B Vitamins in Breast Milk: Relative Importance of Maternal Status and Intake, and Effects on Infant Status and function

Allen, Lindsay H.

doi:10.3945/an.111.001172

Cited by 233 publications

(251 citation statements)

References 52 publications

Supporting

Mentioning

236

Contrasting

Unclassified

Order By: Relevance

“…Folate requirements are particularly high in the second and third trimesters of pregnancy because of the needs imposed by fetal growth and by accelerated folate breakdown, which reflects metabolic turnover of folate (WHO/Food and Agriculture Organization of the United Nations [FAO], 2004). Plasma folate concentrations in breast milk are relatively unaffected by maternal intake, even when the mother is deficient in the vitamin, and maternal supplementation benefits the mother rather than the infant (Allen, 2012). …”

Section: Determinants Of Folate Requirements In Africamentioning

confidence: 99%

Safety and benefits of interventions to increase folate status in malaria‐endemic areas

et al. 2017

View full text Add to dashboard Cite

SummaryFor decades, folic acid has routinely been given to prevent or treat anaemia in children, pregnant women and people with sickle cell disease. However, there is no conclusive evidence that folate deficiency anaemia constitutes a public health problem in any of these groups. Industrial flour fortification is recommended and implemented in many countries to combat neural tube defects. Dietary folates or folic acid can antagonise the action of antifolate drugs that play a critical role in the prevention and treatment of malaria. Randomised trials have shown that folic acid supplementation increases the rate of treatment failures with sulfadoxine‐pyrimethamine. The efficacy of antifolate drugs against Plasmodium is maximized in the absence of exogenous folic acid, suggesting that there is no safe minimum dose of ingested folic acid. We here review the safety and benefits of interventions to increase folate status in malaria‐endemic countries. We conclude that formal cost‐benefit analyses are required.

show abstract

Section: Determinants Of Folate Requirements In Africamentioning

confidence: 99%

Safety and benefits of interventions to increase folate status in malaria‐endemic areas

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Physiological vulnerability which comes with childbearing is the first reason. Moreover, maternal nutrient needs increase during pregnancy and lactation, and when these needs are not met, women may suffer from malnutrition [1][2][3][4][5]. During lactation, the energy, protein, and other nutrients in breast milk come from a mother's diet or her own body stores.…”

Section: Introductionmentioning

confidence: 99%

“…During lactation, the energy, protein, and other nutrients in breast milk come from a mother's diet or her own body stores. Lactating women who do not get enough energy and nutrients in their diets risk maternal depletion [3][4][5][6]. This exacerbates maternal malnutrition [7,8].…”

Section: Introductionmentioning

confidence: 99%

Dietary diversity and related factors among lactating women visiting public health facilities in Aksum town, Tigray, Northern Ethiopia

et al. 2016

View full text Add to dashboard Cite

Background: Dietary diversity is a proxy indicator of maternal nutrient adequacy. However, little is documented on dietary diversity among lactating mothers. Therefore, this study assessed diet diversity and associated factors among lactating mothers visiting public health facilities in Aksum town, Tigray, Northern Ethiopia. Methods: An institution based cross-sectional study was conducted on 346 randomly selected lactating women visiting public health facilities of Aksum town in June 2015. Dietary diversity was assessed using 24 h dietary recall method. A mean dietary diversity score (DDS) was computed of nine food groups. Food insecurity access was measured using 9 items Household Food Insecurity Access Scale (HFIAS). Data were entered and analyzed using SPSS version 20. Results: More than a quarter (27.2 %) of the lactating mothers was from food insecure households. The mean DDS was 3.4 and a total of 56.4 % lactating mothers had low dietary diversity (less than mean DDS). Average monthly income, home gardening and source of drinking water were associated with low dietary diversity. Lactating mothers who had monthly income of less than 501 ETB [AOR = 2.3, 95 % CI (1.2, 4.6)] and 501 to 1500 ETB [AOR = 3.0, 95 % CI (1.4, 6.3)] were more likely to have low dietary diversity than those who had monthly income above 1500 ETB. And those who did not practice home gardening were more likely to have low dietary diversity than their counterparts [AOR = 2.1, 95 % CI (1.01, 4.2)]. Regarding source of drinking water, mothers who reported protected well as a main source were more likely to have low dietary diversity compared to those who reported tap water as main source [AOR = 4.5, 95 % CI (1.1,18.2)]. Conclusions: Dietary diversity among lactating mothers was low. Factors like monthly income less than 501 ETB and 501 to 1500 ETB, not having home gardening, and source of drinking water from protected well were significantly associated with low dietary diversity. Attention should be paid to dietary diversity of lactating mothers to improve their nutritional status, and that of their children and their family.

show abstract

“…During lactation, women have increased requirements for energy and micronutrients (3,4) . An inadequate maternal intake of certain nutrients during this period may have consequences for both the mother's health and nutritional status, as well as those of the breast-fed infant (5)(6)(7) . The breast-milk levels of some micronutrients vary with the mother's own stores and dietary intake; the nutrients most affected by low maternal intake and stores are thiamin, riboflavin, vitamins A, D, B 6 , B 12 , Se and iodine (5)(6)(7)(8) .…”

mentioning

confidence: 99%

Low dietary diversity and micronutrient adequacy among lactating women in a peri-urban area of Nepal

Henjum

Torheim

Thorne‐Lyman

et al. 2015

Public Health Nutr.

View full text Add to dashboard Cite

Objective: The main objectives were to assess the adequacy of the micronutrient intakes of lactating women in a peri-urban area in Nepal and to describe the relationships between micronutrient intake adequacy, dietary diversity and sociodemographic variables. Design: A cross-sectional survey was performed during [2008][2009]. We used 24 h dietary recall to assess dietary intake on three non-consecutive days and calculated the probability of adequacy (PA) of the usual intake of eleven micronutrients and the overall mean probability of adequacy (MPA). A mean dietary diversity score (MDDS) was calculated of eight food groups averaged over 3 d. Multiple linear regression was used to identify the determinants of the MPA. Setting: Bhaktapur municipality, Nepal. Subjects: Lactating women (n 500), 17-44 years old, randomly selected. Results: The mean usual energy intake was 8464 (SD 1305) kJ/d (2023 (SD 312) kcal/d), while the percentage of energy from protein, fat and carbohydrates was 11 %, 13 % and 76 %, respectively. The mean usual micronutrient intakes were below the estimated average requirements for all micronutrients, with the exception of vitamin C and Zn. The MPA across eleven micronutrients was 0·19 (SD 0·16). The diet was found to be monotonous (MDDS was 3·9 (SD 1·0)) and rice contributed to about 60 % of the energy intake. The multiple regression analyses showed that MPA was positively associated with energy intake, dietary diversity, women's educational level and socioeconomic status, and was higher in the winter. Conclusions: The low micronutrient intakes are probably explained by low dietary diversity and a low intake of micronutrient-rich foods. Keywords Dietary diversity Micronutrient adequacyLactating women Peri-urban NepalBreast-feeding is one of the most important factors that can influence child health in low-and middle-income countries (1,2) . During lactation, women have increased requirements for energy and micronutrients (3,4)

show abstract

B Vitamins in Breast Milk: Relative Importance of Maternal Status and Intake, and Effects on Infant Status and function

Cited by 233 publications

References 52 publications

Safety and benefits of interventions to increase folate status in malaria‐endemic areas

Safety and benefits of interventions to increase folate status in malaria‐endemic areas

Dietary diversity and related factors among lactating women visiting public health facilities in Aksum town, Tigray, Northern Ethiopia

Low dietary diversity and micronutrient adequacy among lactating women in a peri-urban area of Nepal

Contact Info

Product

Resources

About