Commercial Complementary Food in Germany: A Market Survey

Abstract

Background: As consumption of commercial complementary food (CCF) during infancy and toddlerhood is common, the aim of the present study was to describe the current (2020) German market of CCF products with a special focus on ingredients, macronutrients, and the practice of nutrient fortification.Methods: Information on age declarations, ingredients, energy and nutrient contents, and nutrient fortification of 1057 CCF products was obtained by contacting the producers and searching manufacturers' websites. Each product was assigned to one of thirteen product categories (menus, milk-cereal-meal, fruit-cereal-meal, oil, vegetables, meat, fish, fruits, cereals, snack foods, pouches, desserts, beverages) and stratified into infants’ CCF (< 12 months, n=829) and toddlers’ CCF (> 12 months, n=228). Descriptive statistics were used in order to give an overview of the available products.Results: Highest protein content (% of energy content, %E) was found in meat products. More than 50 %E of total sugar was found in pouches, beverages, cereal fruit meals, and fruits. Highest median salt content was found in toddlers’ menus and desserts. Around one third of infants’ CCF products and one quarter of toddlers’ products were fortified with nutrients. Vitamin B1 (thiamin) was the most frequently fortified nutrient, followed by vitamin C, iron, calcium, and vitamin D. Apple was the type of fruit listed most often in products with fruits, whereas carrot was the most frequent vegetable among CCF with vegetables. Conclusion: The available product categories as well as the high sugar content of most CCFs currently available on the German market may promote unhealthy dietary habits. Parents need to be educated about the optimal selection of products.