Breastfeeding and neurological outcome at 42 months

Wiley - Tập 87 Số 12 - Trang 1224-1229 - 1998
CI Lanting1, Svati Patandin2, Nynke Weisglas‐Kuperus2, B.C.L. Touwen3, E R Boersma1
1Department of Obstetrics/Paediatrics, Perinatal Nutrition and Development Unit, University of Groningen, The Netherlands
2Department of Paediatrics, Erasmus University and Hospital/Sophia Children's Hospital, Rotterdam, The Netherlands
3Department of Developmental Neurology, University Hospital, Groningen, The Netherlands

Tóm tắt

This study investigated the effect of early feeding mode on the neurological condition at 42 months. For this purpose, healthy pregnant women were recruited in Groningen and Rotterdam, The Netherlands. Children were healthy and born at term. At 42 months, the children were neurologically examined by means of the Touwen/Hempel technique. In addition to the clinical diagnosis, the neurological findings were interpreted in terms of optimality. Special attention was paid to the quality of movements in terms of fluency. In total, 200 (51%) exclusively breastfed (for ≥ 6 weeks) and 194 (49%) formula‐fed children were studied. Twelve (3%) 42‐month‐old children were considered to be neurologically mildly abnormal and 1 child was diagnosed as abnormal. No effect of the type of feeding was found on the clinical diagnosis or the neurological optimality. After adjustments for study centre and social, obstetric, perinatal and neonatal neurological differences, a beneficial effect of breastfeeding on the fluency of movements was found (odds ratio for non‐optimal fluency 0.56; 95% confidence interval 0.37‐0.85). The prolongation of full breastfeeding beyond 6 weeks did not influence the quality of movements. In conclusion, among Dutch preschool children, there was a small advantageous effect of full breastfeeding during the first 6 weeks of life on the fluency of movements.

Từ khóa


Tài liệu tham khảo

10.1016/0277-9536(82)90096-X

10.1016/0277-9536(88)90028-7

10.1016/0140-6736(92)91329-7

10.1016/0378-3782(93)90194-Y

10.1093/ije/24.Supplement_1.S21

10.1016/S0140-6736(94)90692-0

10.1016/0378-3782(94)01611-R

10.1016/0378-3782(95)01674-0

10.1016/S0378-3782(97)00066-2

Prechtl HFR., 1977, The neurological examination of the full‐term newborn infant

Hempel MS., 1993, The neurological examination for toddler‐age (Dissertation)

10.1016/0378-3782(80)90026-2

10.1016/0378-3782(80)90027-4

Burgmeijer RJF., 1998, De vierde landelijke groeistudie (1997), 37

10.1016/0378-3782(90)90013-9

10.1016/0378-3782(90)90011-7

10.1016/S0140-6736(96)10182-3

10.1111/j.1469-8749.1988.tb04774.x

10.1111/j.1651-2227.1979.tb18439.x

10.1016/S0140-6736(95)91742-X

10.1016/S0022-3476(81)80579-3

Espgan Commitee on Nutrition., 1987, Guidelines on infant nutrition III. Recommendations for infant feeding, Acta Paediatr Scand, 3

Koldovsky O., 1989, Textbook of gastroenterology and nutrition in infancy

10.1136/bmj.312.7039.1132

Huisman M, 1996, Triglycerides, fatty acids, sterols, mono‐ and disaccharides, and sugar alcohols in human milk and current types of infant formula milk, Eur J Clin Nutr, 50, 255

10.1016/0140-6736(92)92684-8

Birch DG, 1992, Dietary essential fatty acid supply and visual acuity development, Invest Ophthalmol Vis Sci, 33, 3242

Woltil A., 1997, Early nutrition of low birtweight infants: LCPUFA metabolism, growth and development (Dissertation)

10.1203/00006450-199508000-00021

10.1111/j.1651-2227.1996.tb13890.x

Thông tin
Thông tin xuất bản

Wiley

Tập 87 Số 12

1224-1229

Thông tin tác giả