Changes in Feeding Patterns Affect Growth in Children 0–24 Months of Age Living in Socioeconomically Different Areas of Lahore, Pakistan

  • Shakila Zaman
  • Fehmida Jalil
  • Munir A. Saleemi
  • Rifat N. Ashraf
  • Lotta Mellander
  • Lars Å. Hanson
Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 503)


The interaction of feeding practices, infections and growth in a young child manifests in early life in terms of malnutrition, increased morbidity and mortality. Several studies have shown that breastfeeding in early life protects young children against infections and promotes nutrition and growth particularly in the developing countries.1–11 However, in situations where breastfeeding is the accepted predominant mode of feeding the young children, faltering in growth and with a high incidence of infections, particularly diarrhoeal diseases, are still observed.7–8


Breast Feeding Exclusive Breastfeed Urban Slum Diarrhoeal Disease Infant Growth 
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  1. 1.
    R.G. Feacham, and M.A. Koblinsky, Interventions for the control of diarrhoeal diseases among young children: promotion of breastfeeding, Bull WHO 62 (2):271–291 (1984).Google Scholar
  2. 2.
    R.G. Feachem, Preventing Diarrhoea: what are the policy options? Hlth. Policy and Planning 1(2):109–117 (1986).CrossRefGoogle Scholar
  3. 3.
    K.H. Brown, R.E. Black, G. Lopez de Romana, and H. Creed de Kanashiro, Infant feeding practices and their relationship with diarrhoeal and other diseases in Huascar (Lima), Peru, Pediatr. 83(1):31–40 (1989).Google Scholar
  4. 4.
    S. Diaz, C. Herreros, R. Aravena, M.E. Casado, M.V. Reyes, and V. Schiappacasse. Breast feeding duration and growth of fully breast fed infants in a poor urban Chilean population, Amer J Clin Nutr 62(2):371–376 (1995).PubMedGoogle Scholar
  5. 5.
    K.G. Dewey, M.J. Heinig, and L. Å. Nommsen-Rivers, Differences in morbidity between breastfed and formula-fed infants, J Pediatr 126(3):696–702 (1995).PubMedGoogle Scholar
  6. 6.
    L. Å. Hanson, I. Adlerberth, B. Carlsson, U. Dahlgren, M. Hahn-Zoric, A. Morikawa, I. Narayanan, K. Nilsson, D. Roberton, A. Wold, S. Zaman, and F. Jali,. Breastmilk’s attack on microbes: is it of clinical significance?. In: Human Lactation IV Breastfeeing, nutrition, infection and infant growth in developed and emerging countries, edited by SA Atkinson, LÅ Hanson, RK Chandra (ARTS Biomedical Publishers and Distributors, St John’s, Newfoundland, Canada, 1990), pp 55–65.Google Scholar
  7. 7.
    F. Jalil, I. Adlerberth, R.N. Ashraf, B. Carlsson, L. Å. Hanson, J. Karlberg, K. Khalil, B.S. Lindblad, R. Nazir, S. Zaman, and S.R. Khan, Methodological problems in assessment of long-term health outcomes in breastfed versus bottlefed infants. In: Human Lactation IV. Breastfeeing,nutrition, infection and infant growth in developed and emerging countries, edited by SA Atkinson, LÅ Hanson, RK Chandra (ARTS Biomedical Publishers and Distributors, St John’s, Newfoundland, Canada, 1990), pp 381–394.Google Scholar
  8. 8.
    J. Karlberg, S. Zaman, L. Å. Hanson, S.R. Khan, B.S. Lindblad, and F. Jalil, Aspects of infantile growth and the impact of breastfeeding: A case control study of the infants from four socioeconomically different area in Pakistan, In: Human Lactation IV. Breastfeeing, nutrition, infection and infant growth in developed and emerging countries, edited by SA Atkinson, LÅ Hanson, RK Chandra (ARTS Biomedical Publishers and Distributors, St John’s, Newfoundland, Canada, 1990), pp 219–247.Google Scholar
  9. 9.
    R.J. Cohen, K.H. Brown, J. Canahuati, L.L. Rivera, and K.G. Dewey, Determinants of growth from birth to 12 months among breast fed Honduran infants in relation to age of introduction of complementary foods, J. Pediatr. 96 (3):504–510 (1995).Google Scholar
  10. 10.
    WHO Collaborative Study Team. Effect of breastfeeding on infant and child mortality due to infectious diseasesín less developed countries: a pooled analysis, Lancet 355:451–455 (2000).Google Scholar
  11. 11.
    R.N. Ashraf, F. Jalil, S. Zaman, J. Karlberg, S.R. Khan, B.S. Lindblad, and L. Å. Hanson, Breastfeeding and protection against sepsis in a high risk population, Arch. Dis. Childh. 66:488–490 (1991).Google Scholar
  12. 12.
    S. Zaman, F. Jalil, J. Karlberg, and L. Å. Hanson, Early child health in Lahore, Pakistan: VI. Morbidity, Acta Paediatr. (82):390 (suppl), 63–78 (1993).CrossRefGoogle Scholar
  13. 13.
    J. Karlberg, R.N. Ashraf, M.A. Saleemi, M. Yagoob, and F. Jalil, Early child health in Lahore, Pakistan: XI. Growth, Acta Paediatr. (82):390 (suppl), 119–149 (1993).CrossRefGoogle Scholar
  14. 14.
    Pakistan Demographic and household survey, 1990–1994. Pakistan Institute of Population studies and Govt of Pakistan.Google Scholar
  15. 15.
    F. Jalil, B.S. Lindblad, L. Å. Hanson, S.R. Khan, R.N. Ashraf, B. Carlsson, S. Zaman, and J. Karlberg, Early child health in Lahore Pakistan: I. Study design, Acta Paediatr. (82):390 (suppl), 3–16 (1993).CrossRefGoogle Scholar
  16. 16.
    R.N. Ashraf, F. Jalil, S.R. Khan, S. Zaman, J. Karlberg, B.S. Lindblad, and L. Å. Hanson, Early child health in Lahore, Pakistan.: V. Feeding patterns, Acta Paediatr. (82):390 (suppl), 48–62 (1993).CrossRefGoogle Scholar
  17. 17.
    F.C. Barros, T.C. Semer, S.T. Filho, E. Tomasi, and C.G. Victora, The impact of lactation centers on breast feeding pattern, morbidity and growth: a birth cohort study, Acta Paediatr. 84:1221–1226 (1995).PubMedCrossRefGoogle Scholar
  18. 18.
    T.H. Tulchinsky, S. El Ebweini, G.M.Y. Ginsberg, et al., Growth and nutrition patterns of infants associated with a nutrition education and supplementation program in Gaza, 1987–92, Bull WHO 72:(6), 869–875 (1994).PubMedGoogle Scholar
  19. 19.
    K.G. Dewey, M.J. Heinig, L. Å. Nommsen, J.M. Peerson, and B. Lonnerda,. Breastfed infants are leaner than formula-fed infatns at 1 year of age: the DARLING study, Am. J. Clin. Nutr. 57(1):140–145 (1993).PubMedGoogle Scholar
  20. 20.
    L.H. Allen, Nutritional influences on linear growth: a general review, Eur. J. Clin. Nutr., 48:(suppl), S75–S89 (1994).PubMedGoogle Scholar
  21. 21.
    B.N. Tandon, Nutritional interventions through primary health care: impact of the ICDS projects in India, Bull WHO 67:(1), 77–80 (1989).PubMedGoogle Scholar
  22. 22.
    G.H. Beaton, and H. Ghassemi, Supplementary feeding programs for young children in developing countries, Amer. J. Clin. Nutr. 35:(4 Suppl), 863–916 (1982).PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2002

Authors and Affiliations

  • Shakila Zaman
    • 1
  • Fehmida Jalil
    • 1
  • Munir A. Saleemi
    • 1
  • Rifat N. Ashraf
    • 1
  • Lotta Mellander
    • 2
  • Lars Å. Hanson
    • 3
  1. 1.Departments of Social and Preventive PaediatricsKing Edward Medical CollegeLahorePakistan
  2. 2.Department of Paediatrics, Queen Sylvia Children HospitalUniversity of GöteborgGöteborgSweden
  3. 3.Department of Clinical ImmunologyUniversity of GöteborgGöteborgSweden

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