The health of HIV‐exposed children after early weaning
Identifieur interne : 002D40 ( Main/Exploration ); précédent : 002D39; suivant : 002D41The health of HIV‐exposed children after early weaning
Auteurs : Megan E. Parker [États-Unis] ; Martin Tembo [Malawi] ; Linda Adair [États-Unis] ; Charles Chasela [Malawi] ; Ellen G. Piwoz [États-Unis] ; Denise J. Jamieson [États-Unis] ; Sascha Ellington [États-Unis] ; Dumbani Kayira [Malawi] ; Alice Soko [Malawi] ; Chimwemwe Mkhomawanthu [Malawi] ; Francis Martinson [Malawi] ; Charles M. Van Der Horst [États-Unis] ; Margaret E. Bentley [États-Unis]Source :
- Maternal & Child Nutrition [ 1740-8695 ] ; 2013-04.
Descripteurs français
- Wicri :
- geographic : Malawi.
- topic : étude de faisabilité, Arachide, Situation de famille, Statistique nationale, Nutrition, Vitamine.
English descriptors
- KwdEn :
- Acceptable macronutrient distribution ranges, Aids education, Alice soko, American journal, Anthropometric, Anthropometric status, Antiretrovirals, April, Average requirement, Banexited children, Banexited sample, Bentley, Blackwell, Blackwell publishing, Breast milk, Breast milk substitute, Breastfeeding, Breastfeeding antiretrovirals, Breastfeeding cessation, Carbohydrate, Carbohydrate sources, Catchment clinic, Cessation, Chapel hill, Charles chasela, Child health, Child nutrition, Child undernutrition, Clinical nutrition, Community boys, Community children, Community comparison, Community comparison sample, Community girls, Community sample, Comparison group, Complementary foods, Dietary, Dietary intakes, Dietary reference intakes, Disease control, Disease journal, Dumbani kayira, Early breastfeeding cessation, Effects models, Energy requirement, England journal, European journal, Feasibility study, Folate, Food models, Francis martinson, Gender, Girls boys, Groundnut, Growth outcomes, Growth velocity, Health bureau, Health survey, Height gain, Hotz gibson, Hungry season, Immune syndromes, Inadequate amounts, Inadequate micronutrient intakes, Infant, Intake, Iowa state university, Length velocity scores, Lilongwe, Linda adair, Local health clinic, Macro, Malawi, Male children, Marital status, Martin tembo, Maternal, Maternal child, Measurement error, Median, Medical care, Micronutrient, Micronutrient intakes, Model child, More carbohydrate, National academy press, National statistics, Nonbreastfed children, Nutrient, Nutrient database, Nutrient inadequacies, Nutrient intakes, Nutrition, Nutrition bulletin, Nutrition study, Other predictors, Porridge, Potential health risks, Present study, Prevalence, Prevention method, Prevention programmes, Previous studies, Prospective cohort study, Rural malawi, Safe diet, Sample size, Sascha ellington, Second visit, Serious gastroenteritis, Socioeconomic characteristics, Standard reference, States department, Study team, Study visit, Total calories, Total intake, Underweight, Uninfected children, Victora, Visit number, Vitamin, Weight gain, Weight velocity, World health organization, Young children.
- Teeft :
- Acceptable macronutrient distribution ranges, Aids education, Alice soko, American journal, Anthropometric, Anthropometric status, Antiretrovirals, April, Average requirement, Banexited children, Banexited sample, Bentley, Blackwell, Blackwell publishing, Breast milk, Breast milk substitute, Breastfeeding, Breastfeeding antiretrovirals, Breastfeeding cessation, Carbohydrate, Carbohydrate sources, Catchment clinic, Cessation, Chapel hill, Charles chasela, Child health, Child nutrition, Child undernutrition, Clinical nutrition, Community boys, Community children, Community comparison, Community comparison sample, Community girls, Community sample, Comparison group, Complementary foods, Dietary, Dietary intakes, Dietary reference intakes, Disease control, Disease journal, Dumbani kayira, Early breastfeeding cessation, Effects models, Energy requirement, England journal, European journal, Feasibility study, Folate, Food models, Francis martinson, Gender, Girls boys, Groundnut, Growth outcomes, Growth velocity, Health bureau, Health survey, Height gain, Hotz gibson, Hungry season, Immune syndromes, Inadequate amounts, Inadequate micronutrient intakes, Infant, Intake, Iowa state university, Length velocity scores, Lilongwe, Linda adair, Local health clinic, Macro, Malawi, Male children, Marital status, Martin tembo, Maternal, Maternal child, Measurement error, Median, Medical care, Micronutrient, Micronutrient intakes, Model child, More carbohydrate, National academy press, National statistics, Nonbreastfed children, Nutrient, Nutrient database, Nutrient inadequacies, Nutrient intakes, Nutrition, Nutrition bulletin, Nutrition study, Other predictors, Porridge, Potential health risks, Present study, Prevalence, Prevention method, Prevention programmes, Previous studies, Prospective cohort study, Rural malawi, Safe diet, Sample size, Sascha ellington, Second visit, Serious gastroenteritis, Socioeconomic characteristics, Standard reference, States department, Study team, Study visit, Total calories, Total intake, Underweight, Uninfected children, Victora, Visit number, Vitamin, Weight gain, Weight velocity, World health organization, Young children.
Abstract
There are potential health risks associated with the use of early weaning to prevent mother‐to‐child transmission of human immunodeficiency virus (HIV) in resource‐poor settings. Our objective was to examine growth and nutrient inadequacies among a cohort of children weaned early. Children participating in the Breastfeeding Antiretrovirals and Nutrition (BAN) Study in Lilongwe, Malawi, had HIV‐infected mothers, were weaned at 6 months and fed LNS until 12 months. 40 HIV‐negative, BAN‐exited children were compared with 40 HIV‐negative, community children matched on age, gender and local health clinic. Nutrient intake was calculated from 24‐h dietary recalls collected from BAN‐exited children. Anthropometric measurements were collected from BAN‐exited and matched community children at 15–16 months, and 2 months later. Longitudinal random effects sex‐stratified models were used to evaluate anthropometric differences between the two groups. BAN‐exited children consumed adequate energy, protein and carbohydrates but inadequate amounts of fat. The prevalence of inadequate micronutrient intakes were: 46% for vitamin A; 20% for vitamin B6; 69% for folate; 13% for vitamin C; 19% for iron; 23% for zinc. Regarding growth, BAN‐exited girls gained weight at a significantly lower rate {0.02 g kg−1 per day [95% confidence interval (CI): 0.01, 0.03]} than their matched comparison [0.05 g kg−1 per day (95% CI: 0.03, 0.07)]; BAN girls grew significantly slower [0.73 cm month−1 (95% CI: 0.40,1.06)] than their matched comparison (1.55 cm month−1[95% CI: 0.98, 2.12]). Among this sample of BAN‐exited children, early weaning was associated with dietary deficiencies and girls experienced reduced growth velocity. In resource‐poor settings, HIV prevention programmes must ensure that breastfeeding stop only once a nutritionally adequate and safe diet without breast milk can be provided.
Url:
- https://api.istex.fr/document/FDC05AA68E58E2B0CF38F6466882DC2874330C01/fulltext/pdf
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3787136
DOI: 10.1111/j.1740-8709.2011.00369.x
Affiliations:
- Malawi, États-Unis
- Caroline du Nord, District de Columbia, Géorgie (États-Unis), Washington (État)
- Chapel Hill (Caroline du Nord), Washington (district de Columbia)
- Université de Caroline du Nord à Chapel Hill
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Van Der Horst</name><affiliation wicri:level="4"><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of North Carolina at Chapel Hill, Chapel Hill, NC</wicri:regionArea><placeName><region type="state">Caroline du Nord</region><settlement type="city">Chapel Hill (Caroline du Nord)</settlement></placeName><orgName type="university">Université de Caroline du Nord à Chapel Hill</orgName></affiliation></author><author><name sortKey="Bentley, Margaret E" sort="Bentley, Margaret E" uniqKey="Bentley M" first="Margaret E." last="Bentley">Margaret E. Bentley</name><affiliation wicri:level="4"><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of North Carolina at Chapel Hill, Chapel Hill, NC</wicri:regionArea><placeName><region type="state">Caroline du Nord</region><settlement type="city">Chapel Hill (Caroline du Nord)</settlement></placeName><orgName type="university">Université de Caroline du Nord à Chapel Hill</orgName></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Maternal & Child Nutrition</title><title level="j" type="alt">MATERNAL CHILD NUTRITION</title><idno type="ISSN">1740-8695</idno><idno type="eISSN">1740-8709</idno><imprint><biblScope unit="vol">9</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="217">217</biblScope><biblScope unit="page" to="232">232</biblScope><biblScope unit="page-count">16</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2013-04">2013-04</date></imprint><idno type="ISSN">1740-8695</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1740-8695</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acceptable macronutrient distribution ranges</term><term>Aids education</term><term>Alice soko</term><term>American journal</term><term>Anthropometric</term><term>Anthropometric status</term><term>Antiretrovirals</term><term>April</term><term>Average requirement</term><term>Banexited children</term><term>Banexited sample</term><term>Bentley</term><term>Blackwell</term><term>Blackwell publishing</term><term>Breast milk</term><term>Breast milk substitute</term><term>Breastfeeding</term><term>Breastfeeding antiretrovirals</term><term>Breastfeeding cessation</term><term>Carbohydrate</term><term>Carbohydrate sources</term><term>Catchment clinic</term><term>Cessation</term><term>Chapel hill</term><term>Charles chasela</term><term>Child health</term><term>Child nutrition</term><term>Child undernutrition</term><term>Clinical nutrition</term><term>Community boys</term><term>Community children</term><term>Community comparison</term><term>Community comparison sample</term><term>Community girls</term><term>Community sample</term><term>Comparison group</term><term>Complementary foods</term><term>Dietary</term><term>Dietary intakes</term><term>Dietary reference intakes</term><term>Disease control</term><term>Disease journal</term><term>Dumbani kayira</term><term>Early breastfeeding cessation</term><term>Effects models</term><term>Energy requirement</term><term>England journal</term><term>European journal</term><term>Feasibility study</term><term>Folate</term><term>Food models</term><term>Francis martinson</term><term>Gender</term><term>Girls boys</term><term>Groundnut</term><term>Growth outcomes</term><term>Growth velocity</term><term>Health bureau</term><term>Health survey</term><term>Height gain</term><term>Hotz gibson</term><term>Hungry season</term><term>Immune syndromes</term><term>Inadequate amounts</term><term>Inadequate micronutrient intakes</term><term>Infant</term><term>Intake</term><term>Iowa state university</term><term>Length velocity scores</term><term>Lilongwe</term><term>Linda adair</term><term>Local health clinic</term><term>Macro</term><term>Malawi</term><term>Male children</term><term>Marital status</term><term>Martin tembo</term><term>Maternal</term><term>Maternal child</term><term>Measurement error</term><term>Median</term><term>Medical care</term><term>Micronutrient</term><term>Micronutrient intakes</term><term>Model child</term><term>More carbohydrate</term><term>National academy press</term><term>National statistics</term><term>Nonbreastfed children</term><term>Nutrient</term><term>Nutrient database</term><term>Nutrient inadequacies</term><term>Nutrient intakes</term><term>Nutrition</term><term>Nutrition bulletin</term><term>Nutrition study</term><term>Other predictors</term><term>Porridge</term><term>Potential health risks</term><term>Present study</term><term>Prevalence</term><term>Prevention method</term><term>Prevention programmes</term><term>Previous studies</term><term>Prospective cohort study</term><term>Rural malawi</term><term>Safe diet</term><term>Sample size</term><term>Sascha ellington</term><term>Second visit</term><term>Serious gastroenteritis</term><term>Socioeconomic characteristics</term><term>Standard reference</term><term>States department</term><term>Study team</term><term>Study visit</term><term>Total calories</term><term>Total intake</term><term>Underweight</term><term>Uninfected children</term><term>Victora</term><term>Visit number</term><term>Vitamin</term><term>Weight gain</term><term>Weight velocity</term><term>World health organization</term><term>Young children</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Acceptable macronutrient distribution ranges</term><term>Aids education</term><term>Alice soko</term><term>American journal</term><term>Anthropometric</term><term>Anthropometric status</term><term>Antiretrovirals</term><term>April</term><term>Average requirement</term><term>Banexited children</term><term>Banexited sample</term><term>Bentley</term><term>Blackwell</term><term>Blackwell publishing</term><term>Breast milk</term><term>Breast milk substitute</term><term>Breastfeeding</term><term>Breastfeeding antiretrovirals</term><term>Breastfeeding cessation</term><term>Carbohydrate</term><term>Carbohydrate sources</term><term>Catchment clinic</term><term>Cessation</term><term>Chapel hill</term><term>Charles chasela</term><term>Child health</term><term>Child nutrition</term><term>Child undernutrition</term><term>Clinical nutrition</term><term>Community boys</term><term>Community children</term><term>Community comparison</term><term>Community comparison sample</term><term>Community girls</term><term>Community sample</term><term>Comparison group</term><term>Complementary foods</term><term>Dietary</term><term>Dietary intakes</term><term>Dietary reference intakes</term><term>Disease control</term><term>Disease journal</term><term>Dumbani kayira</term><term>Early breastfeeding cessation</term><term>Effects models</term><term>Energy requirement</term><term>England journal</term><term>European journal</term><term>Feasibility study</term><term>Folate</term><term>Food models</term><term>Francis martinson</term><term>Gender</term><term>Girls boys</term><term>Groundnut</term><term>Growth outcomes</term><term>Growth velocity</term><term>Health bureau</term><term>Health survey</term><term>Height gain</term><term>Hotz gibson</term><term>Hungry season</term><term>Immune syndromes</term><term>Inadequate amounts</term><term>Inadequate micronutrient intakes</term><term>Infant</term><term>Intake</term><term>Iowa state university</term><term>Length velocity scores</term><term>Lilongwe</term><term>Linda adair</term><term>Local health clinic</term><term>Macro</term><term>Malawi</term><term>Male children</term><term>Marital status</term><term>Martin tembo</term><term>Maternal</term><term>Maternal child</term><term>Measurement error</term><term>Median</term><term>Medical care</term><term>Micronutrient</term><term>Micronutrient intakes</term><term>Model child</term><term>More carbohydrate</term><term>National academy press</term><term>National statistics</term><term>Nonbreastfed children</term><term>Nutrient</term><term>Nutrient database</term><term>Nutrient inadequacies</term><term>Nutrient intakes</term><term>Nutrition</term><term>Nutrition bulletin</term><term>Nutrition study</term><term>Other predictors</term><term>Porridge</term><term>Potential health risks</term><term>Present study</term><term>Prevalence</term><term>Prevention method</term><term>Prevention programmes</term><term>Previous studies</term><term>Prospective cohort study</term><term>Rural malawi</term><term>Safe diet</term><term>Sample size</term><term>Sascha ellington</term><term>Second visit</term><term>Serious gastroenteritis</term><term>Socioeconomic characteristics</term><term>Standard reference</term><term>States department</term><term>Study team</term><term>Study visit</term><term>Total calories</term><term>Total intake</term><term>Underweight</term><term>Uninfected children</term><term>Victora</term><term>Visit number</term><term>Vitamin</term><term>Weight gain</term><term>Weight velocity</term><term>World health organization</term><term>Young children</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Malawi</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>étude de faisabilité</term><term>Arachide</term><term>Situation de famille</term><term>Statistique nationale</term><term>Nutrition</term><term>Vitamine</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">There are potential health risks associated with the use of early weaning to prevent mother‐to‐child transmission of human immunodeficiency virus (HIV) in resource‐poor settings. Our objective was to examine growth and nutrient inadequacies among a cohort of children weaned early. Children participating in the Breastfeeding Antiretrovirals and Nutrition (BAN) Study in Lilongwe, Malawi, had HIV‐infected mothers, were weaned at 6 months and fed LNS until 12 months. 40 HIV‐negative, BAN‐exited children were compared with 40 HIV‐negative, community children matched on age, gender and local health clinic. Nutrient intake was calculated from 24‐h dietary recalls collected from BAN‐exited children. Anthropometric measurements were collected from BAN‐exited and matched community children at 15–16 months, and 2 months later. Longitudinal random effects sex‐stratified models were used to evaluate anthropometric differences between the two groups. BAN‐exited children consumed adequate energy, protein and carbohydrates but inadequate amounts of fat. The prevalence of inadequate micronutrient intakes were: 46% for vitamin A; 20% for vitamin B6; 69% for folate; 13% for vitamin C; 19% for iron; 23% for zinc. Regarding growth, BAN‐exited girls gained weight at a significantly lower rate {0.02 g kg−1 per day [95% confidence interval (CI): 0.01, 0.03]} than their matched comparison [0.05 g kg−1 per day (95% CI: 0.03, 0.07)]; BAN girls grew significantly slower [0.73 cm month−1 (95% CI: 0.40,1.06)] than their matched comparison (1.55 cm month−1[95% CI: 0.98, 2.12]). Among this sample of BAN‐exited children, early weaning was associated with dietary deficiencies and girls experienced reduced growth velocity. In resource‐poor settings, HIV prevention programmes must ensure that breastfeeding stop only once a nutritionally adequate and safe diet without breast milk can be provided.</div></front></TEI><affiliations><list><country><li>Malawi</li><li>États-Unis</li></country><region><li>Caroline du Nord</li><li>District de Columbia</li><li>Géorgie (États-Unis)</li><li>Washington (État)</li></region><settlement><li>Chapel Hill (Caroline du Nord)</li><li>Washington (district de Columbia)</li></settlement><orgName><li>Université de Caroline du Nord à Chapel Hill</li></orgName></list><tree><country name="États-Unis"><region name="District de Columbia"><name sortKey="Parker, Megan E" sort="Parker, Megan E" uniqKey="Parker M" first="Megan E." last="Parker">Megan E. Parker</name></region><name sortKey="Adair, Linda" sort="Adair, Linda" uniqKey="Adair L" first="Linda" last="Adair">Linda Adair</name><name sortKey="Bentley, Margaret E" sort="Bentley, Margaret E" uniqKey="Bentley M" first="Margaret E." last="Bentley">Margaret E. Bentley</name><name sortKey="Ellington, Sascha" sort="Ellington, Sascha" uniqKey="Ellington S" first="Sascha" last="Ellington">Sascha Ellington</name><name sortKey="Jamieson, Denise J" sort="Jamieson, Denise J" uniqKey="Jamieson D" first="Denise J." last="Jamieson">Denise J. Jamieson</name><name sortKey="Piwoz, Ellen G" sort="Piwoz, Ellen G" uniqKey="Piwoz E" first="Ellen G." last="Piwoz">Ellen G. Piwoz</name><name sortKey="Van Der Horst, Charles M" sort="Van Der Horst, Charles M" uniqKey="Van Der Horst C" first="Charles M." last="Van Der Horst">Charles M. Van Der Horst</name></country><country name="Malawi"><noRegion><name sortKey="Tembo, Martin" sort="Tembo, Martin" uniqKey="Tembo M" first="Martin" last="Tembo">Martin Tembo</name></noRegion><name sortKey="Chasela, Charles" sort="Chasela, Charles" uniqKey="Chasela C" first="Charles" last="Chasela">Charles Chasela</name><name sortKey="Kayira, Dumbani" sort="Kayira, Dumbani" uniqKey="Kayira D" first="Dumbani" last="Kayira">Dumbani Kayira</name><name sortKey="Martinson, Francis" sort="Martinson, Francis" uniqKey="Martinson F" first="Francis" last="Martinson">Francis Martinson</name><name sortKey="Mkhomawanthu, Chimwemwe" sort="Mkhomawanthu, Chimwemwe" uniqKey="Mkhomawanthu C" first="Chimwemwe" last="Mkhomawanthu">Chimwemwe Mkhomawanthu</name><name sortKey="Soko, Alice" sort="Soko, Alice" uniqKey="Soko A" first="Alice" last="Soko">Alice Soko</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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