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This study compared the dietary intake, micronutrient composition of breastmilk, and growth of HEU and HIV\u2010unexposed\u2010uninfected (HUU) infants aged 6 and 12 months in an urban setting. A repeated cross\u2010sectional study used structured questionnaires to collect socio\u2010demographic, dietary intake, food group data, and anthropometric measurements in the Siyakhula study. The HEU (48%) and HUU (52%) infants were included (total <jats:italic>n<\/jats:italic>\u2009=\u2009181). At 6 months, HEU infants had lower weight\u2010for\u2010age z\u2010scores (WAZ) (\u22120.6\u2009\u00b1\u20091.1 vs. 0.1\u2009\u00b1\u20091.2; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), length\u2010for\u2010age z\u2010scores (\u22120.8\u2009\u00b1\u20091.4 vs. \u22120.1\u2009\u00b1\u20091.2; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), and mid\u2010upper\u2010arm circumference\u2010for\u2010age z\u2010scores (MUACAZ) (0.5\u2009\u00b1\u20091.1 vs. 1.0\u2009\u00b1\u20090.9; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) than HUU infants. At 12 months, HEU infants had lower WAZ, MUACAZ, and weight\u2010for\u2010length z\u2010scores compared to HUU infants (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). Stunting was found at 6 (15%) and 12 (12%) months in HEU infants. The micronutrient composition of breastmilk fed to both groups was similar. Breastfeeding rates were lower in HEU than in HUU infants at 6 (49% vs. 64%; <jats:italic>p<\/jats:italic>\u2009=\u20090.005) and 12 (24% vs. 46%; <jats:italic>p<\/jats:italic>\u2009=\u20090.002) months. Less than 3% of HEU and HUU infants achieved minimal dietary diversity scores at 12 months. Dietary intake of fat was similar in all breastfed infants, but iron and vitamin B12 were higher in non\u2010breastfed HEU infants at 12 months. HEU infants had lower breastfeeding rates than HUU infants. A lack of dietary diversity was found in all infants. Nutrition education and counselling in the complementary feeding phase are essential for optimal growth.<\/jats:p>","DOI":"10.1111\/mcn.13740","type":"journal-article","created":{"date-parts":[[2024,10,14]],"date-time":"2024-10-14T07:28:30Z","timestamp":1728890910000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Dietary intake and growth of HIV exposed and unexposed 6\u201312 months old infants in South Africa"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8271-8192","authenticated-orcid":false,"given":"Phumudzo","family":"Tshiambara","sequence":"first","affiliation":[{"name":"Department of Human Nutrition Faculty of Health Sciences University of Pretoria Pretoria South Africa"},{"name":"Department of Consumer and Food Sciences Faculty of Natural and Agricultural Sciences University of Pretoria Pretoria South Africa"},{"name":"Research Centre for Maternal, Fetal, Newborn and Child Health Care Strategies University of Pretoria Pretoria South Africa"},{"name":"Research Unit for Maternal and Infant Health Care Strategies, South African Medical Research Council Cape Town South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marinel","family":"Hoffman","sequence":"additional","affiliation":[{"name":"Department of Consumer and Food Sciences Faculty of Natural and Agricultural Sciences University of Pretoria Pretoria South Africa"},{"name":"Research Centre for Maternal, Fetal, Newborn and Child Health Care Strategies University of Pretoria Pretoria South Africa"},{"name":"Research Unit for Maternal and Infant Health Care Strategies, South African Medical Research Council Cape Town South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Legodi","sequence":"additional","affiliation":[{"name":"Department of Human Nutrition and Dietetics Sefako Makgatho Health Sciences University Ga\u2010Rankuwa South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusentha","family":"Balakrishna","sequence":"additional","affiliation":[{"name":"Biostatistics Research Unit, South African Medical Research Council Durban South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ute","family":"Feucht","sequence":"additional","affiliation":[{"name":"Research Centre for Maternal, Fetal, Newborn and Child Health Care Strategies University of Pretoria Pretoria South Africa"},{"name":"Research Unit for Maternal and Infant Health Care Strategies, South African Medical Research Council Cape Town South Africa"},{"name":"Department of Paediatrics Faculty of Health Sciences University of Pretoria Pretoria South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,14]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/cdn\/nzz072"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2018.06.010"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu13020303"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12517"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-3955(05)70287-X"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.3945\/jn.113.182527"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnesp.2018.08.019"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1079\/phn2004685"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12146"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu14163396"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12901"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.7189\/jogh.06.020405"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/ejcn.2015.162"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/advances\/nmy017"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12503"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0b013e3282f2aac3"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.3345\/cep.2020.00059"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-015-0489-2"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajhb.23308"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-13-S3-S13"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/11786388211072768"},{"key":"e_1_2_10_23_1","volume-title":"Krause's food & the nutrition care process\u2010e\u2010book","author":"Mahan L. 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