In a prospective study of 113 children in rural Bhutan, morbidity, nutritional status and feeding practices were recorded monthly over a period of 32 months.
This information was related to seasonal variations in rainfall.
Diarrhoea had a negative impact on growth, as measured in monthly intervals, during the second and third years of life, reducing daily weight gain by 4.4 ± 2.0 g (p<0.0001).
This impact was largest during the monsoon season.
For respiratory tract infections the value was 2.6±1.7 g (p<0.01).
Growth in weight was lowest during the monsoon period (p<0.0001).
Continued breast feeding was associated with an odds ratio for diarrhoea of 0.51 (95% CI 0.34-0.78), and for respiratory tract infections of 0.63 (95% CI 0.40,0.99).
Growth in weight was less reduced during the monsoon season for children who were breast fed (2.5 ± 1.7 g/day) than for those not breast fed (7.5 ± 3.5 g/day) (p<0.01).
We conclude that breast feeding is of particular importance throughout the warm and rainy season.
Mots-clés Pascal : Bhoutan, Epidémiologie, Morbidité, Variation saisonnière, Nutrition, Lait maternel, Allaitement, Développement staturopondéral, Alimentation, Diarrhée, Infection, Voie respiratoire, Enfant, Asie, Homme, Appareil digestif pathologie, Intestin pathologie, Appareil respiratoire pathologie, ORL pathologie
Mots-clés Pascal anglais : Bhutan, Epidemiology, Morbidity, Seasonal variation, Nutrition, Breast milk, Breast feeding, Somatic growth, Feeding, Diarrhea, Infection, Respiratory tract, Child, Asia, Human, Digestive diseases, Intestinal disease, Respiratory disease, ENT disease
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0542104
Code Inist : 002B30A01A2. Création : 01/03/1996.