HIV status, breastfeeding modality at 5 months and postpartum maternal weight changes over 24 months in rural South Africa
Identifieur interne : 001D50 ( Main/Exploration ); 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
Affiliations:
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Carter</name><affiliation wicri:level="2"><nlm:aff id="au2"><institution>Department of Epidemiology, Mailman School of Public Health, Columbia University</institution><addr-line>New York, NY, USA</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Bland, Ruth M" sort="Bland, Ruth M" uniqKey="Bland R" first="Ruth M" last="Bland">Ruth M. Bland</name><affiliation wicri:level="1"><nlm:aff id="au1"><institution>Africa Centre for Health and Population Studies, University of KwaZulu-Natal</institution><addr-line>Somkhele, South Africa</addr-line></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Somkhele</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="au3"><institution>Royal Hospital for Sick Children, University of Glasgow</institution><addr-line>Glasgow, UK</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Glasgow</wicri:regionArea></affiliation></author><author><name sortKey="Newell, Marie Louise" sort="Newell, Marie Louise" uniqKey="Newell M" first="Marie-Louise" last="Newell">Marie-Louise Newell</name><affiliation wicri:level="1"><nlm:aff id="au1"><institution>Africa Centre for Health and Population Studies, University of KwaZulu-Natal</institution><addr-line>Somkhele, South Africa</addr-line></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Somkhele</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="au4"><institution>Faculty of Medicine, University of Southampton</institution><addr-line>Southampton, UK</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Southampton</wicri:regionArea></affiliation></author></analytic><series><title level="j">Tropical Medicine & International Health</title><idno type="ISSN">1360-2276</idno><idno type="eISSN">1365-3156</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><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. 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Olson</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Afrique du Sud</li><li>Royaume-Uni</li><li>États-Unis</li></country><region><li>État de New York</li></region></list><tree><country name="Afrique du Sud"><noRegion><name sortKey="Chetty, Terusha" sort="Chetty, Terusha" uniqKey="Chetty T" first="Terusha" last="Chetty">Terusha Chetty</name></noRegion><name sortKey="Bland, Ruth M" sort="Bland, Ruth M" uniqKey="Bland R" first="Ruth M" last="Bland">Ruth M. Bland</name><name sortKey="Newell, Marie Louise" sort="Newell, Marie Louise" uniqKey="Newell M" first="Marie-Louise" last="Newell">Marie-Louise Newell</name></country><country name="États-Unis"><region name="État de New York"><name sortKey="Carter, Rosalind J" sort="Carter, Rosalind J" uniqKey="Carter R" first="Rosalind J" last="Carter">Rosalind J. Carter</name></region></country><country name="Royaume-Uni"><noRegion><name sortKey="Bland, Ruth M" sort="Bland, Ruth M" uniqKey="Bland R" first="Ruth M" last="Bland">Ruth M. Bland</name></noRegion><name sortKey="Newell, Marie Louise" sort="Newell, Marie Louise" uniqKey="Newell M" first="Marie-Louise" last="Newell">Marie-Louise Newell</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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