دورية أكاديمية

Discordance in exclusive breastfeeding between maternal recall and deuterium dose-to-mother technique during the first 6 months of infants: A multi-country study in Asia.

التفاصيل البيبلوغرافية
العنوان: Discordance in exclusive breastfeeding between maternal recall and deuterium dose-to-mother technique during the first 6 months of infants: A multi-country study in Asia.
المؤلفون: Winichagoon P; Food and Nutrition Acedemic and Research Cluster, Institute of Nutrition, Mahidol University, Nakhon Pathom, Thailand. pattanee.win@mahidol.ac.th., Pongcharoen T; Food and Nutrition Acedemic and Research Cluster, Institute of Nutrition, Mahidol University, Nakhon Pathom, Thailand., Fadjarwati T; Centre for Health Services Policy, Health Policy Agency, Ministry of Health, Jakarta, Indonesia., Winarno E; Research Center for Radiation Process Technology, National Research and Innovation Agency (BRIN), Jakarta, Indonesia., Karim NA; Nutrition Science, School of Healthcare Sciences, Universiti Kebangsaan, Kuala Lumpur, Malaysia., Purevsuren E; National Center for Maternal and Child Health (NCMCH), Ulaanbaatar, Mongolia., Ahmad T; Pakistan Institute of Nuclear Science and Technology, Pakistan Atomic Energy Commission, Isalambad, Pakistan., Yameen A; Pakistan Institute of Nuclear Science and Technology, Pakistan Atomic Energy Commission, Isalambad, Pakistan., Hettiarachchi M; Faculty of Medicine, University of Ruhuna, Galle, Sri Lanka., Judprasong K; Food and Nutrition Acedemic and Research Cluster, Institute of Nutrition, Mahidol University, Nakhon Pathom, Thailand., Tran Thuy N; Department of Micronutrient Research and Application, National Institute of Nutrition, Hanoi, Vietnam., Vu Thi Thu H; Department of Micronutrient Research and Application, National Institute of Nutrition, Hanoi, Vietnam., Islam M; Nutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B), Dhaka, Bangladesh., Slater C; Division of Human Health, Department of Nuclear Sciences and Applications, International Atomic Energy Agency, Vienna, Austria., Thomas T; Division of Epidemiology and Biostatistics, St. John's Research Institute, Bangalore, India., Murphy-Alford AJ; Division of Human Health, Department of Nuclear Sciences and Applications, International Atomic Energy Agency, Vienna, Austria.
المصدر: European journal of clinical nutrition [Eur J Clin Nutr] 2024 Feb; Vol. 78 (2), pp. 135-140. Date of Electronic Publication: 2023 Oct 14.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Nature Publishing Group Country of Publication: England NLM ID: 8804070 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1476-5640 (Electronic) Linking ISSN: 09543007 NLM ISO Abbreviation: Eur J Clin Nutr Subsets: MEDLINE
أسماء مطبوعة: Publication: <2003->: London : Nature Publishing Group
Original Publication: London : J. Libbey, c1988-
مواضيع طبية MeSH: Breast Feeding* , Mothers*, Female ; Humans ; Infant ; Deuterium ; Milk, Human ; Thailand
مستخلص: Purpose: This study aimed to assess the agreement in EBF between maternal recall and the dose-to-mother (DTM) technique.
Methods: Indonesia, Malaysia, Mongolia, Pakistan, Sri Lanka, Thailand, and Vietnam participated in the study. A total of 207 and 118 mother-infant pairs were assessed at 3 and 6 months of child's age. Using a standardized questionnaire, mothers were asked to recall child feeding during the previous 24 h, at 3 and 6 months. Those recalled to be EBF proceeded to be assessed using DTM technique. Non-milk oral intake (NMOI) cutoff of 86.6 g/d was used to classify EBF.
Results: According to DTM, 66% of infants were EBF at 3 months, while only 22% were EBF at 6 months. At 3 months, the overall % agreement between maternal recall and DTM method was 68%, kappa 0.06 (95% CI: 0.07-0.20), and at 6 months, the % agreement was only 21%, kappa -0.031 (95% CI -0.168 to 0.107). Human milk intakes were similar at 3 months and 6 months when expressed as g/d, but decreased when expressed as g/kg/d, with a large variation within and between countries; Pakistan being the lowest.
Conclusion: This study showed there were declining levels of EBF from 3 to 6 months in the participating countries from Asia and the agreement between maternal recall and DTM technique to classify EBF was low. To ensure that the DTM technique can be more widely used in evaluating breastfeeding promotion programs, consensus on the appropriate NMOI cutoff and simplification of the DTM protocol is necessary.
(© 2023. The Author(s), under exclusive licence to Springer Nature Limited.)
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معلومات مُعتمدة: RAS 6073 International Atomic Energy Agency (IAEA)
المشرفين على المادة: AR09D82C7G (Deuterium)
تواريخ الأحداث: Date Created: 20231014 Date Completed: 20240220 Latest Revision: 20240220
رمز التحديث: 20240221
DOI: 10.1038/s41430-023-01353-0
PMID: 37838807
قاعدة البيانات: MEDLINE
الوصف
تدمد:1476-5640
DOI:10.1038/s41430-023-01353-0