Associations between commercial complementary food consumption and fruit and vegetable intake in children. Results of the DONALD study

Foterek, Kristina; Hilbig, Annett; Alexy, Ute

doi:10.1016/j.appet.2014.11.015

Cited by 67 publications

(33 citation statements)

References 40 publications

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“…There is conflicting evidence in the literature whether use of commercial baby foods is correlated with increased or decreased food variety. For example, a German study reported that a higher percentage intake of commercially produced baby food was strongly associated with a lower vegetable intake, even when controlling for socioeconomic status and early life factors [14]. This could be due to the specific combination of ingredients that may mask or interfere with learning about the particular flavor of single vegetables [28].…”

Section: Discussionmentioning

confidence: 99%

“…There are several concerns regarding the increased reliance on commercially produced infant food, specifically reduced dietary variety, taste profile, differing nutritional content and reduced microbial load [13,14]. Together these factors cumulatively create a significant change in early food exposure, with potential implications for the development of non-communicable diseases, namely allergy [15,16] and obesity [17].…”

Section: Introductionmentioning

confidence: 99%

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A Qualitative Study of Mothers Perceptions of Weaning and the Use of Commercial Infant Food in the United Kingdom

Maslin¹,

Galvin

Shepherd

et al. 2015

Matern Pediatr Nutr

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Background: Commercially produced infant food has a different taste profile and nutritional content to homemade baby food and its consumption is now very widespread. This change in early food experience may lead to a reduced dietary variety and a decreased microbial load exposure.Objective: The purpose of this study was to gain insight into parental perceptions of complementary feeding, specifically opinions of commercially produced baby food, using qualitative research methods. Methods:Four focus group discussions took place (n = 24), with mothers of infants aged 4-7 months. Half of participants were first time mothers and a third had experience weaning infants with symptoms of cows' milk allergy. Participants were prompted with questions about complementary feeding and shown several different products to stimulate discussion.Results: Thematic analysis of focus groups indicated that three distinctive groups of mothers exist; "relaxed", "concerned" and "balanced", which may be influenced by parity, socioeconomic status and previous experience of weaning. The majority of mothers commenced the weaning process using homemade foods, but transitioned to include commercial baby foods after 3-6 weeks. Commercial baby food was perceived as more convenient to homemade baby food by the majority and as superior and "safer" by some mothers. Although there were concerns raised about the identity of ingredients, few concerns were expressed regarding nutritional quality or allergen content, even by mothers with experience of weaning an infant with food allergic symptoms. Conclusion:Overall complementary feeding was viewed as a natural process with the goal of enjoyment of food and development of a broad palate. Opinions on readymade baby food were influenced by parity, education level and previous experience of weaning.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Qualitative Study of Mothers Perceptions of Weaning and the Use of Commercial Infant Food in the United Kingdom

Maslin¹,

Galvin

Shepherd

et al. 2015

Matern Pediatr Nutr

View full text Add to dashboard Cite

show abstract

“…), which can be sweet, composite foods that are unlikely to encourage liking for individual vegetable flavours (Foterek et al . ; Garcia et al . ).…”

mentioning

confidence: 99%

“…); reduced fruit and vegetable intake during early childhood (up to 6–7 years of age) has been associated with higher intake of commercial baby food (relative to intake of home cooked food) at age 6–9 months (Foterek et al . ); frequency of consumption of fruit and vegetables at 12 months has been found to relate positively to intake at 2 years (Gregory et al . ); and food preferences at 2–3 years have been found to predict food preferences at 4–8 years of age (Skinner et al .…”

mentioning

confidence: 99%

Complementary feeding: Vegetables first, frequently and in variety

Chambers

2016

Nutrition Bulletin

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Diets rich in fruit and vegetables are associated with lower risk of a number of chronic health problems, but the majority of people do not consume enough of these foods. The main predictor of fruit and vegetable intake is enjoyment of these foods, but vegetables are often disliked, especially by children. Food preferences developed in the early years track throughout childhood and beyond and, therefore, it is critical that vegetable liking is promoted at the very earliest opportunity. The start of complementary feeding is a sensitive period for the development of food preferences, as infants will readily accept new foods and quickly learn to like them. Repeated exposure to a variety of vegetables during complementary feeding is an effective way to encourage infants to accept these foods. Recent research has suggested that offering vegetables exclusively for the first few weeks of complementary feeding offers additional benefits, but survey data indicate that this is not yet commonly practised in the UK. Encouraging UK parents to adopt a 'vegetables first, frequently and in variety' approach to complementary feeding is likely to steer children towards a lifelong preference for these foods and all the associated health benefits.

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“…Data from the German DONALD cohort suggest that offering homemade CF or commercial CF without added sugar might reduce sugar intake at later life [37]. This study also suggests that intake of commercial CF clearly impacts individual taste and food preferences by predetermining a decreased fruit and vegetable intake in infancy [38]. As the usage of commercially CF is very pervasive in developed countries, it is important to emphasize the need for longitudinal studies to draw firm conclusions on beneficial or unfavorable effects of commercial infant foods on health outcomes.…”

Section: Specific Dietary Practices and Available Foods For Infants Amentioning

confidence: 75%

Complementary Feeding in Developed Countries: The 3 Ws (When, What, and Why?)

et al. 2018

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While a wide knowledge exists on the effects of breast milk or infant formula on growth and infant development, less attention has been paid to the importance of complementary feeding (CF). This review focuses on current recommendations for optimal introduction of CF in healthy full-term European infants and discusses the potential impact of this type of feeding on health outcomes. Overall, exclusive breastfeeding is recommended at least for 4 months and preferable for 6 months, followed by the introduction of CF alongside breast milk; infants’ nutrient requirements must meet the differences between nutrients provided by breast milk and the estimated total needs. There is growing evidence that healthy feeding practices during the CF period have positive short- and long-term effects on optimal growth, body composition, neurodevelopment, healthy food preferences, and gut microbiota composition and function; adequate and healthy CF may also diminish the risk of infections, allergies, type 1 diabetes mellitus, as well as celiac and non-communicable diseases. Following the expert recommendations, the design of nutritional strategies must encourage parents to provide a healthy lifestyle for their offspring. Future research should aim to optimize timing, content, and methods of CF; furthermore, it is necessary to explore future CF-targeted health-promoting strategies in early life (appetite regulation, eating patterns, eating behavior, gut dysbiosis, etc.) to prevent growth/obesity outcomes, immune system related-diseases or non-communicable diseases in later life.

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Associations between commercial complementary food consumption and fruit and vegetable intake in children. Results of the DONALD study

Cited by 67 publications

References 40 publications

A Qualitative Study of Mothers Perceptions of Weaning and the Use of Commercial Infant Food in the United Kingdom

A Qualitative Study of Mothers Perceptions of Weaning and the Use of Commercial Infant Food in the United Kingdom

Complementary feeding: Vegetables first, frequently and in variety

Complementary Feeding in Developed Countries: The 3 Ws (When, What, and Why?)

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