2002, Number 3
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Perinatol Reprod Hum 2002; 16 (3)
Duración de la lactancia materna y características conductuales en una cohorte de niños preescolares. Estudio CLACYD. Córdoba, Argentina
Trautmann-Villalba P, González C, Sabulsky J
Language: Spanish
References: 29
Page: 113-122
PDF size: 102.48 Kb.
ABSTRACT
Objective: This paper analyzes the relation between the duration of breastfeeding and some behavior characteristics in a cohort of pre-school children from the City of Córdoba, Argentina.
Materials and methods: The biological and social data were obtained from a general survey, and the behavior characteristics by the application of a questionnaire based on Achenbach's Child Behavior Check List. The problem behavior score was built with the parents' answers to the questionnaire. The breastfeeding information was gathered in interviews starting in the first month of children’s life.
Results: In all the cases the negative value registered on the problem-behavior score for the group of children breastfed for 2 months or less are higher than the value registered for the group of children that were breastfed for a period longer than 2 months, although only in the case of functional behavior the difference reaches the level of statistical significance. There were no statistically significant differences among the values for the group of children breastfed between 2 and 12 months and the group that was breastfed for more than 12 months.
Conclusion: No breastfeeding or breastfeeding for less than 2 months produces a negative effect on the behavior of four-year-old children. Significant differences are not observed between the children breastfed between 2 and 12 months and those breastfed for more than 12 months, which shows that - although positive effects of a longer duration of breastfeeding cannot be demonstrated - such a prolongation does not have negative consequences either.
REFERENCES
World Health Organization. Complementary feeding of young children in developing countries: A review of current scientific knowledge. WHO/NUT/98.1, Geneva, WHO 1998.
World Health Organization. Estrategia mundial para la alimentacion del lactante y del niño pequeño. Duración óptima de la lactancia materna exclusiva. A54/INF.DOC./4. Geneva, WHO 2001.
American Academy of Pediatrics, Work group on breastfeeding. Breastfeeding and the use of human milk. Pediatrics 1997; 100: 1035-9.
Dewey K, Cohen R, Brown K, Landa- Rivera L. Effects of exclusive breastfeeding for four versus six month on maternal nutritional status and infant motor development: Results of two randomized trials in Honduras. J Nutr 2001; 131: 262-7.
Golding J, Rogers I, Emmett P. Association between breast feeding, child development and behavior. Earl Hum Develop 1997; 49: 175-84.
Horwood J, Darlow B, Mogridge N. Breast milk feeding and cognitive ability at 7-8 years. Arch Dis Child 2001; 84: F23-7.
Horwood J, Fergusson D. Breast-feeding and later cognitive and academic outcomes. Pediatrics 1998; 101: e9.
Nimelä A, Jarvenpaa A. Is breastfeeding beneficial and maternal smoking harmful to the cognitive development of children? Acta Paediatr 1996; 85: 1202-6.
Anderson J, Johnstone B, Remley D. Breastfeeding and cognitive development: A metha-analysis. Am J Clin Nutr 1999; 70: 525-35.
Angelsen N, Vik T, Jacobsen G, Bakketeig L. Breast feeding and cognitive development at age 1 and 5 years. Arch Dis Child 2001; 85: 183-8.
Borsbach S, Schepker R, Eggers C. Stillen – Ein psychoprotektiver Faktor für die Entwicklung des Kindes. En: Lehmkuhl, U. (Ed.) Seelische Krankheit im Kindes- Und Jugendalter – Wege zur Heilung. XXVII Kongreß der Deutschen Gesellschaft für Kinder- und Jugendpsychiatrie und Psychotherapie. Berlin 2002: 3-6
Fergusson D, Horwood L, Shannon F. Breastfeeding and subsequent social adjustment in six- to eight-year-old children. J Child Psychol Psych 1987; 28: 379-86.
Trautmann-Villalba P. Aportes desde el ámbito de la Psicología a la discusión sobre la lactancia prolongada. En: Aguayo Maldonado, J. (Ed.). La Lactancia Materna. Sevilla, España: Publicaciones Universitarias, Universidad de Sevilla; 2001.
Trautmann-Villalba P, Laucht M, Esser G, Schmidt M. Interacción madre-hijo y desarrollo desde los 3 meses a los 8 años de un grupo de niños amamantados vs. un grupo de niños no amamantados. Póster presentado en el Primer Congreso Español de Lactancia Materna. Valencia, España, 3 al 5 de febrero, 2000.
Ministerio de Salud y Acción Social. Compromiso Nacional a favor de la madre y el niño. Buenos Aires, Argentina: 1991.
Berra S, Rajmil L, Passamonte R, Fernández E, Sabulsky J. Premature cessation of breastfeeding in infants: Development and evaluation of a predictive model in two Argentinian cohorts. The CLACYD study, 1993-1999. Acta Ped 2001; 90: 544-51.
Trautmann-Villalba P, González C, Sabulsky J. Efecto de la acumulación de factores de riesgo sobre la presencia de conductas problemáticas en una cohorte de niños de cuatro años de la ciudad de Córdoba – Estudio CLACYD. Perinatol Reprod Hum 2001; 15: 245-53.
Sabulsky J, Batrouni L, Carballo R, Reyna S, Quiroga D, De Roitter H, Gorostiaga H, Brizuela M. Alimentación en el primer mes de vida por estratos sociales, Córdoba. Argentina. Bol Of Sanit Panam 1995; 119: 15-26.
Sabulsky J. Estrategia metodológica del Estudio CLACYD. En: Perfiles epidemiológicos de alimentación, crecimiento y desarrollo en los 2 primeros años de vida. Estudio CLACYD. Publicación Nº 2. Córdoba: Ed. Eudecor; 1997, p. 119.
CLACYD. Córdoba, Lactancia, Alimentación, Crecimiento y Desarrollo. Perfiles epidemiológicos de alimentación, crecimiento y desarrollo en los 2 primeros años de vida. Estudio CLACYD. Publicación Nº 2. Córdoba: Ed. Eudecor; 1997: 129.
Achenbach, T. Manual for the child behavior checklist and revised child behavior profile. University of Vermont. Burlington 1991: 230.
Achenbach T. Integrative guide for the CBCL/4-18, YSR and TRF profiles. University of Vermont, Burlington 1991.
Laucht M, Esser G, Schmidt MH. Psychische Auffäligkeiten im Kleinkind- und Vorschulalter. Kindheit und Entwicklung 1993; 2: 142-9.
World Health Organization. ICD 10 - International Classification of Diseases. Cap V(F): Mental and behavioural disorders (including disorders of psychological development). Geneve, WHO, 1998.
WHO-Colaborative study team on the role of breastfeeding on the prevention of infant mortality. Effects of breastfeeding on infant and child mortality due to infectious in less developed countries: A pooled analysis. Lancet 2000; 355: 451-5.
WHO/UNICEF. Improving family and comunity practices – A component of the IMCI strategy. Geneve. WHO/CAH/98.2, 1998.
Organización Panamericana de la Salud. La atención integrada a las enfermedades prevalentes de la infancia (AIEPI) en países de América Latina. Serie HCT/AIEPI-12.OPS, 1998.
Pérez-Escamilla R. Breastfeeding in Africa and the American and Caribean Region: The potential rol of urbanization. J Tropic Pediatr 1994; 40: 137-43.
Serrano-Aguayo P. Alimentación complementaria y destete en el niño. En: Aguayo MJ. (Ed.). La Lactancia materna. Sevilla, España: Serie Manual Universitario No.52. Secretariado de Publicaciones, Universidad de Sevilla; 2001.