This study used a unique longitudinal survey of more than 3000 mother-infant pairs observed from pregnancy through infancy. The sample is representative of infants from the Cebu region of the Philippines. The sequencing of breast-feeding and diarrheal morbidity events was carefully examined in a longitudinal analysis which allowed for the examination of age-specific effects of feeding patterns. Because the work controlled for a wide range of environmental causes of diarrhea, the results can be generalized to other populations with some confidence. The addition to the breast-milk diet of even water, teas, and other nonnutritive liquids doubled or tripled the likelihood of diarrhea. Supplementation of breast-feeding with additional nutritive foods on liquids further increased significantly the risk of diarrhea; most benefits of breast-feeding alone on in combination with nutritive foods/liquids became small during the second half of infancy. Benefits of breast-feeding were slightly greater in urban environments.
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December 1990
Articles|
December 01 1990
Breast-feeding and Diarrheal Morbidity
Pediatrics (1990) 86 (6): 874–882.
Article history
Received:
September 29 1989
Accepted:
January 02 1990
Citation
Barry M. Popkin, Linda Adair, John S. Akin, Robert Black, John Briscoe, Wilhelm Flieger; Breast-feeding and Diarrheal Morbidity. Pediatrics December 1990; 86 (6): 874–882. 10.1542/peds.86.6.874
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