RE: [BULK] lactating mom question

[Guest guest]

It is common for breastfed babies to lose weight in the beginning because mom's

milk takes a couple of days to come in.

Plus if the baby was 10#'s his needs are going to be huge and mom won't have

enough milk at first. Once her milk comes in and they get a feeding pattern

established, it should get better.

[bULK] lactating mom question

Importance: Low

Hi all, looking for any information for a woman who

had an almost 10 baby boy recently, exclusively

breastfeeding, baby gained no weight first week, and

lost weight second week. The grandmother, a

RD, is wondering if there are any suggestions for

supplementing mothers/baby's breastfeeding to promote

weight gain. I work with the geriatric population, so

this is out of my practice areas. thanks. Sue Nichols,

MS/RD/CDE/CDN

--- " Ortiz, R.D. " < nrordadelphia (DOT) <mailto:nrord%40adelphia.net> net>

wrote:

> A prospective cohort study of more than 40,000

> people in Japan has shown that drinking green tea

> can significantly cut deaths from cardiovascular

> disease (CVD) as well as all-cause mortality,

> particularly in women. There was no beneficial

> effect of green tea consumption on cancer mortality,

> however.

>

http://www.medscape

<http://www.medscape.com/viewarticle/544569?sssdmh=dm1.213424 & src=nldne>

..com/viewarticle/544569?sssdmh=dm1.213424 & src=nldne

> Shinichi Kuriyama, MD, from Tohuku University

> Graduate School of Medicine in Miyagi, Japan, and

> colleagues, report their findings in the September

> 13 issue of JAMA. Kuriyama told heartwire: " I think

> our study provides strong evidence regarding the

> benefits of drinking green tea in humans on CVD, but

> not cancer, with a large sample size. "

>

> " The reason for the discrepancy between effects on

> CVD and on cancer deaths in our study is uncertain.

> Substantial evidence from in vitro and animal

> studies indicates that green tea preparations can

> inhibit both CVD and carcinogenic processes.

> However, recent epidemiological studies have

> indicated that green tea consumption is associated

> with reduced cardiovascular risk profiles but have

> demonstrated almost null data regarding the

> association between green tea consumption and cancer

> at various sites. Our results are almost consistent

> with those of the recent epidemiologic studies. "

>

> Green Tea Has Largest Effect on Stroke

> Dr. Kuriyama and colleagues explain that almost all

> Japanese people consume green tea as one of their

> favorite beverages. They designed their prospective

> analysis to examine the association between green

> tea consumption and mortality due to all causes,

> CVD, and cancer within a large population-based

> cohort study of 40,530 people in Miyagi Prefecture

> in northeastern Japan.

>

> For 11 years (follow-up rate for all-cause

> mortality, 86.1%), 4209 participants died, and for

> up to 7 years, (follow-up rate for cause-specific

> mortality, 89.6%), 829 people died of CVD, and 1134

> died of cancer.

>

> Compared with participants who drank less than 1 cup

> of green tea per day, those who consumed 5 or more

> cups had a risk for all-cause and CVD mortality that

> was 16% lower (during 11 years of follow-up) and 26%

> lower (during 7 years of follow-up), respectively.

>

> The inverse association with CVD mortality was

> stronger than that with all-cause mortality, and

> among the types of CVD, the strongest inverse

> association was seen for stroke mortality.

>

> Table. Proportional Hazard Ratios (HRs) Among

> All Participants for 7-Year Mortality Due to CVD by

> Green Tea Consumption in Japanese Adults*

> Mortality Outcomes Green Tea Consumption,

> Cups/Day P for Trend

> < 1 1 - 2 3 - 4 ? 5

> CHD, No. of deaths 58 47 43 61

> CHD, multivariate HR 1.00 1.04 0.90 0.86 0.34

> Stroke, No. of deaths 145 99 102 126

> Stroke, multivariate HR 1.00 0.84 0.78 0.63

> <0.001

> Cerebral infarction, No. of deaths 65 41 48 43

>

> Cerebral infarction, multivariate HR 1.00 0.77

> 0.81 0.49 0.001

> Cerebral hemorrhage, No. of deaths 34 30 33 40

>

> Cerebral hemorrhage, multivariate HR 1.00 1.10

> 1.15 0.98 0.94

> Subarachnoid hemorrhage, No. of deaths 21 13

> 12 26

> Subarachnoid hemorrhage, multivariate HR 1.00

> 0.71 0.57 0.78 0.42

> *CVD, indicates cardiovascular disease; and

> CHD, coronary heart disease. Multivariate HR

> adjusted for age; sex; job status; years of

> education; body mass index; physical activity,

> history of hypertension; diabetes; gastric ulcer;

> smoking status; alcohol consumption; total energy

> intake per day; daily consumption of rice, miso,

> soybean products, total meat, total fish, total

> dairy, and total fruits and vegetables; and

> consumption of oolong tea, black tea, and coffee.

>

> Source: JAMA. 2006;296:1255-1265.

>

> Green Tea Effect on CVD, All-Cause Mortality

> Stronger in Women

> The inverse association between green tea

> consumption, CVD, and all-cause mortality was

> stronger in women than in men (P = .08 for

> interaction with sex). In women, the multivariate

> hazard ratios of CVD mortality across increasing

> green tea consumption categories (cups/day) were

> 1.00, 0.84, 0.69, and 0.69, respectively (P = .004

> for trend).

>

> " The reason for the discrepancy between men and

> women for the association of green tea consumption

> and risk of all-cause and CVD mortality is

> uncertain, " say the researchers.

>

> " One possibility is residual confounding by

> cigarette smoking [as] men were more likely to

> smoke, and the inverse associations between green

> tea consumption and CVD mortality appeared to be

> more pronounced in participants who had never

> smoked. These results suggest that higher rates of

> smoking may mask the association of green tea

> consumption with CVD mortality among men. "

>

> The authors add that the effect of green tea

> " appears to be a threshold effect rather than a

> dose-response relationship, such that persons who

> consume at least 1 cup a day may receive some

> benefit. "

>

> A number of biological mechanisms, including radical

> scavenging and antioxidant properties, have been

> proposed for the beneficial effects of green tea.

> The authors note that previous studies have

> suggested that green tea favorably affects

> hypertension, low-density lipoprotein cholesterol

> levels, and atherosclerosis.

>

> However, " clinical trials are ultimately necessary

> to confirm the protective effect of green tea on

> mortality, " the authors conclude.

>

> JAMA. 2006;296:1255-1265.

>

> The complete contents of Heartwire, a professional

> news service of WebMD, can be found at

> www.theheart.org, a Web site for cardiovascular

> healthcare professionals.

> Learning Objectives for This Educational Activity

> Upon completion of this activity, participants will

> be able to:

>

> a.. Describe the effect of green tea consumption

> on all-cause mortality in men and women.

> b.. Compare the effect of green tea consumption on

> CVD vs cancer mortality.

> Clinical Context

> Tea is the most consumed beverage in the world aside

> from water and is generally consumed as green,

> oolong, or black tea. Among teas, green tea

> polyphenols have been extensively studied as

> preventive agents for CVD and cancer, which are the

> leading causes of mortality worldwide. The mechanism

> of protection offered by green tea is unclear, and

> the current authors propose that the radical

> scavenging and antioxidant properties of polyphenols

> may be responsible.

>

> Because green tea consumption is high in Japan, this

> study was conducted on 40,530 persons in a

> prefecture in Japan in which 80% of the population

> drinks tea and more than half consume 3 or more cups

> a day. The purpose of the prospective cohort study

> was to examine the effect of different amounts of

> daily green tea consumption on all-cause, CVD, and

> cancer mortality.

>

> Study Highlights

> a.. The national insurance cohort, aged 40 to 79

> years and living in one public health catchment

> area, was delivered a self-administered

> questionnaire, including a 40-item food frequency

> questionnaire (FFQ), for a 2-month period.

> b.. Excluded were participants who died before the

> collection of insurance withdrawal files; those with

> baseline history of cancer, stroke, or myocardial

> infarction; and those with missing data on green tea

> consumption or improbable daily caloric intakes.

> c.. The frequency of recent daily consumption of 4

> beverages (green, oolong, black tea, and coffee),

> alcohol, and tobacco were elicited with demographic

> data.

> d.. In a validation of the FFQ, the rank

> coefficient for correlation between the FFQ and

> daily food diary was 0.71 for men and 0.53 for

> women, and reliability 1 year apart was 0.63 for men

> and 0.64 for women.

> e.. Those who said they never drank green tea or

> drank occasionally were collapsed into 1 category:

> less than 1 cup daily.

> f.. The categories were less than 1 cup, 1 to 2

> cups, 3 to 4 cups, and more than 5 cups daily.

> g.. Endpoints were all-cause mortality and

> cause-specific mortality.

> h.. All-cause mortality was obtained monthly using

> national health insurance withdrawal files, and

> follow-up continued for 11 years.

> i.. Cause-specific mortality was obtained yearly

> by

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Sue Nichols, MS/RD/CDE/CDN