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Literature review for - Flourish Paediatrics

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Telephone or face-to-face<br />

interviews on consumption size<br />

and proportion of food<br />

(compared with a 4 d diary had<br />

adequate relative validity)<br />

occurred at 9 months of age.<br />

Researchers used published<br />

Estimated Average<br />

Requirements to determine<br />

adequacy of dietary intake.<br />

Parents kept a home diary to<br />

record infant feeding,<br />

illnesses, medications which<br />

was <strong>review</strong>ed at each 6-<br />

month visit. A questionnaire<br />

was administered at each 6<br />

month visit to assess infant<br />

feeding.<br />

Venous blood samples were<br />

taken at birth, 6 months, 12<br />

months, 18 months, 24<br />

months and at continuing 6<br />

month intervals. Insulin<br />

antibodies and antibodies to<br />

tyrosine phosphatase, IA2,<br />

and GAD65 were measured<br />

on serum samples. HLA<br />

typing was per<strong>for</strong>med on<br />

umbilical venous blood.<br />

questionnaire about their<br />

child’s pattern of feeding<br />

designed to gather<br />

in<strong>for</strong>mation of duration<br />

and level of breastfeeding<br />

and introduction of cow’s<br />

milk.<br />

Quality P P 0 P<br />

Results<br />

At 9 months cow’s milk was<br />

the main drink <strong>for</strong> 5% of<br />

infants.<br />

Zn intake was inadequate <strong>for</strong><br />

1% of 9 month old infants not<br />

Analysis showed no<br />

relationship between<br />

introduction of cow’s milk<br />

and the development of islet<br />

autoimmunity.<br />

55.8% of IDDM children<br />

and 36.5% of the control<br />

group had never fed by<br />

fresh cow’s milk in the<br />

first two years of life.<br />

Infants were categorized<br />

into two groups; breastfed<br />

(plus complementary food,<br />

with the exception of<br />

cow’s milk) n= 23 vs. fed<br />

whole cow’s milk (plus<br />

complementary food)<br />

n=64<br />

Collected blood samples to<br />

measure serum iron, Hb<br />

concentration , total iron<br />

binding capacity, serum<br />

ferritin, transferrin<br />

concentration . Weighed<br />

infants<br />

Used the Hexagon OBTI<br />

kit to determine occult<br />

fecal blood loss and the<br />

Kato-Katz technique to<br />

examine the parasites in<br />

the stool.<br />

There was no statistically<br />

significant difference in<br />

the presence of occult<br />

intestinal blood in<br />

breastfed infants (8/23<br />

34.8%) compared to<br />

379

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