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AAP Grand Rounds 6:46-47 (2001) Third-World Toddlers Reach New Heights With BreastfeedingSource: Simondon KB, Simondon F, Costes R, et al. Breast-feeding is associated with improved growth in length, but not weight, in rural Senegalese toddlers. Am J Clin Nutr. 2001;73:959967.
The authors report a study of breastfeeding and growth in 443 children born in the Niakhar area in central Senegal between January and October 1995. This area has been under continuous demographic surveillance since 1983 when a central database was established. The study was undertaken because of many reports that breastfed children have poorer nutrition and growth than weaned children. It has been suggested that breastfeeding beyond 12 months depresses growth and that malnourished children should be weaned by 12 months. In this study, children were recruited at 2 months of age and followed from 1.5 to 3 years of age by home visits every 6 months. The objectives were to analyze growth in toddlers by duration of breastfeeding, season, and economic level and to compare height-for-age at 3 years with duration of breastfeeding, while taking into
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