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Effects of smoking on breast feeding.

Infant feeding methods used by mothers who smoke and by mothers who do not, who delivered in one maternity hospital, were compared to determine if smoking affected breast feeding. Significantly more of the smoking group chose either to bottle feed from delivery or, having been discharged from the hospital breast feeding, changed to bottle feeding before the baby was 6 weeks old. This pattern was seen in each socioeconomic group and, as the smoking and non-smoking mothers were otherwise comparable, suggests that smoking may have a direct effect on breast feeding.

Breast Feeding↗

Infant feeding and blood cholesterol: a study in adolescents and a systematic review.

OBJECTIVE: To examine the influence of infant feeding method on serum total cholesterol (TC) and low-density lipoprotein (LDL) cholesterol. METHODS: A cross-sectional study of 13- to 16-year-olds and a systematic review of studies (all observational) on the effects of infant feeding on cholesterol in infancy (<1 year), childhood or adolescence (1-16 years), and adulthood (> or =17 years) were conducted using random effects models. Differences are presented as breastfed-bottle-fed. A total of 1532 individuals (92% white; 55% male; mean age: 15.1 years) in 10 British towns were studied, and 37 studies with 52 observations on TC (26 in infancy, 17 in childhood or adolescence, and 9 in adulthood; corresponding figures for LDL were 7, 4, and 6) were reviewed. RESULTS: Mean TC in childhood or adolescence (including the new study) was not related to infant feeding pattern (mean TC difference = 0.00; 95% confidence interval [CI]: -0.07 to 0.07 mmol/L). However, in infancy, mean TC was higher among those breastfed (mean TC difference = 0.64; 95% CI: 0.50-0.79 mmol/L), whereas in adults, mean TC was lower among those breastfed (mean TC difference = -0.18; 95% CI: -0.30 to -0.06 mmol/L). Patterns for LDL were similar to those for TC throughout. CONCLUSIONS: Breastfeeding is associated with increased mean TC and LDL levels in infancy but lower levels in adulthood/adult life. These results suggest that breastfeeding may have long-term benefits for cardiovascular health and may have implications for the content of formula feed milks.

Adolescent↗

Modeling the effects of different infant feeding strategies on infant survival and mother-to-child transmission of HIV.

OBJECTIVES: We investigated how, under various conditions, the risk of mother-to-child transmission of HIV through breastfeeding compares with the risk of death from artificial feeding. METHODS: We developed a spreadsheet simulation model to predict HIV-free survival during 7 age intervals from 0 to 24 months for 5 different infant feeding scenarios in resource-poor settings. RESULTS: Compared with artificial feeding, breastfeeding during the first 6 months by HIV-positive mothers increases HIV-free survival by 32 per 1000 live births. After 6 months, as the age-specific mortality rate and risk of death caused by replacement feeding both decline, replacement feeding appears to be safer. CONCLUSIONS: Under conditions common in countries with high HIV prevalence, replacement feeding by HIV-infected mothers should not be generally encouraged until after the infant is approximately 6 months old.

Age Factors↗

The role of feed consumption and feed efficiency in copper-stimulated growth.

Two experiments were conducted to study the role of feed intake and feed efficiency in Cu-stimulated growth of weanling pigs. In Exp. 1, 42 pigs were randomly assigned into three treatments: 1) control: ad libitum access to a corn-soybean meal-dried whey basal diet; 2) ad libitum/Cu: ad libitum access to the basal diet supplemented with 215 ppm of Cu; or 3) pair-fed/Cu: pair-fed the Cu-supplemented diet to the level of the control. Over the 14-d experiment, the ad libitum/Cu pigs had greater (P < .05) ADG and ADFI than the control pigs. The pair-fed/Cu group had an intermediate ADG. Gain:feed (GF) was not significantly affected by treatments but tended to be improved in the pair-fed/Cu pigs. Feeding copper increased (P < .05) the concentration of Cu in the serum, liver, and brain. Also, feeding Cu increased (P < .05) serum mitogenic activity and growth hormone mRNA concentrations for both feeding methods. In Exp. 2, a 2 x 2 x 2 factorial arrangement of treatments with two levels of Cu (15 vs 200 ppm), two levels of feeding (ad libitum vs restricted [85% of the ad libitum]), and two sources of Cu (Cu sulfate vs Cu lysine) was used in a 24-d experiment involving 96 pigs. Feeding copper increased (P < .05) ADG and GF. The magnitude of the Cu-stimulated growth was reduced by restricted feeding (Cu level x feeding level interaction; P < .05). The ADFI was greater (P < .05) for the pigs fed high dietary Cu only during d 1 to 6. Pigs fed Cu lysine had greater ADG and ADFI than those fed Cu sulfate (P < .05); the benefit in ADG from Cu lysine was reduced by restricted feeding (Cu source x feeding level interaction, P < .05). High dietary Cu stimulated (P < .05) serum mitogenic activity; the stimulation was greater for Cu lysine than for Cu sulfate. Feeding Cu numerically increased GH mRNA concentration. Restricted feeding reduced overall serum mitogenic activity (P < .05), but the response to high dietary Cu and Cu lysine was still evident. In summary, Cu-stimulated growth was largely dependent on a simultaneous increase in feed intake, but there were some improvements in GF. The influence of Cu on serum mitogenic activity was independent of feed intake or growth in both experiments, which indicates a direct action of Cu on the growth regulatory system.

Animal Feed↗

Cholesterol induced lipid accumulation in myocardial cells of rats.

OBJECTIVE: The aim was to investigate whether cholesterol feeding of rats for only 10 d would result in lipid accumulation in myocardial cells and a change in the peroxisomal beta oxidation in the heart compared to the hearts of rats on standard feeds. METHODS: Eight rats received a cholesterol diet (2%) and eight rats received a standard diet for 10 d. Lipids were measured in serum, liver, and heart. Palmitoyl-CoA hydrolase and fatty acyl-CoA oxidase were determined in total homogenate of hearts. The fractional volume of lipid droplets in myocardial cells was calculated from micrographs at a magnification of x9600 obtained by electron microscopy. RESULTS: The fractional volume of lipid droplets in the cardiomyocytes increased from 0.109(SEM 0.019)% to 0.259(0.037)%, (p < 0.003), as a result of cholesterol feeding. Cholesterol and triglycerides in the heart measured by biochemical methods increased by 13% and 24%, respectively. There was no difference in palmitoyl-CoA hydrolase or fatty acyl-CoA oxidase in the hearts of the cholesterol fed group compared to the control group, suggesting an unaltered peroxisomal beta oxidation of fatty acids in the myocardium. The serum triglycerides and serum phospholipids were reduced in the cholesterol fed rats (p < 0.05 and p < 0.001, respectively). Rats fed cholesterol diet showed a reduced ratio of HDL cholesterol to total cholesterol in serum, together with an increased liver weight and relative liver weight compared to the control rats. The addition of cholesterol to the diet increased liver cholesterol to 21.0(1.6) mumol.g-1 wet weight compared to 5.87(0.93) mumol.g-1 in the controls on standard diet (p < 0.0001). Cholesterol feeding had no effect on the hepatic level of phospholipids, but the liver triglycerides tended to increase from 23.3(9.5) mumol.g-1 wet weight to 53.3(6.3) mumol.g-1. CONCLUSIONS: Lipid accumulation in the myocardial cells was shown by morphometry after 10 d of cholesterol feeding, without any visible damage to the tissue.

Acyl-CoA Oxidase↗

External carbon feeding strategy for enhancing nitrogen removal in SBR.

Effective method for feeding an external carbon source (ECS) in SBR was investigated to enhance denitrification based on modifying the anoxic/aerobic sub-cycle for swine wastewater treatment. The wastewater discharged from the scraper-type barns contains relatively low readily biodegradable organic. Therefore NOx-N was accumulated during repeating sub-cycle in SBR operation. When acetic acid was fed as ECS during the final sub-cycle, the maximum nitrogen removal rate was 0.22 kg N/m3/d. This was due to both less denitrification rate during the sub-cycle period and inhibition of denitrification by pH drop during the final cycle. The pH drop was caused by a large amount of ECS feeding to remove high concentration of NOx-N in the final period. To overcome these limitations and achieve higher nitrogen removal rate, the intermittent ECS feeding method with raw wastewater at every anoxic period was developed. Using the modifying ECS feeding method, the removal rate was increased to 0.45 kg N/m3/d without NOx-N accumulation.

Agriculture↗

Imaging evaluation of breast-feeding and bottle-feeding systems.

OBJECTIVE: To compare infant sucking and swallowing patterns during feeding with a new artificial nipple and during breast-feeding. METHODS: Fifteen healthy, term infants were fed successfully for 1 week with use of the new tricut nipple; then each infant's oral cavity was examined during feeding by using real-time ultrasonography. Measurements of nipple length and compression were made, together with observations concerning the integrity of the seal formed by the infant's mouth around the nipple. These data were compared with similar data from previous studies of 16 breast-fed infants. RESULTS: Although no artificial feeding system exactly simulates breast-feeding, the new tricut nipple was sucked in a manner similar to the way the human nipple is sucked and delivered milk posteriorly to the foramen cecum region of the tongue, just as the breast does. CONCLUSION: Although further studies are necessary, to evaluate other characteristics of the new tricut nipple, the measurements from this investigation are useful additions to the ultrasound data these investigators have accumulated on various artificial feeding systems. These data may also prove helpful in determining the most appropriate nipples for infants with various feeding disorders.

Bottle Feeding↗

Possible related risks to breastfeeding.

Animal studies have identified a mouse mammary tumor agent transmitted through lactation that increases the incidence and reduces the age for tumor development in offspring. A similar viral particle has been detected with greater frequency in the milk of humans with a family history of breast carcinoma than in the milk of those with no history. Animal studies also indicate that a male offspring who has been breastfed, at low risk himself, could possibly transmit the agent through seminal fluid. The health team is encouraged to consider these factors when discussing infant feeding methods with women who have a positive family history of breast carcinoma.

Adult↗

Pediatric assessment scale for severe feeding problems: validity and reliability of a new scale for tube-fed children.

BACKGROUND: This study reports data on the validity and reliability of a new parent report measure, the Pediatric Assessment Scale for Severe Feeding Problems, designed to assess progress in the development of oral eating skills for children who need prolonged tube feeding. METHODS: The questionnaire was completed by parents of 3 groups of children. The first group consisted of 17 children who received all of their nutrition by tube feedings, a second group of 30 children who were oral eaters but required supplementation by tube feedings, and a third group of 27 children who were referred for feeding difficulties but were not receiving any tube feeding. A subset of parents from each group completed the measure a second time approximately 2 to 4 weeks after completing the initial questionnaire in order to examine the reliability of the measure. RESULTS: The mean scores (scale of 0 to 66) on the measure were 7.3 for completely tube-fed children, 30.0 for partially tube-fed children, and 46.8 for referred, non-tube-fed children. The correlation between first and second administration of the measure was .98. CONCLUSIONS: The validity and reliability of the Pediatric Assessment Scale for Severe Feeding Problems appears to be adequate. The new measure should allow clinicians to better rate initial severity of feeding difficulties and to track the progress of children as they advance from being totally tube-fed to completely orally fed.

Journal Article↗

[Promoting breastfeeding].

The World Health Organization considers maternal breast feeding to be the ideal manner to feed a newborn child, as well as being a unique biological and emotional base, and recommends breast feeding to be the exclusive feeding method until the age of six months. After a period of massive abandonment caused by multiple socio-cultural causes beginning about a half century ago, breast feeding is now starting to make a slow recuperation. In Spain, there is an initial predisposition to breast feed of about 80%. However, in spite of the initiatives carried out by organizations and professional groups, the admission of mother and child into a hospital has a negative effect on breast feeding. Therefore, the authors have designed an program to use in a health education course to promote breast feeding while under hospital care.

Breast Feeding↗

Comparative feeding behaviour and food preferences of oxpeckers (Buphagus erythrorhynchus and B. africanus) in captivity.

The feeding methods, activities and behaviour of red-billed and yellow-billed oxpeckers in captivity were compared. Both species were found to be very similar with regard to feeding. The differences observed were a greater dependence on ectoparasites such as flies and larger ticks (Amblyomma hebraeum) and a higher food intake for the yellow-billed oxpecker. These differences are the result of the larger size, limited choice of host animals and closer host/oxpecker relationship of the yellow-billed oxpecker.

Animals↗

[Breast feeding and child care: a case study of 2 rural areas of Mexico].

The present research is included in the fields of public health, social sciences and gender studies. Its objective is to provide insight into the nursing behaviour of two groups of mothers, their domestic and extra-domestic child care arrangements and their attitudes towards breast-feeding. Thirty-five mothers were selected in Malinalco, Mexico, and 35 in the Sierra de Juárez, Oaxaca. Each mother had at least two children and one of them under three years of age. The study was exploratory in its initial phase, subsequently cross-sectional, comparative and prospective. It constitutes a foundation for longitudinal case studies. A pre-coded questionnaire, including the following issues, was administered: family composition; maternal schooling; maternal employment; nursing behaviour with the last child; child care and attitudes towards breast-feeding. The main information regarding 33 mothers in Malinalco and 31 in Oaxaca revealed that in both areas mothers decided how to feed their children during the first days; during the first month, 55 per cent of mothers in Malinalco breast-fed their child, while approximately 90 per cent did so in Oaxaca. The majority of women worked outside home and resorted to extra-domestic arrangements for child care. No relation was found between the feeding method chosen with the last child and maternal employment. About 90 per cent of women in both areas were "happy" to have been born females and breast-feeding was considered a "must". Seventy five per cent of mothers would not allow other women to breast feed their child, even though they were aware that maternal milk is the best.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

Long-term selection for resistance to transgenic cotton expressing Bacillus thuringiensis toxin in Helicoverpa armigera (Hübner) (Lepidoptera: Noctuidae).

Selection experiments for resistance to transgenic Bt cotton expressing Cry1Ac toxin in Helicoverpa armigera (Hübner) were conducted using a leaf-feeding method with 42 selection episodes over 45 generations. The cotton bollworm developed resistance to transgenic Bt cotton after 12 generations (F12) of selection. The survival rate of F12 neonates feeding on leaves of seedling stage for 4 days and boll-opening stage for 5 days of R19 line were ca 34 and 72%, respectively, compared with ca 0 and 40% for a non-selected sister strain (NYCS), but lower than or similar to that of F12 feeding on leaves of non-Bt cotton, Sumian 12 (ca 87 or 76%). Resistance to B thuringiensis HD-1 Dipel in neonates (F12) was ca 6-fold. After 42 generations of selection, the strain developed a very high level of resistance to Cry1Ac protoxin, 210 g kg(-1) MVPII wettable powder and 200 g litre(-1) MVPII liquid formulation, the resistance ratios being 1680-, 1780- and ca 1200-fold, respectively, compared with a laboratory susceptible strain (HZS). When compared with the non-selected NYCS, the resistance ratios to the above toxins were ca 540-, 580- and 510-fold, respectively, but to Dipel only ca 16-fold. The results indicated that it is very important to develop and implement effective resistance-management strategies and to detect early resistance to Bt cotton in field populations.

Animals↗

Parathyroid hormone-related protein levels in maternal and cord blood.

OBJECTIVE: Our purpose was to determine the plasma levels of parathyroid hormone-related protein in normal pregnant women in each trimester, at 1 month post partum in women using different feeding methods, and in umbilical venous blood. STUDY DESIGN: We studied 40 healthy nonpregnant women, 90 healthy pregnant women (30 in the each trimester), and 140 postpartum women (breast-feeding 74, mixed feeding 33, bottle feeding 33). We also measured the parathyroid hormone-related protein level in umbilical venous blood in 24 women. RESULTS: The means and SDs of the plasma parathyroid hormone-related protein level were 1.04 +/- 0.11 pmol/L (0.81 to 1.26 pmol/L) in nonpregnant women, 1.06 +/- 0.19 pmol/L (0.69 to 1.48 pmol/L) in pregnant women in the first trimester, 1.10 +/- 0.19 pmol/L (0.80 to 1.50 pmol/L) in pregnant women in the second trimester, and 1.17 +/- 0.16 pmol/L (0.86 to 1.57 pmol/L) in pregnant women in the third trimester. At postpartum month 1 the plasma level of parathyroid hormone-related protein was 1.25 +/- 0.23 pmol/L (0.83 to 2.01 pmol/L) in breast-feeding women, 1.17 +/- 0.16 pmol/L (0.84 to 1.53 pmol/L) in mixed-feeding women, and 1.03 +/- 0.16 pmol/L (0.74 to 1.43 pmol/L) in bottle-feeding women. The umbilical venous blood level of parathyroid hormone-related protein was 1.33 +/- 0.32 pmol/L (0.84 to 2.11 pmol/L). The mean plasma level of parathyroid hormone-related protein increased throughout pregnancy and was significantly high in the third trimester and closely associated with the degree of breast-feeding at 1 month post partum. The parathyroid hormone-related protein level in umbilical venous blood was significantly higher than those in any groups of pregnant women. CONCLUSIONS: Parathyroid hormone-related protein produced in the fetoplacental unit, the breast, or both can reach the maternal circulation.

Adult↗

Delivery method and supplement consumption by grazing ruminants: a review.

The effectiveness of supplementation programs is affected by the ability to reduce intake variation and to meet target supplement consumption. A review was made of factors affecting variation in individual animal consumption of supplement by grazing cattle and sheep, including supplement type and feeding method, animal dominance and social interactions, and forage availability. The effects of palatability were not included. The proportion of animals not consuming supplement is increased by limited trough space, small supplement allowance, self-fed supplements, neophobia to feed or feed delivery devices, and group feeding situations. Variation in individual animal supplement intake is increased by excessive trough space, limited supplement allowance, self-fed supplements, feed and feed delivery equipment neophobia, and individual feeding of supplements. Factors influencing the percentage of animals consuming the target amount of supplement need to be more clearly identified. There seems to be an optimum level of feeding competition that reduces intake variation and improves the proportion of animals consuming adequate amounts of supplement, but this optimum varies with the feeding situation.

Animal Husbandry↗

Environmental exposure to lead and children's intelligence at the age of seven years. The Port Pirie Cohort Study.

BACKGROUND: Exposure to lead in early childhood is thought to result in delayed neuropsychological development. As yet there is little longitudinal evidence to establish whether these effects persist into later childhood. METHODS: We measured IQ scores in 494 seven-year-old children from the lead-smelting community of Port Pirie, Australia, in whom developmental deficits associated with elevated blood lead concentrations had already been reported at the ages of two and four years. Exposure to lead was estimated from the lead concentrations in maternal blood samples drawn antenatally and at delivery and from blood samples drawn from the children at birth (umbilical-cord blood), at the ages of 6 and 15 months and 2 years, and annually thereafter. Data relating to known covariates of child development were collected systematically for each child throughout the first seven years of life. RESULTS: We found inverse relations between IQ at the age of seven years and both antenatal and postnatal blood lead concentrations. After adjustment by multiple regression for sex, parents' level of education, maternal age at delivery, parents' smoking status, socioeconomic status, quality of the home environment, maternal IQ, birth weight, birth order, feeding method (breast, bottle, or both), duration of breast-feeding, and whether the child's natural parents were living together, the relation with lead exposure was still evident for postnatal blood samples, particularly within the age range of 15 months to 4 years. For an increase in blood lead concentration from 10 micrograms per deciliter (0.48 mumol per liter) to 30 micrograms per deciliter (1.45 mumol per liter), expressed as the average of the concentrations at 15 months and 2, 3, and 4 years, the estimated reduction in the IQ of the children was in the range of 4.4 points (95 percent confidence interval, 2.2 to 6.6) to 5.3 points (95 percent confidence interval, 2.8 to 7.8). This reduction represents an approximate deficit in IQ of 4 to 5 percent. CONCLUSIONS: Low-level exposure to lead during early childhood is inversely associated with neuropsychological development through the first seven years of life.

Australia↗

Succimer treatment and calcium supplementation reduce tissue lead in suckling rats.

The effect of combined treatment with meso-2,3-dimercaptosuccinic acid (DMSA) and calcium supplementation in reducing lead absorption and enhancing lead elimination was evaluated in suckling rats under two experimental conditions: during ongoing oral lead exposure (lead acetate, 2 mg Pb kg(-1) day(-1), total dose 16 mg Pb kg(-1)) or after lead exposure (72 h after a 2-day lead exposure, total dose 12 mg Pb kg(-1) s.c.). The artificial feeding method was used for calcium supplementation, with 6% Ca (as CaHPO(4)) suspension in cow's milk to increase the daily calcium intake about three times above control values. Artificial feeding lasted for 7 h a day over eight consecutive days. During this period DMSA was administered on 6 days twice a day (0.5 mmol kg(-1) day(-1) p.o.). At the end of the experiments, Pb, Ca and Zn in the carcass and Pb, Fe and Cu in the liver, kidneys and brain were analysed by atomic absorption spectrometry. Calcium supplementation during lead exposure reduced tissue lead but had no effect when applied after lead exposure, and DMSA administered either during or after lead exposure lowered the tissue lead. Combined treatment during ongoing lead exposure caused a greater reduction in tissue lead than either DMSA or calcium treatment alone. When administered after lead exposure, it had no advantage over DMSA treatment alone but did not impair its efficacy. Combined treatment had no influence on growth and did not seriously disturb essential element status. It is concluded that calcium supplementation could be applied during DMSA therapy, when indicated.

Animals↗

Factors influencing acceptability of voluntary counselling and HIV-testing among pregnant women in Northern Tanzania.

Guided by the conceptual framework of the Health Belief Model, this study aimed to identify factors associated with pregnant women's expressed willingness to accept voluntary counselling and HIV-testing (VCT). A cross-sectional interview survey of 500 pregnant women, complemented by focus group discussions, was conducted in the Kilimanjaro region of Tanzania. Constructs derived from the Health Belief Model explained 41.7% of women's willingness to accept VCT. Perceived high personal susceptibility to HIV/AIDS, barriers related to confidentiality and partner involvement, self-efficacy regarding alternative feeding methods and religion were all shown to be associated with willingness to accept VCT. The women's acceptance of VCT seems to depend upon their perceiving that VCT and alternative feeding strategies provide clear benefits, primarily for the child. Whether a positive attitude to VCT and alternative feeding strategies are transformed into actual behaviour depends on a set of complicated decisions in which several potential psychological consequences are assessed. Sharing the diagnosis with partners may not have the intended effect if there is a lack of sensitivity to the women's fear of blame and rejection. If pregnant women are to fully participate in and benefit from mother-to-child-transmission prevention efforts, their partners must be committed and involved in the process.

AIDS Serodiagnosis↗