ASSOCIATION BETWEEN MATERNAL DIETARY DIVERSITY DURING LACTATION AND THE RISK OF INFANT RASH

LIANG Qian; WANG Wei-ming; ZHAO Xian-feng; YANG Chuang; YANG Nian-hong

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Acta Nutrimenta Sinica ›› 2025, Vol. 47 ›› Issue (2) : 113-118.

ORIGINAL ARTICLES

ASSOCIATION BETWEEN MATERNAL DIETARY DIVERSITY DURING LACTATION AND THE RISK OF INFANT RASH

LIANG Qian¹, WANG Wei-ming¹, ZHAO Xian-feng², YANG Chuang¹, YANG Nian-hong¹

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Abstract

Objective To investigate the association between dietary diversity during lactation and the risk of infant rash at 1 month of age. Methods Participants in this study were from the Chinese mother-infant cohort study on breast milk composition, feeding status, and infant health (Phoenix Study). Basic characteristics of mothers were collected using the questionnaire, and dietary intake was assessed using validated food frequency questionnaires and 24-hour diet diaries. All food items were categorized into 10 groups based on guidance from the Food and Agriculture Organization of the United Nations to construct the Minimum Dietary Diversity for Women (MDD-W) score. The scores of all food groups were summed as the MDD-W score. Infant rash and breastfeeding status were recorded at 1-month postpartum visit. Logistic regression model was used to assess the association between maternal MDD-W score and the risk of infant rash. The potential impact of full breastfeeding was explored through stratified analysis. Results A total of 694 mother-infant pairs were included in this study, of which 221 (31.8%) with rash during the first month of postpartum. The mean MDD-W score of mothers was 5.9±1.5, and 82.9% mothers scored ≥5. After adjusting for confounding factors, maternal MDD-W score <5 was associated with the higher risk of infant rash (OR=1.96, 95% CI: 1.27, 3.02) compared MDD-W score≥5. Moreover, the association was more significant in the non-full breastfeeding group (OR=3.01, 95% CI: 1.58, 5.72). Conclusion The dietary diversity of lactating women in China is relatively high, and increased maternal dietary diversity during lactation will reduce the risk of rash in infants.

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lactation / dietary diversity / infant / rash

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LIANG Qian, WANG Wei-ming, ZHAO Xian-feng, YANG Chuang, YANG Nian-hong. ASSOCIATION BETWEEN MATERNAL DIETARY DIVERSITY DURING LACTATION AND THE RISK OF INFANT RASH[J]. Acta Nutrimenta Sinica. 2025, 47(2): 113-118

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