Tags

Type your tag names separated by a space and hit enter

Assessment of body composition and breast milk volume in lactating mothers in pastoral communities in Pokot, Kenya, using deuterium oxide.
Ann Nutr Metab. 2005 Mar-Apr; 49(2):110-7.AN

Abstract

BACKGROUND

In sub-Saharan Africa, the practice of breast-feeding infants is common. Records documenting the intake of breast milk amongst infants are limited. This study evaluated the association between maternal body composition and the intake of breast milk in infants from the pastoral communities within Pokot, Kenya.

METHODS

The study was conducted in 10 lactating mothers who were participating in a longitudinal study aimed at determining maternal body composition, iron stores and vitamin A status during the third trimester pregnancy and four months after they had given birth. Maternal and infant anthropometric measurements were made, and maternal blood samples were taken to determine serum retinol and ferritin levels. Infant milk intake and maternal fat-free mass (FFM) and percent body fat (% BF) were measured using 'the dose to the mother method'. A measured deuterium oxide ((2)H(2)O) dose was given to the mother. Urine and breast milk from the mother, and saliva samples from the infant, were collected on days 1, 8 and 14 after dosing.

RESULTS

The mean (+/- SD) maternal mid upper arm circumference (MUAC) and body mass index (BMI) were 21.8 (0.9) cm and 18.6 (1.0) kg/height (m(2)), respectively. Infant weight and weight/age Z score were 4.956 (0.874) kg and -1.750 (0.77), respectively. Throughout the study, the infants gained 20 (4) g/day in body weight and had a milk intake of 555 (22) ml/day. The energy intake of the infant was 1,602 (148) kJ/day and was lower (p < 0.05) than the 2,404 (423) kJ/day estimated requirement by the FAO/WHO/UNU. The maternal FFM, %BF, Hb, Hct, ferritin and retinol were 32.8 (3.1) kg, 17.24 (7.0), 11.5 (1.3) g/dl, 33.9 (4.9), 16.2 (0.1) microg/l and 0.894 (0.16) micromol/l, respectively. Infant milk intake was significantly and positively correlated to maternal pregnancy triceps (r = 0.679) p < 0.05) and pregnancy MUAC (r = 0.725) p < 0.05). Maternal pregnancy MUAC was an important predictor of infant breast milk intake.

CONCLUSION

Data on volume of breast milk consumed by the infants suggests, at least for this group of infants, that adequate growth may not be achieved. There is a possibility that lactating mothers practicing exclusive breast-feeding and living under harsh conditions may experience periods of low breast milk volume. Body composition and biochemical findings among this group of Pokot mothers indicate dietary inadequacies that require nutritional intervention.

Authors+Show Affiliations

Department of Human Nutrition and Dietetics, FHS, Moi University, Eldoret, Kenya. gaettyang@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15802906

Citation

Ettyang, G A., et al. "Assessment of Body Composition and Breast Milk Volume in Lactating Mothers in Pastoral Communities in Pokot, Kenya, Using Deuterium Oxide." Annals of Nutrition & Metabolism, vol. 49, no. 2, 2005, pp. 110-7.
Ettyang GA, van Marken Lichtenbelt WD, Esamai F, et al. Assessment of body composition and breast milk volume in lactating mothers in pastoral communities in Pokot, Kenya, using deuterium oxide. Ann Nutr Metab. 2005;49(2):110-7.
Ettyang, G. A., van Marken Lichtenbelt, W. D., Esamai, F., Saris, W. H., & Westerterp, K. R. (2005). Assessment of body composition and breast milk volume in lactating mothers in pastoral communities in Pokot, Kenya, using deuterium oxide. Annals of Nutrition & Metabolism, 49(2), 110-7.
Ettyang GA, et al. Assessment of Body Composition and Breast Milk Volume in Lactating Mothers in Pastoral Communities in Pokot, Kenya, Using Deuterium Oxide. Ann Nutr Metab. 2005 Mar-Apr;49(2):110-7. PubMed PMID: 15802906.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Assessment of body composition and breast milk volume in lactating mothers in pastoral communities in Pokot, Kenya, using deuterium oxide. AU - Ettyang,G A, AU - van Marken Lichtenbelt,W D, AU - Esamai,F, AU - Saris,W H M, AU - Westerterp,K R, Y1 - 2005/03/29/ PY - 2003/12/30/received PY - 2005/01/30/accepted PY - 2005/4/2/pubmed PY - 2005/10/29/medline PY - 2005/4/2/entrez SP - 110 EP - 7 JF - Annals of nutrition & metabolism JO - Ann Nutr Metab VL - 49 IS - 2 N2 - BACKGROUND: In sub-Saharan Africa, the practice of breast-feeding infants is common. Records documenting the intake of breast milk amongst infants are limited. This study evaluated the association between maternal body composition and the intake of breast milk in infants from the pastoral communities within Pokot, Kenya. METHODS: The study was conducted in 10 lactating mothers who were participating in a longitudinal study aimed at determining maternal body composition, iron stores and vitamin A status during the third trimester pregnancy and four months after they had given birth. Maternal and infant anthropometric measurements were made, and maternal blood samples were taken to determine serum retinol and ferritin levels. Infant milk intake and maternal fat-free mass (FFM) and percent body fat (% BF) were measured using 'the dose to the mother method'. A measured deuterium oxide ((2)H(2)O) dose was given to the mother. Urine and breast milk from the mother, and saliva samples from the infant, were collected on days 1, 8 and 14 after dosing. RESULTS: The mean (+/- SD) maternal mid upper arm circumference (MUAC) and body mass index (BMI) were 21.8 (0.9) cm and 18.6 (1.0) kg/height (m(2)), respectively. Infant weight and weight/age Z score were 4.956 (0.874) kg and -1.750 (0.77), respectively. Throughout the study, the infants gained 20 (4) g/day in body weight and had a milk intake of 555 (22) ml/day. The energy intake of the infant was 1,602 (148) kJ/day and was lower (p < 0.05) than the 2,404 (423) kJ/day estimated requirement by the FAO/WHO/UNU. The maternal FFM, %BF, Hb, Hct, ferritin and retinol were 32.8 (3.1) kg, 17.24 (7.0), 11.5 (1.3) g/dl, 33.9 (4.9), 16.2 (0.1) microg/l and 0.894 (0.16) micromol/l, respectively. Infant milk intake was significantly and positively correlated to maternal pregnancy triceps (r = 0.679) p < 0.05) and pregnancy MUAC (r = 0.725) p < 0.05). Maternal pregnancy MUAC was an important predictor of infant breast milk intake. CONCLUSION: Data on volume of breast milk consumed by the infants suggests, at least for this group of infants, that adequate growth may not be achieved. There is a possibility that lactating mothers practicing exclusive breast-feeding and living under harsh conditions may experience periods of low breast milk volume. Body composition and biochemical findings among this group of Pokot mothers indicate dietary inadequacies that require nutritional intervention. SN - 0250-6807 UR - https://www.unboundmedicine.com/medline/citation/15802906/Assessment_of_body_composition_and_breast_milk_volume_in_lactating_mothers_in_pastoral_communities_in_Pokot_Kenya_using_deuterium_oxide_ L2 - https://www.karger.com?DOI=10.1159/000084744 DB - PRIME DP - Unbound Medicine ER -