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  1. Breast feeding and seasonal determinants of child growth in weight in East Bhutan.

    Article - En anglais

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0542104

    Code Inist : 002B30A01A2. Création : 01/03/1996.