Content uploaded by Mohammad Moonis Akbar Faridi
Author content
All content in this area was uploaded by Mohammad Moonis Akbar Faridi on Dec 26, 2016
Content may be subject to copyright.
Effects of massage & use of oil on growth, blood flow & sleep pattern in infants
Abstract
The present study was undertaken to investigate if massage with oils commonly used in the community for massage in infancy is beneficial.
Full term born healthy infants (n = 125), 6 +/- 1 wk of age, wt > 3000 g were randomly divided into five groups. Infants received (i) herbal oil, (ii) sesame oil, (iii) mustard oil, or (iv) mineral oil for massage daily for 4 wk. The fifth group did not receive massage and served as control. The study tools were anthropometeric measurements; microhaematrocrit; serum proteins, creatinine and creatine phosphokinase; blood flow using colour doppler and sleep pattern.
Massage improved the weight, length, and midarm and midleg circumferences as compared to infants without massage. However, in the group with sesame oil massage increase in length, midarm and midleg circumferences by 1.0, 0.9 and 0.7 cm, respectively was significant (P < 0.05, < 0.01 & < 0.05). There was no change in microhaematocrit, serum: proteins, albumin, creatinine and creatine phosphokinase between both the groups. The femoral artery blood velocity, diameter and flow improved significantly by 12.6 cm/sec, 0.6 cm and 3.55 cm3/sec respectively in the group with sesame oil massage as compared to the control group. Massage improved the post massage sleep, the maximum being 1.62 h in the sesame oil group (P < 0.0001).
Massage in infancy improves growth and post-massage sleep. However, only sesame oil showed significant benefit.
... Most of the studies as shown in Table 4 documented the growth benefit of oil massage in preterm infants. [7][8][9][10][11][12] Only two studies included term neonates, Sankarnayanan et al and Agarwal et al. 7,9 Previous studies as shown in Table 4 did not mention KMC duration and AGA/SGA proportion of recruited babies. [7][8][9][10][11][12] Growth characteristics ...
... [7][8][9][10][11][12] Only two studies included term neonates, Sankarnayanan et al and Agarwal et al. 7,9 Previous studies as shown in Table 4 did not mention KMC duration and AGA/SGA proportion of recruited babies. [7][8][9][10][11][12] Growth characteristics ...
... All the studies discussed in Table 4 reported positive effects of oil massage on weight gain. except study conducted by Arora et al and Agarwal et al. [7][8][9][10][11][12] Study of Sankarnarayanan et al showed 10.99±2.57 g/kg/day weight gain among preterm babies in coconut oil massage group and it was significantly higher than in mineral oil massage group (9.02±2.13 ...
Background: Low birth weight (LBW) babies have more the risk of the neurological complications, physiological problems and mental retardation. Topical massage with natural oil is routinely practiced in India. The positive effects of massage are weight gain, improved sleep/wake pattern, decreased the stress, early discharge from the neonatal intensive care unit (NICU), improve the skin integrity and enhanced parent’s infant bonding.Methods:This prospective interventional randomised comparative study was conducted among 64 LBW babies at Paediatric department of Swami Dayanand hospital (SDH), Delhi. Out of which 31 were in intervention group and 33 were in control group. In the intervention group, mothers were encouraged to massage their babies with 10 ml of coconut oil for 15 min, twice a day until 10 days of life. Those allocated to the control group were received care as usual. Weight and head circumference was measured at enrolment and on day 11 in both the groups.Results: Basic characteristics of neonates of intervention and control group were almost similar. Mean weight gain in intervention group was 352.26±101.05 g while it was 209.70±124.66 g in control group (p=0.0001). Similarly mean weight gain velocity was significantly higher in intervention group (32.02±19.19 g/day) as compared to control group (19.09±11.33 g/day, p=0.0001).Conclusions:The present study supports significant increase in weight gain in LBW preterm and term neonates with coconut oil massage. Coconut oil is easily available in the market and it should be recommended to LBW babies for their better weight gain.
... In Asia, it is a common practice to massage a newborn with mustard oil and the oil massage has been found to improve blood flow, blood vessel diameter, and ultimately induce sleep, and increase the growth of the newborn [388,468]. ...
The Brassicaceae genus consists of many economically important mustards of value for food and medicinal purposes, namely Asian mustard (Brassica juncea), ball mustard (Neslia panicu-lata), black mustard (B. nigra), garlic mustard (Alliaria petiolata), hedge mustard (Sisymbrium offici-nale), Asian hedge mustard (S. orientale), oilseed rape (B. napus), rapeseed (B. rapa), treacle mustard (Erysimum repandum), smooth mustard (S. erysimoides), white ball mustard (Calepina irregularis), white mustard (Sinapis alba), and Canola. Some of these are commercially cultivated as oilseeds to meet the global demand for a healthy plant-derived oil, high in polyunsaturated fats, i.e., B. napus and B. juncea. Other species are foraged from the wild where they grow on roadsides and as a weed of arable land, i.e., E. repandum and S. erysimoides, and harvested for medicinal uses. These plants contain a diverse range of bioactive natural products including sulfur-containing glucosinolates and other potentially valuable compounds, namely omega-3-fatty acids, terpenoids, phenylpropanoids, flavonoids, tannins, S-methyl cysteine sulfoxide, and trace-elements. Various parts of these plants and many of the molecules that are produced throughout the plant have been used in traditional medicines and more recently in the mainstream pharmaceutical and food industries. This study relates the uses of mustards in traditional medicines with their bioactive molecules and possible mechanisms of action and provides an overview of the current knowledge of Brassicaceae oilseeds and mustards, their phytochemicals, and their biological activities.
... [76][77][78][79][80][81][82] An Indian study conducted on 125 healthy term infants displayed improvement in growth and post-massage sleep. 83 A randomized controlled study completed with 191 newborns (94 preterm, 97 term) in a Mumbai-based tertiary care center reported a significant increase in weight gain velocity in term neonates receiving massage with oil compared to the control group. 84 In addition, massage using oil has been shown to help lower cortisol levels, reducing stress behavior in babies. ...
Purpose:
Neonatal skin care practices guided by personal experience and preferences might be substantially different across different hospital settings. The aim of this consensus recommendation is to provide clinical practice guidance to healthcare practitioners on evidence-based neonatal skin care practices from delivery-to-discharge, in hospital settings.
Patients and methods:
A Scientific Advisory Board meeting on "Evidence-based Neonatal Skin Care Practices and Protocols" was held in December 2020 with an expert panel comprising neonatologists, pediatricians, obstetricians and gynecologists and pediatric dermatologist. Comprehensive literature search was performed up to 23 March 2021 using PubMed and Google Scholar to retrieve relevant evidence.
Results:
Recommendations were developed on critical aspects of skin care in healthy full-term neonates including cleansing at birth, skin-to-skin care, cord care, diaper area care, initial and routine bathing, cleansers and emollients use, and criteria to choose appropriate skin care products. Recommendations include inclusion of skin assessment in routine neonatal care, first bath timing after cardio-respiratory and thermal stabilization, 6-24 hours after birth; bathing with water alone or adding a mild liquid cleanser could be considered appropriate as it does not impact the developing skin barrier; use of emollients is recommended for neonates with higher risk of development of eczema to maintain and enhance skin barrier function and integrity; and inclusion of skin care advice in neonatal discharge checklist. Importance of rigorous quality control, high-quality clinical trials for assessment of baby products, usage of products that are formulated appropriately for newborns, and full label transparency for baby products were highlighted. The panel identified gaps in literature and discussed the scope for future research.
Conclusion:
These recommendations may help to standardize evidence-based skin care for healthy full-term neonates in Indian hospital settings to improve the quality of care that neonates receive in hospital and facilitate improvement in overall neonatal health outcomes.
... Many of these studies have been conducted on preterm infants [67][68][69][70][71][72][73]. An Indian study conducted on 125 healthy term infants displayed improvement in growth and post-massage sleep [74]. A randomized controlled study completed with 191 newborns (94 preterm, 97 term) in a Mumbai-based tertiary care center reported a signi cant increase in weight gain velocity in term neonates receiving massage with oil compared to the control group [75]. ...
Background: Neonatal skin care practices that are often guided by personal experience and preferences result in substantial variation in the practices being followed across hospital settings. The objective of this consensus recommendations was to provide guidance to health care practitioners on evidence-based neonatal skin care practices for adoption in hospitals: from delivery to discharge.
Methods: A Scientific Advisory Board meeting on “Evidence-based Neonatal Skin Care Practices and Protocols” was held in December 2020 with an expert panel comprising neonatologists, pediatricians, obstetricians and gynaecologists and a pediatric dermatologist were invited. A comprehensive literature search was performed using the PubMed and Google Scholar databases to source relevant evidence.
Results: Recommendations were developed on critical aspects of skin care in healthy full-term neonates, including cleansing at birth, skin-to-skin care, cord care, diaper area care, initial and routine bathing, use of cleansers and emollients, and the criteria to choose appropriate skin care products. The newborn’s first bath should occur only once cardiorespiratory and thermal stability have been achieved, anywhere between 6 to 24 hours after birth. Bathing with water alone or water with a mild liquid cleanser demonstrated appropriate for newborn does not impact the developing skin barrier. The use of emollients to maintain and enhance skin barrier function was encouraged for neonates with risk factors that can affect skin barrier integrity. Skin assessment should become an integral part of routine neonatal care. Skin Care Advice with “Do’s and Don’ts” should be a part of the neonatal discharge checklist. The importance of rigorous quality control, high-quality clinical trials to evaluate the safety and efficacy of baby products, usage of products that contain only ingredients and which are formulated appropriately for newborn babies, and full label transparency for baby products were highlighted. The panel further identified gaps in the existing literature and discussed the scope for future research.
Conclusions: The consensus recommendations may help standardize evidence-based skin care for healthy full-term neonates in Indian hospital settings. This may also improve the quality of care that the neonates receive in the hospital and facilitate improvement in overall neonatal health outcomes.
... The majority has reported increased weight gain in those infants massaged daily for a short period of weeks compared to controls. This has been observed in premature infants (Agarwal et al., 2000;Mathai et al., 2001;Arora et al., 2005;Sankaranarayanan et al., 2005) and healthy babies born at term (Sankaranarayanan et al., 2005), with one study reporting improved neurobehavioral outcomes also (Mathai et al., 2001). All these studies taught the massage technique to mothers to deliver as part of the study procedure and none assessed frequency of naturally occurring infant stroking between mother and infant. ...
Differences in infant caregiving behavior between cultures have long been noted, although the quantified comparison of touch-based caregiving using uniform standardized methodology has been much more limited. The Parent-Infant Caregiving Touch scale (PICTS) was developed for this purpose and programming effects of early parental tactile stimulation (stroking) on infant hypothalamic-pituitary adrenal (HPA)-axis functioning (stress-response system), cardiovascular regulation and behavioral outcomes, similar to that reported in animals, have now been demonstrated. In order to inform future studies examining such programming effects in India, we first aimed to describe and examine, using parametric and non-parametric item-response methods, the item-response frequencies and characteristics of responses on the PICTS, and evidence for cross-cultural differential item functioning (DIF) in the United Kingdom (UK) and India. Second, in the context of a cultural favoring of male children in India, we also aimed to test the association between the sex of the infant and infant “stroking” in both cultural settings. The PICTS was administered at 8–12 weeks postpartum to mothers in two-cohort studies: The Wirral Child Health and Development Study, United Kingdom (n = 874) and the Bangalore Child Health and Development Study, India (n = 395). Mokken scale analysis, parametric item-response analysis, and structural equation modeling for categorical items were used. Items for two dimensions, one for stroking behavior and one for holding behavior, could be identified as meeting many of the criteria required for Mokken scales in the United Kingdom, only the stroking scale met these criteria in the sample from India. Thus, while a comparison between the two cultures was possible for the stroking construct, comparisons for the other non-verbal parenting constructs within PICTS were not. Analyses revealed higher rates of early stroking being reported for the United Kingdom than India, but no sex differences in rates in either country and no differential sex difference by culture. We conclude that PICTS items can be used reliably in both countries to conduct further research on the role of early tactile stimulation in shaping important child development outcomes.
Effect of tactile and auditory stimulation on physiological parameters among preterm neonates
This study was aimed at using bioinformatics tools to characterize the Lipid Transfer Protein 1 gene in some selected accessions with special reference to Benny seed (Sesamum indicum) Lipid Transfer Protein 1 sequence as a query sequence. Nucleotide and amino acid sequences of 30 accessions were retrieved from NCBI database and analyzed for homology, physicochemical properties, motifs, GC content as well as phylogenetic relationships. Results showed that nucleotide and amino acid sequence lengths of this gene among the selected accessions differs. Its nucleotide length varied between 599–8461bp, while the amino acids sequence varied between 96–355 residues, Molecular weight range from 10008.77-35532.61daltons. With Sesamum indicum having the lowest molecular weight and Physcomitrium patens having the highest molecular weight. Result on the Theoretical PI was above 4.61 for all the amino acid sequences of Lipid Transfer Protein 1 gene in the selected accessions. It was observed that the total number of negatively charged residues ranged from 1-20. The instability index and aliphatic index ranged from 20.23–69.39, 73.48–102.24 respectively. Some of the proteins are stable, while twelve were considered unstable following the results for instability index. Extinction coefficient was highest for Sesamum indicum (14480). Daucus carota subsp. Sativus (-0213) is the only accessions with a negative GRAVY. The motifs N-glycosylation site, Plant lipid transfer proteins signature, N-myristoylation site, Casein kinase II phosphorylation site, Protein kinase C phosphorylation site were the most common across the selected accessions. GC content analysis revealed that it ranged from ranged from 29.73–54.55%. Analysis of the secondary structure of the amino acid sequences of the Lipid Transfer Protein 1 gene showed that the region covered by random coil was the highest in the sequences compared to alpha helix and extended strand. Alpha helix ranges from 33.11-54.31%, the extended strands ranged from 9.17–15.13%, while the random coil ranges from 32.77–51.16% across the accessions. Following the results of the present study, it can be concluded that Lipid Transfer Protein 1 gene sequence of Sesamum indicum is closely related to Lipid Transfer Protein 1 gene in Brachypodium distachyon and distant to that in Glycine max, Vigna unguiculata, Capsicum annum.
Purpose: To evaluate the effectiveness of tactile & auditory stimulation on physiological parameters weight, temperature, heart rate, respiratory rate, oxygen saturation, feeding pattern, sleeping hours, crying spells and urination among preterm neonates. Material and Methods: A quantitative research approach with true experimental research design was adopted for this study Samples: 120 preterm neonates who got admission and present in the NICU or postnatal unit of KKMCH, who satisfied inclusion criteria. Tool: The tool was developed, validated by experts and checked for its reliability Sample Size: Open Epi, Version 3, open source calculator Sample Size for Comparing Two Means from pilot study. Total sample size 120. Among them 60 preterm neonates were assigned to experimental group and control group each randomly. Statistical analysis used: Demographic data using frequency and percentage distribution. Physiological parameters were analyzed by using mean, standard deviation, paired T test. Structured interview schedule by Chi Square test. Association by Multiple Logistic Regression. Findings: Out of 120 preterm neonates, 48.3 % males, 51.7 % females and 42.5 % Hindus, 52.5% Christians and 5 % Muslims. Gestational age 18.33 % between 28 – 30 weeks, 40 % between 31 – 33 weeks and 41.67 % between 34 – 36 weeks. The paired difference of mean in pre term neonates on post - intervention 3rd day and 5th day in experimental and control group in weight gain were 109.83, 176.33 grams & 78.16, 118.33 grams, temperature were 0.270, 0.870Celsius & 0.150, 0.310 Celsius, heart rate were 10.17, 9.30 & 4.63, 3.93 beats/ minute , respiratory rate were 5.70, 11.23 & 3.00 , 5.80 breaths / minute ,mean oxygen saturation were 2.47, 4.65% & 1.12, 2.23 % . The .mean pre intervention Vs post intervention on 5th day among over all physiological parameter consists of structured interview schedule in experimental group and control group includes increased feeding pattern by 50% and 11.7% (X2 = 26.612), increased sucking pattern by 55% and 10% (X2 = 30.572), increased duration per sleep by 68.3% and 5% (X2 = 56.885), increased sleeping pattern by 61.7% and 6.7% (X2 = 43.364), decreased crying pattern by 60% and 1.7% (X2 = 48.553) and increased urination pattern by 73.3% and 6.7% (X2 = 58.989) than control group. The present study findings concluded that the tactile and auditory stimulation had positive effects on growth and maturation in preemies. It can be used in any clinical and community settings to maintain the physiological parameters among preterm neonates. Implications to Theory, Practice and Policy: Since massage therapy is a cost effective therapeutic technique it should be encouraged in all community especially rural poor pre term babies. Health education about massage & music therapies should be given to NICU nurses, staff nurses, village health nurses, Auxiliary nurse midwife in order to promote these therapies as a routine care in the management of preterm neonates & low birth weight babies.
This study was aimed at using bioinformatics tools to characterize the Lipid Transfer Protein 1 gene in some selected accessions with special reference to Benny seed ( Sesamum indicum) Lipid Transfer Protein 1 sequence as a query sequence. Nucleotide and amino acid sequences of 30 accessions were retrieved from NCBI database and analyzed for homology, physicochemical properties, motifs, GC content as well as phylogenetic relationships. Results showed that nucleotide and amino acid sequence lengths of this gene among the selected accessions differs. Its nucleotide length varied between 599–8461bp, while the amino acids sequence varied between 96–355 residues, Molecular weight range from 10008.77–35532.61daltons. With Sesamum indicum having the lowest molecular weight and Physcomitrium patens having the highest molecular weight. Result on the Theoretical PI was above 4.61 for all the amino acid sequences of Lipid Transfer Protein 1 gene in the selected accessions. It was observed that the total number of negatively charged residues ranged from 1–20. The instability index and aliphatic index ranged from 20.23–69.39, 73.48–102.24 respectively. Some of the proteins are stable, while twelve were considered unstable following the results for instability index. Extinction coefficient was highest for Sesamum indicum (14480). Daucus carota subsp. Sativus (-0213) is the only accessions with a negative GRAVY. The motifs N-glycosylation site, Plant lipid transfer proteins signature, N-myristoylation site, Casein kinase II phosphorylation site, Protein kinase C phosphorylation site were the most common across the selected accessions. GC content analysis revealed that it ranged from ranged from 29.73–54.55%. Analysis of the secondary structure of the amino acid sequences of the Lipid Transfer Protein 1 gene showed that the region covered by random coil was the highest in the sequences compared to alpha helix and extended strand. Alpha helix ranges from 33.11–54.31%, the extended strands ranged from 9.17–15.13%, while the random coil ranges from 32.77–51.16% across the accessions. Following the results of the present study, it can be concluded that Lipid Transfer Protein 1 gene sequence of Sesamum indicum is closely related to Lipid Transfer Protein 1 gene in Brachypodium distachyon and distant to that in Glycine max, Vigna unguiculata, Capsicum annum.
Objective: The purpose of this study was to evaluate efficacy of kshirbala taila abhynaga on growth parameters (length, height, head circumference and skin fold thickness) gain velocity of LBW. Materials and Methods: A randomized clinical trial study was conducted on LBW neonates whom were admitted to bharti hospital Hospital, pune. Neonates were randomly assigned to two groups. In group one, 15 neonates were received abhyanga one times in a day for consecutive 45 days by their mothers. In group two, intervention consisted of standard and routine care as control group. The primary endpoints were efficacy in increase of mean of weight, height and head circumference that were evaluated 45 days after intervention, at ages one and two months. Secondary outcome was clinical side effects. Results: In the body massage group, only weight at the age of two months was significantly higher than the control group (mean±SD: 3250±305 vs. 2948±121 gr, p=0.005). No adverse events were seen in the two groups. Conclusion: Body massage might be used as an effective and safe non-medical intervention for increasing of weight gain velocity in LBW preterm neonates.
The effects of a 1-h whole body massage on blood parameters were studied in nine healthy male volunteers. The venous blood samples were drawn just before treatment, immediately after, and after 2, 24, and 48 h. The parameters measured were blood leukocyte and erythrocyte counts, hemoglobin concentration, hematocrit, red cell indices, the activities of serum creatine kinase, lactate dehydrogenase and their isoenzymes, and the concentrations of serum sodium, potassium, total protein, haptoglobin, growth hormone, prolactin, cortisol, and plasma corticotropin. Decreases in serum haptoglobin concentrations suggested slight hemolysis. The rises in the activities of creatine kinase, lactate dehydrogenase, and its isoenzymes LDH4 and LDH5 and in the concentrations of serum potassium are indicative of increased permeability of the muscle cells. No statistically significant changes were seen for the other parameters. There were large individual variabilities in the hormone concentrations after massage, but some trends could be seen.