HIV status, breastfeeding modality at 5 months and postpartum maternal weight changes over 24 months in rural South Africa
Identifieur interne : 001D50 ( Main/Curation ); précédent : 001D49; suivant : 001D51HIV status, breastfeeding modality at 5 months and postpartum maternal weight changes over 24 months in rural South Africa
Auteurs : Terusha Chetty [Afrique du Sud] ; Rosalind J. Carter [États-Unis] ; Ruth M. Bland [Afrique du Sud, Royaume-Uni] ; Marie-Louise Newell [Afrique du Sud, Royaume-Uni]Source :
- Tropical Medicine & International Health [ 1360-2276 ] ; 2014.
Abstract
To determine the effect of infant feeding practices on postpartum weight change among HIV-infected and -uninfected women in South Africa.
In a non-randomised intervention cohort study of antiretroviral therapy-naïve women in South Africa, infants were classified as exclusive (EBF), mixed (MF) or non-breastfed (NBF) at each visit. We analysed infant feeding cumulatively from birth to 5 months using 24-hour feeding history (collected weekly for each of the preceding 7 days). Using generalised estimating equation mixed models, allowing for repeated measures, we compared postpartum weight change (kg) from the first maternal postpartum weight within the first 6 weeks (baseline weight) to each subsequent visit through 24 months among 2340 HIV-infected and -uninfected women with live births and at least two postpartum weight measurements.
HIV-infected (−0.2 kg CI: −1.7 to 1.3 kg;
HIV-infected and -uninfected women experienced similar weight loss over 24 months. Weight change postpartum was not associated with 5-month breastfeeding modality among HIV-infected and -uninfected women.
Url:
DOI: 10.1111/tmi.12320
PubMed: 24720779
PubMed Central: 4251550
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<series><title level="j">Tropical Medicine & International Health</title>
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<front><div type="abstract" xml:lang="en"><sec><title>Objective</title>
<p>To determine the effect of infant feeding practices on postpartum weight change among HIV-infected and -uninfected women in South Africa.</p>
</sec>
<sec><title>Methods</title>
<p>In a non-randomised intervention cohort study of antiretroviral therapy-naïve women in South Africa, infants were classified as exclusive (EBF), mixed (MF) or non-breastfed (NBF) at each visit. We analysed infant feeding cumulatively from birth to 5 months using 24-hour feeding history (collected weekly for each of the preceding 7 days). Using generalised estimating equation mixed models, allowing for repeated measures, we compared postpartum weight change (kg) from the first maternal postpartum weight within the first 6 weeks (baseline weight) to each subsequent visit through 24 months among 2340 HIV-infected and -uninfected women with live births and at least two postpartum weight measurements.</p>
</sec>
<sec><title>Results</title>
<p>HIV-infected (−0.2 kg CI: −1.7 to 1.3 kg; <italic>P </italic>
=<italic> </italic>
0.81) and -uninfected women (−0.5 kg; 95% CI: −2.1 to 1.2 kg; <italic>P </italic>
=<italic> </italic>
0.58) had marginal non-significant weight loss from baseline to 24 months postpartum. Adjusting for HIV status, socio-demographic, pregnancy-related and infant factors, 5-month feeding modality was not significantly associated with postpartum weight change: weight change by 24 months postpartum, compared to the change in the reference EBF group, was 0.03 kg in NBF (95% CI: −2.5 to +2.5 kg; <italic>P </italic>
=<italic> </italic>
0.90) and 0.1 kg in MF (95% CI: −3.0 to +3.2 kg; <italic>P </italic>
=<italic> </italic>
0.78).</p>
</sec>
<sec><title>Conclusion</title>
<p>HIV-infected and -uninfected women experienced similar weight loss over 24 months. Weight change postpartum was not associated with 5-month breastfeeding modality among HIV-infected and -uninfected women.</p>
</sec>
</div>
</front>
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