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Duration of exclusive breastfeeding is a positive predictor of iron status in 6- to 10-month-old infants in rural Kenya.
Uyoga, Mary A; Karanja, Simon; Paganini, Daniela; Cercamondi, Colin I; Zimmermann, Sophie A; Ngugi, Benjamin; Holding, Penny; Moretti, Diego; Zimmermann, Michael B.
Afiliación
  • Uyoga MA; School of Public Health, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya.
  • Karanja S; International Centre for Behavioural Studies, Mombasa, Kenya.
  • Paganini D; School of Public Health, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya.
  • Cercamondi CI; Human Nutrition Laboratory, Swiss Federal Institute of Technology, Zürich, Switzerland.
  • Zimmermann SA; Human Nutrition Laboratory, Swiss Federal Institute of Technology, Zürich, Switzerland.
  • Ngugi B; Kantonsschule Wattwil, Wattwil, Switzerland.
  • Holding P; Centre for Microbiology Research, Kenya Medical Research Institute (KEMRI), Nairobi, Kenya.
  • Moretti D; International Centre for Behavioural Studies, Mombasa, Kenya.
  • Zimmermann MB; Human Nutrition Laboratory, Swiss Federal Institute of Technology, Zürich, Switzerland.
Matern Child Nutr ; 13(4)2017 10.
Article en En | MEDLINE | ID: mdl-27896919
The prevalence of iron-deficiency anemia (IDA) is high in infants in Sub-Saharan Africa. Exclusive breastfeeding of infants to 6 months of age is recommended by the World Health Organization, but breast milk is low in iron. Some studies suggest exclusive breastfeeding, although beneficial for the infant, may increase risk for IDA in resource-limited settings. The objective of this study was to determine if duration of exclusive breastfeeding is associated with anemia and iron deficiency in rural Kenyan infants. This was a cross-sectional study of 6-10-month-old infants (n = 134) in southern coastal Kenya. Anthropometrics, hemoglobin (Hb), plasma ferritin (PF), soluble transferrin receptor (sTfR), and C-reactive protein were measured. Body iron stores were calculated from the sTfR/PF ratio. Socioeconomic factors, duration of exclusive breastfeeding, nature of complementary diet, and demographic characteristics were determined using a questionnaire. Mean ± SD age of the infants was 7.7 ± 0.8 months. Prevalence of anemia, ID, and IDA were 74.6%, 82.1%, and 64.9%, respectively. Months of exclusive breastfeeding correlated positively with Hb (r = 0.187; p < .05) and negatively with sTfR (r = -0.246; p < .05). sTfR concentrations were lower in infants exclusively breastfed at least 6 months compared with those exclusively breastfed for less than 6 months (7.6 (6.3, 9) vs. 8.9 (6.7, 13.4); p < .05). Controlling for gender, birth weight, and inflammation, months spent exclusively breastfeeding was a significant negative predictor of sTfR and a positive predictor of Hb (p < .05). The IDA prevalence in rural Kenyan infants is high, and greater duration of exclusive breastfeeding predicts better iron status and higher Hb in this age group.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Población Rural / Lactancia Materna / Anemia Ferropénica / Hierro Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Female / Humans / Infant / Male País/Región como asunto: Africa Idioma: En Revista: Matern Child Nutr Asunto de la revista: CIENCIAS DA NUTRICAO / PERINATOLOGIA Año: 2017 Tipo del documento: Article País de afiliación: Kenia Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Población Rural / Lactancia Materna / Anemia Ferropénica / Hierro Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Female / Humans / Infant / Male País/Región como asunto: Africa Idioma: En Revista: Matern Child Nutr Asunto de la revista: CIENCIAS DA NUTRICAO / PERINATOLOGIA Año: 2017 Tipo del documento: Article País de afiliación: Kenia Pais de publicación: Reino Unido