Filling the gap: Weaning practices of children aged 0–2 years in western metropolitan Melbourne

Va, Graham; Gibbons, Kay; Marraffa, Catherine; Henry, L; Myers, Judith

doi:10.1046/j.1440-1754.1998.00288.x

Cited by 10 publications

(6 citation statements)

References 23 publications

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“…The study also revealed gaps in knowledge regarding good infant feeding practices, a finding which has been previously reported[43]. Parents also perceived gaps and inconsistencies in the information they received from health professionals.…”

Section: Discussionsupporting

confidence: 67%

Parents' beliefs about appropriate infant size, growth and feeding behaviour: implications for the prevention of childhood obesity

et al. 2010

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BackgroundA number of risk factors are associated with the development of childhood obesity which can be identified during infancy. These include infant feeding practices, parental response to infant temperament and parental perception of infant growth and appetite. Parental beliefs and understanding are crucial determinants of infant feeding behaviour; therefore any intervention would need to take account of their views. This study aimed to explore UK parents' beliefs concerning their infant's size, growth and feeding behaviour and parental receptiveness to early intervention aimed at reducing the risk of childhood obesity.MethodSix focus groups were undertaken in a range of different demographic localities, with parents of infants less than one year of age. The focus groups were audio-recorded, transcribed verbatim and thematic analysis applied using an interpretative, inductive approach.Results38 parents (n = 36 female, n = 2 male), age range 19-45 years (mean 30.1 years, SD 6.28) participated in the focus groups. 12/38 were overweight (BMI 25-29.99) and 8/38 obese (BMI >30). Five main themes were identified. These were a) parental concern about breast milk, infant contentment and growth; b) the belief that the main cause of infant distress is hunger is widespread and drives inappropriate feeding; c) rationalisation for infants' larger size; d) parental uncertainty about identifying and managing infants at risk of obesity and e) intentions and behaviour in relation to a healthy lifestyle.ConclusionsThere are a number of barriers to early intervention with parents of infants at risk of developing obesity. Parents are receptive to prevention prior to weaning and need better support with best practice in infant feeding. In particular, this should focus on helping them understand the physiology of breast feeding, how to differentiate between infant distress caused by hunger and other causes and the timing of weaning. Some parents also need guidance about how to recognize and prepare healthy foods and facilitate physical activity for their infants.

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Section: Discussionsupporting

confidence: 67%

Parents' beliefs about appropriate infant size, growth and feeding behaviour: implications for the prevention of childhood obesity

et al. 2010

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“…Cow's milk was the main drink for 28% of infants by 12 months in Graham et al's study in the wester n metropolitan region of Melbourne, 16 while 27% were consuming cow's milk in this study. As the introduction of cow's milk prior to 12 months predisposes a child to iron deficiency, parents need further advice about the timing of the introduction of cow's milk.…”

Section: Discussioncontrasting

confidence: 44%

The introduction of breast milk substitutes and solid foods: evidence from the 1995 National Health Survey

Donath

Amir

2002

Australian and New Zealand Journal of Public Health

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Objective: To report the introduction of breast milk substitutes and solid foods to Australian children between 1992 and 1995. Methodology: Analysis of data from the 1995 Australian National Health Survey Infant feeding questions were asked by personal interview in respect to 3,252 children aged under four years of age. Results: By the age of 26 weeks, the majority of children had been given infant formula (56.9%) and solid food (61.5%). More than one‐quarter (27.1%) of children received cow's milk regularly during the first 12 months Only 7% of children were given solids in the first 12 weeks of life. Soy milk was given to 14.2% of children aged less than four years. Conclusion: The majority of children in Australia are not being exclusively breastfed for six months as recommended by the World Health Organization (WHO). The intake of cow's milk before 12 months of age and the timing of introduction of solids needs to be monitored. Future surveys should collect more detail about type of infant formula so that the proportion of infants receiving soy‐based formula and other formula can be assessed.

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“…found that the average age for the introduction of cows milk was 10.3 months, although some ethnic groups introduced it earlier. In PIFS II the median age of introduction of cows milk was 41.5 weeks, almost exactly the same as reported in the Victorian study of 1998 17 . The NHMRC has recommended against the use cows milk before the age of 12 months in both the 1995 and 2003 children’s dietary guidelines.…”

Section: Discussionsupporting

confidence: 68%

Infants who drink cows milk: A cohort study

Binns

Graham

Jordan

et al. 2007

J Paediatrics Child Health

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Filling the gap: Weaning practices of children aged 0–2 years in western metropolitan Melbourne

Cited by 10 publications

References 23 publications

Parents' beliefs about appropriate infant size, growth and feeding behaviour: implications for the prevention of childhood obesity

Parents' beliefs about appropriate infant size, growth and feeding behaviour: implications for the prevention of childhood obesity

The introduction of breast milk substitutes and solid foods: evidence from the 1995 National Health Survey

Infants who drink cows milk: A cohort study

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