PMID- 18755710
OWN - NLM
STAT- MEDLINE
DCOM- 20090224
LR  - 20151119
IS  - 1465-3664 (Electronic)
IS  - 0142-6338 (Linking)
VI  - 55
IP  - 1
DP  - 2009 Feb
TI  - Feeding and nutritional characteristics of infants on PMTCT programs.
PG  - 32-5
LID - 10.1093/tropej/fmn071 [doi]
AB  - OBJECTIVES: To compare feeding and nutritional characteristics of infants born to 
      mothers on the prevention of mother to child transmission (PMTCT) programs with 
      infants not in the program. DESIGN: A hospital-based case-control study was used. 
      SETTING: The study was conducted in Nsambya hospital, Kampala, Uganda. SUBJECTS: 
      A total of 176 mother/baby pairs were included in the study with 88 from each 
      group. Infants were aged from 3 to 12 months. RESULTS: The percentage of mothers 
      exclusively breastfeeding was lower in PMTCT mothers (65%) compared to the 98% in 
      non-PMTCT mothers (p < 0.01). The mean duration of breastfeeding was 2.5 months 
      among PMTCT mothers compared to 4.1 months in non-PMTCT mothers (p < 0.01). 
      Dietary diversity score (DDS) was higher among PMTCT babies (4.3) compared to 3.7 
      among non-PMTCT babies (p < 0.05). The percentage of babies reported ill in the 
      previous month was much higher among the PMTCT infants (79%) compared to the 
      non-PMTCT infants (69%) and the incidence of diarrhoea was almost twice as high 
      among the PMTCT infants (18.1%) compared to the 9.3% in non-PMTCT infants [risk 
      ratio (RR) = 1.94]. In addition, the incidence of respiratory infections was 
      higher among the PMTCT infants (47.7%) compared to 39.5% in the non-PMTCT infants 
      (RR = 1.2). The mean z-scores: [Weight for age z-score (WAZ)] [height for age 
      z-score (HAZ)] and [weight for height z-score (WHZ)] were significantly lower (p 
      < 0.01) for PMTCT infants. The incidence of stunting among PMTCT infants (11.8%) 
      was twice that of the non-PMTCT ones (5.2%) and incidence of underweight was 8.4% 
      in the PMTCT infants compared to 1.2% in the non-PMTCT ones. CONCLUSIONS: The 
      feeding patterns of the PMTCT infants were significantly different from the 
      non-PMTCT ones both in terms of breastfeeding and DDS. Although DDS was higher 
      among the PMTCT infants it did not translate into better nutritional status. The 
      higher incidence of morbidity combined with the lower incidence of breastfeeding 
      among the PMTCT infants are some of the contributing factors to significantly 
      higher levels of malnutrition.
FAU - Magezi, Sylvia Ruhweza
AU  - Magezi SR
AD  - Department of Food Science and Technology, Makerere University, Kampala, Uganda. 
      srmagezi@hotmail.com
FAU - Kikafunda, Joyce
AU  - Kikafunda J
FAU - Whitehead, Roger
AU  - Whitehead R
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20080828
PL  - England
TA  - J Trop Pediatr
JT  - Journal of tropical pediatrics
JID - 8010948
SB  - IM
MH  - Body Weights and Measures/*statistics & numerical data
MH  - Breast Feeding/*adverse effects/epidemiology
MH  - Case-Control Studies
MH  - Female
MH  - HIV Infections/prevention & control/transmission
MH  - Humans
MH  - Infant
MH  - *Infant Nutritional Physiological Phenomena
MH  - Infectious Disease Transmission, Vertical/prevention & control
MH  - Male
MH  - Mothers
MH  - Socioeconomic Factors
MH  - Surveys and Questionnaires
MH  - Uganda/epidemiology
EDAT- 2008/08/30 09:00
MHDA- 2009/02/25 09:00
CRDT- 2008/08/30 09:00
PHST- 2008/08/30 09:00 [pubmed]
PHST- 2009/02/25 09:00 [medline]
PHST- 2008/08/30 09:00 [entrez]
AID - fmn071 [pii]
AID - 10.1093/tropej/fmn071 [doi]
PST - ppublish
SO  - J Trop Pediatr. 2009 Feb;55(1):32-5. doi: 10.1093/tropej/fmn071. Epub 2008 Aug 
      28.