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  • 1
    In: Maternal & Child Nutrition, Wiley, Vol. 13, No. 4 ( 2017-10)
    Abstract: The objectives of this study were to investigate usage patterns and factors associated with maternal dietary supplementation by Chinese women. A prospective cohort study of 695 mothers, who gave birth to a singleton baby, was conducted in Jiangyou, Sichuan Province of China. Information on dietary supplement use was collected from participants by personal interview at hospital discharge and followed up by telephone at 1, 3, and 6 months postpartum. Logistic regression analysis and generalised linear‐mixed modelling were performed to determine factors affecting dietary supplementation during pregnancy and the first 6 months postpartum, respectively. A total of 81.8 and 32.1% of women consumed dietary supplements during pregnancy and postpartum, respectively. Calcium was the most popular supplement (pregnancy 63.9%; postpartum 28.1%), whereas folic acid was only taken during pregnancy (62.3%) with an average usage duration of 2.5 (standard deviation 1.3) months among users. High school and above education, adjusted odds ratio (OR) = 2.67, 95% confidence interval (CI) [1.63, 4.38], and attendance at prenatal classes (adjusted OR = 1.99, 95% CI [1.05, 3.76] ) were associated with dietary supplementation during pregnancy. Mothers with a higher level of education (adjusted OR = 3.10, 95% CI [1.81, 5.30]) were also more likely to use dietary supplements in the postpartum period. Although dietary supplementation appeared to be common among Chinese mothers, maternal intake of folic acid was well below the guidelines. There is a need for further nutrition education on maternal use of micronutrient supplements, especially targeting mothers who are less educated.
    Type of Medium: Online Resource
    ISSN: 1740-8695 , 1740-8709
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2017
    detail.hit.zdb_id: 2140908-0
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  • 2
    Online Resource
    Online Resource
    SAGE Publications ; 2001
    In:  Journal of Human Lactation Vol. 17, No. 1 ( 2001-02), p. 24-30
    In: Journal of Human Lactation, SAGE Publications, Vol. 17, No. 1 ( 2001-02), p. 24-30
    Abstract: A prospective study of 556 women from Perth, Western Australia, and 503 women from the Darling Downs area, Queensland, Australia, was conducted to identify factors associated with the abandonment of breastfeeding prior to hospital discharge. In total, 88% ofwomen initiated breastfeeding, but 5% discontinued breastfeeding while still in the hospital. Discontinuation of breastfeeding prior to discharge was associated with a number of psychosocial factors, namely, infant feeding method being chosen after becoming pregnant, a perception by the mother that the infant%’s father either preferred formula feeding or was ambivalent about how the infant was fed, and whether the mother's own mother had ever breastfed. Judicious questioning prenatally regarding a woman's commitment to, social support for, and prior exposure to breastfeeding will help identify thosewomen most at risk of abandoning breastfeeding prematurely. Such women should be targeted for additional support while in the hospital.
    Type of Medium: Online Resource
    ISSN: 0890-3344 , 1552-5732
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2001
    detail.hit.zdb_id: 2092674-1
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  • 3
    Online Resource
    Online Resource
    SAGE Publications ; 2014
    In:  Journal of Human Lactation Vol. 30, No. 3 ( 2014-08), p. 353-357
    In: Journal of Human Lactation, SAGE Publications, Vol. 30, No. 3 ( 2014-08), p. 353-357
    Abstract: Prelacteal feeds and delayed initiation of breastfeeding may lead to undernutrition of the infant but are still prevalent in many countries. Objective: A prospective cohort community-based study was conducted in central Nepal to ascertain the rate of early breastfeeding initiation and factors associated with the introduction of prelacteal feeds. Methods: Breastfeeding information was collected from 639 women who recently gave birth in the Kaski district of central Nepal. Backward stepwise logistic regression analysis was performed to determine factors associated with the use of prelacteal feeds. Results: The incidence of prelacteal feeds was 9.1%, with infant formula being the most common prelacteal food. Approximately 67% and 90% of mothers breastfed within 1 hour and 4 hours of delivery, respectively. Women who reside in urban areas (odds ratio [OR] = 2.68; 95% confidence interval [CI] , 1.35-5.39), first-time mothers (OR = 2.15; 95% CI, 1.15-4.02), and those who underwent cesarean section (OR = 10.10; 95% CI, 5.47-18.67) were more likely to give prelacteal feeds to their infants. Conclusion: The early initiation of breastfeeding with colostrum as the first feed was common in the study area. The introduction of prelacteal feeds was associated with urban residency, first-time motherhood, and cesarean delivery.
    Type of Medium: Online Resource
    ISSN: 0890-3344 , 1552-5732
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2014
    detail.hit.zdb_id: 2092674-1
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  • 4
    Online Resource
    Online Resource
    SAGE Publications ; 2013
    In:  Journal of Human Lactation Vol. 29, No. 4 ( 2013-11), p. 484-490
    In: Journal of Human Lactation, SAGE Publications, Vol. 29, No. 4 ( 2013-11), p. 484-490
    Abstract: Studies have identified numerous factors affecting breastfeeding initiation and duration, including maternal education, mode of delivery, birth weight, socioeconomic status, and support of the infant’s father. Objective: The objective was to investigate the effects of an antenatal education session and postnatal support targeted to fathers. Methods: The Fathers Infant Feeding Initiative (FIFI Study) is a randomized controlled trial to increase the initiation and duration of breastfeeding that was conducted in 8 public maternity hospitals in Perth, Western Australia. A total of 699 couples were randomized within hospitals to either intervention or control groups. The intervention consisted of a 2-hour antenatal education session and postnatal support provided to fathers. Results: The any breastfeeding rate for the intervention group was significantly greater at 6 weeks: 81.6% in the intervention group compared to 75.2% in the control group, odds ratio 1.46 (95% CI, 1.01-2.13). After adjustment for age and hospital, the odds ratio for any breastfeeding in the intervention group was 1.58 (1.06-2.35) and for socioeconomic status (SES), 1.56 (1.06-2.30). The infants of older fathers were more likely to be breastfed at 6 weeks compared to infants of younger fathers ( P 〈 .01), and infants of fathers with high SES more likely than infants of fathers with low SES ( P = .013). Conclusion: Even a small increase in breastfeeding rates brings public health benefits. In this study, a minimal intervention was found to significantly increase any breastfeeding at 6 weeks: 81.6% in the intervention group compared to 75.2% in the control group.
    Type of Medium: Online Resource
    ISSN: 0890-3344 , 1552-5732
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2013
    detail.hit.zdb_id: 2092674-1
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  • 5
    Online Resource
    Online Resource
    SAGE Publications ; 2016
    In:  Journal of Human Lactation Vol. 32, No. 2 ( 2016-05), p. 277-281
    In: Journal of Human Lactation, SAGE Publications, Vol. 32, No. 2 ( 2016-05), p. 277-281
    Abstract: Postnatal depression is a disorder that can lead to serious consequences for both the mother and infant. Despite the extensively documented health benefits of breastfeeding, its association with postnatal depression remains uncertain. Objective: To investigate the relationship between full breastfeeding at 3 months postpartum and postnatal depressive symptoms among mothers in Sabah, Malaysia. Methods: A prospective cohort study of 2072 women was conducted in Sabah during 2009-2010. Participants were recruited at 36 to 38 weeks of gestation and followed up at 1 and 3 months postpartum. Depressive symptoms were assessed using the validated Malay version of the Edinburgh Postnatal Depression Scale (EPDS). Repeated-measures analyses of variance was performed to compare the depression scores over time and between subgroups of breastfeeding mothers. Results: Approximately 46% of women were fully breastfeeding their infants at 3 months postpartum. These mothers had significantly ( P 〈 .001) lower mean EPDS scores at both 1 and 3 months postpartum (mean ± SD, 4.14 ± 4.12 and 4.27 ± 4.12, respectively) than others who did not initiate or maintain full breastfeeding for 3 months (4.94 ± 4.34 and 5.25 ± 4.05, respectively). After controlling for the effects of covariates, the differences in EPDS scores remained statistically significant ( P = .001) between the 2 breastfeeding groups. Conclusion: Full breastfeeding appeared to be negatively associated with postnatal depressive symptoms for mothers residing in Sabah.
    Type of Medium: Online Resource
    ISSN: 0890-3344 , 1552-5732
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2016
    detail.hit.zdb_id: 2092674-1
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  • 6
    Online Resource
    Online Resource
    Wiley ; 2017
    In:  Paediatric and Perinatal Epidemiology Vol. 31, No. 6 ( 2017-11), p. 598-602
    In: Paediatric and Perinatal Epidemiology, Wiley, Vol. 31, No. 6 ( 2017-11), p. 598-602
    Abstract: Conventional survival analysis is commonly applied in the analysis of time‐to‐event data in paediatric studies, where the exposure variables of interest are often treated as time‐fixed. However, the values of these exposure variables can vary over time and time‐fixed analysis may introduce time‐dependent bias. Methods Time‐dependent bias is illustrated graphically considering two scenarios in longitudinal study settings for paediatric time‐to‐event outcomes. As an illustrative example, the time‐varying covariate approach was applied to survival analysis of breast‐feeding data ( n = 695) collected in China between 2010 and 2011, with an emphasis on the effects of covariates ‘solid foods introduction’ and ‘maternal return to work’ on breast‐feeding duration up to 12 months postpartum. Results Time‐varying exposures could occur before or after the occurrence of an event of interest so that time‐fixed analysis can lead to biased and imprecise parameter estimates. In the illustrative example, the reduced risk of ‘solid foods introduction’ (hazard ratio ( HR ) 0.61, 95% confidence interval ( CI ) 0.50, 0.75) on breast‐feeding cessation and an absence of an association with ‘maternal return to work’ ( HR 0.99, 95% CI 0.73, 1.36) from the time‐fixed analysis reversed ( HR 1.50, 95% CI 1.17, 1.93) and became significant ( HR 1.45, 95% CI 1.06, 2.00), respectively, based on the time‐varying covariate model. Conclusions The time‐varying covariate approach is preferable for survival analysis of time‐to‐event data in the presence of time‐varying exposures.
    Type of Medium: Online Resource
    ISSN: 0269-5022 , 1365-3016
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2017
    detail.hit.zdb_id: 2008566-7
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  • 7
    In: BMC Pregnancy and Childbirth, Springer Science and Business Media LLC, Vol. 12, No. 1 ( 2012-12)
    Type of Medium: Online Resource
    ISSN: 1471-2393
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2012
    detail.hit.zdb_id: 2059869-5
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  • 8
    Online Resource
    Online Resource
    Cambridge University Press (CUP) ; 2008
    In:  Public Health Nutrition Vol. 11, No. 3 ( 2008-03), p. 314-320
    In: Public Health Nutrition, Cambridge University Press (CUP), Vol. 11, No. 3 ( 2008-03), p. 314-320
    Abstract: The Western Australian Health Department’s Go for 2 & 5 ® campaign aimed to increase adults’ awareness of the need to eat more fruit and vegetables and encourage increased consumption of one serving over five years. Design The multi-strategy fruit and vegetable social marketing campaign, conducted from 2002 to 2005, included mass media advertising (television, radio, press and point-of-sale), public relations events, publications, a website ( www.gofor2and5.com ), and school and community activities. Campaign development and the evaluation framework were designed using health promotion theory, and assessed values, beliefs, knowledge and behaviour. Two independent telephone surveys evaluated the campaign: the Campaign Tracking Survey interviewed 5032 adults monitoring fruit and vegetable attitudes, beliefs and consumption prior to, during and 12 months after the campaign; and the Health & Wellbeing Surveillance System surveyed 17 993 adults between 2001 and 2006, continuously monitoring consumption. Setting Population public health intervention–social marketing campaign in Western Australia, population of 2 010 113 in 2005. Subjects Adults in the Perth metropolitan area. Results The campaign reached the target audience, increasing awareness of the recommended servings of fruit and vegetables. There was a population net increase of 0.8 in the mean number of servings of fruit and vegetables per day over three years (0.2 for fruit (1.6 in 2002 to 1.8 in 2005) and 0.6 for vegetables (2.6 in 2002 to 3.2 in 2005), significant at P 〈 0.05). Conclusion Sustained, well-executed social marketing is effective in improving nutrition knowledge, attitudes and consumption behaviour. The Go for 2 & 5 ® campaign provides guidance to future nutrition promotion through social marketing.
    Type of Medium: Online Resource
    ISSN: 1368-9800 , 1475-2727
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2008
    detail.hit.zdb_id: 2016337-X
    SSG: 21
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  • 9
    Online Resource
    Online Resource
    Cambridge University Press (CUP) ; 2009
    In:  Public Health Nutrition Vol. 12, No. 5 ( 2009-05), p. 637-643
    In: Public Health Nutrition, Cambridge University Press (CUP), Vol. 12, No. 5 ( 2009-05), p. 637-643
    Abstract: To assess consumer understanding of fruit and vegetable serving sizes. Design The Western Australian Health Department launched the Go for 2 & 5 ® campaign to promote fruit and vegetables in March 2002. The Health & Wellbeing Surveillance System surveyed 1108 adults, aged 16 years and over, between September and November 2002 about what constituted a serving of fruit and of vegetables, their usual daily fruit and vegetables intake, and their recall of the campaign. Setting The study was undertaken as a part of a public health intervention – social marketing campaign in Western Australia, which had a population of 1 927 000 in 2002. Results Forty-two per cent of respondents knew that the fruit serving size was one piece and only 14·5 % reported the ½ cup vegetable serving size. The mean fruit intake was 1·8 (95 % CI 1·7, 1·8) servings/d and the mean vegetable intake was 2·8 (95 % CI 2·7, 3·0) servings/d. Vegetable intake was associated with being female ( P = 0·006), increasing age ( P 〈 0·0001), awareness of the campaign ( P = 0·031) and knowledge of standard serving size ( P = 0·006). Fruit consumption was associated with being female ( P = 0·007). Fruit and vegetable intakes were not associated with educational attainment or household income. Conclusions The Go for 2 & 5 ® campaign uses a prescriptive message to promote increased consumption of fruit and vegetables. Respondent’s knowledge of the standard of serving sizes for fruit and vegetables suggests there is value in separating fruit and vegetable recommendations in messages to encourage increased consumption.
    Type of Medium: Online Resource
    ISSN: 1368-9800 , 1475-2727
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2009
    detail.hit.zdb_id: 2016337-X
    SSG: 21
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  • 10
    Online Resource
    Online Resource
    S. Karger AG ; 2009
    In:  Neuroepidemiology Vol. 33, No. 2 ( 2009), p. 111-116
    In: Neuroepidemiology, S. Karger AG, Vol. 33, No. 2 ( 2009), p. 111-116
    Abstract: 〈 i 〉 Background: 〈 /i 〉 Experimental studies have suggested that soybean products may protect against ischemic stroke, but only limited epidemiological evidence is available. 〈 i 〉 Objective: 〈 /i 〉 Our aim was to investigate the relationship between soy food consumption and the risk of ischemic stroke among the Chinese population. 〈 i 〉 Methods: 〈 /i 〉 A case-control study was conducted in southern China during 2007–2008. Soy food consumption, dietary intake and lifestyle information were obtained from 374 incident ischemic stroke patients and 464 hospital-based controls. Logistic regression analyses were performed to assess the association between soy food intake and the ischemic stroke risk. 〈 i 〉 Results: 〈 /i 〉 The mean weekly soy food intake was significantly lower (p = 0.001) among cases (89.9, SD = 239.3 g) than control subjects (267.7, SD = 426.1 g). Increased consumptions of dried soybean, tofu, soymilk and total soy foods were associated with reduced risks of ischemic stroke after adjusting for confounding factors. The corresponding adjusted odds ratios for the highest versus lowest level ( 〈 50 g) of intake were 0.20 (95% confidence interval = 0.09–0.48), 0.56 (0.36–0.89), 0.18 (0.06–0.51) and 0.23 (0.14–0.39), with significant dose-response relationships observed. 〈 i 〉 Conclusion 〈 /i 〉 : The results provided evidence of inverse association between habitual soy food consumption and the risk of ischemic stroke for Chinese adults.
    Type of Medium: Online Resource
    ISSN: 0251-5350 , 1423-0208
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2009
    detail.hit.zdb_id: 1483032-2
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