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+ diff --git a/pdfs/11-1 a.pdf b/pdfs/11-1 a.pdf new file mode 100644 index 0000000000000000000000000000000000000000..af198dcc6de8d99b762802167c3707a3b7fe80e4 Binary files /dev/null and b/pdfs/11-1 a.pdf differ diff --git a/pdfs/11-1 b.pdf b/pdfs/11-1 b.pdf new file mode 100644 index 0000000000000000000000000000000000000000..401a274b296713e9ba774bef61dd3af32f105ba7 --- /dev/null +++ b/pdfs/11-1 b.pdf @@ -0,0 +1,3667 @@ +%PDF-1.3 +% +1 0 obj +<< +/OP true +/Type/ExtGState +/OPM 1 +>> +endobj +2 0 obj +<< +/Length 4775 +>> +stream +/GS0 gs +0 0 0 0 k +54 54 396 590.25 re +f +BT +/F0 1 Tf +10 0 0 10 55 268.4796 Tm +0 0 0 1 k +(INTRODUCTION)Tj +/F1 1 Tf +1.8 -2.4 TD +0.02 Tc +0.463 Tw +(Adequate nutrition, preferably by)Tj +-1.8 -1.2 TD +0 Tc +0.278 Tw +(breastfeeding, is critical for growth and)Tj +T* +0.185 Tw +(development in the early months of life.)Tj +T* +0.198 Tw +(Early growth and development is essen-)Tj +T* +-0.005 Tw +[(tially cumulative in nature and is suscepti)-1(-)]TJ +T* +0.274 Tw +(ble to environmental influences such as)Tj +T* +0.023 Tw +(nutrient inadequacy, infection or illnesses,)Tj +T* +0.235 Tw +(caring pattern etc. Growth faltering is a)Tj +T* +0.02 Tc +0.407 Tw +(major nutritional problem among the)Tj +T* +1.041 Tw +(infants from developing countries)Tj +T* +0.009 Tc +0.366 Tw +(\(Waterlow, Ashworth & Griffith, 1980;)Tj +T* +0 Tc +0 Tw +(Adair )Tj +/F2 1 Tf +2.79723 0 Td +(et)Tj +0.94449 0 Td +(al.)Tj +/F1 1 Tf +0.97189 0 Td +(,)Tj +0.4725 0 Td +-0.027 Tw +(1993\). Though breastfeeding in)Tj +-5.18611 -1.2 TD +0.02 Tc +0.368 Tw +(these countries is universal, exclusive)Tj +T* +0 Tc +0.314 Tw +(breastfeeding is rare \(Mannan & Islam,)Tj +20.6 18 TD +0.363 Tw +(1995; UNICEF, 1998\). Practices of non-)Tj +0 -1.2 TD +0.293 Tw +(exclusive breastfeeding, colostrum rejec)Tj +18.46699 0 TD +(-)Tj +-18.46699 -1.2 TD +0.02 Tc +0.401 Tw +(tion, universal prelacteal feeding and)Tj +T* +0 Tc +-0.015 Tw +(improper weaning, further exacerbates the)Tj +T* +0.019 Tc +0.356 Tw +(situation of growth faltering \(Ahmed,)Tj +T* +0 Tc +0.054 Tw +(1986; Chowdhury )Tj +/F2 1 Tf +8.27606 0 Td +(et al.)Tj +/F1 1 Tf +1.99789 0 Td +(,)Tj +0.554 0 Td +(1997; Chowdhury)Tj +-10.82795 -1.2 TD +(&)Tj +1.38181 0 Td +0.354 Tw +(Mannan, 1998\). Among these young)Tj +-1.38181 -1.2 TD +0.008 Tw +(children of developing countries, infection)Tj +T* +0.152 Tw +(frequently coexists \(Scrimshaw, Taylor &)Tj +T* +-0.037 Tw +(Gordon, 1968\). Some studies indicated that)Tj +T* +0.121 Tw +[(the pattern of weight gain in infancy dif)-2(-)]TJ +T* +0.02 Tc +0.423 Tw +(fers considerably by feeding regimen)Tj +T* +0 Tc +0 Tw +(\(Drewey )Tj +/F2 1 Tf +4.20894 0 Td +0.109 Tw +(et al.)Tj +/F1 1 Tf +2.05268 0 Td +(,)Tj +0.6088 0 Td +(1992; WHO, 1994; Duncan)Tj +/F2 1 Tf +-6.87042 -1.2 TD +0.302 Tw +(et al.)Tj +/F1 1 Tf +2.24604 0 Td +(,)Tj +0.80215 0 Td +(1984; Salmenpera, Perheentuba &)Tj +-3.04819 -1.2 TD +0.294 Tw +(Siimes, 1985; Krebs )Tj +/F2 1 Tf +9.60191 0 Td +(et al.)Tj +/F1 1 Tf +2.2379 0 Td +(,)Tj +0.79402 0 Td +(1994; Dewey,)Tj +-12.63383 -1.2 TD +0.037 Tw +(1998\). In this context, this study examined)Tj +ET +0 0 0 0 k +54 276.75 396 389.25 re +f +BT +/F1 1 Tf +10 0 0 10 55 657.7295 Tm +0 0 0 1 k +0.025 Tw +(Mal J Nutr 11(1): 23-31, 2005)Tj +/F0 1 Tf +14 0 0 14 55 629.7296 Tm +(Growth and Morbidity in the First Three Months of Life)Tj +0 -1.14286 TD +(Among Bangladeshi Infants Under Different )Tj +T* +(Breastfeeding Regimens )Tj +10 0 0 10 55 573.7295 Tm +(Luthfor Ahmed, Khaleda Edib & Syed Nazmul Huda)Tj +/F2 1 Tf +0 -2.4 TD +(Institute of Nutrition and Food Science, University of Dhaka, Dhaka 1000, Bangladesh)Tj +/F0 1 Tf +16.89409 -3 TD +0 Tw +(ABSTRACT)Tj +/F1 1 Tf +-13.29409 -2 TD +0.27 Tw +(The study compared the growth and morbidity of infants who had)Tj +0 -1.2 TD +-0.031 Tw +(received different feeding regimens throughout the first 3 months of their)Tj +T* +0.075 Tw +(lives. Ninety-two healthy term infants were observed longitudinally in)Tj +T* +0.323 Tw +(the Metropolitan area of Dhaka, Bangladesh. Postnatal growth was)Tj +T* +0.207 Tw +(prospectively measured at monthly intervals from birth to 3 months.)Tj +T* +0.019 Tw +(Weekly home surveillance was done to record feeding and illness symp)Tj +31.867 0 TD +(-)Tj +-31.867 -1.2 TD +0.142 Tw +(toms. The infants were classified into \221predominantly breastfed\222 (DBF))Tj +T* +0.162 Tw +(and \221partially breastfed\222 (PBF) by their feeding mode. The mean birth)Tj +T* +-0.026 Tw +(weight of DBF infants was 2.83\2610.48 kg and PBF infants was 2.93\2610.56 kg.)Tj +T* +0.109 Tw +(The mean group difference of weight increment between birth and the)Tj +T* +-0.019 Tw +(3rd month was 2.42 kg (DBF) and 2.09 kg (PBF) respectively. DBF infants)Tj +T* +0.014 Tc +0.361 Tw +(gained significantly more weight than the PBF infants (P=0.013).)Tj +T* +0 Tc +0.013 Tw +(Morbidity from diarrhoea/ARI was lower among the DBF. Relative risk)Tj +T* +0.023 Tw +(of exposure to infections was significantly higher among the PBF infants)Tj +T* +-0.004 Tw +((P<0.05). The data showed higher rates of growth increments and less ill)Tj +31.867 0 TD +(-)Tj +-31.867 -1.2 TD +0.083 Tw +(ness episodes among the predominantly breastfed infants than the par)Tj +31.86698 0 TD +(-)Tj +-31.86698 -1.2 TD +0.025 Tw +(tially breastfed infants in the early stage of extra-uterine life.)Tj +ET +0 0 0 0 k +54 40.5 396 38.25 re +f +BT +/F1 1 Tf +10 0 0 10 55 70.4795 Tm +0 0 0 1 k +0 Tw +(__________________)Tj +0 -1.2 TD +0.025 Tw +(Correspondence address: Luthfor Ahmed)Tj +ET + +endstream +endobj +3 0 obj +<< +/Length 6108 +>> +stream +/GS0 gs +0 0 0 0 k +54 54 396 590.25 re +f +BT +/F1 1 Tf +10 0 0 10 55 635.9794 Tm +0 0 0 1 k +-0.016 Tw +(the pattern of breastfeeding and morbidity)Tj +0 -1.19999 TD +0.02 Tc +1.009 Tw +(on child growth among selected)Tj +0 -1.20001 TD +0 Tc +0.088 Tw +(Bangladeshi urban infants from birth to 3)Tj +0 -1.2 TD +(months)Tj +3.61787 0 Td +0.025 Tw +(of age. )Tj +/F0 1 Tf +-3.61787 -3.6 TD +(MATERIAL AND METHODS)Tj +/F1 1 Tf +1.8 -2.4 TD +0.02 Tc +0.362 Tw +(The study forms both prospective)Tj +-1.8 -1.2 TD +0 Tc +0.051 Tw +(\(from child visits\) and retrospective \(from)Tj +T* +0.272 Tw +(maternal recall\) study of infant growth,)Tj +T* +0.139 Tw +(feeding and morbidity. The protocol was)Tj +T* +0.029 Tw +(approved by the ethical review committee)Tj +0 -1.20001 TD +0.02 Tc +0.552 Tw +(of the Bangladesh Medical Research)Tj +0 -1.2 TD +0 Tc +0.025 Tw +(Council to conduct the study.)Tj +/F0 1 Tf +0 -2.4 TD +0 Tw +(Subjects )Tj +/F1 1 Tf +1.8 -2.4 TD +0.02 Tc +0.466 Tw +(The sample was made up of 92)Tj +-1.8 -1.2 TD +0 Tc +0.367 Tw +(Bangladeshi infants born in the Dhaka)Tj +T* +0.02 Tc +0.75 Tw +(Medical College Hospital. Informed)Tj +T* +0 Tc +0.349 Tw +(written consent was obtained from the)Tj +T* +0.011 Tc +0.364 Tw +(mothers before data collection. Infants)Tj +T* +0 Tc +0.163 Tw +(were selected if they were singleton, full)Tj +T* +0.071 Tw +(term and healthy. Mothers suffering from)Tj +T* +0.255 Tw +(chronic diseases like diabetes, hyperten-)Tj +T* +0.245 Tw +(sion, tuberculosis or pre-eclampsia were)Tj +T* +0.008 Tc +0.367 Tw +(not recruited due to probable adverse)Tj +T* +0.003 Tc +0.372 Tw +(effects of the disease process on child)Tj +T* +0 Tc +0.119 Tw +(growth both during intra-uterine life and)Tj +T* +0.291 Tw +(after birth. The studied population was)Tj +T* +0.068 Tw +(grouped at the end of the study period to)Tj +T* +0.171 Tw +(avoid bias and also not to interfere with)Tj +T* +0.249 Tw +(mother\222s perception of baby feeding for)Tj +T* +0.025 Tw +(ethical reasons.)Tj +/F0 1 Tf +0 -2.4 TD +(Study design)Tj +/F1 1 Tf +1.8 -2.4 TD +0.07 Tw +(Mothers were interviewed on the day)Tj +-1.8 -1.2 TD +-0.031 Tw +(of delivery and before leaving the hospital,)Tj +T* +0.043 Tw +(concerning socio-economic characteristics,)Tj +T* +0.315 Tw +(as well as of past pregnancies. Once a)Tj +T* +0.137 Tw +(mother who met selection criteria agreed)Tj +T* +0.15 Tw +(to participate in the study, appointments)Tj +T* +0.172 Tw +(were made for home visits. Infants were)Tj +T* +0.153 Tw +(examined and mothers were interviewed)Tj +T* +0.079 Tw +[(every week. Three trained field investiga)-1(-)]TJ +T* +0.209 Tw +(tors conducted examinations, interviews,)Tj +T* +0.122 Tw +(weighing and data recording. During the)Tj +20.6 57.60001 TD +0.108 Tw +(planned weekly home visits a structured,)Tj +0 -1.19999 TD +0.02 Tc +0.461 Tw +(pre-tested questionnaire was used to)Tj +0 -1.20001 TD +0 Tc +0.128 Tw +(record information on infant feeding and)Tj +0 -1.2 TD +0.001 Tc +0.374 Tw +(illnesses in the preceding week. Infant)Tj +T* +0.02 Tc +0.748 Tw +(morbidity was recorded by asking)Tj +T* +0 Tc +0.244 Tw +(mothers about the symptoms and dura-)Tj +T* +0.278 Tw +(tion of illness episodes, which occurred)Tj +T* +0.122 Tw +(during the previous week. Detection bias)Tj +T* +0.256 Tw +(was minimised by frequent and regular)Tj +T* +0 Tw +(surveillance.)Tj +/F2 1 Tf +1.8 -1.2 TD +0.15 Tw +(Nutritional Status.)Tj +/F1 1 Tf +8.32764 0 Td +(Birth-weight of the)Tj +-10.12764 -1.2 TD +0.375 Tw +(newborn was taken within hours after)Tj +T* +0.023 Tw +(delivery in a baby scale to the nearest 50 g)Tj +0 -1.20001 TD +0.045 Tw +((Baby scale \226 MISAKI, Japan). Subsequent)Tj +0 -1.2 TD +-0.022 Tw +(weights were taken at the end of months 1,)Tj +(2)' +0.76043 0 Td +0.01 Tw +(and 3 during the follow-up visits at their)Tj +-0.76043 -1.2 TD +0.025 Tw +(home. )Tj +1.8 -1.2 TD +0.298 Tw +(Mother\222s weight was determined to)Tj +-1.8 -1.2 TD +0.039 Tw +(the nearest 0.1 kg with the use of a SECA-)Tj +T* +0.019 Tw +(UNICEF electronic weighing scale. Height)Tj +T* +0.02 Tc +0.419 Tw +(of mother was obtained by standard)Tj +T* +0 Tc +0.025 Tw +(wooden height scale. )Tj +/F2 1 Tf +1.8 -1.2 TD +0.178 Tw +(Infant Feeding)Tj +/F1 1 Tf +6.09668 0 Td +(.)Tj +0.67819 0 Td +(Feeding history of the)Tj +-8.57487 -1.2 TD +0.082 Tw +(infants was recorded from day 1 postpar-)Tj +T* +0.239 Tw +(tum till the end of the study period by)Tj +T* +0.02 Tc +0.401 Tw +(interviewing the mothers every week)Tj +T* +0 Tc +-0.012 Tw +(during home visits. In every interview, the)Tj +T* +-0.011 Tw +(type of milk and food fed to the infant was)Tj +T* +0.225 Tw +(recorded. \221Breastfeeding\222 was defined as)Tj +T* +0.164 Tw +(the mode of feeding from birth until the)Tj +T* +0.162 Tw +(final follow-up, even if other foods were)Tj +T* +-0.006 Tw +(offered. The breastfeeding group therefore)Tj +T* +0.006 Tw +(included both infants who were \221predomi-)Tj +T* +0.07 Tw +(nantly breastfed\222 / DBF \(when infant had)Tj +T* +0.084 Tw +(received breast milk with / without com)Tj +18.46699 0 TD +(-)Tj +-18.46699 -1.2 TD +0.013 Tw +(plement of water\) and \221partially breastfed\222)Tj +(/)' +1.04862 0 Td +0.193 Tw +(PBF \(when a breastfed infant received)Tj +-1.04862 -1.2 TD +0.025 Tw +(additional milk or milk based fluid\).)Tj +/F2 1 Tf +1.8 -1.2 TD +0.169 Tw +(Infant Morbidity)Tj +/F1 1 Tf +7.04736 0 Td +(.)Tj +0.66891 0 Td +(The)Tj +2.09288 0 Td +(identification of)Tj +-11.60915 -1.2 TD +0.272 Tw +(events and duration were based on the)Tj +T* +0.214 Tw +(answers provided by the mother during)Tj +T* +0.007 Tc +0.368 Tw +(questioning. The definition of illnesses)Tj +T* +0 Tc +0.335 Tw +(used was adopted from those used by)Tj +T* +0.009 Tc +0.366 Tw +(Mardya, Villalpando & Fajardo (1997).)Tj +/F2 1 Tf +T* +0 Tc +0 Tw +(Diarrhoea )Tj +/F1 1 Tf +4.47619 0 Td +0.172 Tw +(was defined as the presence of)Tj +-4.47619 -1.2 TD +0.02 Tc +0.544 Tw +(three or more liquid or semi-liquid)Tj +T* +0 Tc +0.025 Tw +((whitish or greenish) stool per day accom-)Tj +T* +0.106 Tw +(panied or not by blood, mucous or fever.)Tj +T* +0.012 Tw +(The total numbers had to exceed the usual)Tj +ET +0 0 0 0 k +54 647.25 27 18.75 re +f +BT +/F1 1 Tf +10 0 0 10 55 657.7295 Tm +0 0 0 1 k +0 Tw +(24)Tj +ET +0 0 0 0 k +81.752 646.5 339.752 19.5 re +f +BT +/F2 1 Tf +10 0 0 10 190.3602 657.7295 Tm +0 0 0 1 k +0.025 Tw +(Ahmed L, Edib K & Huda SN)Tj +ET +0 0 0 0 k +423 647.25 27 18.75 re +f + +endstream +endobj +4 0 obj +<< +/Length 5679 +>> +stream +/GS0 gs +0 0 0 0 k +54 54 396 590.25 re +f +BT +/F1 1 Tf +10 0 0 10 55 635.9794 Tm +0 0 0 1 k +(number of daily bowel movements. )Tj +/F2 1 Tf +15.99447 0 Td +(ARI or)Tj +-15.99447 -1.19999 TD +0.156 Tw +(Acute Respiratory Infection )Tj +/F1 1 Tf +11.92122 0 Td +(was defined as)Tj +-11.92122 -1.20001 TD +0.016 Tw +(the presence of runny nose or cough for at)Tj +0 -1.2 TD +0.077 Tw +(least two consecutive days or more of the)Tj +T* +0.029 Tw +(following signs independent of duration \226)Tj +T* +0.02 Tc +0.395 Tw +(hoarse cry, respiratory distress \(short)Tj +T* +0 Tc +0.025 Tw +(breath, chest indrawing\) or fever. )Tj +1.8 -1.2 TD +0.242 Tw +(Individual episodes were defined as)Tj +-1.8 -1.2 TD +0.061 Tw +(an event separated from another event by)Tj +T* +0.025 Tw +(at least two days free of symptoms. )Tj +/F0 1 Tf +0 -2.4 TD +(Data analysis)Tj +/F1 1 Tf +1.8 -2.4 TD +0.02 Tc +0.433 Tw +(Statistical analysis was performed)Tj +-1.8 -1.2 TD +0 Tc +0.12 Tw +(using the following computer packages \226)Tj +T* +-0.008 Tw +(SPSS release 10.0 and EPINFO release 6. In)Tj +T* +0.289 Tw +(bivariate analyses Student\222s )Tj +/F2 1 Tf +13.4285 0 Td +(t)Tj +/F1 1 Tf +(-tests were)Tj +-13.4285 -1.2 TD +-0.012 Tw +[(used when the data were normally distrib)-1(-)]TJ +T* +0.239 Tw +(uted, otherwise non-parametric methods)Tj +T* +0.373 Tw +((Mann-Whitney-U test, chi-square tests))Tj +T* +0.251 Tw +(were used to compare groups. ANOVA)Tj +T* +0.181 Tw +(was done to see the effect of feeding on)Tj +T* +0.009 Tc +0.366 Tw +(final weight after controlling for birth)Tj +T* +0 Tc +0 Tw +(weight.)Tj +/F0 1 Tf +0 -3.6 TD +(RESULTS)Tj +/F1 1 Tf +1.8 -2.4 TD +0.159 Tw +(The study infants were grouped into)Tj +-1.8 -1.2 TD +0.1 Tw +(two groups, based on their feeding mode)Tj +T* +0.197 Tw +[(during the observation period. The \221pre)-1(-)]TJ +T* +0.127 Tw +(dominantly breastfed\222 group (DBF, n=49))Tj +T* +0.315 Tw +(was given breast milk with or without)Tj +T* +0.113 Tw +(non-milk fluids, and the \221partially breast)Tj +18.467 0 TD +(-)Tj +-18.467 -1.2 TD +0.371 Tw +(fed\222 (PBF, n=43) group received breast)Tj +T* +0.248 Tw +(milk and additional milk or milk based)Tj +T* +0 Tw +(fluid. )Tj +/F0 1 Tf +0 -2.4 TD +0.025 Tw +(General information of the mother)Tj +/F1 1 Tf +1.8 -2.4 TD +0.02 Tc +0.486 Tw +(The characteristics of the mother)Tj +-1.8 -1.2 TD +0 Tc +0.335 Tw +(recruited for the study are depicted in)Tj +T* +0.114 Tw +(Table 1. Mean age of the mothers was 22)Tj +T* +0.191 Tw +(and 23 years respectively. About 40% of)Tj +T* +0.031 Tw +(them were primipara. By occupation most)Tj +T* +0.005 Tc +0.37 Tw +(of the mothers were housewives, only)Tj +T* +0 Tc +-0.01 Tw +(eight mothers in DBF group were found to)Tj +T* +0.21 Tw +(be engaged in outside employment. The)Tj +T* +0.212 Tw +(family income level of about half of the)Tj +20.6 57.60001 TD +0.053 Tw +(subjects was below Tk-5,000/- per month,)Tj +0 -1.19999 TD +0.034 Tw +(but a substantial number (more than 40%))Tj +0 -1.20001 TD +-0.009 Tw +(of families were between Tk-5,000/- to Tk-)Tj +0 -1.2 TD +0.228 Tw +(10,000/- income scale. Nutritional status)Tj +T* +0.122 Tw +(as measured by BMI score shows 70-72%)Tj +T* +0.02 Tc +0.425 Tw +(of the mothers were well nourished.)Tj +T* +0.018 Tc +0.357 Tw +(Maternal characteristics did not differ)Tj +T* +0.012 Tc +0.363 Tw +(significantly between the groups, thus)Tj +T* +0 Tc +0.057 Tw +[(allowing the groups to be socially compa)-1(-)]TJ +T* +0 Tw +(rable.)Tj +/F0 1 Tf +0 -2.4 TD +0.025 Tw +(Infant feeding)Tj +/F1 1 Tf +1.8 -2.4 TD +0.351 Tw +(All the infants were breastfed. The)Tj +-1.8 -1.2 TD +0.033 Tw +(mean time of putting the infants on breast)Tj +T* +0.35 Tw +(was less than 2 hours (1.88 \261 1.28) in)Tj +T* +0.025 Tw +(Group-1 \(DBF\) and it was 17 hours \(16.7 \261)Tj +T* +0.058 Tw +(1.77\) for Group-2 \(PBF\) \226 data not shown.)Tj +T* +0.02 Tc +0.449 Tw +(None were found to have discarded)Tj +T* +0 Tc +0.266 Tw +(colostrums. Prelacteal feeding was com-)Tj +T* +0.003 Tc +0.372 Tw +(mon in general. Plain water or sugar-)Tj +T* +0 Tc +0.202 Tw +(sweetened water was introduced shortly)Tj +T* +-0.037 Tw +[(after birth in both the groups and fed inter)-2(-)]TJ +T* +0.239 Tw +(mittently. Therefore, none of the infants)Tj +T* +0.106 Tw +[(were exclusively breastfed. Other supple)-1(-)]TJ +T* +-0.03 Tw +(ments, usually powdered milk, were given)Tj +T* +0.025 Tw +(to the infants in PBF group. )Tj +/F0 1 Tf +0 -2.4 TD +(Infant growth)Tj +/F1 1 Tf +1.8 -2.4 TD +0.075 Tw +(Mean weight of the studied infants at)Tj +-1.8 -1.2 TD +0.335 Tw +(birth, m-1, m-2 and m-3 are shown in)Tj +T* +0.042 Tw +(Table 2. No significant difference between)Tj +T* +0.064 Tw +(the groups could be detected at any point)Tj +T* +0.221 Tw +(of the study period. The gain in weight)Tj +T* +0.022 Tw +(was more pronounced in DBF than in PBF)Tj +T* +0.205 Tw +(group, though the mean birth weight of)Tj +T* +0.091 Tw +(the infants of PBF group was higher than)Tj +T* +0.15 Tw +(that of DBF group. The mean velocity of)Tj +T* +0.04 Tw +[(monthly weight gain of the studied popu)-1(-)]TJ +T* +0.142 Tw +(lation is shown in Table 3. Greater mean)Tj +T* +0.01 Tc +0.365 Tw +(weight gain was observed in the 2nd)Tj +T* +0 Tc +0.056 Tw +[(month in both the groups, which was sig)-1(-)]TJ +T* +0.02 Tc +0.581 Tw +(nificantly higher in the DBF group)Tj +T* +0 Tc +0.097 Tw +[((P<0.05). The velocity of weight gain var)-1(-)]TJ +T* +-0.021 Tw +(ied from 24 to 32 g per day (in DBF) and 22)Tj +T* +0.054 Tw +(to 26 g per day (in PBF). The DBF infant\222s)Tj +T* +-0.001 Tw +(per day weight increment was higher than)Tj +T* +-0.002 Tw +(the earlier study of Talukder (1986), which)Tj +ET +0 0 0 0 k +54 647.25 27 18.75 re +f +81.752 646.5 339.752 19.5 re +f +BT +/F2 1 Tf +10 0 0 10 150.535 657.7295 Tm +0 0 0 1 k +0.025 Tw +(Growth and morbidity in first three months of life)Tj +ET +0 0 0 0 k +423 647.25 27 18.75 re +f +BT +/F1 1 Tf +10 0 0 10 439 657.7295 Tm +0 0 0 1 k +0 Tw +(25)Tj +ET + +endstream +endobj +5 0 obj +<< +/Length 2911 +>> +stream +/GS0 gs +0 0 0 0 k +54 54 396 590.25 re +f +54 647.25 27 18.75 re +f +BT +/F1 1 Tf +10 0 0 10 55 657.7295 Tm +0 0 0 1 k +(26)Tj +ET +0 0 0 0 k +81.752 646.5 339.752 19.5 re +f +BT +/F2 1 Tf +10 0 0 10 190.3602 657.7295 Tm +0 0 0 1 k +0.025 Tw +(Ahmed L, Edib K & Huda SN)Tj +ET +0 0 0 0 k +423 647.25 27 18.75 re +f +54 -36 396 681 re +f +BT +/F0 1 Tf +10 0 0 10 55 636.7291 Tm +0 0 0 1 k +(Table 1.)Tj +/F1 1 Tf +3.91084 0 Td +(Maternal characteristics of study population )Tj +/F2 1 Tf +6.35762 -2.4 TD +[(Group-1/ DBF (n = 49) )-1996(Group- 2 / PBF( n = 43) )-2997(P-value )]TJ +-10.26846 -2 TD +[(Age (in years))-7104(22 \261 4.09 )-7401(23 \261 4.55 )-6434(N.S. )]TJ +/F1 1 Tf +0 -2.4 TD +0 Tw +(Parity)Tj +1.8 -1.2 TD +0.025 Tw +[(Primi)-9341(21 (43))-9134(18 (42))-7427(N.S.)]TJ +T* +[(Multi )-9073(28 (57))-9134(25 (48))]TJ +-1.8 -2.40001 TD +0 Tw +(Occupation)Tj +1.8 -1.2 TD +0.025 Tw +[(Housewife)-6984(41 (84))-9134(41 (95))-7427(N.S.)]TJ +T* +[(Service )-8602(8 (16) )-9609(2 (5) )]TJ +-1.8 -2.4 TD +(Family income in )Tj +0 -1.2 TD +0 Tw +(Tk)Tj +1.16894 0.33 TD +(*)Tj +0.38917 -0.33 TD +(.)Tj +0.52496 0 Td +((monthly))Tj +/F3 1 Tf +-0.28307 -1.2 TD +(#)Tj +/F1 1 Tf +0.83115 0 Td +0.025 Tw +[(5,000)-8724(24 (49))-9134(20 (46))]TJ +-0.83115 -1.2 TD +[(5,001 \226 10,000)-5755(22 (45))-9134(18 (42))-7427(N.S.)]TJ +/F3 1 Tf +($)' +/F1 1 Tf +0.55615 0 Td +[(10,001)-8999(3 (6))-9746(5 (12))]TJ +-0.55615 -1.2 TD +[(Mean income (Tk))-2609(5546 \261 4718 )-6426(6443 \261 5153 )]TJ +-1.8 -2.4 TD +(BMI Score)Tj +0.825 -1.2 TD +(<)Tj +0.88096 0 Td +[(18.5)-10399(6 (12))-9634(7 (16))]TJ +-0.88096 -1.2 TD +[(18.5 \226 25.0)-8230(35 (72))-9134(30 (70))-7427(N.S.)]TJ +(>)' +0.88096 0 Td +[(25.0)-10399(8 (16))-9634(6 (14))]TJ +-0.88096 -1.2 TD +[(Mean BMI)-7025(21.83 \261 3.41)-6976(22.58 \261 3.46)]TJ +-0.825 -2.4 TD +(Note : Figures in parentheses are percentages * 1 US$=Tk.50 )Tj +/F0 1 Tf +0 -4.8 TD +(Table 2.)Tj +/F1 1 Tf +3.91084 0 Td +(Weight in kg (mean \261 s.d.) of the infants at different time interval )Tj +/F2 1 Tf +-3.237 -2.4 TD +[(Age (months) )-4281(Feeding group)]TJ +8 0 0 8 221.1382 247.3691 Tm +(a)Tj +10 0 0 10 249.0507 244.7291 Tm +[(Mean (SD) weight (kg) )-3850(P-value )]TJ +/F1 1 Tf +-17.71829 -2.4 TD +[(At birth )-7417(DBF )-6397(2.83 (0.48))-7192(.917)]TJ +11.30277 -1.2 TD +[(PBF )-5657(2.93 (0.56) )]TJ +-10.39745 -2.4 TD +[(m-1 )-8322(DBF)-7084(3.51 (0.61) )-7054(.384 )]TJ +10.39745 -1.2 TD +[(PBF )-6069(3.56 (0.67) )]TJ +-10.39745 -2.4 TD +[(m-2 )-8322(DBF)-7084(4.41 (0.59) )-6779(.785 )]TJ +10.39745 -1.2 TD +[(PBF )-5794(4.30 (0.74) )]TJ +-10.39745 -2.4 TD +[(m-3 )-8322(DBF )-6259(5.25 (0.68))-7329(.138)]TJ +10.39745 -1.2 TD +[(PBF )-5794(5.02 (0.88) )]TJ +8 0 0 8 55 79.3691 Tm +(a)Tj +10 0 0 10 61.75 76.7292 Tm +(DBF (n=49), PBF (n=43) )Tj +ET +0.4 w +0 0 0 1 K +54 626.25 m +450 626.25 l +S +54 586.499 m +450 586.499 l +S +54 331.5 m +450 331.5 l +S +54 256.5 m +450 256.5 l +S +54 237 m +450 237 l +S +54 92.25 m +450 92.25 l +S +150 605.25 m +450 605.25 l +S + +endstream +endobj +6 0 obj +<< +/Length 5020 +>> +stream +/GS0 gs +0 0 0 0 k +54 54 396 590.25 re +f +BT +/F1 1 Tf +10 0 0 10 55 377.9791 Tm +0 0 0 1 k +0.172 Tw +(showed a daily increment of 23.97 g per)Tj +0 -1.2 TD +0.061 Tw +(day. The mean difference of weight incre-)Tj +T* +0.02 Tc +0.522 Tw +(ment between the birth weight and)Tj +T* +0 Tc +-0.001 Tw +(weights at 3rd month was 2.42 kg and 2.09)Tj +T* +0.019 Tw +[(kg respectively (Table 4).)-270(The mean differ-)]TJ +T* +0.02 Tc +0.503 Tw +(ence of the initial and final weight)Tj +T* +0 Tc +0.191 Tw +[(between the groups was statistically sig)-1(-)]TJ +T* +-0.001 Tw +(nificant when the data was analysed using)Tj +T* +0.374 Tw +(analysis of co-variance where the final)Tj +T* +0.202 Tw +[(weight was used as the dependent vari)-1(-)]TJ +T* +0.065 Tw +(able and the initial weight as a co-variate,)Tj +T* +-0.004 Tw +(while feeding groups as a factor. The main)Tj +T* +0.122 Tw +[(effect on the breastfed group was signifi)-1(-)]TJ +T* +0.27 Tw +(cant \(F=6.44, d.f. = [1,89] and the exact)Tj +T* +0.094 Tw +(P=0.013\), suggesting that those who were)Tj +T* +0.02 Tc +0.435 Tw +(predominantly breastfed gained more)Tj +T* +0 Tc +0.284 Tw +(weight than those who were on partial)Tj +T* +0 Tw +(breastfeeding. )Tj +/F0 1 Tf +0 -2.4 TD +0.025 Tw +(Infant morbidity at follow-up)Tj +/F1 1 Tf +1.8 -2.4 TD +0.275 Tw +(The number of illness episodes and)Tj +-1.8 -1.2 TD +-0.011 Tw +(mean duration of illness per episode of the)Tj +T* +0.22 Tw +(infants are shown in Table 5. To get an)Tj +T* +0.239 Tw +(idea of the infant morbidity at different)Tj +T* +0.236 Tw +[(time intervals, we grouped the observa)-1(-)]TJ +T* +0.112 Tw +(tion period into three: m-1, m-2 and m-3.)Tj +20.6 31.2 TD +0.145 Tw +(Number of infants who were ill and dis-)Tj +0 -1.2 TD +-0.036 Tw +(ease episodes was more in DBF group than)Tj +T* +0.058 Tw +[(in PBF, but the difference was not statisti)-1(-)]TJ +T* +0.066 Tw +(cally significant. More infants were found)Tj +T* +0.045 Tw +(sick with ARI than with diarrhoea in both)Tj +T* +-0.025 Tw +(the groups. A similar finding was reported)Tj +T* +0.107 Tw +(by Rahmanifar )Tj +/F2 1 Tf +7.05789 0 Td +(et al.)Tj +/F1 1 Tf +2.05115 0 Td +(,)Tj +0.60728 0 Td +((1996). It was found)Tj +-9.71632 -1.2 TD +0.126 Tw +(that the infants suffered more during the)Tj +T* +0.062 Tw +(2nd month of their life. Number of illness)Tj +T* +0.347 Tw +(episodes and mean days of illness per)Tj +T* +0.02 Tc +0.395 Tw +(episode was not statistically different)Tj +T* +0 Tc +0.025 Tw +(between the groups (P>0.05). )Tj +/F0 1 Tf +0 -2.4 TD +(Effect of feeding on morbidity )Tj +/F1 1 Tf +1.8 -2.4 TD +0.087 Tw +(Risk of exposure to infection over the)Tj +-1.8 -1.2 TD +0.091 Tw +(weeks as expressed by RR (Relative Risk))Tj +T* +0.375 Tw +(factor was calculated and is shown in)Tj +T* +0.143 Tw +(Table 6. Mean RR was 1.22\2610.46 for DBF)Tj +T* +0.006 Tw +(and 2.14\2611.02 for PBF during the observed)Tj +T* +0.02 Tc +0.356 Tw +(period. The values differ significantly)Tj +T* +0 Tc +0.027 Tw +(between the groups (P<0.05). Thus, risk of)Tj +T* +0.004 Tc +0.371 Tw +(infection among the partially breastfed)Tj +T* +0 Tc +0.178 Tw +(infants is higher than the predominantly)Tj +T* +0.025 Tw +(breastfed infants. )Tj +ET +0 0 0 0 k +54 647.25 27 18.75 re +f +81.752 646.5 339.752 19.5 re +f +BT +/F2 1 Tf +10 0 0 10 150.535 657.7295 Tm +0 0 0 1 k +(Growth and morbidity in first three months of life)Tj +ET +0 0 0 0 k +423 647.25 27 18.75 re +f +BT +/F1 1 Tf +10 0 0 10 439 657.7295 Tm +0 0 0 1 k +0 Tw +(27)Tj +ET +0 0 0 0 k +54 386.25 396 258.75 re +f +BT +/F0 1 Tf +10 0 0 10 55 636.7291 Tm +0 0 0 1 k +0.025 Tw +(Table 3.)Tj +/F1 1 Tf +3.91084 0 Td +(Velocity of growth over 3 months)Tj +/F2 1 Tf +-3.91084 -2.4 TD +[(Interval (months) )-5776(Mean weight gain (kg) )-9347(Z - score )]TJ +12.22764 -2.4 TD +6.964 Tw +[(DBF PBF )901(DBF )3150(PBF )6939( )]TJ +/F1 1 Tf +-9.79086 -2.4 TD +(At)Tj +1.37894 0 Td +0.025 Tw +[(birth )-4663(2.83 \261 0.48 )-4201(2.93 \261 0.56 )-4672(- 1.5 )-3930(-1.5 )]TJ +-0.83211 -1.2 TD +(m)Tj +1.15796 0 Td +<96>Tj +0.77496 0 Td +(1)Tj +5.9841 0 Td +[(0.68 \261 0.31 )-4201(0.63 \261 0.41 )-4672(- 1.0 )-3929(-1.0 )]TJ +-7.91702 -1.2 TD +(m)Tj +1.15796 0 Td +<96>Tj +0.77496 0 Td +(2)Tj +5.9841 0 Td +[(0.90 \261 0.30 )-4201(0.74 \261 0.35 )-4976(0.5 )-4400(0.0 )]TJ +-7.91702 -1.2 TD +(m)Tj +1.15796 0 Td +<96>Tj +0.77496 0 Td +(3)Tj +5.9841 0 Td +[(0.84 \261 0.26 )-4201(0.72 \261 0.33 )-4976(1.0 )-4400(0.5 )]TJ +/F0 1 Tf +-10.90063 -3.60001 TD +(Table 4.)Tj +/F1 1 Tf +3.91084 0 Td +(Mean weight gain (in kg) of the infants by feeding group)Tj +/F2 1 Tf +-3.17006 -2.4 TD +[(Feeding )-3912(Birth weight )-1968(Weight on 3rd )-2198(Mean diff. : wt. )-3518(F and P)]TJ +0.08398 -1.2 TD +[(Groups)-13395(month)-3877(3rd m)-275(\226 birth wt. )-3399(value )]TJ +/F1 1 Tf +0.52979 -2.4 TD +[(DBF )-4505(2.83 \261 0.48 )-2451(5.25 \261 0.68 )-3277(2.42 \261 0.46 )-4244(F=6.44)]TJ +0.08496 -1.2 TD +[(PBF )-4590(2.93 \261 0.56 )-2451(5.02 \261 0.88 )-3277(2.09 \261 0.74 )-4492((1,89))]TJ +32.60564 -1.2 TD +(P=0.013 )Tj +ET +0.4 w +0 0 0 1 K +54 627.75 m +450 627.75 l +S +153.75 605.25 m +450 605.25 l +S +54 582 m +450 582 l +S +54 520.5 m +450 520.5 l +S +54 481.5 m +450 481.5 l +S +54 450 m +450 450 l +S +54 401.25 m +450 401.25 l +S + +endstream +endobj +7 0 obj +<< +/Length 4013 +>> +stream +/GS0 gs +0 0 0 0 k +54 54 396 590.25 re +f +54 647.25 27 18.75 re +f +BT +/F1 1 Tf +10 0 0 10 55 657.7295 Tm +0 0 0 1 k +(28)Tj +ET +0 0 0 0 k +81.752 646.5 339.752 19.5 re +f +BT +/F2 1 Tf +10 0 0 10 190.3602 657.7295 Tm +0 0 0 1 k +0.025 Tw +(Ahmed L, Edib K & Huda SN)Tj +ET +0 0 0 0 k +423 647.25 27 18.75 re +f +54 39 396 605.25 re +f +BT +/F0 1 Tf +10 0 0 10 55 635.9795 Tm +0 0 0 1 k +0.147 Tw +(Table 5.)Tj +/F1 1 Tf +4.15543 0 Td +(Illness of the infants expressed as number of infants ill, number of episodes,)Tj +-4.15543 -1.2 TD +0.025 Tw +(duration of episodes during months 1, 2 and 3)Tj +/F2 1 Tf +1.8 -2.4 TD +[(Illness )-21555(Age of infants )]TJ +18.46966 -1.6 TD +6.164 Tw +[(m-1 m-2 )750(m-3 )6139( )]TJ +-20.26966 -1.8 TD +0.025 Tw +(DBF (n = 49) )Tj +/F1 1 Tf +0 -1.2 TD +0 Tw +(Diarrhoea )Tj +1.8 -1.2 TD +0.025 Tw +[(No. of infants ill )-11508(2 )-7250(3 )-6501(4 )]TJ +T* +[(No. of episodes )-11839(2 )-7250(3 )-6501(4 )]TJ +T* +(Duration of episodes (days))Tj +1.37501 -1.20001 TD +[(mean \261 SD )-10984(4.5 \261 2.1 )-4151(3.0 \261 1.7 )-3401(4.0 \261 1.4)]TJ +-1.37501 -1.2 TD +[(Episodes > 7 days )-10741(0 )-7250(0 )-6501(0 )]TJ +-1.8 -1.2 TD +(ARI )Tj +1.8 -1.2 TD +[(No. of infants ill )-11258(12 )-6750(11 )-6251(9 )]TJ +0 -1.20001 TD +[(No. of episodes)-11864(18 )-6750(14 )-6001(11 )]TJ +0 -1.2 TD +(Duration of episodes (days))Tj +1.37501 -1.2 TD +[(mean \261 SD)-11259(4.0 \261 2.4 )-4151(4.6 \261 3.0 )-3401(3.4 \261 2.1 )]TJ +-1.37501 -1.2 TD +[(Episodes > 7 days )-10741(1 )-7250(1 )-6501(1 )]TJ +-1.8 -1.2 TD +(All illnesses)Tj +8 0 0 8 108.1943 412.6195 Tm +(a)Tj +10 0 0 10 71.5001 397.9795 Tm +[(No. of infants ill (% of all infants))-2887(26 (53))]TJ +8 0 0 8 278.243 400.6195 Tm +(b)Tj +10 0 0 10 331.296 397.9795 Tm +[(30 (61))-4334(31 (63))]TJ +-25.8296 -1.2 TD +14.538 Tw +[(Episodes 32 )7763(34 )8513(38 )]TJ +/F2 1 Tf +-1.8 -1.2 TD +0.025 Tw +(PBF (n = 43) )Tj +/F1 1 Tf +T* +(Diarrhoea )Tj +1.8 -1.2 TD +[(No. of infants ill )-11508(4 )-7250(3 )-6501(5 )]TJ +T* +[(No. of episodes )-11839(6 )-7250(4 )-6501(6 )]TJ +T* +(Duration of episodes (days))Tj +1.37501 -1.2 TD +[(mean \261 SD )-10984(4.0 \261 2.9 )-4151(3.7 \261 3.1 )-3401(4.2 \261 1.8 )]TJ +-1.37501 -1.2 TD +[(Episodes > 7 days )-10741(0 )-7250(0 )-6501(0 )]TJ +-1.8 -1.2 TD +(ARI )Tj +1.8 -1.2 TD +[(No. of infants ill )-11258(16 )-6750(17 )-6001(13 )]TJ +T* +[(No. of episodes)-11864(22 )-6750(27 )-6001(16 )]TJ +T* +(Duration of episodes (days))Tj +1.37501 -1.2 TD +(mean \261 SD)Tj +16.10065 0 TD +[(3.9 \261 1.8 )-4151(4.3 \261 2.1 )-3401(3.5 \261 2.2 )]TJ +-17.47566 -1.2 TD +(Episodes > 7 days )Tj +19.02508 0 TD +(0)Tj +8.02503 0 Td +(1)Tj +7.27503 0 Td +(1)Tj +-36.12514 -1.2 TD +(All illnesses)Tj +8 0 0 8 108.1943 220.6195 Tm +(a)Tj +10 0 0 10 71.5001 205.9795 Tm +(No. of infants ill (% of all infants))Tj +17.95456 0.00001 TD +(32 (74))Tj +8.02503 0.00001 TD +[(38 (91))-4334(28 (65))]TJ +-25.8296 -1.20001 TD +0 Tw +(Episodes)Tj +18.77508 0.00001 TD +(55 )Tj +8.02503 0.00001 TD +6.025 Tw +(66 46 )Tj +8 0 0 8 55 172.6195 Tm +(a)Tj +10 0 0 10 59 169.9795 Tm +0.025 Tw +(Including diarrhoea, respiratory, fever, dysentery, skin, eye, ear and mouth infections)Tj +8 0 0 8 55 160.6195 Tm +(b)Tj +10 0 0 10 59.4258 157.9795 Tm +(Figures in parentheses are percentages)Tj +/F0 1 Tf +-0.44258 -3.6 TD +(Table 6. )Tj +/F1 1 Tf +3.91084 0 Td +(Risk of exposure to infection by feeding group)Tj +/F2 1 Tf +-1.74506 -2.4 TD +0 Tw +(Feeding )Tj +5.72684 0.00001 TD +0.025 Tw +(No. of child ill )Tj +7.34001 0.00001 TD +[(No. of days ill )-1807(Episodes )-3458(RR)-5628(P)]TJ +-12.53804 -1.20001 TD +0 Tw +(mode)Tj +26.48962 0.00001 TD +0.025 Tw +((m \261 sd) )Tj +/F1 1 Tf +-26.40466 -1.80001 TD +0 Tw +(DBF )Tj +7.52045 0.00001 TD +(87 )Tj +7.02507 0.00001 TD +0.025 Tw +[(320 )-4900(104 )-2826(1.11 \261 0.46 )]TJ +-14.46055 -1.20001 TD +0 Tw +(PBF )Tj +7.43548 0.00001 TD +0.025 Tw +[(98 )-5750(501 )-4900(167 )-2826(2.14 \261 1.02 )-2848(<0.05 )]TJ +ET +0.4 w +0 0 0 1 K +54 612 m +450 612 l +S +54 579.75 m +450 579.75 l +S +54 185.9991 m +450 185.9991 l +S +54 111.748 m +450 111.748 l +S +54 81.748 m +450 81.748 l +S +54 48.748 m +450 48.748 l +S +225.751 594.75 m +450 594.75 l +S + +endstream +endobj +8 0 obj +<< +/Length 6691 +>> +stream +/GS0 gs +0 0 0 0 k +54 54 396 590.25 re +f +BT +/F0 1 Tf +10 0 0 10 55 635.9794 Tm +0 0 0 1 k +(DISCUSSION)Tj +/F1 1 Tf +1.8 -2.39999 TD +0.248 Tw +(The child\222s rate of postnatal growth)Tj +-1.8 -1.2 TD +-0.008 Tw +(appears to be a resultant variable, which is)Tj +T* +0.111 Tw +(influenced by feeding type and incidence)Tj +T* +0.06 Tw +(of illness. Our findings highlight different)Tj +T* +0.263 Tw +(growth and morbidity patterns between)Tj +T* +0.02 Tc +0.381 Tw +(predominantly breastfed and partially)Tj +T* +0 Tc +0.021 Tw +(breastfed infants during the first 3 months)Tj +T* +0.02 Tc +0.359 Tw +(of extrauterine life. No differences in)Tj +T* +0 Tc +0.169 Tw +(maternal characteristics \(age, BMI, gravi-)Tj +T* +0.195 Tw +(da, family income, working status\) were)Tj +T* +0.007 Tc +0.368 Tw +(found between those who had started)Tj +0 -1.20001 TD +0 Tc +0.274 Tw +(feeding predominantly with breast milk)Tj +0 -1.2 TD +0 Tw +(and those with breast milk plus other milk)Tj +T* +0.134 Tw +(or milk products. The mean birth weight)Tj +T* +0.018 Tc +0.357 Tw +(by feeding regimen was not different)Tj +T* +0 Tc +0.004 Tw +(among groups, allowing us to assume that)Tj +T* +0.21 Tw +(the nutritional status was comparable at)Tj +T* +-0.036 Tw +(base line (Table 4). Though the DBF infants)Tj +T* +0.156 Tw +(were lighter at birth, they gained weight)Tj +T* +0.249 Tw +(more and grew more quickly in weight)Tj +T* +0.31 Tw +(and became heavier at every follow-up)Tj +T* +0.164 Tw +(measurement compared to their counter-)Tj +T* +0.102 Tw +(part. The body weight nearly doubled by)Tj +T* +0.24 Tw +(the 3)Tj +2.3774 0.33 TD +0 Tw +(rd)Tj +1.49605 -0.33 TD +0.24 Tw +(month of age. These results are)Tj +-3.87345 -1.2 TD +0.162 Tw +(consistent with recent studies \(Gokcay )Tj +/F2 1 Tf +18.07783 0 Td +(et)Tj +-18.07783 -1.2 TD +0 Tw +(al.)Tj +/F1 1 Tf +0.97168 0 Td +(,)Tj +0.57609 0 Td +0.076 Tw +(2003; Hop )Tj +/F2 1 Tf +4.88131 0 Td +(et al.)Tj +/F1 1 Tf +2.01999 0 Td +(,)Tj +0.5761 0 Td +(2000\). Per day weight)Tj +-9.02517 -1.2 TD +0.21 Tw +(increments for the groups (DBF vs PBF))Tj +T* +-0.007 Tw +(during m-1 (24.29 g vs 22.5 g respectively),)Tj +T* +0.02 Tc +0.392 Tw +(m-2 \(32.14 g vs 26.42 g respectively,)Tj +T* +0 Tc +0.126 Tw +(P<0.05\) and m-3 \(30.0 g vs 25.7 g respec-)Tj +T* +-0.019 Tw +(tively, P<0.05\) show a linear upward trend)Tj +T* +-0.009 Tw +(for the first two months in both the groups)Tj +T* +0.052 Tw +(and then declines. The results confirm the)Tj +T* +0.331 Tw +(WHO views on infant growth that the)Tj +T* +0.112 Tw +[(postnatal weight gain of the infants max)-2(-)]TJ +T* +-0.036 Tw +(imises during the 2nd month of life \(WHO,)Tj +T* +0.265 Tw +[(1994\).)-1030(The rate of growth between the)]TJ +T* +0.02 Tc +0.462 Tw +(groups was different and more pro-)Tj +T* +0.36 Tw +(nounced at 2nd month (P<0.05). This)Tj +T* +0 Tc +0.325 Tw +(difference in weight increment signifies)Tj +T* +0.006 Tc +0.369 Tw +[(the importance of predominant breast)-1(-)]TJ +T* +0 Tc +0.067 Tw +(feeding. At birth, the mean z-score values)Tj +T* +0.109 Tw +(of both the groups were at \2261.5, but with)Tj +T* +0.375 Tw +(the advancement of time, the catch-up)Tj +T* +0.017 Tw +(growth for the DBF infants was more than)Tj +T* +0.299 Tw +(the PBF infants, and at the end of 3rd)Tj +T* +0.239 Tw +(month, the z-score value reached to the)Tj +20.6 57.60001 TD +0.134 Tw +(height of +1.0 against +0.5 (Table 4). The)Tj +0 -1.19999 TD +0.32 Tw +(catch-up growth was more pronounced)Tj +0 -1.20001 TD +0.017 Tc +0.358 Tw +(among the DBF infants than the PBF)Tj +0 -1.2 TD +0 Tc +0.33 Tw +(infants at any point of the observation)Tj +T* +0.025 Tw +(throughout the study period. )Tj +1.8 -1.2 TD +0.004 Tc +0.371 Tw +(The DBF infants were observed to)Tj +-1.8 -1.2 TD +0 Tc +0.072 Tw +(have a lower incidence of ARI/diarrhoea,)Tj +T* +0.272 Tw +(and a lower percentage of sick days of)Tj +T* +0.007 Tc +0.368 Tw +(shorter duration than the PBF infants.)Tj +T* +0 Tc +0.229 Tw +(These findings are consistent with other)Tj +T* +0.059 Tw +(researchers \(Beaudry, Dufour & Marcoux,)Tj +T* +0.037 Tw +(1995; Brown )Tj +/F2 1 Tf +5.79131 0 Td +(et al.)Tj +/F1 1 Tf +1.98061 0 Td +(,)Tj +0.53673 0 Td +(1989; Wright )Tj +/F2 1 Tf +5.97396 0 Td +(et)Tj +1.00873 0 Td +(al.)Tj +/F1 1 Tf +0.97188 0 Td +(,)Tj +0.53673 0 Td +0 Tw +(1989)Tj +-16.79996 -1.2 TD +(Pisacane )Tj +/F2 1 Tf +4.10029 0 Td +0.027 Tw +(et al.)Tj +/F1 1 Tf +1.97041 0 Td +(,)Tj +0.52653 0 Td +(1994\), claiming a protective)Tj +-6.59723 -1.20001 TD +0.304 Tw +(effect of breastfeeding against infection.)Tj +0 -1.2 TD +0.322 Tw +(Infants were more often sick with ARI)Tj +T* +0.023 Tw +(than with diarrhoea in both the groups, as)Tj +T* +0.27 Tw +(also shown by Rahmanifar )Tj +/F2 1 Tf +13.15068 0 Td +(et)Tj +1.24169 0 Td +0 Tw +(al. )Tj +/F1 1 Tf +1.49161 0 Td +((1996).)Tj +-15.88398 -1.2 TD +0.113 Tw +(The number of episodes of illnesses from)Tj +T* +-0.017 Tw +(diarrhoea / ARI was seen more among the)Tj +T* +0.108 Tw +(partially breastfed infants during the 2)Tj +17.60712 0.33 TD +0 Tw +(nd)Tj +-17.60712 -1.53 TD +0.258 Tw +(month, which might have compromised)Tj +0 -1.2 TD +0.315 Tw +[(their growth by reducing weight incre)-2(-)]TJ +T* +-0.003 Tw +(ment in the 3rd month. The study findings)Tj +T* +0.138 Tw +(indicated that the reduction in morbidity)Tj +T* +0.052 Tw +(is associated with the mode of breastfeed-)Tj +T* +0.025 Tw +(ing practised. )Tj +1.8 -1.2 TD +0.11 Tw +(Since the major aim of the study was)Tj +-1.8 -1.2 TD +0.02 Tc +0.774 Tw +(to compare growth and morbidity)Tj +T* +0.859 Tw +(between two defined breastfeeding)Tj +T* +0 Tc +0.14 Tw +(groups, it is concluded that predominant)Tj +T* +0.004 Tw +(breastfeeding allows the infants to achieve)Tj +T* +0.298 Tw +(their optimum growth. This study thus)Tj +T* +0.033 Tw +(reinforces the benefits of breastfeeding for)Tj +T* +0.333 Tw +(the health of infants in our society. In)Tj +T* +0.02 Tc +0.412 Tw +(developing countries like Bangladesh,)Tj +T* +0 Tc +0.09 Tw +(where breastfeeding is virtually universal)Tj +T* +0.218 Tw +(and homogeneously prolonged \(Mannan)Tj +(&)' +1.11092 0 Td +0.083 Tw +(Islam, 1995\), motivation of the mothers)Tj +-1.11092 -1.2 TD +0.174 Tw +[(to abandon pre-lacteal feeding and prac)-1(-)]TJ +T* +0.2 Tw +(tice of predominant breastfeeding, if not)Tj +T* +0.024 Tw +(exclusive, is therefore called for to amelio-)Tj +T* +0.025 Tw +(rate early malnutrition in childhood.)Tj +/F0 1 Tf +0 -2.4 TD +0 Tw +(Acknowledgement)Tj +/F1 1 Tf +1.8 -2.4 TD +0.02 Tc +0.427 Tw +(The study was supported by the)Tj +-1.8 -1.2 TD +0.503 Tw +(Bangladesh Breastfeeding Foundation.)Tj +T* +0 Tc +0.024 Tw +(The authors are grateful to all the mothers)Tj +T* +0.021 Tw +(who had kindly participated in this study.)Tj +ET +0 0 0 0 k +54 647.25 27 18.75 re +f +81.752 646.5 339.752 19.5 re +f +BT +/F2 1 Tf +10 0 0 10 150.535 657.7295 Tm +0 0 0 1 k +0.025 Tw +(Growth and morbidity in first three months of life)Tj +ET +0 0 0 0 k +423 647.25 27 18.75 re +f +BT +/F1 1 Tf +10 0 0 10 439 657.7295 Tm +0 0 0 1 k +0 Tw +(29)Tj +ET + +endstream +endobj +9 0 obj +<< +/Length 6210 +>> +stream +/GS0 gs +0 0 0 0 k +54 54 396 590.25 re +f +BT +/F0 1 Tf +10 0 0 10 55 635.9794 Tm +0 0 0 1 k +(REFERENCES)Tj +/F1 1 Tf +0 -2.39999 TD +0.02 Tc +0.52 Tw +(Ahmed MM (1986). Breastfeeding in)Tj +1.8 -1.2 TD +0 Tc +0 Tw +(Bangladesh. )Tj +/F2 1 Tf +5.88 0 Td +(J)Tj +0.82723 0 Td +0.244 Tw +(Bio-social Science)Tj +/F1 1 Tf +7.87675 0 Td +0 Tw +(18(4):)Tj +-14.58398 -1.2 TD +(425-434.)Tj +-1.8 -2.2 TD +0.001 Tw +(Beaudry M, Dufour R & Marcoux S (1995).)Tj +1.8 -1.2 TD +0.237 Tw +(Relation between infant feeding and)Tj +T* +0.137 Tw +(infections during the first six months)Tj +(of)' +1.15396 0 Td +0 Tw +(life. )Tj +/F2 1 Tf +1.91899 0 Td +(J)Tj +0.60797 0 Td +(Pediatr)Tj +/F1 1 Tf +3.21889 0 Td +(126:191-197.)Tj +-8.69981 -2.2 TD +0.011 Tw +(Brown KH, Black Rd, Lopez de Romana G)Tj +1.8 -1.2 TD +(&)Tj +1.10869 0 Td +0.081 Tw +(Cred de Kanashiro H (1989). Infant)Tj +-1.10869 -1.2 TD +0.314 Tw +[(feeding practices and their relation)-1(-)]TJ +T* +0.31 Tw +(ship with diarrhoeal and other dis-)Tj +T* +0.02 Tc +0.753 Tw +(eases in Huascar (Lima), Peru.)Tj +/F2 1 Tf +T* +0 Tc +0 Tw +(Pediatrics )Tj +/F1 1 Tf +4.29307 0 Td +(83:31-40.)Tj +-6.09307 -2.4 TD +0.095 Tw +(Chowdhury AY, Arjumand L, Rezvi FJ &)Tj +1.8 -1.2 TD +0.151 Tw +(Hasan H (1997). Identification of key)Tj +T* +0.123 Tw +(components for establishment of suc)Tj +16.66699 0 TD +(-)Tj +-16.66699 -1.2 TD +0.02 Tc +0.71 Tw +(cessful breastfeeding in primary)Tj +T* +0.019 Tc +0.356 Tw +(healthcare system. PIACT, Bangla-)Tj +T* +0 Tc +0 Tw +(desh.)Tj +-1.8 -2.2 TD +0.162 Tw +(Chowdhury SA & Mahmud Zeba (1998).)Tj +1.8 -1.2 TD +0.038 Tw +(Growth of the newborns in their early)Tj +T* +0.345 Tw +(life (first two weeks) accordineg to)Tj +T* +0.02 Tc +0.556 Tw +(feeding pattern in rural area of)Tj +T* +0 Tc +0 Tw +(Bangladesh. )Tj +/F2 1 Tf +5.71426 0 Td +(J)Tj +0.66148 0 Td +0.079 Tw +(Diarrhoeal Dis Res )Tj +/F1 1 Tf +8.20824 0 Td +0 Tw +(16(1):)Tj +-14.58398 -1.2 TD +(40-41.)Tj +-1.8 -2.2 TD +0.02 Tc +0.405 Tw +(Dewey K, Heinig MJ, Nommsen LA,)Tj +1.8 -1.2 TD +0.007 Tc +0.368 Tw +(Peerson JM & Lonnerdal B (1992).)Tj +T* +0 Tc +0.144 Tw +(Growth of breastfed and formula-fed)Tj +T* +0.071 Tw +(infants from 0-18 months: the Darling)Tj +T* +0 Tw +(Study. )Tj +/F2 1 Tf +3.14609 0 Td +(Pediatrics )Tj +/F1 1 Tf +4.29307 0 Td +(89:1035-41. )Tj +-9.23916 -2.2 TD +0.089 Tw +(Dewey KG (1998). Cross-cultural patterns)Tj +1.8 -1.2 TD +0.345 Tw +(of growth and nutritional status of)Tj +T* +-0.023 Tw +(breastfed infants. )Tj +/F2 1 Tf +7.8418 0 Td +(Am)Tj +1.72675 0 Td +(J)Tj +0.55977 0 Td +(Clin Nutr)Tj +/F1 1 Tf +4.28866 0 Td +0 Tw +(67:10-)Tj +-14.41699 -1.2 TD +(17.)Tj +-1.8 -2.4 TD +0.125 Tw +(Duncan B, Schafer C, Sibley B & Fonseca)Tj +1.8 -1.2 TD +(M)Tj +1.27262 0 Td +0.077 Tw +((1984). Reduced growth velocity in)Tj +-1.27262 -1.2 TD +0.029 Tw +(exclusively breastfed infants. )Tj +/F2 1 Tf +13.16416 0 Td +(Am J Dis)Tj +-13.16416 -1.2 TD +0 Tw +(Child)Tj +/F1 1 Tf +2.49766 0 Td +(138:309-313.)Tj +-4.29766 -2.4 TD +-0.019 Tw +(Gokcay G, Turan JM, Partalci A & Neyzi O)Tj +1.8 -1.2 TD +0.209 Tw +((2003). Growth of infants during the)Tj +20.6 57.8 TD +0.122 Tw +(First year of life according to feeding)Tj +0 -1.19999 TD +0.169 Tw +(regimen in the first 4 months. )Tj +/F2 1 Tf +14.30371 0 Td +(J)Tj +0.75239 0 Td +0 Tw +(Trop)Tj +-15.0561 -1.20001 TD +(Pediatr)Tj +/F1 1 Tf +3.21885 0 Td +0.025 Tw +(49(1): 6-12.)Tj +-5.01885 -2.4 TD +0.092 Tw +(Hop LT, Gross R, Giay T, Sastroamidijojo)Tj +1.8 -1.2 TD +0.356 Tw +(S, Schultink W & Lang NT (2000).)Tj +T* +0.192 Tw +(Premature complementary feeding is)Tj +T* +0.02 Tc +0.659 Tw +(associated with poor growth of)Tj +T* +0 Tc +0.11 Tw +(Vietnamese children. )Tj +/F2 1 Tf +9.80884 0 Td +(J)Tj +0.69246 0 Td +0 Tw +(Nutr)Tj +/F1 1 Tf +2.41569 0 Td +(130:2683-)Tj +-12.91699 -1.2 TD +(2690.)Tj +-1.8 -2.4 TD +0.035 Tw +(Krebs NF, Reoidinger CJ, Robertson Ad &)Tj +1.8 -1.2 TD +0.003 Tc +0.372 Tw +(Hambidge KM (1994). Growth and)Tj +0 -1.20001 TD +0 Tc +0.166 Tw +(intakes of energy and zinc in infants)Tj +0 -1.2 TD +0.025 Tw +(fed human milk. )Tj +/F2 1 Tf +7.66875 0 Td +(J)Tj +0.60797 0 Td +0 Tw +(Pediatr)Tj +/F1 1 Tf +3.21889 0 Td +(124:32-39.)Tj +-13.29561 -2.4 TD +-0.018 Tw +(Adair L, Popkin BM, VanDerslice J, Akin J,)Tj +1.8 -1.2 TD +0.059 Tw +(Guilkey D, Black R, Briscoe J & Fleige)Tj +(W)' +1.57723 0 Td +0.327 Tw +((1993). Growth dynamics during)Tj +-1.57723 -1.2 TD +-0.02 Tw +(the first two years of life: a prospective)Tj +T* +0.064 Tw +(study in the Philipines. )Tj +/F2 1 Tf +10.72274 0 Td +(Eu J Clin Nutr)Tj +/F1 1 Tf +-10.72274 -1.2 TD +0 Tw +(47:42-51.)Tj +-1.8 -2.4 TD +0.02 Tc +0.783 Tw +(Mannan HR & Islam MN (1995).)Tj +1.8 -1.2 TD +0 Tc +0.096 Tw +(Breastfeeding in Bangladesh: Patterns)Tj +T* +0.007 Tc +0.368 Tw +(and impact on fertility. )Tj +/F2 1 Tf +12.0533 0 Td +0 Tw +(Asia-Pacific)Tj +-12.0533 -1.2 TD +0 Tc +0.025 Tw +(Population Journal)Tj +/F1 1 Tf +7.99336 0 Td +(10(4): 23-38.)Tj +-9.79336 -2.4 TD +0.251 Tw +(Mardya LA, Villalpando S & Fajardo A)Tj +1.8 -1.2 TD +0.281 Tw +[((1997). Breastfeeding lowers the fre)-1(-)]TJ +T* +0.125 Tw +[(quency and duration opf acute respi)-1(-)]TJ +T* +0.02 Tc +0.476 Tw +(ratory infection and diarrhoea in)Tj +T* +0 Tc +-0.012 Tw +(infants under six months of age. )Tj +/F2 1 Tf +14.37297 0 Td +(J)Tj +0.57082 0 Td +0 Tw +(Nutr)Tj +/F1 1 Tf +-14.94379 -1.2 TD +0.025 Tw +(127: 436-443.)Tj +-1.8 -2.4 TD +0.032 Tw +(Pisacance A, Graziano L, Zona G, Granata)Tj +1.8 -1.2 TD +0.18 Tw +(G, Dolezalova H, Cafiro M. Coppola)Tj +T* +0.019 Tc +0.356 Tw +(A, Scarpellino B, Ummarino M &)Tj +T* +0.016 Tc +0.359 Tw +(Mazzarella G (1994). Breastfeeding)Tj +T* +0 Tc +0.094 Tw +(and acute lower respiratory infection.)Tj +/F2 1 Tf +T* +0.025 Tw +(Acta Pediatr)Tj +/F1 1 Tf +5.4001 0 Td +0 Tw +(83:714-718.)Tj +-7.2001 -2.4 TD +0.232 Tw +(Rahmanifar A, Kirkssey A, McCabe GP,)Tj +1.8 -1.2 TD +-0.007 Tw +(Galal OM, Harrison GG & Jerome NW)Tj +T* +0.02 Tc +0.355 Tw +[((1996). Respiratory tract and diar)-1(-)]TJ +T* +0 Tc +0.223 Tw +(rhoeal infections of breastfed infants)Tj +T* +-0.034 Tw +[(from birth to 6 months of age in house)-1(-)]TJ +T* +0.011 Tw +(hol contexts of an Egyptian village. )Tj +/F2 1 Tf +15.833 0 Td +0 Tw +(Eu)Tj +-15.833 -1.2 TD +(J)Tj +0.60797 0 Td +0.025 Tw +(Clin Nutr)Tj +/F1 1 Tf +4.385 0 Td +(50: 655-662.)Tj +ET +0 0 0 0 k +54 647.25 27 18.75 re +f +BT +/F1 1 Tf +10 0 0 10 55 657.7295 Tm +0 0 0 1 k +0 Tw +(30)Tj +ET +0 0 0 0 k +81.752 646.5 339.752 19.5 re +f +BT +/F2 1 Tf +10 0 0 10 190.3602 657.7295 Tm +0 0 0 1 k +0.025 Tw +(Ahmed L, Edib K & Huda SN)Tj +ET +0 0 0 0 k +423 647.25 27 18.75 re +f + +endstream +endobj +10 0 obj +<< +/Length 2238 +>> +stream +/GS0 gs +0 0 0 0 k +54 438.751 396 205.499 re +f +BT +/F1 1 Tf +10 0 0 10 55 635.9794 Tm +0 0 0 1 k +-0.018 Tw +(Salmenpera L, Perheentuba J & Siimes MA)Tj +1.8 -1.19999 TD +0.282 Tw +((1985). Exclusively breastfed healthy)Tj +0 -1.20001 TD +0.004 Tc +0.371 Tw +(infants grow slower than reference)Tj +0 -1.2 TD +0 Tc +0 Tw +(infants. )Tj +/F2 1 Tf +3.56309 0 Td +0.025 Tw +(Pediatr Res)Tj +/F1 1 Tf +4.93916 0 Td +0 Tw +(19:307-312.)Tj +-10.30225 -2.4 TD +0.239 Tw +(Scrimshaw NS, Taylor CE & Gordon JE)Tj +1.8 -1.2 TD +0.008 Tc +0.367 Tw +((1968). Interaction of nutrition and)Tj +T* +0 Tc +0.056 Tw +(infection. World Health Organization,)Tj +T* +0.025 Tw +(Geneva, Switzerland.)Tj +-1.8 -2.4 TD +0.119 Tw +(Talukder MQK (1986). Growth pattern of)Tj +1.8 -1.2 TD +0.183 Tw +(exclusively breastfed infants, Bangla-)Tj +T* +0 Tw +(desh. )Tj +/F2 1 Tf +2.6207 0 Td +(J)Tj +0.60797 0 Td +0.025 Tw +(Child Health)Tj +/F1 1 Tf +5.49439 0 Td +(10(2): 59-65.)Tj +-10.52305 -2.40001 TD +0.154 Tw +(UNICEF (1998). The State of the World\222s)Tj +1.8 -1.2 TD +0.02 Tc +0.405 Tw +(children. Oxford University Press,)Tj +T* +0 Tc +0.025 Tw +(New York. )Tj +18.8 19.2 TD +0.344 Tw +(Waterlow J, Ashworth A & Griffith M)Tj +1.8 -1.19999 TD +0.103 Tw +((1980). Faltering infant growth in less)Tj +0 -1.20001 TD +0.025 Tw +(developing countries. )Tj +/F2 1 Tf +9.89082 0 Td +0 Tw +(Lancet )Tj +/F1 1 Tf +2.96055 0 Td +(2:1176.)Tj +-14.65137 -2.4 TD +0.139 Tw +(WHO (1994). World Health Organization)Tj +1.8 -1.2 TD +0.014 Tw +(Working Group on Infant Growth. An)Tj +T* +0.257 Tw +(evaluation of infant growth \(WHO/)Tj +T* +0.025 Tw +(NUT/94.7\). WHO, Geneva.)Tj +-1.8 -2.4 TD +0.012 Tc +0.363 Tw +(Wright AL, Holberg CJ, Martinez FD,)Tj +1.8 -1.2 TD +0 Tc +0.298 Tw +(Moragan WJ, Taussig LM & Group)Tj +T* +0.02 Tc +0.496 Tw +(Health Medical Associates (1989).)Tj +T* +0 Tc +0.346 Tw +(Breastfeeding and lower respiratory)Tj +0 -1.20001 TD +0.093 Tw +(tract illness in the first year of life. )Tj +/F2 1 Tf +16 0 Td +(Br)Tj +-16 -1.2 TD +0.025 Tw +(Med J )Tj +/F1 1 Tf +2.71602 0 Td +(299: 946-949.)Tj +ET +0 0 0 0 k +54 647.25 27 18.75 re +f +81.752 646.5 339.752 19.5 re +f +BT +/F2 1 Tf +10 0 0 10 150.535 657.7295 Tm +0 0 0 1 k +(Growth and morbidity in first three months of life)Tj +ET +0 0 0 0 k +423 647.25 27 18.75 re +f +BT +/F1 1 Tf +10 0 0 10 439 657.7295 Tm +0 0 0 1 k +0 Tw +(31)Tj +ET + +endstream +endobj +11 0 obj +<< +/Length 320 +>> +stream +/GS0 gs +0 0 0 0 k +54 54 396 590.25 re +f +54 647.25 27 18.75 re +f +BT +/F1 1 Tf +10 0 0 10 55 657.7295 Tm +0 0 0 1 k +(10)Tj +ET +0 0 0 0 k +81.752 646.5 339.752 19.5 re +f +BT +/F2 1 Tf +10 0 0 10 241.9086 657.7295 Tm +0 0 0 1 k +(Food)Tj +ET +0 0 0 0 k +423 647.25 27 18.75 re +f +BT +/F1 1 Tf +10 0 0 10 439 657.7295 Tm +0 0 0 1 k +(10)Tj +ET + +endstream +endobj +12 0 obj +<< +/Length 320 +>> +stream +/GS0 gs +0 0 0 0 k +54 54 396 590.25 re +f +54 647.25 27 18.75 re +f +BT +/F1 1 Tf +10 0 0 10 55 657.7295 Tm +0 0 0 1 k +(11)Tj +ET +0 0 0 0 k +81.752 646.5 339.752 19.5 re +f +BT +/F2 1 Tf +10 0 0 10 241.9086 657.7295 Tm +0 0 0 1 k +(Food)Tj +ET +0 0 0 0 k +423 647.25 27 18.75 re +f +BT +/F1 1 Tf +10 0 0 10 439 657.7295 Tm +0 0 0 1 k +(11)Tj +ET + +endstream +endobj +13 0 obj +<< +/Length 320 +>> +stream +/GS0 gs +0 0 0 0 k +54 54 396 590.25 re +f +54 647.25 27 18.75 re +f +BT +/F1 1 Tf +10 0 0 10 55 657.7295 Tm +0 0 0 1 k +(12)Tj +ET +0 0 0 0 k +81.752 646.5 339.752 19.5 re +f +BT +/F2 1 Tf +10 0 0 10 241.9086 657.7295 Tm +0 0 0 1 k +(Food)Tj +ET +0 0 0 0 k +423 647.25 27 18.75 re +f +BT +/F1 1 Tf +10 0 0 10 439 657.7295 Tm +0 0 0 1 k +(12)Tj +ET + +endstream +endobj +14 0 obj +<< +/Length 320 +>> +stream +/GS0 gs +0 0 0 0 k +54 54 396 590.25 re +f +54 647.25 27 18.75 re +f +BT +/F1 1 Tf +10 0 0 10 55 657.7295 Tm +0 0 0 1 k +(13)Tj +ET +0 0 0 0 k +81.752 646.5 339.752 19.5 re +f +BT +/F2 1 Tf +10 0 0 10 241.9086 657.7295 Tm +0 0 0 1 k +(Food)Tj +ET +0 0 0 0 k +423 647.25 27 18.75 re +f +BT +/F1 1 Tf +10 0 0 10 439 657.7295 Tm +0 0 0 1 k +(13)Tj +ET + +endstream +endobj +15 0 obj +<< +/Length 320 +>> +stream +/GS0 gs +0 0 0 0 k +54 54 396 590.25 re +f +54 647.25 27 18.75 re +f +BT +/F1 1 Tf +10 0 0 10 55 657.7295 Tm +0 0 0 1 k +(14)Tj +ET +0 0 0 0 k +81.752 646.5 339.752 19.5 re +f +BT +/F2 1 Tf +10 0 0 10 241.9086 657.7295 Tm +0 0 0 1 k +(Food)Tj +ET +0 0 0 0 k +423 647.25 27 18.75 re +f +BT +/F1 1 Tf +10 0 0 10 439 657.7295 Tm +0 0 0 1 k +(14)Tj +ET + +endstream +endobj +16 0 obj +<< +/Length 320 +>> +stream +/GS0 gs +0 0 0 0 k +54 54 396 590.25 re +f +54 647.25 27 18.75 re +f +BT +/F1 1 Tf +10 0 0 10 55 657.7295 Tm +0 0 0 1 k +(15)Tj +ET +0 0 0 0 k +81.752 646.5 339.752 19.5 re +f +BT +/F2 1 Tf +10 0 0 10 241.9086 657.7295 Tm +0 0 0 1 k +(Food)Tj +ET +0 0 0 0 k +423 647.25 27 18.75 re +f +BT +/F1 1 Tf +10 0 0 10 439 657.7295 Tm +0 0 0 1 k +(15)Tj +ET + +endstream +endobj +17 0 obj +<< +/Length 320 +>> +stream +/GS0 gs +0 0 0 0 k +54 54 396 590.25 re +f +54 647.25 27 18.75 re +f +BT +/F1 1 Tf +10 0 0 10 55 657.7295 Tm +0 0 0 1 k +(16)Tj +ET +0 0 0 0 k +81.752 646.5 339.752 19.5 re +f +BT +/F2 1 Tf +10 0 0 10 241.9086 657.7295 Tm +0 0 0 1 k +(Food)Tj +ET +0 0 0 0 k +423 647.25 27 18.75 re +f +BT +/F1 1 Tf +10 0 0 10 439 657.7295 Tm +0 0 0 1 k +(16)Tj +ET + +endstream +endobj +18 0 obj +<< +/Length 320 +>> +stream +/GS0 gs +0 0 0 0 k +54 54 396 590.25 re +f +54 647.25 27 18.75 re +f +BT +/F1 1 Tf +10 0 0 10 55 657.7295 Tm +0 0 0 1 k +(17)Tj +ET +0 0 0 0 k +81.752 646.5 339.752 19.5 re +f +BT +/F2 1 Tf +10 0 0 10 241.9086 657.7295 Tm +0 0 0 1 k +(Food)Tj +ET +0 0 0 0 k +423 647.25 27 18.75 re +f +BT +/F1 1 Tf +10 0 0 10 439 657.7295 Tm +0 0 0 1 k +(17)Tj +ET + +endstream +endobj +19 0 obj +<< +/Length 320 +>> +stream +/GS0 gs +0 0 0 0 k +54 54 396 590.25 re +f +54 647.25 27 18.75 re +f +BT +/F1 1 Tf +10 0 0 10 55 657.7295 Tm +0 0 0 1 k +(18)Tj +ET +0 0 0 0 k +81.752 646.5 339.752 19.5 re +f +BT +/F2 1 Tf +10 0 0 10 241.9086 657.7295 Tm +0 0 0 1 k +(Food)Tj +ET +0 0 0 0 k +423 647.25 27 18.75 re +f +BT +/F1 1 Tf +10 0 0 10 439 657.7295 Tm +0 0 0 1 k +(18)Tj +ET + +endstream +endobj +20 0 obj +<< +/Nums[0<>] +>> +endobj +21 0 obj +<< +/BaseEncoding/MacRomanEncoding +/Type/Encoding +/Differences[32/space 38/ampersand 44/comma/hyphen/period 49/one/two/three/four/five/six 65/A/B/C/D/E/F/G/H/I 75/K/L/M/N/O 82/R/S/T/U 97/a/b/c/d/e/f/g/h/i/j/k/l/m/n/o/p 114/r/s/t/u 119/w 121/y/z] +>> +endobj +22 0 obj +<< +/Subtype/Type1C +/Length 9588 +/Length1 9588 +>> +stream + COMKGM+BookAntiqua-Bold F G , + ? + ? # %n Version 2.35Digitized data copyright The Monotype Corporation 1991-1995. All rights reserved. Book Antiqua!" is a trademark of The Monotype Book Antiqua BoldBook Antiqua 3 * / 5 3 0 % 6 $ ( S P X U I B O E . C J Z F ' T G - " N H # M V , &