Introduction of Complementary Feeding in 5 European Countries

Schiess, S.; Grote, Veit; Scaglioni, Silvia; Luque, Verónica; Martín, F. de Juan; Stolarczyk, Anna; Vecchi, Francesco C. De; Koletzko, Berthold

doi:10.1097/mpg.0b013e31819f1ddc

Cited by 137 publications

(187 citation statements)

References 19 publications

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“…The primary objective of the trial was to investigate the effect of infant protein supply on growth and obesity risk. Details of the study were reported previously 13,14 . Data reported herein are based on Italian children with test weighing before and after breastfeeding.…”

Section: Design and Study Populationmentioning

confidence: 99%

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Breast milk composition and infant nutrient intakes during the first 12 months of life

Grote¹,

et al. 2015

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Objectives:The objective of this study was to quantify human milk supply and intake of breastfed infants up to age 12 months. Additionally, human milk composition was quantified per energetic macronutrient and fatty acid composition in a subsample of lactating mothers. Methods:174 Italian breastfed children were followed using test-weighing and 3-day food protocols from birth to age twelve months. From a sub-sample of thirty mothers breast milk samples were collected at child ages one (T1), two (T2), three (T3), and six (T6) months, and were analyzed for the amount of protein, digestible carbohydrates, total lipids and fatty acid composition. Results:142 (82%) filled in at least one three-day food protocol within the first 12 months of life and complied with test-weighing of all milk feeds. The number of valid food protocols declined from 126 infants at one month to 77 at twelve months of age. Only galactose, non-protein nitrogen and protein decreased significantly from age one to age six months of lactation. Maternal BMI and age affected fatty acid levels in human milk. Median human milk intake decreased from 625ml at T1, over 724ml at T3 to 477ml/day at T6.Average energy and %energy from protein intake per day increased from 419 kcal (SD 99) and 8.4% (1.0) at T1, respectively, to 860 kcal (145) and 16.1% (2.6) at T12. Conclusion:These data provide a reference range of nutrient intakes in breastfed infants and may provide guidance for defining optimal nutrient intakes for infants that cannot be fully breastfed.4

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Section: Design and Study Populationmentioning

confidence: 99%

“…The information was collected monthly at 1 to 9 months and at 12 months of age. Procedures and methods are described elsewhere 14,20 .…”

Section: Human Milk Intake Energy and Nutrient Intakesmentioning

confidence: 99%

Breast milk composition and infant nutrient intakes during the first 12 months of life

Grote¹,

et al. 2015

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“…One recent study reported cultural beliefs among Hispanic mothers that infants feel fuller, gain more weight, have better nutrition and are calmer and sleep longer when cereals are added to their bottles (15) . Younger maternal age and lower educational attainment have also been associated with early introduction of solids (20)(21)(22) . Considering the lifelong health benefits of optimal infant feeding practices (1,3) , addressing the disparities in these infant feeding practices among mothers of low-income groups by understanding the factors that influence their feeding behaviours has the potential to address larger health disparity issues in the US population.…”

mentioning

confidence: 99%

Competing infant feeding information in mothers’ networks: advice that supports v. undermines clinical recommendations

Ashida

Lynn

Williams

et al. 2015

Public Health Nutr.

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Objective: To identify the social contextual factors, specifically the presence of information that supports v. undermines clinical recommendations, associated with infant feeding behaviours among mothers in low-income areas. Design: Cross-sectional survey evaluating social support networks and social relationships involved in providing care to the infant along with feeding beliefs and practices. Setting: Out-patient paediatric and government-funded (Women, Infants, and Children) clinics in an urban, low-income area of the south-eastern USA. Subjects: Eighty-one low-income mothers of infants between 0 and 12 months old. Results: Most mothers reported receiving both supportive and undermining advice. The presence of breast-feeding advice that supports clinical recommendations was associated with two infant feeding practices that are considered beneficial to infant health: ever breast-feeding (OR = 6·7; 95 % CI 1·2, 38·1) and not adding cereal in the infant's bottle (OR = 15·9; 95 % CI 1·1, 227·4). Advice that undermines clinical recommendations to breast-feed and advice about solid foods were not associated with these behaviours.

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“…Neste contexto, Schiess e colaboradores 23 , ao descreverem as idades de introdução de alimentos sólidos na dieta de lactentes saudáveis em cinco países europeus, também encontraram baixa escolaridade materna e menor idade como preditores de introdução precoce de sólidos, reforçando a necessidade de orientação nutricional para informar adequadamente os pais sobre a importância da alimentação saudável na infância.…”

Section: Discussionunclassified

Preditores da introdução de alimentos industrializados na infância: estudo em creches públicas

et al. 2017

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O aleitamento materno exclusivo até o sexto mês, assim como a alimentação complementar adequada, são práticas importantes para o bom desenvolvimento infantil e contribuem para a formação de hábitos alimentares saudáveis. Diante desse contexto e reconhecendo a importância de práticas alimentares adequadas nos primeiros anos de vida, destaca-se que o objetivo do presente estudo foi avaliar a idade de introdução de alimentos industrializados na dieta de 575 crianças de 4 a 38 meses, frequentadoras de berçários de creches públicas de São Paulo, bem como quantificar eventuais mudanças temporais e fatores de risco da introdução precoce destes alimentos. O estudo foi baseado em duas observações transversais, realizadas em 2007 e 2010, e posterior análise de Clusters para agrupar a amostra em dois grupos, além de análise de regressão logística. No modelo logístico final, o ano de coleta de dados (2007), o menor tempo de aleitamento materno exclusivo e a menor escolaridade materna foram identificadas como riscos independentes e significantes para a introdução precoce dos alimentos industrializados. Diante dos resultados, fazse necessário a capacitação de mães/educadores em alimentação infantil, reforçando os benefícios do aleitamento materno e os malefícios da introdução precoce dos industrializados, principalmente no grupo de mães com menor escolaridade.Palavras-chave: Alimentos industrializados. Nutrição do lactente. Fatores de risco. Creches.

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Introduction of Complementary Feeding in 5 European Countries

Abstract: Complementary feeding is introduced earlier than recommended in a sizeable number of infants, particularly among FF infants. Country- and population-specific approaches to adequately inform parents should be explored.

Cited by 137 publications

References 19 publications

Breast milk composition and infant nutrient intakes during the first 12 months of life

Breast milk composition and infant nutrient intakes during the first 12 months of life

Competing infant feeding information in mothers’ networks: advice that supports v. undermines clinical recommendations

Preditores da introdução de alimentos industrializados na infância: estudo em creches públicas

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