Infant feeding practices and determinant variables for early complementary feeding in the first 8 months of life: results from the Brazilian MAL-ED cohort site

Maciel, Bruna Leal Lima; Moraes, ML; Soares, A; Cruz, I.De Gispert; Andrade, Mir de; Filho, JQ; Junior, FS; Costa, Priscila Nunes; Abreu, CB; Ambikapathi, Ramya; Guerrant, R L; Caulfield, Laura E.; Lima, Aldo A. M.

doi:10.1017/s136898001800099x

Cited by 28 publications

(29 citation statements)

References 42 publications

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“…Several studies show that the exposure to a greater variety of flavors, during breastfeeding, can facilitate the acceptance of new foods during complementary food introduction and it is also expected that breastfeeding mothers will be more likely to encourage healthy foods consumption [1,14,15]. Still, some studies relate healthy feeding indicators to other socioeconomic factors, including income and education [4,32], which might play a more important role in our study when compared to breastmilk intake.…”

Section: Discussionmentioning

confidence: 91%

“…During the first 1000 days of life following birth, healthy feeding practices are associated with the reduction of morbidity and mortality in childhood [1]. During the first 6 months of life, breastmilk is enough to supply all of the child's nutritional requirements and after this period, breastfeeding, along with opportune and adequate complementary feeding, contribute to establishing healthy eating habits and are related to repercussions for lifetime health [2][3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

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Breastfeeding reduces ultra-processed foods and sweetened beverages consumption among children under two years old

et al. 2020

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Background: Breastfeeding and adequate complementary feeding are associated with healthy eating habits, prevention of nutritional deficiencies, obesity and non-communicable diseases. Our aim was to identify feeding practices and to evaluate the association between breastmilk intake and complementary feeding, focusing on ultraprocessed foods (UPF) and sweetened beverages, among children under 2 years old. Methods: We conducted a cross-sectional study including 847 children from 20 Primary Health Units. We evaluated children's food consumption using a food intake markers questionnaire. We conducted a logistic regression to evaluate the effect of breastmilk intake on feeding practices. Results: The breastmilk intake was associated with lower odds of consuming non-recommended foods, such as cookies or crackers (OR: 0.29; IC 95%: 0.20-0.41) for children under 6 months, yogurt (OR: 0.33; CI 95%: 0.12-0.88) for children between 6 and 12 months and soft drinks (OR: 0.36; CI 95%: 0.17-0.75) for children between 12 and 24 months. Moreover, the breastmilk intake was associated with lower odds of consuming UPF (OR: 0.26; CI 95%: 0.09-0.74) and sweetened beverages (OR: 0.13; CI 95%: 0.05-0.33) for children under 6 months. For children between 12 and 24 months, breastmilk intake was associated with lower odds of consuming sweetened beverages (OR: 0.40; CI 95%: 0.24-0.65). Conclusion: Breastmilk intake was associated with a reduced consumption of UPF and sweetened beverages. Investment in actions to scale up breastfeeding can generate benefits, besides those of breastmilk itself, translating into better feeding habits and preventing health problems in childhood.

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Section: Discussionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Breastfeeding reduces ultra-processed foods and sweetened beverages consumption among children under two years old

et al. 2020

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“…These findings are comparable with previous studies. In Northeast Brazil, a birth cohort study showed that 96•7 % of the children receive any liquid, semi-solid or solid before 6 months of age (3) . Likewise, in the Southampton Women's Survey from UK, 95 % of the mothers introduced solid foods to their infants before 6 months of age (27) .…”

Section: Discussionmentioning

confidence: 99%

Introduction to complementary feeding in the first year of life and risk of overweight at 24 months of age: changes from 2004 to 2015 Pelotas (Brazil) Birth Cohorts

et al. 2020

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Complementary feeding (CF) and overweight relationships during early childhood are inconsistent in the literature. We described the association of CF during the first year of life with risk of overweight at 24 months of age in the population-based 2004 and 2015 Pelotas (Brazil) Birth Cohorts (2004c and 2015c). CF introduction was evaluated at the 3 and 12 months’ follow-ups by asking mothers using a list of foods. Risk of overweight at 24 months of age was BMI-for-age z-score above +1sd from the median of the WHO 2006 growth standards. Our analyses included 3823 (2004c) and 3689 (2015c) children. Early introduction CF (before 6 months of age) prevalence in 2004c was 93·3 (95 % CI 92·5, 94·1) % and in 2015c was 87·2 (95 % CI 86·1, 88·2) %. Tea was the item introduced earlier in both 2004c (68·8 %) and 2015c (55·7 %). At 6 months of age, vegetable mash was the most introduced food in 2004c (33·5 %) and 2015c (47·9 %). Between 2004c and 2015c, the introduction of fresh milk decreased 82·1 to 60·5 % and yogurt from 94·4 to 78·1 % during the first year. Risk of overweight prevalence at 24 months was 33·0 (95 % CI 31·6, 34·5) % in 2004c and 32·0 (95 % CI 30·5, 33·5) % in 2015c. In 2015c, the adjusted odds of risk of overweight at 24 months were increased 1·66 and 1·50 times with the early introduction of fresh/powdered milk: plus water, tea or juice, and plus semi-solid/solid food groups, respectively. It is essential to reinforce the adherence to global recommendations on timely feeding introduction and encourage exclusive breast-feeding until 6 months of age to prevent child overweight.

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“…IYCF practice was associated with the household's financial resources (Ahishakiye et al, 2019;Helle, Hillesund, & Overby, 2018;G. N. Khan et al, 2017;Maciel et al, 2018;Na, Aguayo, Arimond, Narayan, & Stewart, 2018b) and urban-rural location (Nguyen et al, 2018;Tassew et al, 2019). It implies that wealth and living in urban areas determine the ease of accessing resources to meet child's adequate feeding practice.…”

Section: Discussionmentioning

confidence: 99%

Indonesia Infant and Young Child Feeding Practice: The Role of Women’s Empowerment in Household Domain

Puspitasari¹,

Gayatri²

2020

GJHS

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Previous studies showed the significant association between women’s empowerment and infant and young child feeding (IYCF) practice. Only around 40% of Indonesian children met adequate IYCF practice. Hence, each dimension of women’s empowerment in the household domain must be explored. We carried out a dataset of the 2017 Indonesia Demographic and Health Survey, with samples of 4,880 mothers of reproductive age in a marriage relationship with their last-born child aged 6-23 months. Logistic regression was applied. Mother with legal asset ownerships had lower odds of her child meeting (aOR: 0.83; 95% CI: 0.72, 0.95) minimum dietary diversity (MDD), (aOR: 0.75; 95% CI: 0.65, 0.87) minimum meal frequency (MMF) and (aOR: 0.74; 95% CI: 0.61, 0.90) minimum acceptable diet (MAD). Mother who could control her own earnings had higher odds of her child meeting MDD (aOR: 1.52; 95% CI: 1.32, 1.74) and MAD (aOR: 1.62; 95% CI: 1.34, 1.94). Employed mother had higher odds of meeting MMF (aOR: 1.58; 95% CI: 1.38, 1.82). Mother who did not approve of intimate partner violence was more likely to feed her child with MDD (1.39 times), MMF (1.41 times) and MAD (2.04 times). Mother with three or more parity had lower odds of her child meeting MDD (aOR: 0.81; 95% CI: 0.79, 0.93), MMF (aOR: 0.84; 95% CI: 0.72, 0.99) and MDD (aOR: 0.80; 95% CI: 0.65, 1.00). Mother who did not approve towards domestic violence, was working, controlled her assets and had a maximum of two parity was associated with official IYCF recommendation.

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Infant feeding practices and determinant variables for early complementary feeding in the first 8 months of life: results from the Brazilian MAL-ED cohort site

Cited by 28 publications

References 42 publications

Breastfeeding reduces ultra-processed foods and sweetened beverages consumption among children under two years old

Breastfeeding reduces ultra-processed foods and sweetened beverages consumption among children under two years old

Introduction to complementary feeding in the first year of life and risk of overweight at 24 months of age: changes from 2004 to 2015 Pelotas (Brazil) Birth Cohorts

Indonesia Infant and Young Child Feeding Practice: The Role of Women’s Empowerment in Household Domain

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