Diarrhea in Breastfed versus Formulafed Baby: A Hospital Based Study in 150 Children

Begum, Most Umme Habiba; Absar, MN

doi:10.3329/jbcps.v34i1.29118

Cited by 6 publications

(11 citation statements)

References 7 publications

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“…3 Terdapat antibodi, terutama imunoglobulin A (IgA) yang terkandung dalam air susu ibu (ASI) yang terbukti dapat menurunkan angka kesakitan dan juga angka kematian anak akibat diare. 4 Pemberian ASI eksklusif maupun ASI non-eksklusif dapat menurunkan risiko infeksi saluran cerna, [6][7][8][9][10] menurunkan angka kematian akibat diare, 9 menurunkan frekuensi diare, 10 dan memperpendek lama diare pada bayi. 11,12 Beberapa penelitian menyatakan bahwa inisiasi pemberian ASI secara dini dapat menurunkan angka kesakitan 13,14 dan angka kematian anak akibat diare.…”

Section: Pendahuluanunclassified

“…Sebaliknya, pemberian susu formula dapat meningkatkan risiko diare pada bayi. 10 Pada penelitian ini prevalensi diare lebih rendah pada anak berusia 6-12 bulan dibanding dengan yang berusia di atas 1 tahun yang menunjukkan walaupun efek perlindungan ASI terhadap diare mulai berkurang setelah usia 6 bulan, namun masih memiliki manfaat sampai bayi berusia 12 bulan. 20 Prevalensi diare pada anak yang diberi ASI pada hari 1-3 setelah lahir ditemukan lebih rendah pada penelitian ini.…”

Section: Pembahasanunclassified

“…16 Pada penelitian ini tidak ditemukan hubungan antara pemberian MP ASI berupa susu formula dan non-susu formula meskipun Begum dan Absar. 10 menyatakan susu formula dapat meningkatkan risiko diare pada anak. Hasil ini kemungkinan besar yang disebabkan oleh MP ASI diberikan pada saat yang tepat.…”

Section: Pembahasanunclassified

“…Hal ini menunjukkan bahwa ada faktorfaktor selain ASI yang memengaruhi terjadinya diare, seperti faktor lingkungan, sanitasi, serta higiene ibu. 10 Pada penelitian ini menemukan hubungan pemberian ASI dan pemberian MP ASI berupa susu formula dengan lama diare. Begum dan Absar 10 menyatakan bahwa lama diare pada anak di bawah usia 2 tahun yang diberi ASI lebih singkat bila dibanding dengan anak yang sudah mendapat susu formula karena terdapat imunoglobulin A (IgA) dalam ASI.…”

Section: Pembahasanunclassified

“…16 Pemberian susu formula pada anak yang mendapat ASI maupun tidak mendapat ASI terbukti meningkatkan risiko dan frekuensi diare serta lama diare pada anak usia di bawah 2 tahun. 10 Walaupun pada tahun 2002 World Health Organization (WHO) dan United Nations Children's Fund (Unicef) sudah merekomendasikan untuk pemberian ASI eksklusif pada seluruh bayi sampai usia 6 bulan disertai pemberian makanan pendamping dengan melanjutkan pemberian ASI sampai usia 2 tahun, 5 namun cakupan ASI eksklusif di Indonesia pada tahun 2014 hanya sebesar 52,3% dari target sebesar 80%. Cakupan ASI eksklusif yang rendah di Indonesia secara tidak langsung meningkatkan risiko diare pada anak 7 sehingga mendorong pemerintah untuk meningkatkan cakupan ASI eksklusif dengan menerbitkan Peraturan Pemerintah Nomor: 33 Tahun 2012 tentang Pemberian ASI Eksklusif.…”

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Pola Pemberian ASI dan Diare pada Anak Usia 6–24 Bulan

Wijaya¹,

Dhamayanti²,

Gondodiputro³

2017

mkb

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AbstrakDiare merupakan salah satu penyebab utama kematian anak secara global. Air susu ibu (ASI) diketahui dapat mencegah diare pada anak sehingga World Health Organization merekomendasikan pemberian ASI eksklusif untuk seluruh bayi. Namun, cakupan ASI eksklusif di Indonesia masih rendah sehingga risiko diare pada anak masih tinggi. Penelitian ini bertujuan menilai hubungan pola pemberian ASI dan diare pada anak usia 6-24 bulan. Penelitian observasional dengan studi potong lintang ini dilakukan tanggal 20 Januari-31 Januari 2017. pada 160 ibu dengan anak usia 6-24 bulan yang mendapat ASI yang datang ke posyandu di Puskesmas Talang Ubi, Kabupaten Penukal Abab Lematang Ilir. yang buka selama penelitian dilakukan, lahir tunggal, aterm, berat badan lahir ≥2.500 gram, gizi baik, tidak menderita kelainan kongenital. Data dikumpulkan menggunakan kuesioner untuk mengetahui pola pemberian ASI dan MP ASI serta prevalensi, periode, dan lama diare dalam tiga bulan terakhir. Data dianalisis dengan uji kai-kuadrat, Fisher eksak, Mann-Whitney U, Kruskal-Wallis, ANOVA, serta uji normalitas Kolmogorov Smirnov. Penelitian ini mendapatkan hubungan waktu inisiasi pemberian ASI, ASI eksklusif, lama pemberian ASI, serta frekuensi dan lamanya menyusui dengan prevalensi dan lama diare (p<0,05), tetapi tidak mendapatkan hubungan waktu inisiasi pemberian ASI, pemberian ASI eksklusif, lama pemberian ASI, frekuensi pemberian ASI, dan lama menyusui dengan frekuensi diare (p>0,05). Dapat disimpulkan bahwa pola pemberian ASI dapat menurunkan prevalensi dan mempersingkat lama diare pada anak usia 6-24 bulan. [MKB. Diarrhea is one of the leading causes of global childhood mortality. Breast milk was known to have a protective role against childhood diarrhea that the World Health Organization (WHO) recommendeds exclusive breastfeeding for all infants. However, the coverage of exclusive breastfeeding in Indonesia is still small, leading to a higher risk of childhood diarrhea. The aim of this study was to assess the correlation between breastfeeding pattern, complementary feeding, prevalence, frequency, and diarrhea duration in children aged 6-24 months. This observational cross-sectional study was conducted in the period of 20 January-31 January 2017 on 160 mothers who brestfed their child who was, at the time of the study, 6-24 months old. These were children who visited the Posyandu (Integrated Health Post) of Talang Ubi Public Health Center (Puskesmas Talang Ubi), Penukal Abab Lematang Ilir district at the time of the study, singleton, full term, birth weight ≥2,500 grams, well-nourished, and did not have any congenital abnormalities. Data were obtained through questionnaires that collected information on breastfeeding pattern, complementary feeding, and the prevalence, frequency, and diarrhea duration in the last three months . Data were statistically analyzed using chi-square, Fisher's exact, Mann-Whitney U, KruskalWallis, and ANOVA tests as well as Kolmogorov Smirnov normality test. This study found the correlation between breastfeeding init...

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Pola Pemberian ASI dan Diare pada Anak Usia 6–24 Bulan

Wijaya¹,

Dhamayanti²,

Gondodiputro³

2017

mkb

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Feeding modes and persistent diarrhea: A comparative case–control study in infants in Hodeida, Yemen

Alselwi,

Suhail

2024

WJWCH

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Objectives: Diarrhea is a major cause of morbidity and mortality among infants globally. Infant feeding practices influence diarrhea risk, but its relationship requires further investigation, especially in Yemen. This study aims to identify associations between feeding modes (breastfeeding, mixed feeding, formula, and goat milk) and persistent diarrhea in Yemeni infants. Material and Methods: A hospital-based case–control study was conducted from January to June 2020 in Hodeidah, Yemen. The cases were 240 infants aged 2–24 months with persistent diarrhea. Controls were 120 age-matched healthy infants. Caregiver interviews collected data on feeding practices. Odds ratios (OR) estimate relationships between exposures and persistent diarrhea. Results: We observed a protective effect of breastfeeding against persistent diarrhea, with breastfed infants having a significantly lower risk of developing persistent diarrhea compared to non-breastfed infants (OR: 0.43, 95% confidence interval [CI]: 0.27–0.68, P = 0.037). In addition, we found a significant association between goat milk consumption and persistent diarrhea, with infants who consumed goat milk having a higher risk of persistent diarrhea (OR: 4.67, 95% CI: 1.15–19.01, P = 0.009). While mixed feeding showed a potential increased risk of persistent diarrhea compared to exclusive breastfeeding, the wide CI indicated that this association was not statistically significant and required further research (OR: 1.86, 95% CI: 1.09–3.18). In contrast, the association between formula feeding and persistent diarrhea was inconclusive and not statistically significant (P = 0.938; OR: 0.867, 95% CI: 0.353–2.128), suggesting no significant relationship. These results highlight the protective effect of breastfeeding and the potential risks of goat milk consumption, while relationships between mixed/formula feeding and persistent diarrhea require more evidence. Conclusion: Certain feeding practices increase the risk of persistent diarrhoea in Yemeni infants. Promoting exclusive breastfeeding and complementary feeding guidance alongside tailored behavior change strategies, especially in rural communities can help address these modifiable risk factors.

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Comparative study of lactose and lactose free milk for acute diarrheal management in children upto 1 year of age.

Arshad

Khan

Mazhar

et al. 2020

TPMJ

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Objectives: The objective of this particular research was to contrast mean duration of acute diarrhea in infants taking lactose free formula versus lactose-containing formula milk along with standard treatment. Study Design: Randomized Controlled Trial. Setting: Department of Paediatric Medicine DHQ Teaching Hospital Sargodha. Period: 6 months from 29 October 2016 to 28 April 2017. Material & Methods: This study included 60 infants of both genders who were between 1month to 1 year of age and presented with acute diarrhea. These infants were separated into two groups. Infants in Group-A were given lactose-free formula milk while those in Group-B received lactose-containing formula milk. Outcome variable was mean duration of diarrhea which was compared between the two groups. Consent was taken in black and white from parents of each infant. Results: The average age of the infants was 7.2±3.1 months. Majority (n=41, 68.3%) of the infants were aged 6 months and above followed by 19 (31.7%) infants aged between 1-5 months. There were 29 (48.3%) male and 31 (51.7%) female infants with a female to male ratio of 1.1:1 the weight of infants ranged from 2.6 Kg to 11.9 Kg with a mean of 8.1±2.2 Kg. Both study groups were compared in terms of mean age (p-value=0.741), mean weight (p-value=0.932) and age (p-value=0.781), gender (p-value=0.438) and weight (p-value=0.573) groups distribution. The mean period of diarrhea was notably shorter in infants taking lactose-free milk (1.7±0.8 vs. 2.7±0.8 days; p<0.001) as compared to those receiving lactose-containing milk. Similar significant differences were observed across various subgroups based on patient’s age, gender and weight. Conclusion: Lactose-free formula milk reduces mean duration of diarrhoea significantly when compared to lactose-containing formula milk regardless of patient’s age, gender and weight which advocate its preferred use in future practice in infants presenting with acute diarrhea.

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Diarrhea in Breastfed versus Formulafed Baby: A Hospital Based Study in 150 Children

Cited by 6 publications

References 7 publications

Pola Pemberian ASI dan Diare pada Anak Usia 6–24 Bulan

Pola Pemberian ASI dan Diare pada Anak Usia 6–24 Bulan

Feeding modes and persistent diarrhea: A comparative case–control study in infants in Hodeida, Yemen

Comparative study of lactose and lactose free milk for acute diarrheal management in children upto 1 year of age.

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