Growth Patterns of Breast Fed and Formula Fed Infants

모유수유아와 분유수유아의 성장 패턴

  • Kwak, Ju Young (Department of Pediatrics, Il Sin Christian Hospital) ;
  • Park, Jun Young (Department of Pediatrics, Il Sin Christian Hospital) ;
  • Lee, He Jin (Department of Pediatrics, Il Sin Christian Hospital) ;
  • Jung, Hi Jin (Department of Pediatrics, Il Sin Christian Hospital) ;
  • Son, Sang Hi (Department of Pediatrics, Il Sin Christian Hospital) ;
  • Jung, Soo Jin (Department of Pediatrics, Il Sin Christian Hospital)
  • Received : 2005.04.21
  • Accepted : 2005.04.21
  • Published : 2005.10.15

Abstract

Purpose : The purpose of this study is to compare the growth pattern of breast fed and formula fed infants in the first 1 year of life. Methods : Anthropometric data(weight, length, head circumference) of at birth, 1, 3, 6, 9 and 12 months were collected by chart review and characteristics of subjects were collected by questionnaires. Among 358 infants, breast fed infants were 161(84 males, 77 females) and formula fed infants were 90(42 males, 48 females). Neither group was given solid foods before 4 months. The weight for age, length for age and head circumference for age were calculated. Breast fed infants were separated into 2 groups(breast fed for 4-11 months and breast fed for more than 12 months). Results : Characteristics of infants and mothers were similar in both groups except for maternal age. Mean weight of breast fed group was lower than that of formula fed group at 12 months of age(male : P=0.004, female : P=0.004). However, mean weight of 12 months breast fed group was below formula fed groups weight at 9 and 12 months(P<0.05). Mean length and head circumference were similar between groups. Conclusion : The growth indices of breast fed and formula fed infants are similar at birth, but weight curves of two groups differ in the first 1 year.

목 적 : 모유수유아와 분유수유아의 생후 첫 일년간의 성장 패턴을 비교하기 위함이다. 방 법 : 의무 기록지를 통해 출생시, 1, 3, 6, 9 그리고 12개월의 신체 계측치(체중, 신장, 두위)가 수집되었고, 설문 조사를 통해 대상의 특징들이 모아졌다. 358명의 소아들 중 모유수유아는 161명(남아 84명, 여아 77명)이었고, 분유수유아는 90명(남아 42명, 여아 48명)이었다. 두 군 모두에서 4개월 이전에는 이유식을 공급하지 않았다. 각 연령별 체중, 신장, 두위가 계산되었다. 모유수유군은 다시 두 군(4-11개월간 모유수유를 한 군과 12개월 이상 모유수유를 한 군)으로 세분되었다. 결 과 : 엄마의 연령을 제외하면 대상의 특징들은 두 군에서 유사하였다. 모유수유군의 평균 체중은 12개월에만 분유수유군 보다 낮게 측정되었다(male : P=0.004, female : P=0.004). 하지만, 12개월 이상 모유수유만 한 군의 평균 체중은 9개월과 12개월에 분유수유군 보다 낮았다(P<0.05). 평균 신장과 두위는 두 군에서 유사하였다. 결 론 : 모유수유아와 분유수유아의 성장 지표들은 출생시에는 유사하나 생후 첫 일년간 두 군의 체중 곡선이 다르게 나타난다.

Keywords

References

  1. Garza C, Frongillo E, Dewey KG. Implications of growth patterns of breast-fed infants for growth references. Acta Paediatr (suppl) 1994;402:4-10
  2. Dewey KG. Cross-cultural patterns of growth and nutritional status of breast-fed infants. Am J Clin Nutr 1998;67:10-7
  3. Dewey KG, Heinig MJ, Nommsen LA, Peerson JM, Lonnerdal B. Growth of breast-fed and formula-fed infants from 0 to 18 months : the DARLING study. Pediatrics 1992;89:1035-41
  4. Dewey KG, Heinig MJ, Nommsen LA, Lonnerdal B. Adequecy of energy intake among breastfed infants in the DARLING study : relationships to growth velocity, morbidity and activity levels. J Pediatr 1991;119:538-47 https://doi.org/10.1016/S0022-3476(05)82401-1
  5. Worobey J. Feeding method and motor activity in 3-month-old human infants. Percept Mot Skills 1998;86:883-95 https://doi.org/10.2466/pms.1998.86.3.883
  6. Lee C, Park MS, Chung YM, Joo HJ, Kim KM, Han DG. Assessment of infantile mental an motor development influenced by breast milk and formula feeding. J Korean Pediatr Soc 1995;38:289-95
  7. Victora CG, Morris SS, Barros FC, de Onis M, Yip R. The NCHS reference and the growth of breast- and bottle-fed infants. J Nutr 1998;128:1134-1138
  8. Hediger ML, Overpeck MD, Ruan WJ, Troendle JF. Early infant feeding and growth status of US-born infants and children aged 4-71 mo : analyses from the third National Health and Nutrition Examination Survey, 1988-1994. Am J Clin Nutr 2000;72:159-67
  9. Agostoni C, Grandi F, Gianni ML, Silano M, Torcoletti M, Giovannini M, et al. Growth patterns of breast fed and formula fed infants in the first 12 months of life : an Italian study. Arch Dis Child 1999;81;395-9. https://doi.org/10.1136/adc.81.5.395
  10. Oon JJ, Kim ID. Study of weaning mode and nutritional status in Korean infants. J Korean Nutr 1970;3:65-80
  11. Lee HK, Choi JY, Kim CK, Han DK, Hyun W, Lee DK. Survey on the present status of weaning in Korean children. J Korean Pediatr Soc 1978;21:664-71
  12. Kim ST. Infant feeding trends in Korea. J Korean Pediatr Soc 1979;22:337-48
  13. Pang HK, Kim KH, Park JO, Lee SJ. Present status and problem of weaning. J Korean Pediatr Soc 1987;30:266-74
  14. Yoon YL, Bang MH, Bang HK, Lee GI, Cha HJ, Park JO, et al. Present status and problem of weaning. J Korean Pediatr Soc 1988;31:863-72
  15. Lee SJ, Park JO, Sohn CS, Lee HR, Shin JH, Chung HI, et al. A survey on the present status of weaning. J Korean Pediatr Soc 1994;37:1657-68
  16. Kenny JF, Boesman MI, Michaels RH. Bacterial and viral coproantibodies in breast-fed infants. Pediatr 1967;39:202-13
  17. Fomon SJ. Infant nutrition. 2nd ed. Philadelphia W B Saunders Co, 1974:1-19
  18. Fomon SJ. Recommendation for feeding in normal infants. Mosby, St Loui, 1993:455-8
  19. Ogra SS, Ogra PL. Immunologic aspect of human colostrum and milk. J Pediatr 1978;92:546-9 https://doi.org/10.1016/S0022-3476(78)80285-6
  20. Onyango AW, Esrey SA, Kramer MS. Continued breast-feeding and child growth in the second year of life : a prospective cohort study in western Kenya. Lancet 1999;354:2041-5 https://doi.org/10.1016/S0140-6736(99)02168-6