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[Recommendations of the Council for Nutrition on infant nutrition. Norwegian National Nutrition Council].

Because of the high frequency of nursing mothers there is concensus that, in general, the diet of Norwegian newborns is good for the first six months of life. However, several publications have questioned the recommendations concerning the babies' diet from the age of six to 12 months with respect to time of weaning and introduction of cow's milk, and intake of energy, fat-soluble vitamins, iron and essential fatty acids. The Norwegian National Nutrition Council has therefore evaluated the available data, and has adjusted some of the recommendations, including the recommendations for energy intake, energy percent from fat and essential polyunsaturated fatty acids.

Breast Feeding

Relationship of maternal and infant nutrition to infant growth.

A cohort of all infants born between January 1, 1969 and February 28, 1977 in four rural villages in Eastern Guatemala which were participating in a longitudinal project of nutrition and mental development was studied. As part of the study, prospective information on anthropometric measurements, morbidity, dietary intake and socioeconomic and cultural characteristics was collected. In addition, two types of food supplements were distributed: calorie and protein-calorie. Attendance at the feeding centers in each village and the amount of supplements consumed by children and pregnant and lactating mothers were recorded daily. We studied the effect of the supplements consumed by the mother during pregnancy and lactation and by the infant on trimestral infant weight and length changes during the first year of life. The data indicate that infant calorie supplementation before three months of age is significantly and negatively associated with infant growth; after three months of age, supplemental calories consumed by the infant are significantly and positively associated with infant weight and length gains. In addition, a small positive association was found between maternal caloric supplementation during lactation and infant growth during the first two trimesters of life, after controlling for potentially confounding factors for which data are available in this study.

Body Height

[Physiologic nutritional evaluation of complete infant nutrition based on a soybean formula].

The purpose of this review is to evaluate the nutritional quality of soybean-based infant diets on the basis of results published in the scientific literature. Special consideration has been given to the use of soybean protein formulas for infants with reduced intestinal digestion and absorption capacity as well as in cases of cow's milk intolerance and allergic diseases.

Amino Acids

Breastmilk yield and infant nutrition in relation to early infant growth in Njoro, Kenya.

Breastmilk yields during the first six months of lactation were measured in 27 mothers from small-scale cooperative farms and 35 mothers from squatter villages in two commercial farms and one forest village. On average, mothers from small-scale farms produced 440g milk per 24 hours and the village mothers 510g per 24 hours. Mean birth weight and length for the whole group were all within 90% of the Harvard Standard. However between the 10th and 18th week when milk yield was high, mean child weight was parallel to the Harvard standard but then declined to 90% at 26 weeks. Male infants were heavier and longer at birth than female infants. Seasonal variations were not significant. However, this may have been affected by the failure of the long rains in 1984 which caused food shortages in that year and the following year.

Birth Weight

Influence of a nutrition education program (EFNEP) on infant nutrition in East Harlem.

An assessment of the effectiveness of aides working in the Expanded Food and Nutrition Education Program (EFNEP) to improve the nutritional status of infants was conducted with a group of 118 infants attending a well-baby clinic in a low-income area of New York City. In addition to clinic care, the fifty-seven study infants received home visits from a nutrition aide whose role was to reinforce nutritional advice received at the clinic. The sixty-one control infants received only regular clinic care. The benefits of having an aide were suggested by three observations: Reduction in the practice of introducing whole cow's milk to young infants, familiarizing older infants with a variety of foods, and reducing the prevalence of iron-deficiency anemia. Few of the differences between study and control infants achieved statistical significance, although trends consistently indicated that the presence of aides was beneficial. The problems of assessing the effectiveness of nutrition education programs with healthy infants are discussed.

Black or African American

The science of infant nutrition and the art of infant feeding.

Using the recommendations of the Committe on Nutrition of the American Academy of Pediatrics for infant formulas as a scientific base, practical guidelines for feeding infants are given. Breast feeding or the use of a prepared formula meets these recommendations while evaporated milk, fresh cow's milk, and skimmed milk, despite widespread use for many years, do not. The feeding of strained foods and infants cereals should be begun when the infant has reached the stage of development appropriate for feeding from a spoon and swallowing nonliquid foods, usually between 3 and 6 months of age. Lifelong eating patterns begin during this period. Adjusting caloric intake to needs and learning to enjoy a variety of foods are major objectives of feeding practices.

Animals

Current perspectives on vitamin E in infant nutrition.

The human infant is born with low body stores of vitamin E. Thus, the infant requires an adequate intake of vitamin E soon after birth. If adequate sources of tocopherol are not provided, a clearly defined deficiency state characterized by hemolytic anemia and, after a period of years, spinocerebellar degeneration results. However, the benefit of pharmacologic doses of vitamin E given as prophylaxis against diseases believed to be related to oxygen toxicity (bronchopulmonary dysplasia, retinopathy of prematurity, and periventricular-intraventricular hemorrhage) is not clear. Possible benefits must be balanced against the potential for serious toxicity. Few data are available on the pharmacokinetics of tocopherols in infants, particularly with respect to esterified forms of tocopherol, and little is known about the toxicity associated with parenteral administration of the vitamin.

Ascorbic Acid