Longitudinal Development of Infant Complementary Diet Diversity in 3 International Cohorts

Micronutrient Adequacy and Dietary Diversity Exert Positive and Distinct Effects on Linear Growth in Urban Zambian Infants

“…The beneficial effect of increased dietary diversity may also have implications in more 351 18 advantaged settings. Dietary diversity among breastfed US infants aged 6 to 12 mo was 352 recently reported to be lower than that in Mexico and China (58,59), and in an earlier study 353 of infants in Burkina Faso and Italy it was reported that the lower gut microbial diversity 354 among the European children was attributable to a comparatively high-fat, high-sugar, high-355 protein diet low in plant polysaccharides (50). 356…”

Fatores associados à falta de diversidade alimentar no segundo semestre de vida

“…Razão de prevalência ajustada (RP a ) da ausência de diversidade alimentar no segundo semestre de vida, de acordo as características sociodemográficas e reprodutivas das mães e com os dados de nascimento e de assistência à criança, em de Barra Mansa, Sudeste do Brasil, 2006 30 . Esse resultado é importante, pois um suprimento adequado de nutrientes é cada vez mais necessário para o crescimento da criança a partir dos 6 meses 2 .…”

Infants' Dietary Diversity Scores: United States Breastfed Infants Fall Short

“…These US infants likely would have had the highest dietary “dependence” on such nutrient dense foods as meats, to reach protein, iron, zinc, and other micronutrient intake recommendations. This difference is particularly evident in Figure 1, C in the article by Woo et al 8 In the US cohort, fewer than 30% of infants with high breastfeeding intensity achieved MDD by age 12 months. This observation may reflect both a cultural phenomenon and lack of provider awareness or communication of the biologically-driven dependence of breastfed infants on high-quality, nutrient-dense complementary foods.…”

“…8 This study makes a significant contribution to the limited literature base on the quality of complementary feeding, and is unique in its comparison of 3 different urbanized cultural settings. An additional considerable strength of this study is the focus on primarily breastfed infants; the breastfeeding intensity in the population as a whole at 6 months was over 50%.…”

“…The striking differences in achievement of minimum dietary diversity (MDD) among the groups is clearly depicted in Figure 1 of the article, 8 with the US site falling far (and significantly) below the diversity achieved by the Shanghai site. This difference was held in the cohort as a whole, regardless of whether the infants were grouped according to their consumption of less than or more than 50% of their foods as human milk.…”