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WFM / MEJFM December 2024

Exclusive Breastfeeding and its Impact on Child’s Physical Health in Duwakot, Nepal


Sushil Kharel
(1), Mandira Mainalee (2)

(1) Associate Professor & Head, Department of Physiology. Kathmandu Medical College, Nepal
(2) Community Social Worker, Nepal

Corresponding author:
Dr. Sushil Kharel
Associate Professor and Head, Department of Physiology
Vice Principal, Kathmandu Medical College and Teaching Hospital, Nepal.
Email: drsushilkharel@gmail.com

Received: October 2024. Accepted: November 2024; Published: December 1, 2024.Citation: Sushil Kharel, Mandira Mainalee. Exclusive Breastfeeding and its Impact on Child’s Physical Health in Duwakot, Nepal, World Family Medicine. December 2024; 22(11): 15-23. DOI: 10.5742/MEWFM.2024.95257863


Abstract

Background: Several research studies have identified breastfeeding as a significant factor for normal infant growth and development. Childhood obesity is the major ailment seen in formula fed infants which clearly demonstrates the protective role and effect of the exclusive breastfeeding. The objective of this study was to compare the physical health among exclusive breastfed and formula fed infants. The aim of our study was to find the impact of Exclusive Breastfeeding on child’s physical growth parameters among formula fed and exclusive breastfed infants.

Materials and Methods: This was a cross-sectional study done to compare the growth patterns of breast fed and formula fed babies of Duwakot. The growth patterns of 81 exclusive breastfed babies (39 male, 42 female) and 81 formula fed babies (44 male, 37 female) were compared. The weight for age (WA), Height for age (HA), and weight for Height (WH) Z scores were calculated in 6 to 24 months babies by WHO Anthro Software Version 3.2.2.

Results: The prevalence of overweight in exclusively breastfed infants was 6.1% (> +2SD) and in formula fed infants was 17.3%. The prevalence of overweight was significantly higher among formula fed infants. The prevalence of obesity in formula fed infants was 2.5% (> +3SD) and 1.2% in breastfed infants. The study revealed that overweight was significantly associated with formula feeding but no statistically significant difference was observed in the other physical parameters like wasting, stunting and underweight. In Breastfed infants the mean Z score for WA was -0.22, WH was 0.1 and BMI was 0.06 whereas in formula fed infants the mean Z score for WA was 0.3, WH was 0.68 and BMI was 0.71.

Conclusion: The physical growth pattern of exclusive breast fed and formula fed Nepalese babies showed overweight tendency in formula fed babies as compared to breastfed babies.

Keywords: Exclusive breastfeeding; Formula fed; Growth pattern.





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