Breast-feeding mothers can exercise: results of a cohort study

OBJECTIVES: To study the relationship between exercise by the mother and breast-feeding initiation and duration, and its effect on infant growth. DESIGN: A cohort study of mothers and infants, recruited at birth. Infant feeding methods were recorded in detail and breast-feeding was categorised as 'any' or 'full'. Exercise levels were categorised using the metabolic equivalent tasks approach based on details of physical activity recorded in questionnaires. SETTING: Perth, Western Australia. SUBJECTS: A total of 587 mothers were interviewed on seven occasions over a period of 12 months. RESULTS: There was no difference in the means of infant weight and length changes, indicating that exercise appeared to have no significant influence on infant growth up to 52 weeks after birth (P=0.236 and 0.974, respectively). The mother's level of exercise was not significantly associated with breast-feeding to 6 or 12 months. This applied to 'full' and 'any' categories of breast-feeding. CONCLUSION: Exercise does not affect breast-feeding outcomes at the usual levels of activity undertaken by mothers. Breast-feeding and exercise are important for maintaining and promoting health, and this study provides reassurance to health professionals wishing to encourage mothers to continue both behaviours.     

Rethinking research in breast-feeding: a critique of the evidence base identified in a systematic review of interventions to promote and support breast-feeding

OBJECTIVE: To appraise critically the relevance and value of the evidence base to promote and support the duration of breast-feeding, with a specific focus on disadvantaged groups. DESIGN: A systematic review was conducted of intervention studies relevant to enhancing the duration of breast-feeding; topics included public health, public policy, clinical issues, and education, training and practice change. A systematic search was conducted. Eighty studies met the inclusion criteria. Data were systematically extracted and analysed. Full results and recommendations are reported elsewhere. Here a critique of the evidence base--topics, quality and gaps--is reported. RESULTS: Many studies were substantially methodologically flawed, with problems including small sample sizes, inconsistent definitions of breast-feeding and lack of appropriate outcomes. Few were based on relevant theory. Only a small number of included studies (10%) were conducted in the UK. Very few targeted disadvantaged subgroups of women. No studies of policy initiatives or of community interventions were identified. There were virtually no robust studies of interventions to prevent and treat common clinical problems, or of strategies related to women's health issues. Studies of health professional education and practice change were limited. Cost-effectiveness studies were rare. CONCLUSIONS: Policy goals both in the UK and internationally support exclusive breast-feeding until 6 months of age. The evidence base to enable women to continue to breast-feed needs to be strengthened to include robust evaluations of policies and practices related to breast-feeding; a step change is needed in the quality and quantity of research funded.     

Unintended pregnancies are associated with less likelihood of prolonged breast-feeding: an analysis of 18 Demographic and Health Surveys

OBJECTIVE: To examine the relationship between unintended pregnancies and prolonged breast-feeding among 18 countries on an individual and aggregated level.DESIGN AND SETTING: Regional multivariate logistic regression analyses were conducted to examine this association based on 18 Demographic and Health Surveys conducted between 1995 and 2000.SUBJECTS: Women who had a live child between 13 and 36 months old were included in these analyses (n=41 353).RESULTS: Regression models were adjusted for 10 covariates including child age, maternal age, pregnancy status of mother at the time of interview and parity. In 11 out of the 18 countries the odds ratio (OR) of the association between unintended pregnancies and prolonged breast-feeding was <1.0, reaching statistical significance in three countries. Pooled analyses of all 18 countries detected a significant association between unintended pregnancies and less likelihood of prolonged breast-feeding (OR=0.90, 95% confidence interval=0.85-0.96).CONCLUSIONS: Prospective studies are needed to further understand if and how pregnancy intentions influence breast-feeding outcomes in different settings.     

Are infant feeding options that are recommended for mothers with HIV acceptable, feasible, affordable, sustainable and safe? Pregnant women's perspectives

OBJECTIVE: To investigate pregnant women's views on infant feeding options recommended for HIV-infected women. DESIGN: A structured interview survey complemented with focus group discussions. SETTING: Antenatal clinics in Moshi urban and rural districts of Tanzania. SUBJECTS: Five hundred pregnant women participated in the interview survey and 46 pregnant women participated in six focus group discussions. RESULTS: Participating women reported that they would change to an alternative infant feeding method if they were found to be HIV-infected and were advised to do so. Cow's milk was regarded as the most feasible infant feeding method for local HIV-infected mothers. Infant feeding formula was regarded as too costly, but if recommended by health workers and distributed free of charge, the majority of the women (82%) were confident that they would then choose this option. In the focus group discussions, women were less optimistic and expressed great concern for the social consequences of not breast-feeding. The safety of exclusive breast-feeding was questioned. Less common infant feeding methods, such as expressed heat-treated breast milk and wet-nursing, were not regarded as viable options. Several social barriers to replacement feeding were identified in the focus group discussions, including possible lack of support from partner and potential negative reactions from the community. CONCLUSION: Future research on infant feeding options should include the broader cultural context and the psychological stress that HIV-infected women face when choosing infant feeding methods.     

Forty years of soil research funded by the European Commission: Trends and future. A systematic review of research projects

The European Green Deal with its high ambition has set the European Union (EU) on a promising path towards greater soil protection. The EU Soil Strategy 2030, the Biodiversity Strategy 2030, the Farm to Fork Strategy, the Zero Pollution, the Nature Restoration Law and the European Climate Law, among others, include actions to protect our soils. Research and Innovation (R&I) will play a key role in developing new knowledge and tools enabling the transition to healthy soils. The main aim of this paper is to analyse past and near-future trends in EU's funding for R&I on soil-related issues. For this purpose, a review of EU-funded soil projects was conducted based on the data available in the Community Research and Development Information Service and the official portal for European data. Our analysis shows that over the past 40 years, the EU has invested significantly in developing integrated knowledge about the relationships between soil functions and ecosystem services and how human-induced pressures affect soil health. Following the adoption of the EU Soil Thematic Strategy in 2006, there was an increase in research funding for soil-related research. Furthermore, our analysis also illustrates an interesting interplay of permanent and changing soil themes. The Horizon Europe Mission ‘A Soil Deal for Europe’, which aims to establish a network of 100 living labs and lighthouses to lead the transition towards healthy soils and safeguard human and planetary health by 2030, provides a further incentive for soil research. Together with the EU Soil Strategy 2030 and the new proposal for a Directive on Soil Monitoring and Resilience (Soil Monitoring Law), and the EU Soil Observatory (EUSO), the three instruments set up the political framework, concrete measures, and a monitoring system needed for the protection, restoration and sustainable use of soils.     

Mediterranean diet and overall mortality differences in the European Union

OBJECTIVE: To assess whether the Mediterranean diet contributes to overall mortality differences and trends between Mediterranean and non-Mediterranean European Union (EU) countries.Design: Routinely recorded adjusted overall mortality and food availability data in Mediterranean and non-Mediterranean EU countries. A Mediterranean diet score designed a priori was used as instrument. SETTING: Fifteen EU countries in the 1960s and the 1990s. SUBJECTS: The general population in the 15 EU countries. RESULTS: The difference between Mediterranean and non-Mediterranean EU countries in a 7-point Mediterranean diet score was reduced from 2.9 in the 1960s to 1.6 in the 1990s. This reduction may underlie the reduction in the difference in general mortality between these countries, from about 100 deaths per 100,000 person-years in the early 1970s to about 50 deaths per 100,000 person-years in the 1990s. CONCLUSIONS: The decline in overall mortality in the 15 EU countries over the last 25 years is probably unrelated to diet. However, the gradual loss of the survival advantage of Mediterranean EU citizens, compared with other EU citizens, may be linked to the gradual abandonment by the former of their dietary traditions.     

Breast-feeding and maternal mental well-being among Bangladeshi and Pakistani women in north-east England

OBJECTIVES: To explore the relationship between infant feeding and maternal mental well-being among women of Bangladeshi and Pakistani ethnicity; and to explore the sources of advice, information and support available to women before and after childbirth. DESIGN: A cross-sectional survey of infant feeding and maternal well-being via structured interviews conducted in the home. SETTING: Home visits within two inner-city wards of Newcastle upon Tyne. SUBJECTS: Eighty-six women of South Asian ethnicity. RESULTS: Enjoyment of everyday activities was higher among women who breast-fed only (P = 0.028); whereas feeling sad or crying during pregnancy was lower among breast-feeding women (P = 0.005), as was not sleeping well (P = 0.003) and feeling that everything was too much (P = 0.039), compared with women who used formula or mixed feeding. Women who breast-fed only had better mean mood scores than those who formula-fed or those who both breast-fed and formula-fed (P < 0.001). Mean mood responses were also significantly associated with the mother's level of understanding of English and number of years in education (P = 0.005 and P = 0.003, respectively). The association between method of feeding and maternal mood remained strong after controlling for the effects of English language and maternal education. CONCLUSIONS: The study suggests that breast-feeding may be an important mediator of maternal mental well-being after childbirth. Community-based programmes tailored to the needs of Bangladeshi and Pakistani women which support breast-feeding and encourage exclusive breast-feeding may be of benefit.     

Deaths and years of life lost due to suboptimal breast-feeding among children in the developing world: a global ecological risk assessment

OBJECTIVE: We estimate attributable fractions, deaths and years of life lost among infants and children < or = 2 years of age due to suboptimal breast-feeding in developing countries. DESIGN: We compare actual practices to a minimum exposure pattern consisting of exclusive breast-feeding for infants < or = 6 months of age and continued breast-feeding for older infants and children < or = 2 years of age. For infants, we consider deaths due to diarrhoeal disease and lower respiratory tract infections, and deaths due to all causes are considered in the second year of life. Outcome measures are attributable fractions, deaths, years of life lost and offsetting deaths potentially caused by mother-to-child transmission of HIV through breast-feeding. SETTING: Developing countries. SUBJECTS: Infants and children < or = 2 years of age. RESULTS: Attributable fractions for deaths due to diarrhoeal disease and lower respiratory tract infections are 55% and 53%, respectively, for the first six months of infancy, 20% and 18% for the second six months, and are 20% for all-cause deaths in the second year of life. Globally, as many as 1.45 million lives (117 million years of life) are lost due to suboptimal breast-feeding in developing countries. Offsetting deaths caused by mother-to-child transmission of HIV through breast-feeding could be as high as 242,000 (18.8 million years of life lost) if relevant World Health Organization recommendations are not followed. CONCLUSIONS: The size of the gap between current practice and recommendations is striking when one considers breast-feeding involves no out-of-pocket costs, that there exists universal consensus on best practices, and that implementing current international recommendations could potentially save 1.45 million children's lives each year.     

Are research priorities in Latin America in line with the nutritional problems of the population?

OBJECTIVE: Concordance of nutritional research priorities with the related burden of disease is essential to develop cost-effective interventions to address the nutritional problems of populations. The present study aimed to evaluate whether nutrition research priorities are in agreement with the population's nutritional problems in Latin America. DESIGN: The epidemiological profile was contrasted with the research priorities and research produced by academic institutions for each country. Qualitative analysis of research production by type of contribution to problem solving was also conducted. SETTINGS: Nine Latin American countries. RESULTS: Obesity (high body mass index (BMI)) and micronutrient deficiencies (anaemia) emerged as key problems, followed by stunting, breast-feeding/lactation and low birth weight. Wasting in children and women (low BMI) was uncommon. Concordance of ranked research priorities with the epidemiological profile of the country was generally good for nutrition-related chronic diseases, micronutrients and low birth weight, but not for undernutrition, stunting and breast-feeding. Studies on the efficacy and effectiveness of interventions were uncommon. CONCLUSIONS: The present research agenda insufficiently supports the goal of public health nutrition, which is to ensure the implementation of cost-effective nutrition programmes and policies. A more rational approach to define research priorities is needed.     

国际生物质能可持续发展政策及对中国的启示

伴随着生物质能的快速发展,生物质能产业可持续性问题在全球范围内也日益引起高度重视。该文概述了国际上主要的生物质能可持续政策和标准,着重对其准则和指标进行了系统梳理,并就温室气体排放这一核心指标及不确定性加以分析。阐述了生物质能可持续准则和指标对生物质能产业政策的支持作用,并在此基础上提出了政策建议。中国应在《可再生能源法》和《生物质能发展规划》中明确提出可持续性要求,生物质能产业政策应与可持续性要求挂钩,可持续准则和指标的选取应兼具科学性和可操作性,应明确(greenhouse gas,GHG)排放核算方法学,并对最低排放要求的设置进行充分论证,同时,优先在航空生物燃料等领域构建生物质能可持续标准。     

Breast-feeding initiation and exclusive duration at 6 months by social class--results from the Millennium Cohort Study

OBJECTIVES: To assess breast-feeding initiation and rates of exclusive breast-feeding for the first 6 months after birth, and to examine social class differences in breast-feeding rates. DESIGN: First sweep of a longitudinal population-based survey, the Millennium Cohort Study. SETTING: Four countries of the UK. SUBJECTS: Subjects were 18 125 singletons born over a 12-month period spanning 2000-01. Data were collected by parental interview on the initiation of breast-feeding and exclusivity at 1, 4 and 6 months after birth. RESULTS: Overall breast-feeding was initiated for 71% of babies, and by 1, 4 and 6 months of age the proportions being exclusively breast-fed were 34%, 3% and 0.3%, respectively. There were clear social class differences and mothers with routine jobs with the least favourable working conditions were more than four times less likely (odds ratio (OR) 0.22, 95% confidence interval (CI) 0.18-0.29) to initiate breast-feeding compared with women in higher managerial and professional occupations. Women in routine jobs were less likely to exclusively breast-feed their infants at 1 month (OR 0.42, 95% CI 0.36-0.50) and 4 months (OR 0.5, 95% CI 0.31-0.77) compared with women in higher managerial and professional occupations. CONCLUSIONS: Clear social class differences in breast-feeding initiation and exclusivity for the first 4 months were apparent in this large UK sample. By 6 months, less than 1% of babies were being exclusively breast-fed. A co-ordinated multi-faceted strategy is required to promote breast-feeding, particularly among lower-income women.     

Factors associated with the initiation of breast-feeding by Aboriginal mothers in Perth

OBJECTIVES: To identify the prevalence of breast-feeding at discharge and the determinants of breast-feeding initiation amongst Aboriginal women. DESIGN: A prospective cohort study using a self-administered baseline questionnaire and telephone-administered follow-up interviews. SETTING: Six hospitals with maternity wards in Perth, Western Australia. SUBJECTS: Four hundred and twenty-five Aboriginal mothers of newborn infants. RESULTS: At discharge, 89.4% of Aboriginal mothers were breast-feeding. Breast-feeding at discharge was most positively associated with perceived paternal support of breast-feeding, with an adjusted odds ratio (OR) of 6.65 (95% confidence interval (CI) 2.81-15.74), and with maternal age (OR 1.12, 95% CI 1.03-1.22), but negatively associated with parity and having delivered vaginally. CONCLUSION: The factors independently associated with breast-feeding at discharge were similar to those previously identified for a group of non-Aboriginal Perth women, suggesting that separate breast-feeding interventions specially targeted at Aboriginal women are not warranted. The findings do, however, highlight the importance of including the father in the breast-feeding discussions.     

The changing structure of diets in the European Union in relation to healthy eating guidelines

OBJECTIVE: Our objective in this paper is to assess diets in the European Union (EU) in relation to the recommendations of the recent World Health Organization/Food and Agriculture Organization expert consultation and to show how diets have changed between 1961 and 2001. DATA AND METHODS: Computations make use of FAOSTAT data on food availability at country level linked to a food composition database to convert foods to nutrients. We further explore the growing similarity of diets in the EU by making use of a consumption similarity index. The index provides a single number measure of dietary overlap between countries. RESULTS: The data confirm the excessive consumption by almost all countries of saturated fats, cholesterol and sugars, and the convergence of nutrient intakes across the EU. Whereas in 1961 diets in several European countries were more similar to US diets than to those of other European countries, this is no longer the case; moreover, while EU diets have become more homogeneous, the EU as a whole and the USA have become less similar over time. CONCLUSIONS: Although the dominant cause of greater similarity in EU diets over the period studied is increased intakes in Mediterranean countries of saturated fats, cholesterol and sugar, also important are reductions in saturated fat and sugar in some Northern European countries. This suggests that healthy eating messages are finally having an impact on diets; a distinctly European diet may also be emerging.     

Infant feeding practices in Xinjiang Uygur Autonomous Region, People's Republic of China

AIMS: To document infant feeding methods in the first six months of life in Xinjiang Uygur Autonomous Region, People's Republic of China, 2003-2004. Some problems with breast-feeding in the area are explained. METHODS: A longitudinal study of infant feeding practices was undertaken. A total of 1219 mothers who delivered babies during 2003 and 2004 were interviewed in five hospitals or institutes, and after discharge were contacted in person or by telephone at approximately monthly intervals to obtain details of infant feeding practices. Multivariate logistic regression analysis was used to explore factors associated with breast-feeding initiation. RESULTS: 'Any breast-feeding' rates at discharge and at 0.5, 1.5, 2.5, 3.5, 4.5 and 6 months were 92.2, 91.3, 89.9, 88.8, 87.7, 86.0 and 73.0%, respectively. 'Exclusive breast-feeding' rates at discharge and at 0.5, 1.5, 2.5, 3.5, 4.5 and 6 months were 66.2, 47.6, 30.1, 25.8, 22.1, 13.0 and 6.2%, respectively. The main problem of breast-feeding in Xinjiang was the early introduction of formula or water. The average duration of 'exclusive breast-feeding' was 1.8 months (95% confidence interval (CI) 1.7-2.0), of 'full breast-feeding' 2.8 months (95% CI 2.7-2.9) and of 'any breast-feeding' 5.3 months (95% CI 5.2-5.4). CONCLUSIONS: Infant feeding methods in Xinjiang were documented in this study and the main problems with infant feeding in Xinjiang are discussed. Further studies are needed to identify factors associated with 'exclusive breast-feeding' and duration.     

Breast-feeding in a UK urban context: who breast-feeds, for how long and does it matter?

OBJECTIVE: To investigate what factors relate most strongly to breast-feeding duration in order to successfully support breast-feeding mothers. DESIGN: Prospective birth cohort study using questionnaires, routinely collected weights and health check at age 13 months. SETTING: Gateshead, UK. SUBJECTS: Parents of 923 term infants born in a defined geographical area and recruited shortly after birth, 50% of whom were breast-feeding initially. RESULTS: Only 225 (24%) infants were still breast-fed at 6 weeks, although 136 (15%) continued beyond 4 months. Infants in the most affluent quintile were three times more likely to be initially breast-fed (P < 0.001) and five times more likely to still be feeding at 4 months (P = 0.001) compared with infants in the most deprived quintile. A third of breast-fed infants were given supplementary feeds in the maternity unit and this was associated with a 10-fold increase in odds of giving up breast-feeding by discharge (P = 0.001). Frequent feeding was reported as a reason for giving up in 70% of mothers at 6 weeks and 55% at 4 months. Those infants who stopped breast-feeding earliest showed the most rapid weight gain and were tallest at age 13 months. Non-breast-fed infants had 50% more family doctor contacts up to age 4 months (P = 0.005). CONCLUSIONS: Initiation of breast-feeding in urban Britain remains strongly determined by socio-economic background and early cessation seems to be related to frequent feeding and rapid growth as well as a continuing failure to eradicate health practices that undermine breast-feeding. Those infants not receiving breast milk suffered increased morbidity, but the apparent association between breast-feeding duration and growth probably reflects reverse causation.     

National soil data in EU countries,where do we stand?

At the European scale, soil characteristics are needed to evaluate soil quality, soil health and soil-based ecosystem services in the context of the European Green Deal. While some soil databases exist at the European scale, a much larger wealth of data is present in individual European countries, allowing a more detailed soil assessment. There is thus an urgent and crucial need to combine these data at the European scale. In the frame of a large European Joint Programme on agricultural soils launched by the European Commission, a survey was conducted in the spring of 2020, in the 24 European participating countries to assess the existing soil data sources, focusing on agricultural soils. The survey will become a contribution to the European Soil Observatory, launched in December 2020, which aims to collect metadata of soil databases related to all kind of land uses, including forest and urban soils. Based upon a comprehensive questionnaire, 170 soil databases were identified at local, regional and national scales. Soil parameters were divided into five groups: (1) main soil parameters according to the Global Soil Map specifications; (2) other soil chemical parameters; (3) other physical parameters; (4) other pedological parameters; and (5) soil biological features. A classification based on the environmental zones of Europe was used to distinguish the climatic zones. This survey shows that while most of the main pedological and chemical parameters are included in more than 70% of the country soil databases, water content, contamination with organic pollutants, and biological parameters are the least frequently reported parameters. Such differences will have consequences when developing an EU policy on soil health as proposed under the EU soil strategy for 2023 and using the data to derive soil health indicators. Many differences in the methods used in collecting, preparing, and analysing the soils were found, thus requiring harmonization procedures and more cooperation among countries and with the EU to use the data at the European scale. In addition, choosing harmonized and useful interpretation and threshold values for EU soil indicators may be challenging due to the different methods used and the wide variety of soil land-use and climate combinations influencing possible thresholds. The temporal scale of the soil databases reported is also extremely wide, starting from the '20s of the 20th century.     

Breast-feeding, dietary intakes and their associations with subclinical vitamin A deficiency in children in Anhui Province, China

OBJECTIVE: This study aimed to explore the associations between breast-feeding, dietary intakes and other related factors and subclinical vitamin A deficiency (SVAD) in children aged 0-5 years in an area in China where mild vitamin A deficiency (VAD) is found. METHODS: Data were from a population-based cross-sectional study with 1052 children aged 0-5 years. SVAD cases were identified by the indicator of serum retinol相似文献   

Conservation Agriculture in Europe

The adoption of Conservation Agriculture (CA) in Europe varies according to the ecological regions of the continent. Although Europe is behind other countries in adoption of CA, the indicators for future progress are encouraging. The area where CA is applied is growing rapidly because of increasing environmental awareness, including soil protection, and because of the need to reduce production costs. The European Conservation Agriculture Federation (ECAF) plays an important role in the adoption and dissemination of CA practices, and in discussions involving CA and the EU Common Agricultural Policy (CAP) reform.Yield performance and stability, operating costs, environmental policies and programs of the Common Agricultural Policy (CAP), and climate change will likely be the major driving forces defining the direction and for the extension of CA in Europe. The role of agriculture in climate change mitigation in the EU is discussed in the paper.     

沟灌管理参数优化策略比较与最优灌水时间估算

沟灌是中耕作物常采用的灌水技术,但灌水质量不高仍是目前存在的主要问题.为进一步提高沟灌灌水质量,该研究以在陕西省关中平原进行的45组沟灌试验为基础,结合数值模拟方法,量化比较了3种沟灌管理参数优化策略(策略1:仅对灌水时间优化;策略2:仅对入沟流量优化;策略3:同时对入沟流量与灌水时间优化)对灌水质量的提升效果,提出了...