Immigration and factors associated with breastfeeding. CALINA study

Suárez, Beatriz Oves; Madurga, L. Escartín; Villagrasa, M.P. Samper; Andrés, L. Cuadrón; Sauras, M.L. Álvarez; Velillas, Juan José Lasarte; Aznar, Luis Alberto Moreno; Martínez, G. Rodríguez

doi:10.1016/j.anpede.2013.09.002

Cited by 11 publications

(10 citation statements)

References 25 publications

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“…For example the absence of exclusive breastfeeding is a risk factor for obstructive sleep apnea as well as for reflux and large regurgitation [ 30 ], but several literature reviews have reported the influence of marital status and of the presence of the infant’s father in decision-making with regard to breastfeeding, as well as that of the duration of breastfeeding [ 31 , 32 ]. In our study, the differences reported regarding breastfeeding behavior [ 33 ] cannot explain why the infants of mothers who do not speak French fluently are at a clearly lower risk of ALTE. Cultural habits relating to the sleep of infants should perhaps not be ruled out [ 34 ].…”

Section: Discussioncontrasting

confidence: 60%

Not living with both parents is associated with more health- and developmental problems in infants aged 7 to 11 months: a cross sectional study

et al. 2015

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BackgroundIn Western countries, many children are affected by the separation of their parents. Our main objective was to assess the possible impact of parental separation family structure on certain aspects of somatic health in low-age children.MethodsWe conducted a cross-sectional study based on data collected in the framework of free preventive medicine consultations in the French Community of Belgium. The data was derived from assessments conducted, between 2006 and 2012, on children 7 to 11 months after birth during which information of 79701 infants was collected regarding the risk of sudden infant death, psychomotor development, and development in terms of height and weight. The main outcome measures were: episode of risk of sudden infant death, polysomnography, home monitoring, psychomotor development, and body mass index.ResultsThe parents of 6.6% of the infants were separated. We established multivariable models, based on the presence or absence of confounders. The adjusted ORs (95% CI) of symptoms perceived as frightening, notably at night, of a prescription for a polysomnography, of an abnormal polysomnography result, and of follow-up by home monitoring were thus respectively 1.3 (1.1–1.6), 1.1 (0.9–1.3), 1.8 (1.3–2.4), and 1.3 (1.1–1.6). The adjusted ORs (95% CI) for psychomotor delay and for a body mass index above the 97th percentile were respectively 1.3 (1.0–1.6) and 1.2 (1.1–1.3) in the event of separation.ConclusionsThis study confirms the possibility that not living with both parents is an independent risk factor for the somatic health and psychomotor development of infants. This observation should be verified because it would have a major impact on the actions of family doctors and other first-line healthcare providers, in particular with regard to information and targeted prevention.

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Section: Discussioncontrasting

confidence: 60%

Not living with both parents is associated with more health- and developmental problems in infants aged 7 to 11 months: a cross sectional study

et al. 2015

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“…The results linking environmental factors other than family structure and infant nutrition can be summarised as follows: in the most comfortable families, and when mothers are educated, the infant is breast fed longer. However, an exception should be noted: the infants of mothers of non-Belgian descent are more often given the recommended nutrition despite lower income and a lower level of maternal education, as has been reported by other European authors 29. Furthermore, when the infant’s birth weight was low, there is a greater risk of no breast feeding, as has been regularly described in the literature 30 31.…”

Section: Discussionmentioning

confidence: 77%

Parental separation and behaviours that influence the health of infants aged 7–11 months: a cross-sectional study

et al. 2014

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ObjectiveAnalyse the parental behaviours that are recognised as influencing the health of very young children based on family structure (parents separated or not).DesignCross-sectional study.SettingFree preventive medicine consultations in the French Community of Belgium.ParticipantsExamination of 79 701 infants aged 7–11 months as part of a free preventive medicine consultation. The data came from an assessment conducted 7–11 months after birth during which information was collected, namely about the parents’ use of tobacco, the infant’s type of nutrition and adherence to vaccination schedules.Main outcome measuresParental behaviours: smoking, nutrition and compliance with vaccination schedule.ResultsThe percentage of infants whose parents were separated was 6.6%. After adjusting for the cultural and socioeconomic environment as well as for other potential confounders, in the event of separation as compared with non-separated parents, the adjusted ORs (95% CI) were as follows: 1.5 (1.3 to 1.7) for the infant’s exposure to tobacco; 1.3 (1.2 to 1.4) for total lack of exclusive breast feeding; 1.3 (1.1 to 1.4) and 1.2 (1.1 to 1.2) for breast feeding for a duration of less than 3 and 6 months, respectively; 1.2 (1.1 to 1.4) for non-compliance with the vaccination schedule against rotavirus. The duration of exclusive breast feeding was shorter when parents were separated (p<0.001; median 10 vs 13 weeks).ConclusionsThis study reinforces the possibility that parental separation is independently associated with certain parental at-risk behaviours regarding the children's health. This observation should be verified because this could result in major consequences for the work of family doctors, in particular in terms of parent information and targeted prevention.

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“…The CALINA study (Growth and Feeding in Infants from Aragon, Spain) is a longitudinal study in a representative cohort of infants from Aragon (Spain), since birth up to 7 years (Oves Suárez Lem et al 2013). The main objective of the CALINA study was to assess growth patterns, body composition and feeding aspects in this population and to examine prenatal, postnatal and sociocultural factors which may influence them.…”

Section: Design and Study Populationmentioning

confidence: 99%

Association of sedentary behaviours with food and beverages consumption and total diet quality in children from a Spanish region. The Calina study

Miguel‐Berges

Barrantes

Altaba

et al. 2020

Child and Adolescent Obesity

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Introduction:The time spent in different types of sedentary behaviours has been associated with a poor intake in children, which contributes to childhood obesity. The aims of this study were: to examine the association between sedentary behaviours and the adherence to the total screen time (TST) recommendations, food and beverage consumption and the total diet quality index (DQI), in a sample of Spanish children. Methods:The study included a cohort of 420 children (53.6% boys) aged 7 years from Zaragoza (Spain), belonging the Growth and Feeding during Infancy and Early Childhood in Aragon (CALINA) longitudinal study. Data on dietary habits and TST (watching TV/DVD/videos and playing/using personal computers (PC)/video games) were parental-reported. TST was categorized based on the recommendations (≤2 h/day and >2 h/day). The DQI was computed from a validated semi-quantitative food-frequency questionnaire. Generalized linear mixed models, adjusted by maternal education, ethnicity and body mass index of the children, were analysed. Results: Both in boys and girls, using a PC for ≤2 h per day was associated with a lower consumption of sugar and artificially sweetened beverages. In boys, using PC for ≤2 h per day was associated with a lower consumption of sweets, desserts and salty snacks and in girls, were associated with a lower consumption of juices and a higher consumption of fruits and vegetables. Only in boys, a low TST per day was assSociated with a lower consumption of sugar-sweetened beverages, whereas in girls, it was associated with a lower consumption of artificially sweetened beverages. Regarding DQI, both, boys and girls, showed

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Immigration and factors associated with breastfeeding. CALINA study

Cited by 11 publications

References 25 publications

Not living with both parents is associated with more health- and developmental problems in infants aged 7 to 11 months: a cross sectional study

Not living with both parents is associated with more health- and developmental problems in infants aged 7 to 11 months: a cross sectional study

Parental separation and behaviours that influence the health of infants aged 7–11 months: a cross-sectional study

Association of sedentary behaviours with food and beverages consumption and total diet quality in children from a Spanish region. The Calina study

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