Document Detail

Iron-deficiency anemia in infancy and mother-infant interaction during feeding.
MedLine Citation:
PMID:  20431398     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: This study was conducted to compare quality of mother-infant interaction during feeding in infants with or without iron-deficiency anemia (IDA).
METHOD: Infants and caregivers were screened at their 9- to 10-month-old health maintenance visits at an inner-city clinic in Detroit. Those who were full-term and healthy received a venipuncture blood sample to assess iron status. Of the 77 infants who met final iron status criteria, 68 infants and mothers were videotaped during feeding interaction at the Child Development Research Laboratory. The quality of mother-infant interaction during feeding was scored on the Nursing Child Assessment Feeding Scale. Twenty-five infants with IDA (hemoglobin [HB] <110 g/L and at least 2 abnormal iron measures) were compared to 43 nonanemic infants (HB > or = 110 g/L) using analysis of variance and general linear models with covariate control.
RESULTS: Mothers of IDA infants responded with significantly less sensitivity to infant cues and less cognitive and social-emotional growth fostering behavior than mothers of nonanemic infants. The pattern of results was similar for scales of contingent behaviors. The magnitude of the differences in maternal ratings was large (0.8-1.0 SD after covariate adjustment). IDA infants were rated significantly lower on clarity of cues and overall (effect sizes 0.5 SD).
CONCLUSION: IDA in infancy was associated with less optimal mother-infant interaction during feeding. Future interventions might target feeding interaction and consider effects on infant iron status and developmental/behavioral outcomes among IDA infants, as well as infant feeding practices per se.
Rinat Armony-Sivan; Melissa Kaplan-Estrin; Sandra W Jacobson; Betsy Lozoff
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of developmental and behavioral pediatrics : JDBP     Volume:  31     ISSN:  1536-7312     ISO Abbreviation:  J Dev Behav Pediatr     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-10     Completed Date:  2010-08-05     Revised Date:  2014-09-08    
Medline Journal Info:
Nlm Unique ID:  8006933     Medline TA:  J Dev Behav Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  326-32     Citation Subset:  IM    
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MeSH Terms
Analysis of Variance
Anemia, Iron-Deficiency / psychology*
Eating / psychology*
Linear Models
Mother-Child Relations*
Mothers / psychology
Psychological Tests
Time Factors
Young Adult
Grant Support
P01 HD039386/HD/NICHD NIH HHS; P01 HD039386-01A1/HD/NICHD NIH HHS; P01 HD039386-02/HD/NICHD NIH HHS; P01 HD039386-03/HD/NICHD NIH HHS; P01 HD039386-04/HD/NICHD NIH HHS; P01 HD039386-05/HD/NICHD NIH HHS; P01 HD39386/HD/NICHD NIH HHS

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