Assessing dietary intake among infants and toddlers 0–24 months of age in Baltimore, Maryland, USA

Sharma, Sangita; Kolahdooz, Fariba; Butler, Lauren; Budd, Nadine; Rushovich, Berenice; Mukhina, Galina L.; Gittelsohn, Joel; Caballero, Benjamı́n

doi:10.1186/1475-2891-12-52

Cited by 20 publications

(12 citation statements)

References 34 publications

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“…However, 24‐h recalls have been validated against weighed food records and shown to be accurate . They have been used previously in infant feeding research , although one review study found weighed food records to be the most accurate compared to the doubly‐labelled water method (a measurable biomarker) with respect to recording energy intake in younger children aged 6 months to 4 years of age .…”

Section: Discussionmentioning

confidence: 99%

Differences in dietary composition between infants introduced to complementary foods using Baby‐led weaning and traditional spoon feeding

Rowan

Lee

Brown

2018

J Human Nutrition Diet

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How to cite this article Rowan H., Lee M., Brown A. (2019) Differences in dietary composition between infants introduced to complementary foods using Babyled weaning and traditional spoon feeding. AbstractBackground: Baby-led weaning (BLW) is a method of introducing solid foods to infants, which centres around the infant self-feeding family foods. BLW has grown in popularity over the last 10 years; however, although research is starting to build around the safety and impact of the method, research examining intake is sparse. This is important because concerns have been raised by healthcare providers regarding the nutrient and energy sufficiency of BLW. The present study aimed to invstigate exposure to different food types based on different weaning approaches. Methods: One hundred and eighty parents completed a 24-h recall of the foods given to their babies aged 6-12 months. Respondents were split into those following strict BLW, loose BLW and traditional spoon-feeding. Recalls were examined to ascertain the number of times in 24 h infants were given different types of foods, including iron-containing foods. The results were then compared between different weaning groups and age groups. Results: Several significant differences were found between the frequency of foods eaten by different weaning and age groups: in the youngest age group, strict BLW infants were more likely to be exposed to vegetables (P = 0.000) and protein (P = 0.002) than traditionally weaned babies, whereas, at all age groups, the traditionally weaned group had the highest exposure to composite meals. However, no significant differences were found in reported exposure to iron-containing foods between weaning groups at any age. Maternal age, education and milk feeding method were controlled for throughout the analyses. Conclusions: The findings add to a growing body of evidence that suggest a BLW approach may be safe and sufficient. 11

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Section: Discussionmentioning

confidence: 99%

Differences in dietary composition between infants introduced to complementary foods using Baby‐led weaning and traditional spoon feeding

Rowan

Lee

Brown

2018

J Human Nutrition Diet

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“…Five percent of the toddlers had an intake above the upper limit of the acceptable macronutrient distribution range, which is 20 PE%. In a small recent study from Baltimore, MD, the mean (6SD) protein content in the diet of 7-to 12-mo-old infants was 9.7 6 2.8 PE% and 13.3 6 3.6 PE% in the 13-to 24-mo age group (8).…”

Section: Protein Content Of Foods For Infants and Toddlersmentioning

confidence: 99%

Protein needs early in life and long-term health

Michaelsen¹,

Greer²

2014

The American Journal of Clinical Nutrition

148

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The objective of this review was to summarize selected health aspects of protein intake during the first 2 y of life. During this period there is a marked increase in protein intake from an intake of ∼ 5% of energy from protein (PE%) in an exclusively breastfed infant to ∼ 15 PE% when complementary foods have been introduced. At this age, mean protein intake is ∼ 3 times as high as the physiologic requirement, but some children receive 4-5 times their physiologic requirement. Protein from cow milk constitutes a main part of protein intake in toddlers and seems to have a specific effect on insulin-like growth factor I concentrations and growth. Meat has a high protein content, but the small amounts of meat needed to ensure good iron status have less impact on total protein intake. The difference in protein intake between breastfed and formula-fed infants is likely to play a role in the difference between breastfed and formula-fed infants. There is emerging evidence that high protein intake during the first 2 y of life is a risk factor for later development of overweight and obesity. It therefore seems prudent to avoid a high protein intake during the first 2 y of life. This could be accomplished by decreasing the upper allowable limit of the protein content of infant formulas for the first year of life and limiting the intake of cow milk in the second year of life.

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“…The 24hDR is a common tool used in many studies to assess the dietary intake of infants and young children [28]. This tool is useful because of its short administration time and low need for respondent literacy.…”

Section: Assessment Of Dietary Intakementioning

confidence: 99%

Complementary feeding practices and nutrient intakes of children aged 6–24 months from Bangladeshi background living in Tower Hamlets, East London: a feasibility study

Jabri

Rosenthal

Benton

et al. 2020

J Health Popul Nutr

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Background: The aim of this study was to assess dietary intakes and complementary feeding practices of children aged 6-24 months who are from Bangladeshi ancestry and living in Tower Hamlets, London, and determine the feasibility of a larger, population-representative study. Methods: Questionnaires for demographic variables and feeding practices, and 24-h dietary recalls were administered to 25 mothers to determine whether it would be feasible to conduct a similar study on a representative sample size of the same population. Data from both tools were used to determine adequacy of complementary feeding practices through the WHO indicators and an infant and child feeding index score as well as overall macronutrient and micronutrient intake. Results: Four children had varying suboptimal complementary feeding practices: two children failed to achieve the minimum dietary diversity, one child was being fed cow's milk before the age of 1 year, and one scored 'poor' on the infant and child feeding index. Most notably, the mean protein intake (39.7 g/day, SD 18.2) was higher than RNIs for all age groups (P = 0.001). Vitamin D intake was below recommendations (P = 0.006) for the 12-24-month age group. For the 10-12-month age group, zinc intake fell below recommendations (P = 0.028). For the 6-9-month combined age group, iron and zinc intakes were below recommendations (P = 0.021 and P = 0.002, respectively). Conclusions: Given the feasibility of this study, the results obtained require a large-scale study to be conducted to confirm findings. Our initial results indicated that children from Bangladeshi heritage may not be meeting nutritional requirements; thus, a future intervention tailored to the needs of the Bangladeshi population may be required to improve aspects of complementary feeding practices and nutrient intakes of those children.

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Assessing dietary intake among infants and toddlers 0–24 months of age in Baltimore, Maryland, USA

Cited by 20 publications

References 34 publications

Differences in dietary composition between infants introduced to complementary foods using Baby‐led weaning and traditional spoon feeding

Differences in dietary composition between infants introduced to complementary foods using Baby‐led weaning and traditional spoon feeding

Protein needs early in life and long-term health

Complementary feeding practices and nutrient intakes of children aged 6–24 months from Bangladeshi background living in Tower Hamlets, East London: a feasibility study

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