Breast milk and energy intake in exclusively, predominantly, and partially breast-fed infants.

Abstract:

OBJECTIVE:To investigate the extent to which breast milk is replaced by intake of other liquids or foods, and to estimate energy intake of infants defined as exclusively (EBF), predominantly (PBF) and partially breast-fed (PartBF). DESIGN:Cross-sectional. SETTING:Community-based study in urban Pelotas, Southern Brazil. SUBJECTS:A total of 70 infants aged 4 months recruited at birth. MAIN OUTCOME MEASURES:Breast milk intake measured using a "dose-to-the-mother" deuterium-oxide turnover method; feeding pattern and macronutrient intake assessed using a frequency questionnaire. RESULTS:Adjusted mean breast milk intakes were not different between EBF and PBF (EBF, 806 g/day vs PBF, 778 g/day, P=0.59). The difference between EBF and PartBF was significant (PartBF, 603 g/day, P=0.004). Mean intakes of water from supplements were 10 g/day (EBF), 134 g/day (PBF) and 395 g/day (PartBF). Compared to EBF these differences were significant (EBF vs PBF, P=0.005; EBF vs PartBF, P<0.001). The energy intake of infants receiving cow or formula milk (BF+CM/FM) in addition to breast milk tended to be 20% higher than the energy intake of EBF infants (EBF, 347 kJ/kg/day vs BF+CM/FM, 418 kJ/kg/day, P=0.11). CONCLUSIONS:There was no evidence that breast milk was replaced by water, tea or juice in PBF compared to EBF infants. The energy intake in BF+CM/FM infants tended to be 20% above the latest recommendations (1996) for breast-fed and 9% above those for formula-fed infants. If high intakes are maintained, this may result in obesity later in life. SPONSORSHIP:International Atomic Energy Agency through RC 10981/R1.

journal_name

Eur J Clin Nutr

authors

Haisma H,Coward WA,Albernaz E,Visser GH,Wells JC,Wright A,Victora CG

doi

10.1038/sj.ejcn.1601735

subject

Has Abstract

pub_date

2003-12-01 00:00:00

pages

1633-42

issue

12

eissn

0954-3007

issn

1476-5640

pii

1601735

journal_volume

57

pub_type

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