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Appetite self-regulation in infancy - The role of direct breastfeeding 婴儿食欲自我调节-直接母乳喂养的作用
4区 医学 Pub Date : 2023-03-31 DOI: 10.26596/wn.202314122-27
A. Srivastava, Swati Jain
Infant feeding practices have a vital role to play in shaping the eating behaviour and overall health of individuals in both childhood as well as adulthood. A lesser-known advantage of breastfeeding in the global obesogenic environment, is its role in self-regulation of an infant’s appetite. Research demonstrates that children fed exclusively from the breast (that is, they are never bottle fed) develop the capacity for self-regulation of breastmilk intake – after all, mothers cannot possibly observe the quantity of milk the infant ingests. This encourages the infant to gain control, thus avoiding any overconsumption. On the other hand, bottle fed infants (whether mother’s milk or formula milk) are subjected to mother’s or other caregivers encouragement of bottle emptying. Since the regulation largely lies externally with the parent/caregiver on scheduled or timed feeding versus a cue feeding, this állows the possibility of such children being prevented from developing their own appetite responsiveness independently. Studies do find differences in satiety responses of children fed human milk with a bottle and those who were directly breastfed. Research has shown that directly breast-fed infants do not consume extra milk once their appetite stimulation phase ends. However, the teaching of bottle emptying during early infancy is positively associated with the weight gain. Such distinctions clearly emphasize the importance of breast feeding, but whether it is the milk composition (human or formula) or the mode of feeding (directly from breast or using bottle) that plays a bigger role in signalling appetite control warrants further examination. Considering that an infant’s weight gain or growth has a multifactorial causation, this review will highlight the association of direct breastfeeding with appetite signalling in infancy.
婴儿喂养方法在塑造儿童和成年期的饮食行为和个人整体健康方面发挥着至关重要的作用。在全球致肥环境中,母乳喂养的一个鲜为人知的优势是它在婴儿食欲自我调节中的作用。研究表明,纯母乳喂养的孩子(也就是说,他们从来没有被奶瓶喂养过)会发展出自我调节母乳摄入量的能力——毕竟,母亲不可能观察到婴儿摄入的奶量。这可以鼓励婴儿获得控制,从而避免任何过度消费。另一方面,奶瓶喂养的婴儿(无论是母乳还是配方奶)都受到母亲或其他照顾者的鼓励,将奶瓶清空。由于这种调节在很大程度上取决于父母/照顾者的安排或定时喂养,而不是提示喂养,这állows可能会阻止这些孩子独立发展自己的食欲反应。研究确实发现,用奶瓶喂母乳的孩子和直接母乳喂养的孩子在饱腹感上存在差异。研究表明,直接母乳喂养的婴儿在食欲刺激阶段结束后不会消耗额外的牛奶。然而,在婴儿期早期教授清空奶瓶与体重增加呈正相关。这些区别清楚地强调了母乳喂养的重要性,但究竟是母乳成分(人奶还是配方奶)还是喂养方式(直接母乳喂养还是用奶瓶喂养)在控制食欲方面起着更大的作用,还有待进一步研究。考虑到婴儿的体重增加或生长有多因素的原因,本综述将强调直接母乳喂养与婴儿食欲信号的关系。
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引用次数: 1
Is "small quantity lipid nutrition supplement" (SQ-LNS) a sustainable and pragmatic strategy to prevent malnutrition? “少量脂质营养补充”(SQ-LNS)是预防营养不良的可持续和实用的策略吗?
4区 医学 Pub Date : 2023-03-31 DOI: 10.26596/wn.2023141103-112
Arun Gupta, P. Rundall, N. Ntombela, H. Sachdev
 Young child malnutrition and food insecurity is the result of many factors including social and economic inequities, disempowerment of women, inadequate support for breastfeeding, degraded environments, poor sanitation, unsafe water, violence and conflict.  In this complex context, humanitarian agencies have a responsibility to guard against unintended consequences and ensure that the promotion of “quick fix” interventions do no harm. One such intervention is the Small Quantity Lipid Nutrition Supplement (SQ-LNS), that UNICEF is recommending for introduction into national nutrition programs to reduce mortality. The authors believe this recommendation is based on questionable evidence. They point to a  fundamental flaw that trials compared “an intervention (SQ-LNS)” with “no comparable food-based intervention.” In effect, a pre-determined outcome. Also present is a conflict of interest, with support and intellectual input coming from interested food companies. Many other concerns are listed: SQ-LNS is an ultra-processed food (UPF), as defined by Nova Classification; daily feeding to children with poor diets will not improve dietary diversity and may undermine confidence in more culturally appropriate and nutritious family foods; the double burden of malnutrition and the emerging pandemic of overnutrition; the environmental impact of packaging and most importantly the clear potential for commercial exploitation.  The widespread use of SQ-LNS in the face of food poverty is viewed as an unsustainable, unsafe and nutritionally inappropriate response. UN and humanitarian agencies should use their considerable diplomatic influence to challenge corporate-led food systems and support governments in their efforts to protect, promote and support breastfeeding and the provision of diverse complementary foods.
幼儿营养不良和粮食不安全是许多因素的结果,包括社会和经济不平等、剥夺妇女权能、对母乳喂养支持不足、环境退化、卫生条件差、不安全的水、暴力和冲突。在这种复杂的情况下,人道主义机构有责任防范意外后果,并确保促进“速效”干预措施不会造成伤害。其中一种干预措施是少量脂质营养补充剂(SQ-LNS),联合国儿童基金会建议将其引入国家营养计划,以降低死亡率。作者认为这一建议是基于可疑的证据。他们指出了一个根本性的缺陷,即试验将“干预(SQ-LNS)”与“没有可比较的基于食物的干预”进行比较。实际上,这是一个预先确定的结果。同样存在的是利益冲突,来自感兴趣的食品公司的支持和智力投入。其中还列出了许多其他问题:根据Nova分类标准,SQ-LNS是一种超加工食品(UPF);每天喂养饮食不良的儿童不会改善饮食多样性,可能会削弱人们对文化上更适宜和更有营养的家庭食品的信心;营养不良和新出现的营养过剩的双重负担;包装对环境的影响,最重要的是商业开发的明显潜力。面对粮食贫困,SQ-LNS的广泛使用被认为是一种不可持续的、不安全的和营养不良的反应。联合国和人道主义机构应利用其相当大的外交影响力,挑战企业主导的粮食体系,并支持各国政府保护、促进和支持母乳喂养和提供多种辅食的努力。
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引用次数: 1
Introduction to the first issue of World Nutrition for 2023 2023年第一期《世界营养》导言
4区 医学 Pub Date : 2023-03-31 DOI: 10.26596/wn.20231411
Ted Greiner
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引用次数: 0
Infant and Young Child Feeding (IYCF) practices amongst mothers in Hospitals of Mohali district (Punjab, India) 莫哈里地区医院(印度旁遮普省)母亲的婴幼儿喂养做法
4区 医学 Pub Date : 2023-03-31 DOI: 10.26596/wn.202314110-15
R. Pradhan, Anupreet Kaur Sobti
India has achieved significant improvement since 2000, yet there are still areas of alarm, notably with regard to child nutrition. Adequate nutrition during infancy and early childhood is critical to each child’s development of his or her full human potential. The period from birth to two years of age is widely acknowledged as a “critical window” for promoting optimal growth, health, and behavioral development. The present study was conducted on 500 mothers of infant and young children (0-24 months) visiting OPDs of government and private hospitals of district Mohali. The respondents were interviewed using a questionnaire provided by WHO (WHO, 2021). It was found that only a few mothers (n=20) practiced hand expression of breast milk irrespective of the type of hospital visiting. A majority gave pre-lacteal food among those visiting both the private and government hospitals. 89.4 percent (n=447) had ever breastfed their infants while a majority visiting government (52.1%) as well as private (53.3%) hospitals practiced exclusive breastfeeding. Reasons for stopping breastfeeding included medical advice, family advise, perceived decreased milk production or birth of another child. IYCF practices were found to be similar amongst mothers visiting the government and private hospitals. Therefore, breastfeeding counselling at antenatal clinics and peer support for exclusive breast feeding as per WHO recommendations should be included as part of breast-feeding promotional programs both in private as well as government hospitals, dispensaries and clinics.
自2000年以来,印度取得了显著进步,但仍有令人担忧的领域,特别是儿童营养方面。婴儿期和幼儿期的充足营养对每个儿童充分发挥其人类潜能至关重要。从出生到两岁这段时间被广泛认为是促进最佳生长、健康和行为发展的“关键窗口期”。本研究是对在Mohali区政府和私立医院门诊就诊的500名婴儿和幼儿(0-24个月)的母亲进行的。使用世卫组织提供的问卷对受访者进行了访谈(世卫组织,2021年)。结果发现,与医院类型无关,只有少数母亲(n=20)练习用手表达母乳。在私立和公立医院就诊的患者中,大多数人都给予泌乳前食物。89.4% (n=447)的妇女曾经母乳喂养过婴儿,而大多数前往政府医院(52.1%)和私立医院(53.3%)的妇女实行纯母乳喂养。停止母乳喂养的原因包括医疗建议、家庭建议、感觉到产奶量减少或生育另一个孩子。在公立医院和私立医院就诊的母亲中,儿童基金会的做法是相似的。因此,应根据世卫组织的建议,将产前诊所的母乳喂养咨询和纯母乳喂养同伴支持纳入私立和政府医院、药房和诊所的母乳喂养促进规划。
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引用次数: 0
Industry needs the intervention, not our kids: A cautionary approach toward the new AAP recommendations and the DGAC 2025 行业需要的是干预,而不是我们的孩子:对AAP新建议和DGAC 2025的警告
4区 医学 Pub Date : 2023-03-31 DOI: 10.26596/wn.2023141100-102
Ashka Naik, A. Carriedo
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引用次数: 0
Stunting of Growth in Developing Countries. 发展中国家的发育迟缓问题。
4区 医学 Pub Date : 2023-01-01 Epub Date: 2023-03-22 DOI: 10.1159/000527936
Joycelyn Kathembe, Janet Tapkigen, Martha K Mwangome, Andrew M Prentice, Helen M Nabwera

NA.

不。
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引用次数: 0
Preface. 前言。
4区 医学 Pub Date : 2023-01-01 DOI: 10.1159/000527946
Raanan Shamir, Berthold Koletzko, Moshe Phillip, Dominique Turck
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引用次数: 0
Nutrition and Chronic Diseases. 营养与慢性病。
4区 医学 Pub Date : 2023-01-01 DOI: 10.1159/000527947
Anat Guz-Mark, Raanan Shamir

na.

不。
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引用次数: 0
Pregnancy: The Impact of Maternal Nutrition on Intrauterine Fetal Growth. 妊娠:母体营养对宫内胎儿生长的影响。
4区 医学 Pub Date : 2023-01-01 DOI: 10.1159/000527922
Matan Anteby, Yariv Yogev, Liran Hiersch

na.

不。
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引用次数: 0
Malnutrition and Catch-Up Growth during Childhood and Puberty. 儿童和青春期的营养不良和追赶性生长。
4区 医学 Pub Date : 2023-01-01 DOI: 10.1159/000527935
Michal Yackobovitch-Gavan, Naama Fisch-Shvalb, Zulfiqar A Bhutta

NA.

不。
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引用次数: 0
期刊
World review of nutrition and dietetics
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