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This study of 230 Brazilian mothers examined the associations of several sociodemographic variables, maternal attitudes and perceptions with intended breast feeding duration. The usual relationships of sociodemographic variables such as mother's age, education, smoking, parity and infant birth weight with intended breast feeding duration were not found. However, mother's intentions were related to gender role attitudes with both the least and the most traditional women intending to breast feed longer than women with moderately traditional gender role attitudes. Mother's attitude toward breast feeding, help with household tasks, and the attitudes of friends and relatives toward breast feeding were also very significantly related to intended breast feeding duration. Women who did not work outside the home intended to breast feed significantly longer than those who were employed.

Samples of 7 species of piscivorous, omnivorous, and herbivorous fish caught at 12 different sites on the Madeira River, Amazon Basin, were analyzed for selenium and mercury. Selenium was determined by anodic stripping voltammetry and mercury by cold vapor atomic absorption spectrophotometry. The means for selenium concentrations ranged from 0.49 to 3.11 nmol/g and for mercury from 0.41 to 6.66 nmol/g depending on the fish species. The molar ratios of Hg:Se increased according to the fish trophic level. Piscivorous species had the highest mean ratio (4.0) and herbivorous species the lowest (0.9). There was a positive and statistically significant correlation between selenium and mercury concentrations for the herbivorous species (r = 0.716; p = 0.0088) not seen for omnivororus and piscivorous species (r = -0.2032; p = 0.3407). These findings are significant for the fish-eating population of the Madeira River because the ingestion of mercury would always be in excess of selenium.

The concentration of zinc and copper and metallocalorie ratios were measured in samples of bottle-milks fed to infants from a poor urban settlement in Brasilia, Brazil. The bottle-milks fed to infants under 1 year of age from a sample of 40 families were analysed for zinc and copper. Zinc and copper concentrations ranged from 0.7 to 11.5 mg/l (mean 3.37) and from 0.09 to 1.47 mg/l (mean 0.43), respectively. The mean metallocalorie ratio was 1.26 mg/MJ (5.29 mg/1000 kcal) for zinc and 0.17 mg/MJ (0.73 mg/1000 kcal) for copper. Based on minimum recommendations for formulae, 55% of the bottle-milks had both zinc and copper concentrations below 3.2 and 0.4 mg/l, respectively. However, owing to added sugar and high caloric concentrations in the milk preparations, metal:calorie ratios were below the minimum recommendations in 72.5 and 62.5% of cases for zinc and copper, respectively. The variation in zinc and copper concentrations in the milks prepared by mothers/infant caretakers under unsupervized home conditions is wide. Owing to the low availability of zinc in cow's milk preparations, it is of concern that more than half the bottle preparations had zinc and copper concentrations/ratios below the minimum recommendations.

We studied the types of food, time of introduction, frequency and nutrient intake among 133 infants during the 1st year of life. A 24-hour dietary recall indicated that 42 different types of food, including mothers' milk, were offered directly or in suitable preparations. Breast- and mixed-fed infants were likely to receive more milk feedings than non-breast-fed infants. Sugar and liquids such as tea, fruit juices and soft drinks were introduced at a very early age. The breast-fed babies were offered only teas before the 3rd month. Solid food was offered as early as at 4 months, regardless of breast or bottle feeding. Fe and vitamin A were estimated to be below the recommended dietary allowance in the group that was not receiving breast milk.

The vitamin A concentration in liver samples taken at autopsy from the central portion of the right lobe of 57 infants 0-1 year old was determined by a dual spectrophotometric and colorimetric assay. Death was due to respiratory disease (30%), complications of premature birth (16%), infections (14%), hemorrhage (14%), pneumonia (10%), cerebral edema (7%), and miscellaneous causes (9%). Gross malnutrition was noted in only 2 of these children. The median vitamin A concentration was 61 micrograms of retinol/g liver, with a range of 6-293 micrograms/g. The percent distribution of liver vitamin A levels in micrograms/g was: less than 5 (0%); 5-10 (7%); 10-20 (5%); 20-40 (16%); 40-80 (42%); 80-120 (14%); greater than 120 (16%). The mean liver level in 9 stillborn full-term infants (60 micrograms/g) was markedly lower than in 7 stillborn premature infants (125 micrograms/g). The median value for 22 infants from indigent families (54 micrograms/g) was lower than that of 35 infants from non-indigent families (65 micrograms/g). By applying the criteria that liver reserves of vitamin A less than or equal to 5 micrograms retinol/g of liver indicate a high risk of vitamin A deficiency and those less than 20 micrograms retinol/g of liver denote an inadequate reserve, no infant was at high risk but 12% had insufficient reserves.

Feeding practices related to osmotic strength of bottle-milk and breast-milk were studied in 133 families with infants less than 1 year of age in a poor urban settlement in Brasilia, Brazil. Osmolality [mean (SEM)] of breast-milk [318.8 (4.46) mOsm/kg water] was significantly less than that of bottle-milk [568.7 (29.9) mOsm/kg water]. The wide range of osmotic strength (253.7-1,380.0 mOsm/kg water) found in bottle-milk was partly due to the predominant use (82%) of powdered cow's milk among non-breastfeeders and its improper reconstitution. Diarrhoea and feeding management are also discussed.

Head hair of 150 normal boys from Brazil ranging in age from 1 to 12 years was studied for the influence of color on concentrations of zinc and copper. Hair color was classified visually and also quantified by melanin concentration. Visual classification and spectrophotometric measurements of melanin showed good agreement for blond and black colors, whereas large discrepancies were observed for intermediate colors such as light and dark brown. Hair distributed in four ranges of melanin concentration (the numerical estimate of color) showed no significant differences for concentration of Zn and Cu but showed a significantly higher (P less than 0.01) concentration for Zn:Cu in black hair than in the other color groups. Correlation between mineral content (Zn and Cu) and melanin was low and nonsignificant except for Zn in hair color ranging from 0-100 melanin units (r = -0.34, P less than 0.05). Discussion of these findings is presented regarding the importance of hair color change in children and estimation of mineral nutritional status.

A simplified method was used to analyze the diets of 31 poor families in the city of Ilhéus, Bahia, Brazil. The results are presented in terms of frequency of foods consumed, nutritional density and theoretical adequacy of the diet. Intrafamilial distribution of food intake was not considered in the analysis. Results show that the home diet was very limited in variety; only eight of the 46 items in the dietary frequency were consumed by 50% or more of the sample. Nutrient density was low for calcium, riboflavin, vitamin A and zinc. Energy density, as measured by the ratio of fat calories to protein calories (G/P) was 1.0, value considered nutritionally inadequate. Protein provided 16% of the energy and, of all nine nutrients analyzed, presented the highest levels of intake compared to recommended amounts. Theoretically, the groups at greater nutritional risk were women and children.