dışkılama özellikleri birbirinden farklı olup, ekgıdaların devreye girmesi ile farklılıklar ortadan kalkmaktadır. Bu değişiklikler anne sütündebulunan hormonlar ve büyüme faktörlerinden kaynaklanabilir

References

  • Dewey KG, Heinig MJ, Nommsen LA, Peerson JM, Lönnerdal B. Growth of breast-fed and formula-fed infants from 0-18 months: The DARLING study. Pedi- atrics 1992; 89:1035-1041.
  • Agostoni C, Grandi F, Gianni ML, et al. Growth patterns of breast fed and formula fed infants in the first 12 months of life: an Italian study. Arch Dis Child 1999; 81: 395-399.
  • Salmanpera L, Perheentupa J, Siimes M. Exclusively breast-fed healthy infants grow slower than reference infants. Pediatr Res 1985; 19: 307-312.
  • Sievers E, Oldigs HD, Santer R, Schaub J. Feeding patterns in breast-fed and formula-fed infants. Ann Nutr Metab 2002; 46: 243-248.
  • Person LA. Infant feeding and growth: a longitudinal study in three Swedish communities. Ann Hum Biol 1985; 12: 42-52.
  • Owen GM, Garry PJ, Hooper EM. Feeding and growth of infants. Nutr Res 1984; 4: 727-731.
  • Nelson SE, Rogers RR, Ziegler EE, Fomon SJ. Gain in weight and length during early infancy. Early Hum Dev 1989; 19: 223-239.
  • Donma MM, Donma O. Infant feeding and growth: A study on Turkish infants from birth to 6 months. Ped Inter 1999; 41: 542-548.
  • Lucas A, Sarson DL, Blackburn AM, Adrian TE, Aynsley- Green A, Bloom SR. Breast vs bottle: endocrine responses are different with formula feeding. Lancet 1980; 1: 1267-1269.
  • Cavell B. Gastric emptying in infants fed human mil kor infant formula. Acta Paediatr Scand 1981; 70: 639-941.
  • Hörnell A, Aarts C, Kylberg E, Hofvander Y, Gebre- Medhin M. Breastfeeding patterns in exclusively bre- astfed infants: a longitudinal prospective study in Upsala Sweden. Acta Paediatr 1999; 88: 203-211.
  • Oakley JR. Differences in subcutaneous fat in breast and formula-fed infants. Arch Dis Child 1977; 52: 79-80.
  • D’Souza SW, Black P. A study of infant growth in relation to the type of feeding. Early Hum Dev 1979; 3: 245-255.
  • de Bruin NC, Degenhart HJ, Gal S, Westerterp KR, Stijnen T, Visser HKA. Energy utilization and growth in breast-fed and formula-fed infants measured prospectively during the first year of life. Am J Clin Nutr 1988; 67: 885-896.
  • Shepherd RW, Oxborough DB, Holt TL, Thomas BJ, Thong YH. Longitudinal study of the body composition of weight gain in exclusively breast-fed and intake- measured whey-based formula-fed infants to age 3 months. J Pediatr Gastroenterol Nutr 1988; 7: 732-739.
  • Butte NF, Wong WW, Hopkinson JM, Smith EO, Ellis KJ. Infant feeding mode affects early growth and body composition. Pediatrics 2000; 106: 1355-1366.
  • Neufeld LM, Haas JD, Grajeda R, Martorell R. Changes in maternal weight from the first to seconder trimester of pregnancy are associated with fetal growth and infant length at birth. Obstet Gynecol Surv 2004; 59: 643-644.
  • Mortazavi F, Zadeh TK. The relationship between maternal anthropometric measurement and birth weight. Asia Pac J Clin Nutr 2004; 13: 154.
  • Li R, Jewell S, Grummer-Strawn L. Maternal obesity and breast-feeding practices. Am J Clin Nutr 2003; 77: 931- 936.
  • Weaver LT, Ewing G, Taylor LC. The bowel habit of milk- fed infants. J Pediatr Gastroenterol Nutr 1988; 7: 568- 571.
  • Mehta KC, Specker BL, Bartholmey S, Giddens J, Ho ML. Trial on timing of introduction to solids and food type on infant growth. Pediatrics 1998; 102: 569-573.
  • Dewey KG, Heinig MJ, Nommsen-Rivers LA, Lönnerdal B. Low energy intake and growth velocities of breast-fed infants: are there functinel consequences? In: Schurch B, Scrimshaw N, eds. Activity, energy expenditure and energy requirements of infants and children. Lausanne, Switzerland: Proceedings of an International Dietary Energy Consultative Group Workshop, IDECG. c/o Nestle Foundation, 1990; 35-43.
  • Dewey KG, Heinig MJ, Nommsen-Rivers LA, Lönnerdal B. Adequacy of energy intake among breastfed infants in the DARLING study: relationship to growth velocity, morbidity and activity levels. J Pediatr 1991; 119: 538- 547.
  • Cohen RJ, Brown KH, Canahuati J, Rivera LL, Dewey KG. Effects of age of introduction of complementary foods on infant breast milk intake, total energy intake, and growth: a randomised intervention study in Hondu- ras. Lancet 1994; 344: 288-293.
  • Garza C, Butte NF. Energy intakes of human milk-fed infants during the first year. J Pediatr 1990;117: 124-131.
  • Butte NF, Smith EO, Garza C. Heart rates of breast fed and formula fed infants. J Pediatr Gastroenterol Nutr 1991;13: 391-396.
There are 26 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Articles
Authors

Y. Öztürk This is me

U. Yiş This is me

B. Büyükgebiz This is me

Publication Date April 1, 2007
Submission Date August 11, 2015
Published in Issue Year 2007 Volume: 21 Issue: 1

Cite

Vancouver Öztürk Y, Yiş U, Büyükgebiz B. Erken Süt Çocukluğu Döneminde Beslenmenin, Büyüme Ve Dışkılama Özellikleri Üzerine Etkisi. DEU Tıp Derg. 2007;21(1):25-33.