ArticleBMJ open2022
How do high ambient temperatures affect infant feeding practices? A prospective cohort study of postpartum women in Bobo-Dioulasso, Burkina Faso.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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17 citing papers in PubMed, 33 citations in OpenAlex.
- Ambient temperature and exclusive breastfeeding: a nationwide cohort study in Brazil.International journal of epidemiology · 2026Article
- Intersection of Climate and Environmental Change and Priority Health Outcomes Across the Life Course: Working Group 1 Report from the "Agriculture and Diet: Value Added for Nutrition, Translation, and Adaptation in a Global Ecology" (ADVANTAGE) Project.Advances in nutrition (Bethesda, Md.) · 2026Review
- Reducing extreme heat impacts on health in pregnant women and infants: a community based intervention in Kilifi, Kenya.Health policy and planning · 2025Article
- Intervention co-design to reduce the impact of heat exposure on pregnant and postpartum women and newborns in Burkina Faso.Health policy and planning · 2025Article
- Assessment of heatwave impacts on child feeding practices across 36 low-income and middle-income countries: a cross-sectional analysis.The Lancet. Planetary health · 2025Article
- Article
- Climate change, evolution, and reproductive health: The impact of water insecurity and heat stress on pregnancy and lactation.Evolution, medicine, and public health · 2025Review
- Study protocol for the Bio-HEAT study: Investigating the Biological pathways from HEAT exposure to preterm birth and other adverse maternal and child health outcomes in South Africa.Wellcome open research · 2025Article
- Impact of Heat on Birth Outcomes and Child Nutrition: Study Protocol using the CIDACS Birth Cohort.Wellcome open research · 2025Article
- Offspring's exposome: a narrative review on the influence of early-life factors on childhood obesity risk.Frontiers in nutrition · 2025Review
- Endocrine effects of heat exposure and relevance to climate change.Nature reviews. Endocrinology · 2024Review
- Climate change and health in the Sahel: a systematic review.Royal Society open science · 2024Review
- Extreme heat, pregnancy and women's well-being in Burkina Faso: an ethnographical study.BMJ global health · 2024Article
- Too hot to thrive: a qualitative inquiry of community perspectives on the effect of high ambient temperature on postpartum women and neonates in Kilifi, Kenya.BMC pediatrics · 2024Article
- Process and outputs from a community codesign workshop on reducing impact of heat exposure on pregnant and postpartum women and newborns in Kilifi, Kenya.Frontiers in public health · 2023Article
- The impact of climate change on maternal and child health outcomes in sub-Saharan Africa: A five-year (2020-2024) scoping review.The journal of climate change and healthReview
- Towards youth-inclusive strategies for research on climate change and health in sub-saharan Africa.The journal of climate change and healthArticle
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Authors and funding
12 authors at 7 institutions in 7 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the effects of high ambient temperature on infant feeding practices and childcare.
designSecondary analysis of quantitative data from a prospective cohort study.
settingCommunity-based interviews in the commune of Bobo-Dioulasso, Burkina Faso. Exclusive breastfeeding is not widely practised in Burkina Faso.
participants866 women (1:1 urban:rural) were interviewed over 12 months. Participants were interviewed at three time points: cohort entry (when between 20 weeks' gestation and 22 weeks' postpartum), three and nine months thereafter. Retention at nine-month follow-up was 90%. Our secondary analysis focused on postpartum women ( EXPOSURE: Daily mean temperature (°C) measured at one weather station in Bobo-Dioulasso. Meteorological data were obtained from publicly available archives (TuTiempo.net). PRIMARY OUTCOME MEASURES: Self-reported time spent breastfeeding (minutes/day), exclusive breastfeeding of infants under 6 months (no fluids other than breast milk provided in past 24 hours), supplementary feeding of infants aged 6-12 months (any fluid other than breast milk provided in past 24 hours), time spent caring for children (minutes/day).
resultsThe population experienced year-round high temperatures (daily mean temperature range=22.6°C-33.7°C). Breastfeeding decreased by 2.3 minutes/day (95% CI -4.6 to 0.04,
conclusionsWomen spent considerably less time breastfeeding (~25 minutes/day) during the hottest, compared with coolest, times of the year. Climate change adaptation plans for health should include advice to breastfeeding mothers during periods of high temperature.
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