Infant Appetite: From Cries to Cues and Responsive Feeding

Hetherington, Marion M.

doi:10.1007/978-3-030-14504-0_33

Cited by 4 publications

(1 citation statement)

References 46 publications

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“…Despite differences in vegetable intake, mothers in each group perceived their infant to like vegetables equally. Lack of agreement between mothers’ ratings of liking and other food acceptance measures (i.e., intake, researcher ratings) is often observed and attributed to response bias or the difficulty of interpreting infant cues ( 25 , 28 , 47 ). Nonetheless, mothers’ ratings of liking significantly correlated with all other vegetable acceptance measures.…”

Section: Discussionmentioning

confidence: 99%

Starting complementary feeding with vegetables only increases vegetable acceptance at 9 months: a randomized controlled trial

Rapson

Hurst

Hetherington

et al. 2022

The American Journal of Clinical Nutrition

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Background Starting complementary feeding (CF) with vegetables only may improve vegetable acceptance throughout childhood. Objectives We aimed to test whether exposure to vegetables only during the first 4 wk of CF increases later vegetable acceptance compared with a control group receiving fruit and vegetables. Methods In this randomized, controlled, parallel-group study, 117 Auckland infants received either vegetables only (veg-only, n = 61) or a combination of fruit and vegetables (control, n = 56) for a duration of 4 wk, starting from the first day of CF at ∼4–6 mo of age. The primary outcome measure was intake of target vegetables (broccoli, spinach) provided by the study at 9 mo of age. Daily intake of vegetables (FFQs) at 9 mo was a supporting measure. Infants’ iron status (serum ferritin, hemoglobin) was examined at all time points. Results The veg-only infants consumed more broccoli and spinach than controls [mean difference (95% CI): 11.83 (0.82, 22.84) g, P = 0.036 and 10.19 (0.50, 19.87) g, P = 0.039, respectively]. Intake of pear was comparable among intervention groups (P = 0.35). At 9 mo, veg-only infants consumed target vegetables at a faster rate [mean difference (95% CI): broccoli, 3.37 (1.26, 5.47), P = 0.002; spinach, 4.12 (0.80, 7.45), P = 0.016] and showed greater acceptance for target vegetables [mean difference (95% CI): broccoli, 0.38 (0.07, 0.70), P = 0.019; spinach, 032 (0.04, 0.60), P = 0.024] than controls. The rate of eating and acceptance of pear was comparable among intervention groups (P = 0.42 and P = 0.98, respectively). Also, veg-only infants consumed more vegetables than controls [86.3 (52.5, 146.3) compared with 67.5 (37.5, 101.3) g, respectively, P = 0.042]. Introducing vegetables as the first food was not associated with 9-mo iron status. Conclusions Providing vegetables as first foods increased vegetable intake at 9 mo of age and may be an effective strategy for improving child vegetable consumption and developing preferences for vegetables in infancy.

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Section: Discussionmentioning

confidence: 99%

Starting complementary feeding with vegetables only increases vegetable acceptance at 9 months: a randomized controlled trial

Rapson

Hurst

Hetherington

et al. 2022

The American Journal of Clinical Nutrition

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Caregivers’ Attention Toward, and Response to, Their Child's Interoceptive Hunger and Thirst Cues

Stevenson,

Serebro,

Mruk

et al. 2024

Developmental Psychobiology

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People can use their internal state to determine if they are hungry or thirsty. Although the meaning of some interoceptive cues may be innate (e.g., pain), it is possible that others—including those for hunger and thirst—are acquired. There has been little exploration of this idea in humans. Consequently, we conducted a survey among child caregivers to determine if the basic conditions necessary for interoceptive learning were present. Two‐hundred and thirty‐five caregivers of children aged 1–12 years were asked if they had recently noticed stomach rumbling, hunger‐related irritability, and a dry mouth in their child. They were also asked how they would respond. The impact of several moderating variables, especially caregiver beliefs about the causes of hunger, fullness, and thirst, was also explored. Fifteen percent of caregivers had recently noticed stomach rumbling in their child, 28% hunger‐related irritability, and 14% a dry mouth. Forty‐four percent of caregivers had noticed at least one of these three cues. Noticing hunger cues was significantly moderated by caregiver beliefs about their cause, by child age, and in one case by temporal context (around vs. outside mealtimes). Key caregiver responses were providing the need (e.g., offer food) and/or asking the child if they had a need (e.g., hungry?). Each type of response could potentially support a different form of interoceptive learning. In conclusion, we suggest the necessary conditions for children to learn interoceptive hunger and thirst cues, are present in many caregiver–offspring dyads.

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Improving Breastfeeding Environments and Feeding Practices in Family Child Care Homes with the Go NAP SACC Program

Kohel

Hatton-Bowers

Williams

et al. 2021

Matern Child Health J

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Infant Appetite: From Cries to Cues and Responsive Feeding

Cited by 4 publications

References 46 publications

Starting complementary feeding with vegetables only increases vegetable acceptance at 9 months: a randomized controlled trial

Starting complementary feeding with vegetables only increases vegetable acceptance at 9 months: a randomized controlled trial

Caregivers’ Attention Toward, and Response to, Their Child's Interoceptive Hunger and Thirst Cues

Improving Breastfeeding Environments and Feeding Practices in Family Child Care Homes with the Go NAP SACC Program

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