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Prolonged breast-feeding: no association with increased risk of clinical malnutrition in young children in Burkina Faso.
Bull World Health Organ. 1993; 71(6):713-22.BW

Abstract

Reported are our findings from a case-control study of the association between prolonged breast-feeding and clinical malnutrition in an urban setting in West Africa. The cases were children aged 12-36 months who had been hospitalized with a diagnosis of clinical malnutrition. Children of a similar age who lived in neighbouring courtyards were recruited as controls. For 152 case-control pairs in which both children were receiving solid foods, non-breast-feeding was associated with an increased risk of clinical malnutrition (crude odds ratio = 2.37; 95% confidence interval = 1.24, 4.55). This association remained statistically significant after controlling for various potentially confounding variables (P = 0.03). Our findings suggest that either prolonged breast-feeding may offer substantial protection against clinical malnutrition in the study population or malnutrition leads mothers to stop breast-feeding. These results are inconsistent with those of a number of workers who have reported that prolonged breast-feeding is associated with an increased risk of malnutrition. This inconsistency might have arisen because of differences in the definition of malnutrition used or because of variations in the quantity and quality of weaning foods available in different settings. We found no evidence to support the hypothesis that prolonged breast-feeding may be detrimental to children.

Authors+Show Affiliations

Department of Epidemiology and Population Sciences, London School of Hygiene and Tropical Medicine, England.No affiliation info availableNo affiliation info availableNo affiliation info availableNo 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

8313489

Citation

Cousens, S, et al. "Prolonged Breast-feeding: No Association With Increased Risk of Clinical Malnutrition in Young Children in Burkina Faso." Bulletin of the World Health Organization, vol. 71, no. 6, 1993, pp. 713-22.
Cousens S, Nacro B, Curtis V, et al. Prolonged breast-feeding: no association with increased risk of clinical malnutrition in young children in Burkina Faso. Bull World Health Organ. 1993;71(6):713-22.
Cousens, S., Nacro, B., Curtis, V., Kanki, B., Tall, F., Traore, E., Diallo, I., & Mertens, T. (1993). Prolonged breast-feeding: no association with increased risk of clinical malnutrition in young children in Burkina Faso. Bulletin of the World Health Organization, 71(6), 713-22.
Cousens S, et al. Prolonged Breast-feeding: No Association With Increased Risk of Clinical Malnutrition in Young Children in Burkina Faso. Bull World Health Organ. 1993;71(6):713-22. PubMed PMID: 8313489.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prolonged breast-feeding: no association with increased risk of clinical malnutrition in young children in Burkina Faso. AU - Cousens,S, AU - Nacro,B, AU - Curtis,V, AU - Kanki,B, AU - Tall,F, AU - Traore,E, AU - Diallo,I, AU - Mertens,T, PY - 1993/1/1/pubmed PY - 1993/1/1/medline PY - 1993/1/1/entrez KW - Africa KW - Africa South Of The Sahara KW - Age Factors KW - Anthropometry KW - Breast Feeding KW - Burkina Faso KW - Case Control Studies KW - Child Health KW - Delivery Of Health Care KW - Demographic Factors KW - Developing Countries KW - Diseases KW - Economic Factors KW - Food Supplementation KW - French Speaking Africa KW - Health KW - Health Facilities KW - Health Services KW - Hospitals KW - Infant Nutrition KW - Malnutrition KW - Measurement KW - Nutrition KW - Nutrition Disorders KW - Nutrition Programs KW - Population KW - Population Characteristics KW - Primary Health Care KW - Research Methodology KW - Research Report KW - Sex Factors KW - Socioeconomic Factors KW - Studies KW - Western Africa SP - 713 EP - 22 JF - Bulletin of the World Health Organization JO - Bull World Health Organ VL - 71 IS - 6 N2 - Reported are our findings from a case-control study of the association between prolonged breast-feeding and clinical malnutrition in an urban setting in West Africa. The cases were children aged 12-36 months who had been hospitalized with a diagnosis of clinical malnutrition. Children of a similar age who lived in neighbouring courtyards were recruited as controls. For 152 case-control pairs in which both children were receiving solid foods, non-breast-feeding was associated with an increased risk of clinical malnutrition (crude odds ratio = 2.37; 95% confidence interval = 1.24, 4.55). This association remained statistically significant after controlling for various potentially confounding variables (P = 0.03). Our findings suggest that either prolonged breast-feeding may offer substantial protection against clinical malnutrition in the study population or malnutrition leads mothers to stop breast-feeding. These results are inconsistent with those of a number of workers who have reported that prolonged breast-feeding is associated with an increased risk of malnutrition. This inconsistency might have arisen because of differences in the definition of malnutrition used or because of variations in the quantity and quality of weaning foods available in different settings. We found no evidence to support the hypothesis that prolonged breast-feeding may be detrimental to children. SN - 0042-9686 UR - https://www.unboundmedicine.com/medline/citation/8313489/Prolonged_breast_feeding:_no_association_with_increased_risk_of_clinical_malnutrition_in_young_children_in_Burkina_Faso_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/8313489/ DB - PRIME DP - Unbound Medicine ER -