Complementary Feeding Practices and Parental Pressure to Eat among Spanish Infants and Toddlers: A Cross-Sectional Study

Klerks, M.M.; Román, Sergio; Bernal, María Luisa; Haro-Vicente, Juan Francisco; Sánchez-Siles, Luis Manuel

doi:10.3390/ijerph18041982

Cited by 17 publications

(21 citation statements)

References 110 publications

(72 reference statements)

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“…According with that, bi dobacteria have been shown as the most abundant genus in the sample up to 6 months of age [45] and declined during the weaning process [46]. In line with previous studies in Spanish children the rst food groups introduced in the sample during the weaning period were infant cereals (64.1% of the sample), fruits (55.1%), vegetables (44.9%) and tubers (43.6%) [47].…”

Section: Discussionsupporting

confidence: 78%

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Interaction Between Diet and Dominant Fecal Microbiota Along the First Year of Life

Gómez-Martín¹,

Saturio²,

Arboleya³

et al. 2021

Preprint

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Extensive work has established the importance of the gut microbiota during the first years of life. However, there are few longitudinal studies describing the role of infants´ diet on the evolution of the fecal microbiota and their metabolic activity during this stage. The aim of this work was to explore the impact of diet on the composition of the major intestinal microorganisms and their main microbial metabolites from birth to 12 months. This is a longitudinal prospective study analyzing fecal microbiota, bacterial groups levels were determined by qPCR and short-chain fatty acids (SCFAs) levels by gas chromatography, as well as information from self-administered questionnaires about general characteristics and food frequency from a cohort of 83, Spanish and full-term, infants at 15, 90, 180 and 365 days of age. Results revealed that Enterobacteriaceae and Bifidobacterium decrease in weaning period contrary to Bacteroides group and Clostridium cluster IV. Furthermore, a clustering based on fecal bacterial groups, SCFAs and type of delivery and feeding, gender and living area suggested that the excretion of SCFAs is strongly related to the type of lactation. Conclusion: our study supports weaning period as a key step for gut microbiota transition and suggests the importance of the consumption of dietary fiber with the increase of certain bacterial groups as Clostridium cluster IV, which could be beneficial for the host. Finally, studies specially designed to analyze the production and the excretion of SCFAs in children are needed to understand how diet could influence in this process.

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Section: Discussionsupporting

confidence: 78%

“…. Regarding to complementary feeding, at 180 days of life cluster I showed non-signi cant lower intake of fruits (91.35 ± 118.81 vs. 137.34 ± 137.30 g/day) banana (17.07 ± 22.13 vs. 35.63 ± 40.74 g/day) and pear (23.82 ± 34.78 vs 47…”

mentioning

confidence: 93%

Interaction Between Diet and Dominant Fecal Microbiota Along the First Year of Life

Gómez-Martín¹,

Saturio²,

Arboleya³

et al. 2021

Preprint

View full text Add to dashboard Cite

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“…Infant cereals play an important role during weaning in numerous countries [ 17 , 19 , 67 , 68 ]. A reduction in sugar content and an increase in whole grains in infant cereals might be beneficial for infant health and could help to achieve recommendations for sustainable healthy diets [ 69 , 70 ].…”

Section: Discussionmentioning

confidence: 99%

“…Infant cereals are among the first foods introduced at the beginning of the complementary feeding period in many countries [ 17 , 18 ]. In Spain, infant cereals are often offered as first complementary foods [ 19 ]. These cereals are often based on wheat and rice [ 20 ] and the use of whole grains was not very common in Spain until very recently [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of Whole-Grain and Sugar Content in Infant Cereals on Gut Microbiota at Weaning: A Randomized Trial

et al. 2021

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The introduction of complementary foods during infancy marks an important step in the development of the infant gut microbiome. Infant cereals are popular weaning foods but consistent evidence on their effect on the intestinal microbiota, especially when differing in nutritional quality, is lacking. Fecal samples from 4–7-month-old Spanish infants who consumed infant cereals differing in whole grain and sugar content as first weaning foods were analyzed on changes in microbial composition by massively parallel sequencing of the 16S ribosomal RNA gene at baseline and after 7 weeks of intervention. Samples were obtained from a previous trial conducted in Spain demonstrating whole-grain cereal acceptability. In total, samples of 18 infants consuming 0% whole grain cereals with 24 g sugar (0-WG) and 25 infants consuming 50% whole grain cereals with 12 g sugar (50-WG) were analyzed. Microbial composition changed significantly over time (p = 0.001), per intervention group (p = 0.029) and per infant (p = 0.001). Abundance of genus Veillonella increased in both groups while Enterococcus decreased. Within the 0-WG group, phylum Actinobacteria decreased along with genus Bifidobacterium. In the 50-WG, we observed an increase in Lachnoclostridium and Bacteroides. In addition, 50-WG decreased Proteobacteria and Escherichia to levels lower than 0-WG. Although weaning itself appeared to be responsible for most changes, the increased presence of anaerobic fermenters together with inhibition of pathogenic Escherichia may indicate a supporting effect of infant cereals with 50% whole grains and a reduced sugar content over infant cereals manufactured with refined hydrolyzed flours on the infant microbiota. In fact, using a novel methodology for the identification of microbial signatures, we found two groups of microbial taxa predictive of infants consuming enriched whole-grain infant cereals with a high predictive value of about 93%.

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“…During the CF period, the age of food introduction, genetic predisposition, and parental feeding styles (PFS), determine both food preferences and consumption patterns which may influence dietary habits throughout life (9). PFS, the attitudes that characterize parental actions to maintain or modify child eating behaviors, are based on degree of parental control and responsiveness shown during child feeding (10).…”

Section: Introductionmentioning

confidence: 99%

Parental Feeding Styles and Their Association With Complementary Feeding Practices and Growth in Mexican Children

et al. 2021

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Background: Complementary feeding practices and corresponding parental feeding styles influence nutritional status in later stages of childhood. Findings on the association of these variables with infant growth remain inconsistent; in Mexico, a research gap exists in this area.Research Aims: (1) To characterize parental feeding styles and complementary feeding practices, and (2) to evaluate the association of parental feeding styles with complementary feeding practices and infant growth at 6 and 9 months of age.Methods: Data were collected from a prospective Mexican birth cohort. Parental feeding styles, complementary feeding practices, and anthropometric data from 263 to 234 mother-child pairs (infants of 6 and 9 months of age, respectively) were analyzed. Logistic and linear regression models were used to determine the associations between variables.Results: The predominant parental feeding style was the “responsive style” (90%). Only 43.7 and 8.1% of 6- and 9-month-old infants, had adequate complementary feeding practices, respectively. At 6 months, mothers who were responsive to satiety signals had 11% lesser possibilities (OR = 0.89, 95% CI [0.80, 0.98]) of their infant having inadequate complementary feeding practices than their counterparts and “pressuring to finish” and “pressuring to eat cereal” sub-constructs were associated with lower weight for length and body mass index Z-scores (p = 0.02).Conclusions: A high proportion of infants (>40%) did not meet international recommendations. The “pressuring” parental feeding style sub-constructs were associated with growth indicators in 6-month old infants. This emphasizes the importance of promoting parental responsiveness to infant appetite and satiety signals to achieving adequate complementary feeding practices.

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Complementary Feeding Practices and Parental Pressure to Eat among Spanish Infants and Toddlers: A Cross-Sectional Study

Cited by 17 publications

References 110 publications

Interaction Between Diet and Dominant Fecal Microbiota Along the First Year of Life

Interaction Between Diet and Dominant Fecal Microbiota Along the First Year of Life

Effects of Whole-Grain and Sugar Content in Infant Cereals on Gut Microbiota at Weaning: A Randomized Trial

Parental Feeding Styles and Their Association With Complementary Feeding Practices and Growth in Mexican Children

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