Breast milk zinc transfer and early post-natal growth among urban South Indian term infants using measures of breast milk volume and breast milk zinc concentrations

Zinc (Zn) deficiency in infancy and early childhood is of public health concern in developing countries. This study aimed to longitudinally assess Zn intake of urban South Indian term infants in the first 6 months of life using measures of breast milk (BM) volume and BM Zn concentrations and, additi...

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Veröffentlicht in:Maternal and child nutrition 2014-07, Vol.10 (3), p.398-409
Hauptverfasser: Samuel, Tinu Mary, Thomas, Tinku, Thankachan, Prashanth, Bhat, Swarnarekha, Virtanen, Suvi M., Kurpad, Anura V.
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container_end_page 409
container_issue 3
container_start_page 398
container_title Maternal and child nutrition
container_volume 10
creator Samuel, Tinu Mary
Thomas, Tinku
Thankachan, Prashanth
Bhat, Swarnarekha
Virtanen, Suvi M.
Kurpad, Anura V.
description Zinc (Zn) deficiency in infancy and early childhood is of public health concern in developing countries. This study aimed to longitudinally assess Zn intake of urban South Indian term infants in the first 6 months of life using measures of breast milk (BM) volume and BM Zn concentrations and, additionally, to study the effect of BM Zn intake on infant length and weight gain. BM intake by the deuterium dilution technique, BM Zn concentration at months 1, 3 and 6, as well as serum Zn level at months 3 and 6 were assessed in 50 mother–infant pairs. BM intake significantly declined from 627 mL day−1 at month 1 to 608 mL day−1 at month 6 (P 
doi_str_mv 10.1111/j.1740-8709.2012.00421.x
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This study aimed to longitudinally assess Zn intake of urban South Indian term infants in the first 6 months of life using measures of breast milk (BM) volume and BM Zn concentrations and, additionally, to study the effect of BM Zn intake on infant length and weight gain. BM intake by the deuterium dilution technique, BM Zn concentration at months 1, 3 and 6, as well as serum Zn level at months 3 and 6 were assessed in 50 mother–infant pairs. BM intake significantly declined from 627 mL day−1 at month 1 to 608 mL day−1 at month 6 (P &lt; 0.01). BM Zn concentration and intake significantly declined from month 1 to month 6 (P &lt; 0.001 for both). Mean infant serum Zn level at months 3 and 6 were 93.0 ± 27.1 and 99.6 ± 30.1 µg dL−1, respectively. Infant BM Zn intake at months 1 and 3 was not associated with the weight and length gain between 1–3 and 3–6 months, respectively. Zn intake from BM, maternal BM Zn content and serum Zn levels were not significantly different between small‐for‐gestational age and appropriate‐for‐gestational age infants. Therefore, among urban south Indian term infants less than 6 months of age, BM Zn intakes were low, owing to low volumes of BM intake, despite BM Zn concentrations being in the normal range. 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This study aimed to longitudinally assess Zn intake of urban South Indian term infants in the first 6 months of life using measures of breast milk (BM) volume and BM Zn concentrations and, additionally, to study the effect of BM Zn intake on infant length and weight gain. BM intake by the deuterium dilution technique, BM Zn concentration at months 1, 3 and 6, as well as serum Zn level at months 3 and 6 were assessed in 50 mother–infant pairs. BM intake significantly declined from 627 mL day−1 at month 1 to 608 mL day−1 at month 6 (P &lt; 0.01). BM Zn concentration and intake significantly declined from month 1 to month 6 (P &lt; 0.001 for both). Mean infant serum Zn level at months 3 and 6 were 93.0 ± 27.1 and 99.6 ± 30.1 µg dL−1, respectively. Infant BM Zn intake at months 1 and 3 was not associated with the weight and length gain between 1–3 and 3–6 months, respectively. Zn intake from BM, maternal BM Zn content and serum Zn levels were not significantly different between small‐for‐gestational age and appropriate‐for‐gestational age infants. Therefore, among urban south Indian term infants less than 6 months of age, BM Zn intakes were low, owing to low volumes of BM intake, despite BM Zn concentrations being in the normal range. Promotion of breastfeeding and thereby increasing the volumes of milk produced is a first important step towards improving Zn intake among infants.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Body Weight</subject><subject>Breast Feeding</subject><subject>breast milk zinc content</subject><subject>breast milk zinc intake</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>India</subject><subject>Infant</subject><subject>Infant Nutritional Physiological Phenomena</subject><subject>length gain and weight gain</subject><subject>Linear Models</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Milk, Human - chemistry</subject><subject>Original</subject><subject>Postnatal Care</subject><subject>Prospective Studies</subject><subject>serum zinc</subject><subject>Socioeconomic Factors</subject><subject>Urban Population</subject><subject>Young Adult</subject><subject>Zinc - blood</subject><subject>Zinc - deficiency</subject><issn>1740-8695</issn><issn>1740-8709</issn><issn>1740-8709</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNUV1v0zAUjRCIfcBfQH7kJcVOHMeREBK0UCZtReJDPFqOc9O5S-xiO1u738MPxVm2avDEffG17zn3HPkkCSJ4RmK92cxISXHKS1zNMkyyGcY0I7Pdk-T4MHj60LOqOEpOvN9gnI_1PDnKsjKnFSuOk98fHEgfUK-7K3SrjULBSeNbcEiaBoF03R5trQ-pkUF2aO3sTbhEsrdmjQZXS4O-2SG-nJlGx0sA1yNtWmmCR4PXEdVHgcGBR7ZF9SO1a9sNPdzJ1P-aUNYoMNFK0Nb4F8mzVnYeXt6fp8mPTx-_zz-n51-WZ_P356kq4q-kEKvFQFvAdZ3zitBCtZQBqTkwVSiucso5YNZUjEkl6wZYWTWKKcmzomH5afJu2rsd6h6ayUEntk730u2FlVr8PTH6UqzttWCc4awaF7y-X-DsrwF8EL32CrpOGrCDF6TIGeOUZDRC-QRVznrvoD3IECzGkMVGjPmJMUsxhizuQha7SH312OaB-JBqBLydADe6g_1_LxYX81VsIj2d6NoH2B3o0l0JVuZlIX6ulmJRXSy-LpYrQfM_cwrK8Q</recordid><startdate>201407</startdate><enddate>201407</enddate><creator>Samuel, Tinu Mary</creator><creator>Thomas, Tinku</creator><creator>Thankachan, Prashanth</creator><creator>Bhat, Swarnarekha</creator><creator>Virtanen, Suvi M.</creator><creator>Kurpad, Anura V.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201407</creationdate><title>Breast milk zinc transfer and early post-natal growth among urban South Indian term infants using measures of breast milk volume and breast milk zinc concentrations</title><author>Samuel, Tinu Mary ; Thomas, Tinku ; Thankachan, Prashanth ; Bhat, Swarnarekha ; Virtanen, Suvi M. ; Kurpad, Anura V.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5111-eeeef0e4fe0bb389145cf46e1b8e6c5c8c3488e06d966acabde679dc6ca825d63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Body Weight</topic><topic>Breast Feeding</topic><topic>breast milk zinc content</topic><topic>breast milk zinc intake</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>India</topic><topic>Infant</topic><topic>Infant Nutritional Physiological Phenomena</topic><topic>length gain and weight gain</topic><topic>Linear Models</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Milk, Human - chemistry</topic><topic>Original</topic><topic>Postnatal Care</topic><topic>Prospective Studies</topic><topic>serum zinc</topic><topic>Socioeconomic Factors</topic><topic>Urban Population</topic><topic>Young Adult</topic><topic>Zinc - blood</topic><topic>Zinc - deficiency</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Samuel, Tinu Mary</creatorcontrib><creatorcontrib>Thomas, Tinku</creatorcontrib><creatorcontrib>Thankachan, Prashanth</creatorcontrib><creatorcontrib>Bhat, Swarnarekha</creatorcontrib><creatorcontrib>Virtanen, Suvi M.</creatorcontrib><creatorcontrib>Kurpad, Anura V.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Maternal and child nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Samuel, Tinu Mary</au><au>Thomas, Tinku</au><au>Thankachan, Prashanth</au><au>Bhat, Swarnarekha</au><au>Virtanen, Suvi M.</au><au>Kurpad, Anura V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Breast milk zinc transfer and early post-natal growth among urban South Indian term infants using measures of breast milk volume and breast milk zinc concentrations</atitle><jtitle>Maternal and child nutrition</jtitle><addtitle>Matern Child Nutr</addtitle><date>2014-07</date><risdate>2014</risdate><volume>10</volume><issue>3</issue><spage>398</spage><epage>409</epage><pages>398-409</pages><issn>1740-8695</issn><issn>1740-8709</issn><eissn>1740-8709</eissn><abstract>Zinc (Zn) deficiency in infancy and early childhood is of public health concern in developing countries. This study aimed to longitudinally assess Zn intake of urban South Indian term infants in the first 6 months of life using measures of breast milk (BM) volume and BM Zn concentrations and, additionally, to study the effect of BM Zn intake on infant length and weight gain. BM intake by the deuterium dilution technique, BM Zn concentration at months 1, 3 and 6, as well as serum Zn level at months 3 and 6 were assessed in 50 mother–infant pairs. BM intake significantly declined from 627 mL day−1 at month 1 to 608 mL day−1 at month 6 (P &lt; 0.01). BM Zn concentration and intake significantly declined from month 1 to month 6 (P &lt; 0.001 for both). Mean infant serum Zn level at months 3 and 6 were 93.0 ± 27.1 and 99.6 ± 30.1 µg dL−1, respectively. Infant BM Zn intake at months 1 and 3 was not associated with the weight and length gain between 1–3 and 3–6 months, respectively. Zn intake from BM, maternal BM Zn content and serum Zn levels were not significantly different between small‐for‐gestational age and appropriate‐for‐gestational age infants. Therefore, among urban south Indian term infants less than 6 months of age, BM Zn intakes were low, owing to low volumes of BM intake, despite BM Zn concentrations being in the normal range. Promotion of breastfeeding and thereby increasing the volumes of milk produced is a first important step towards improving Zn intake among infants.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>22734965</pmid><doi>10.1111/j.1740-8709.2012.00421.x</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record>
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1740-8709
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source MEDLINE; Wiley Online Library Journals Frontfile Complete; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Adolescent
Adult
Body Weight
Breast Feeding
breast milk zinc content
breast milk zinc intake
Female
Follow-Up Studies
Humans
India
Infant
Infant Nutritional Physiological Phenomena
length gain and weight gain
Linear Models
Longitudinal Studies
Male
Milk, Human - chemistry
Original
Postnatal Care
Prospective Studies
serum zinc
Socioeconomic Factors
Urban Population
Young Adult
Zinc - blood
Zinc - deficiency
title Breast milk zinc transfer and early post-natal growth among urban South Indian term infants using measures of breast milk volume and breast milk zinc concentrations
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