Impact of Maternal Fasting during Ramadan on Growth Parameters of Exclusively Breastfed Infants in Shahroud, 2012

Document Type: Research Paper

Authors

1 Pediatrician, Shahroud University of Medical Sciences, Iran

2 General Practitioner, Shahroud University of Medical Sciences, Iran

3 BSc of Management, Shahroud University of Medical Sciences, Iran

Abstract

Introduction: There are many advantages in breastfeeding of infants. The impact of fasting of breastfeeding mothers during Ramadan, on their exclusively breastfed infants’ growth, is still unclear. The objective of this study is to determine the impact of maternal Ramadan fasting on growth parameters of exclusively breastfed infants. Methods: This cohort study was conducted on 55 healthy, exclusively breastfed infants, aged 1 to 6 months, during Ramadan and three months after it. 20 infants, whose mothers fasted throughout Ramadan (case group) and 35 infants, whose mothers did not fast (control group), were enrolled in the study. All infants underwent periodic physical examinations, twice in Ramadan and 3 times in the first, second and the third months after Ramadan. The data analyses were done using a repeated measure analysis of variance. Statistical significance was defined as PFindings: The average age was 3.43±1.38 months in the case group and 2.31±1.45 months in the control group that presence no significant difference between. From the total number of infants, 23 cases (41.8%) were males and the rest were females. All growth parameters increased during the study period (P< 0.05), with the same rate of increase for both groups (P=0.125). Conclusion: Ramadan fasting by breastfeeding mothers did not adversely affect the growth parameters of exclusively breastfed infants in short-term.

Keywords


  1. Khoshdel1 A, Najafi M, Kheiri S, Taheri E, Nasiri J, et al. Impact of Maternal Ramadan Fasting on Growth Parameters in Exclusively Breast-fed Infants. Iran j pediar; des 2007;(4):345-52.[Persian].
  2. Rakicioglu N, Samur G, Topçu A, Topçu AA. The effect of Ramadan on maternal nutrition and composition of breast milk. Pediatr Int. 2006Jun; 48(3): 278-83.
  3. rtem IO, Kaynak G, Kaynak C, Ulukol B, Gulnar SB. Attitudes and practices of breastfeeding mothers regarding fasting in Ramadan. Child Care Health Dev. 2010Nov; 27(6): 545-54.
  4. Bener A, Galadari S, Gillett M, Osman N, Al-Taniji H, Al-Kuwaiti MHH. Fasting during the holy month of Ramadan does not change the composition of breast milk. Nutr Res. 2011; 21(6): 859-64.
  5. Anderson JW, Johnstone BM, Remley DT. Breast-feeding and cognitive development: a meta-analysis. Am J ClinNutr.2009Oct; 70(4): 525-35.
  6. Lucas A, Morley R, Cole TJ, Lister G, Leeson-Payne C. Breast milk and subsequent intelligence quotient in children born preterm. Lancet.2012Feb; 339(880: 261-9.
  7. Heinig MJ. Host defense benefits of breastfeeding for the infant.Effect of reastfeeding duration and exclusivity.PediatrClin North Am. 2010Feb; 48(1): 105-23.
  8. Lonnerdal B. Effects of maternal dietary intake on human milk composition. J Nutr.2006Apr; 116(4): 499-513.
  9. Bentley GR, Harrigan AM, Ellison PT. Dietary composition and ovarian function among Lese horticulturalist women of the Ituri Forest, Democratic Republic of Congo. Eur J ClinNutr. 2008Apr; 52(4): 261-70.
  10. Rakiciogu N, Samur G, Topcu A, Topcu AA. The effect of Ramadan on maternal nutrition and composition of breast milk.Pediatr Int. 2009Jun; 48(3): 278-85.
  11. Dewey KG, Peerson JM, Brown KH, Krebs NF, Michaelsen KF, Persson LA, et al. Growth of breast-fed infants deviates from current reference data: a pooled analysis of US, Canadian, and European data sets. World Health Organization Working Group on Infant Growth.Pediatrics.2005Sep; 96(3): 495-503.
  12. Prentice AM, Lamb WH, Prentice A, Coward WA. The effect of water abstention on milk synthesis in lactating women.ClinSci (Lond).2008Mar; 66(3): 291-8.
  13. Strode MA, Dewey KG, Lonnerdal B. Effects of short-term caloric restriction on lactational performance of well-nourished women. ActaPaediatr Scand. 2006Mar; 75(2): 222-9.
  14. Kavehmanesh Z, Abolghasemi H. Maternal Ramadan fasting and neonatal health. J Perinatol.2010Dec; 24(12): 748-55.
  15. Donma MM, Donma O. Infant feeding and growth: a study on Turkish infants from birth to ۶ months. Pediatr Int. 2009Oct; 41(5): 542-8.
  16. Kaste LM, Gift HC. Inappropriate infant bottle feeding.Status of the Healthy People 2000objective. Arch PediatrAdolesc Med. 2005Jul; 149(7): 786-93.