Infant feeding practices and dietary consumption of US infants and toddlers: National Health and Nutrition Examination Survey (NHANES) 2003–2012

Davis, Kathleen E.; Li, Xilong; Adams‐Huet, Beverley; Sandon, Lona

doi:10.1017/s1368980017003184

Cited by 29 publications

(24 citation statements)

References 45 publications

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“…Mean energy intakes for age 0–11 mo, 12–23 mo, and 2–3 y were reported as 805 kcal/d, 1253 kcal/d, and 1461 kcal/d, respectively, in NHANES 2011–2014 (20), and 1335 kcal/d for 12–35-mo-olds in NHANES 2011–2012 (19). Energy intakes of 978 kcal/d were reported for 0–24-mo-olds in a combined data set from 2003–2012 NHANES (18), but we have found that energy intakes increase significantly across these ages, so we cannot compare them directly to our findings. We did not observe decreases in energy intake over time as was reported for 2–5-y-olds from NHANES between 1999–2000 and 2009–2010 (14).…”

Section: Discussionmentioning

confidence: 64%

Trends in Mean Nutrient Intakes of US Infants, Toddlers, and Young Children from 3 Feeding Infants and Toddlers Studies (FITS)

Eldridge

Catellier

Hampton

et al. 2019

The Journal of Nutrition

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Background Many updates to young child feeding recommendations have been published over the past decade, but concurrent intake trends have not been assessed. Objective The aim of this study was to evaluate adequacy and trends in energy and nutrient intakes of US infants and children aged 0–47.9 mo through use of Feeding Infants and Toddlers Study (FITS) data from 2002, 2008, and 2016. Methods FITS are cross-sectional surveys of parents/caregivers of infants and young children (FITS 2002, n = 2962; FITS 2008, n = 3276; FITS 2016, n = 3235). Dietary intakes were assessed by telephone with trained interviewers using the Nutrition Data System for Research. Mean ± SE nutrient intakes were calculated. Diet adequacy was assessed with the nutrient adequacy ratio (NAR) for 17 nutrients and the corresponding mean adequacy ratio. Results Energy and macronutrient intakes were generally stable across surveys, but significant decreases for saturated fat and total sugars and an increase in fiber were observed among 6–11.9-mo-olds and 12–23.9-mo-olds (P-trend < 0.0001). Mean sodium intakes exceeded Adequate Intakes (AI) for all ages, whereas fiber intakes were universally below the AI. Nutrients with the lowest NAR values were vitamin D (range 0.41–0.67/1.00) and vitamin E (range 0.60–0.79/1.00 for 2008 and 2016). For iron, infants aged 6–11.9 mo had the lowest NAR values at 0.77–0.88/1.00, compared to 0.85–0.89/1.00 for 12–47.9-mo-olds. Potassium was low from 12 to 47.9 mo (NAR range 0.55–0.63/1.00 across survey years). The nutrients with the greatest decline in mean intakes were iron and vitamins D and E among 6–11.9-mo-olds, and vitamin D and potassium among 12–23.9-mo-olds in 2016 compared to 2002. Conclusions The diets of US infants and young children were generally adequate for most micronutrients and stable over time, but sodium intakes were too high, and nutrient gaps still existed, especially for vitamins D, E, and fiber across ages and for iron among infants.

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Section: Discussionmentioning

confidence: 64%

Trends in Mean Nutrient Intakes of US Infants, Toddlers, and Young Children from 3 Feeding Infants and Toddlers Studies (FITS)

Eldridge

Catellier

Hampton

et al. 2019

The Journal of Nutrition

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“…Vitamin B deficiencies are rare in infants [122]. Analyses from large dietary intake studies have found that most children aged 6-24 months are meeting recommendations for vitamins B6 [123,124], folate [124,125], and B12 [124] from food and supplements.…”

Section: B-vitaminsmentioning

confidence: 99%

“…The prevalence of vitamin A deficiency in the United States and other developed countries is low [110]. In a variety of recent NHANES analysis studies that looked at nutrient intakes in this age group, children ages 0-23.9 months were found to have mean food intakes of vitamin A near or in excess of the UL, ranging from 537.8 ± 7.4 to 675.4 ± 12.4 µg RAE per day [125,144,165]. A similar result was found for vitamin A intakes including foods, beverages and supplements [124].…”

Section: Vitamin Amentioning

confidence: 99%

“…The prevalence of vitamin D deficiency in infants and toddlers is estimated to be between 40%-50% in the United States [166,167]. Recent, large population-based dietary analyses have found about three quarters of children ages 6-23.9 months do not meet the AI (children less than 12 months) or the EAR (children 12-23.9 months) for vitamin D [123,125,144]. Similar vitamin D levels were found in another study measuring intake from food, beverages and supplements [124].…”

Section: Vitamin Dmentioning

confidence: 99%

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Nutritional Gaps and Supplementation in the First 1000 Days

Korczak²,

et al. 2019

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Optimized nutrition during the first 1000 days (from conception through the 2nd birthday) is critical for healthy development and a healthy life for the newborn. Pregnancy and the postpartum period are accompanied by physiological changes, increased energy needs, and changing requirements in the nutrients critical for optimal growth and development. Infants and toddlers also experience physiological changes and have specific nutritional needs. Food and nutrition experts can provide women of childbearing age with adequate dietary advice to optimize nutrition, as well as guidance on selecting appropriate dietary supplements. Considering the approaching 2020–2025 Dietary Guidelines for Americans (DGA) will be making specific recommendations for children, it is important to provide accurate scientific information to support health influencers in the field of nutrition. The purpose of this review is to summarize the nutrition and supplementation literature for the first 1000 days; to highlight nutritional and knowledge gaps; and to educate nutrition influencers to provide thoughtful guidance to mothers and families. Optimal nutrition during pregnancy through early childhood is critical for supporting a healthy life. Nutrition influencers, such as dietitians, obstetricians/gynecologists, and other relevant health professionals, should continue guiding supplement and food intake and work closely with expectant families and nutrition gatekeepers.

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“…Race is associated with breastfeeding rates in the United States. [1][2][3][4][5][6] Populations in the American South suffer from high rates of infant mortality 7,8 and chronic illness. [9][10][11] The South also has some of the nation's greatest racial and/or ethnic breastfeeding disparities.…”

mentioning

confidence: 99%

Addressing Racial Inequities in Breastfeeding in the Southern United States

Merewood

Bugg²,

Burnham

et al. 2019

Pediatrics

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BACKGROUND: Race is a predictor of breastfeeding rates in the United States, and rates are lowest among African American infants. Few studies have assessed changes in breastfeeding rates by race after implementing the Ten Steps to Successful Breastfeeding (hereafter referred to as the Ten Steps), and none have assessed the association between implementation and changes in racial disparities in breastfeeding rates. Our goal was to determine if a hospital-and community-based initiative in the Southern United States could increase compliance with the Ten Steps, lead to Baby-Friendly designation, and decrease racial disparities in breastfeeding. METHODS: Hospitals in Mississippi, Louisiana, Tennessee, and Texas were enrolled into the Communities and Hospitals Advancing Maternity Practices initiative from 2014 to 2017 and received an intensive quality improvement and technical assistance intervention to improve compliance with the Ten Steps. Community partners and statewide organizations provided parallel support. Hospitals submitted monthly aggregate data stratified by race on breastfeeding, skin-to-skin care, and rooming in practices. RESULTS: The disparity in breastfeeding initiation between African American and white infants decreased by 9.6 percentage points (95% confidence interval 1.6-19.5) over the course of 31 months. Breastfeeding initiation increased from 66% to 75% for all races combined, and exclusivity increased from 34% to 39%. Initiation and exclusive breastfeeding among African American infants increased from 46% to 63% (P , .05) and from 19% to 31% (P , .05), respectively. Skin-to-skin care after cesarean delivery was significantly associated with increased breastfeeding initiation and exclusivity in all races; rooming in was significantly associated with increased exclusive breastfeeding in African American infants only. CONCLUSIONS: Increased compliance with the Ten Steps was associated with a decrease in racial disparities in breastfeeding.

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Infant feeding practices and dietary consumption of US infants and toddlers: National Health and Nutrition Examination Survey (NHANES) 2003–2012

Cited by 29 publications

References 45 publications

Trends in Mean Nutrient Intakes of US Infants, Toddlers, and Young Children from 3 Feeding Infants and Toddlers Studies (FITS)

Trends in Mean Nutrient Intakes of US Infants, Toddlers, and Young Children from 3 Feeding Infants and Toddlers Studies (FITS)

Nutritional Gaps and Supplementation in the First 1000 Days

Addressing Racial Inequities in Breastfeeding in the Southern United States

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