Document Detail


Micronutrient supplementation affects maternal-infant feeding interactions and maternal distress in Bangladesh.
MedLine Citation:
PMID:  19439457     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Good maternal-infant interaction is essential for optimal infant growth, health, and development. Although micronutrient malnutrition has been associated with poorer interaction, the effects of maternal micronutrient supplementation on interaction are unknown.
OBJECTIVES: We examined differences in maternal-infant feeding interaction between 3 maternal pre- and postpartum micronutrient supplementation groups that differed in iron dose and inclusion of multiple micronutrients and determined whether any differences observed were mediated by maternal distress.
DESIGN: A cohort of 180 pregnant women was selected from 3300 women in the randomized controlled trial Maternal Infant Nutritional Interventions Matlab, which was conducted in Matlab, Bangladesh. At 8 wk of gestation, women were randomly assigned to 1 of 3 groups to receive a daily supplement of micronutrients (14 wk gestation to 12 wk postpartum): 60 or 30 mg Fe each with 400 microg folic acid or multiple micronutrients (MuMS; 30 mg Fe, 400 microg folic acid, and other micronutrients). A maternal-infant feeding interaction was observed in the home when infants were 3.4-4.0 mo of age, and maternal distress was assessed.
RESULTS: Compared with 30 mg Fe, 60 mg Fe decreased the quality of maternal-infant feeding interaction by approximately 10%. Compared with 30 mg Fe, MuMS did not improve interaction but reduced maternal early postpartum distress. Distress did not mediate the effects of micronutrient supplementation on interaction.
CONCLUSION: For pregnant and postpartum women, micronutrient supplementation should be based on both nutritional variables (eg, iron status) and functional outcomes (eg, maternal-infant interaction and maternal distress).
Authors:
Amy L Frith; Ruchira T Naved; Eva-Charlotte Ekström; Kathleen M Rasmussen; Edward A Frongillo
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2009-05-13
Journal Detail:
Title:  The American journal of clinical nutrition     Volume:  90     ISSN:  1938-3207     ISO Abbreviation:  Am. J. Clin. Nutr.     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-06-22     Completed Date:  2009-07-08     Revised Date:  2013-06-02    
Medline Journal Info:
Nlm Unique ID:  0376027     Medline TA:  Am J Clin Nutr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  141-8     Citation Subset:  AIM; IM    
Affiliation:
Cornell University, Division of Nutritional Sciences, Ithaca, NY, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Bangladesh
Child
Cues
Dietary Supplements*
Emotions
Female
Humans
Infant
Infant Nutritional Physiological Phenomena / drug effects*
Infant, Newborn
Micronutrients / therapeutic use*
Mother-Child Relations*
Postpartum Period
Pregnancy
Questionnaires
Reproducibility of Results
Grant Support
ID/Acronym/Agency:
5T32 DK07158/DK/NIDDK NIH HHS; 5T32 HD007331/HD/NICHD NIH HHS; //Medical Research Council
Chemical
Reg. No./Substance:
0/Micronutrients
Comments/Corrections

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