Growth
Conditions
Keywords
Prospective observational study, Breast feeding, Infant formula, Infant, Indonesia
Brief summary
Prospective cohort study of breast and formula fed infants in a suburban setting in Jakarta, Indonesia
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Breast-fed: 1. Mother intends to exclusively breast-feed from birth to at least 4 months; 2. A healthy term infant with gestational age fo 37-42 weeks and birth weight greater than or equal to 2.5 kg and equal or less than 4.75 kg. * Formula-fed: 1. Mother is exclusively feeding infant formula milk less than or equal to 6 weeks of birth and has no prospect of breastfeeding; 2. A healthy term infant with gestational age fo 37-42 weeks and birth weight greater than or equal to 2.5 kg and equal or less than 4.75 kg; 3. Mother consents to her infant receiving trial infant formula for 12 months.
Exclusion criteria
* 1\. Severe congenital or metabolic disease likely to affect infant feeding or infant growth. * 2\. Multiple birth
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Infant weight, body length head circumference | 12 months | Infant weight, body length head circumference at enrolment, 2 weeks, 4 weeks and monthly thereafter until 6 months, and then at 8, 10 and 12 months. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Indicators or formula tolerance | 12 months | Indicators or formula tolerance: crying, irritability, sleep patterns |
| General health | 12 months | General health: any hospitalisation, doctor visits, symptoms of respiratory or gastrointestinal infection, fever, antibiotic and medication usage |
| Gastrointestinal tolerance | 6 months | Gastrointestinal tolerance: stool frequency and consistency using Bristol Stool Chart monthly up to 6 months |
| Gut microflora | 3 months | Gut microflora: real time PCR |
| Developmental progress | 12 months | Developmental progress: assessed by Ages and Stages |
| Gut integrity | 3 months | Gut integrity: faecal Alpha1-antitrypsin and faecal calprotectin |
Countries
Indonesia