Maternal diet and breastfeeding duration of infants after NICU hospitalization in Greece: a cohort study

Dritsakou, Kalliopi; Massara, Paraskevi; Skourlis, Nikolaos; Liosis, Georgios; Skouroliakou, Maria

doi:10.1080/14767058.2016.1250258

Cited by 4 publications

(2 citation statements)

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“…19 Also, a smaller cohort study showed that intake of vegetables and fruit during lactation associated with breastfeeding duration, which may relate to improved health outcomes in infants. 20,21 However, this observed association may not imply a causal relationship. 20,21 Further differences between maternal plant-based and omnivore diet patterns, including saturated fat intake and n-6 to n-3 long chain polyunsaturated fatty acids ratio may influence growth and obesity risk of offspring.…”

Section: Introductionmentioning

confidence: 83%

“…20,21 However, this observed association may not imply a causal relationship. 20,21 Further differences between maternal plant-based and omnivore diet patterns, including saturated fat intake and n-6 to n-3 long chain polyunsaturated fatty acids ratio may influence growth and obesity risk of offspring. 22,23 To the best of our knowledge, there is no study that has investigated the relationship between different maternal plant-based dietary patterns and growth of infants during lactation.…”

Section: Introductionmentioning

confidence: 83%

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The association of maternal plant-based diets and the growth of breastfed infants

Daneshzad

Moradi

Maracy

et al. 2020

Health Promot Perspect

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Background: Studies are needed to further understand how different plant-based dietary patterns of mothers relate to infant growth. Thus, we investigated the association between maternal plant-based diets and infant growth in breastfed infants during the first 4 months of life. Methods: This cross-sectional study included 290 Iranian mothers and infants. Maternal dietary intake was assessed using a 168-question validated semi-quantitative food frequency questionnaire (FFQ). Three plant-based diet indices (PDIs) were then created to evaluate dietary intakes. Eighteen food groups were classified in three main categories by scoring method: wholeplant diet, healthy plant diet, and animal and unhealthy plant diet. Results: Participants in the top tertile of unhealthy PDI (uPDI) had a lower intake of potassium,phosphorus, zinc, magnesium, calcium, folate and vitamin C, B1, B2, and B3. The upper tertileof uPDI was associated with stunting at 4-month in infants (uPDI: odds ratio [OR] = 3.27, 95%CI= 1.32, 8.10). There were no significant associations between plant-based diet scores and anthropometric indices, including weight, weight status and head circumference (P > 0.05). Conclusion: In conclusion, higher adherence to uPDI may be associated with stuntingamong Iranian infants. Other PDIs were not associated with anthropometric measures. Future studies are needed to further understand the association between plant-based diets and infant growth.

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Section: Introductionmentioning

confidence: 83%

Section: Introductionmentioning

confidence: 83%

The association of maternal plant-based diets and the growth of breastfed infants

Daneshzad

Moradi

Maracy

et al. 2020

Health Promot Perspect

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“Bed Side” Human Milk Analysis in the Neonatal Intensive Care Unit

Fusch

Kwan

Kotrri

et al. 2017

Clinics in Perinatology

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Breastfeeding in Neonates Admitted to an NICU: 18-Month Follow-Up

et al. 2022

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Introduction: The admission of neonates to Neonatal Intensive Care Units (NICUs) has been identified as a primary inhibiting factor in the establishment of breastfeeding. The aims of this study were to (1) estimate the prevalence and duration of breastfeeding in infants/toddlers who had been admitted to an NICU in Greece and (2) to investigate factors, associated with the NICU stay, which affected the establishment and maintenance of breastfeeding in infants/toddlers previously admitted to the NICU. Materials and methods: Data for this cohort study were retrieved from interviews with mothers of infants/toddlers who had been admitted to our NICU as neonates during the period of 2017–2019. Interviews were conducted based on a questionnaire regarding the child’s nutrition from birth to the day of the interview, including previous maternal experience with breastfeeding. Information related to the prenatal period, gestation age, delivery mode, duration of NICU stay, and neonatal feeding strategies during their hospital stay were recorded. Results: The response rate to the telephone interviews was 57%, resulting in 279 mother–infant pairs being included in this study. The results showed that 78.1% of children received maternal milk during their first days of life. Of all infants, 58.1% were exclusively breastfed during their first month, with a gradual decrease to 36.9% and 19.4% by the end of the third and sixth months of life, respectively. The prevalence of breastfed children reached 14.7% and 7.5% at the ages of twelve and eighteen months, respectively. In the multivariate analysis, prematurity emerged as an independent prognostic factor for the duration of exclusive and any breastfeeding (aHR 1.64, 95% CI: 1.03–2.62; and 1.69, 95% CI: 1.05–2.72, respectively; p < 0.05). Additionally, the nationality of the mother, NICU breastfeeding experience, the administration of maternal milk during neonatal hospital stay, and previous breastfeeding experience of the mother were independent prognostic factors for the duration of breastfeeding. Conclusions: Although breastfeeding is a top priority in our NICU, the exclusive-breastfeeding rates at 6 months were quite low for the hospitalized neonates, not reaching World Health Organization (WHO) recommendations. Mothers/families of hospitalized neonates should receive integrated psychological and practical breastfeeding support and guidance.

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Maternal diet and breastfeeding duration of infants after NICU hospitalization in Greece: a cohort study

Abstract: Mothers who consumed the recommended by the NDG fruit servings/day breast-fed their hospitalized newborns for a longer period. Despite the fact that our participants were highly motivated and willing to breast-feed, we argue that this relationship is highly unlikely to be biological.

Cited by 4 publications

References 32 publications

The association of maternal plant-based diets and the growth of breastfed infants

The association of maternal plant-based diets and the growth of breastfed infants

“Bed Side” Human Milk Analysis in the Neonatal Intensive Care Unit

Breastfeeding in Neonates Admitted to an NICU: 18-Month Follow-Up

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