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Journal of Tropical Pediatrics 1981 27(5):229-236; doi:10.1093/tropej/27.5.229-a
© 1981 by Oxford University Press
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Maternal Diet, Breast Feeding and Infants' Growth

A fieldstudy in the Ivory Coast (West Africa)

M. C. REINHARDT, M.D.1, E. LAUBER, Ph.D.2 and From the Nestlé Foundation Adiopodoumé, Ivory Coast and Lausanne (Switzerland)

1. lnstitut für klinische Immunologie Inselspital, Bern (Switzerland)
2. Laboratoire de Biochimie, Faculté de Médecine Abidjan (Ivory Coast)

Four mothers and their infants living in a rural village of the Ivory Coast were studied for maternal diet, breast milk composition and volume and infants' growth over an 18 months' period. Two of the mothers were young, had a low calorie intake and gave little supplementary nourishment to their infants; these infants had an unsatisfactory growth pattern. Two mothers were middle-aged, had a satisfactory calorie intake and their infants thrived well on breast milk alone for the first 6 months. Supplements were introduced by those mothers after their infant was 6 months old which provided adequate energy and protein intake and had a beneficial effect on the growth of the infants.

Detailed biochemical analyses of diets and breast milk have been performed and dietary allowances are discussed in the light of the present results. Despite important differences in dietary intake the milks produced by the four mothers showed no significant differences in biochemical composition. The mothers with low calorie and low protein intake produced however smaller quantities of breast milk when the infants were 4 to 7 months old.

Since breast milk provides a substantial amount of protein and calories for the infants even in late lactation, the implication with regard to adequate growth of the infants is to provide adequate dietary


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D. Mandel, R. Lubetzky, S. Dollberg, S. Barak, and F. B. Mimouni
Fat and Energy Contents of Expressed Human Breast Milk in Prolonged Lactation
Pediatrics, September 1, 2005; 116(3): e432 - e435.
[Abstract] [Full Text] [PDF]


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