Current feeding practices and maternal nutritional knowledge on complementary feeding in Korea

Yom, Hye Won; Seo, Jung Won; Park, Hyesook; Choi, Kyoung Ho; Chang, Ju Young; Ryoo, Eell; Yang, Hye Ran; Kim, Jae Young; Seo, Ji Hyun; Kim, Yong Joo; Moon, Kyung Rye; Kang, Kyu-Suk; Park, Ki Young; Lee, Seong Soo; Shim, Jeong Ok

doi:10.3345/kjp.2009.52.10.1090

Cited by 11 publications

(5 citation statements)

References 30 publications

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“…Information regarding CF was also obtained, such as the starting age for CF; use of rice-based food, red meat, and cow's milk; and the parent/guardian's opinion regarding the adequacy (amount) of complementary food intake during late infancy. The caregiver's knowledge regarding CF was evaluated using 6 yes/no questions ( 26 ): 1) Should beef be given from 6 months of age? ; 2) Should cow's milk be given after 12 months of age?…”

Section: Methodsmentioning

confidence: 99%

Breastfeeding and Red Meat Intake Are Associated with Iron Status in Healthy Korean Weaning-age Infants

et al. 2017

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The present study investigated risk factors for iron deficiency (ID) and iron deficiency anemia (IDA) during late infancy, including feeding type and complementary feeding (CF) practice. Healthy term Korean infants (8–15 months) were weighed, and questionnaires regarding delivery, feeding, and weaning were completed by their caregivers. We also examined levels of hemoglobin, serum iron/total iron-binding capacity, serum ferritin, and mean corpuscular volume (MCV). Among 619 infants, ID and IDA were present in 174 infants (28.1%) and 87 infants (14.0%), respectively. The 288 infants with exclusively/mostly breastfeeding until late infancy (BFL) were most likely to exhibit ID (53.1%) and IDA (28.1%). The risk of ID was independently associated with BFL (adjusted odds ratio [aOR], 47.5; 95% confidence interval [CI], 18.3–122.9), male sex (aOR, 1.9; 95% CI, 1.2–2.9), fold weight gain (aOR, 2.6; 95% CI, 1.5–4.6), and perceived inadequacy of red meat intake (aOR, 1.7; 95% CI, 1.0–2.7). In addition to the risk factors for ID, Cesarean section delivery (aOR, 1.9; 95% CI, 1.1–3.2) and low parental CF-related knowledge (aOR, 2.8; 95% CI, 1.5–5.2) were risk factors for IDA. In conclusion, prolonged breastfeeding and perceived inadequacy of red meat intake may be among the important feeding-related risk factors of ID and IDA. Therefore, more meticulous education and monitoring of iron-rich food intake, such as red meat, with iron supplementation or iron status testing during late infancy if necessary, should be considered for breastfed Korean infants, especially for those with additional risk factors for ID or IDA.

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Section: Methodsmentioning

confidence: 99%

Breastfeeding and Red Meat Intake Are Associated with Iron Status in Healthy Korean Weaning-age Infants

et al. 2017

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“…For each subject, we obtained information related to feeding from the parents or grandparents by experienced pediatricians using modified validated questionnaires [ 22 ]. Dietary information included the dominant feeding method and its duration from birth to the time of the study, the monthly age at which fish was introduced as a complementary food to the infant, and the species of fish and the frequency of fish intake by the infant and mother (2013/2014 season only; Table 1 , Supplementary Table S3 ).…”

Section: Methodsmentioning

confidence: 99%

Mercury Exposure in Healthy Korean Weaning-Age Infants: Association with Growth, Feeding and Fish Intake

Chang

Park

Shin

et al. 2015

IJERPH

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Low-level mercury (Hg) exposure in infancy might be harmful to the physical growth as well as neurodevelopment of children. The aim of this study was to investigate postnatal Hg exposure and its relationship with anthropometry and dietary factors in late infancy. We recruited 252 healthy Korean infants between six and 24 months of age from an outpatient clinic during the 2009/2010 and 2013/2014 seasons. We measured the weight and height of the infants and collected dietary information using questionnaires. The Hg content of the hair and blood was assessed using inductively coupled plasma mass spectroscopy. The geometric mean Hg concentration in the hair and blood was 0.22 (95% confidence interval: 0.20–0.24) µg/g and 0.94 (n = 109, 95% confidence interval: 0.89–0.99) µg/L, respectively. The hair Hg concentration showed a good correlation with the blood Hg concentration (median hair-to-blood Hg ratio: 202.7, r = 0.462, p < 0.001) and was >1 µg/g in five infants. The hair Hg concentration showed significant correlations with weight gain after birth (Z-score of the weight for age—Z-score of the birthweight; r = −0.156, p = 0.015), the duration (months) of breastfeeding as the dominant method of feeding (r = 0.274, p < 0.001), and the duration of fish intake more than once per week (r = 0.138, p = 0.033). In an ordinal logistic regression analysis with categorical hair Hg content (quartiles), dietary factors, including breastfeeding as the dominant method of feeding in late infancy (cumulative odds ratio: 6.235, 95% confidence interval: 3.086–12.597, p < 0.001) and the monthly duration of fish intake more than once per week (cumulative odds ratio: 1.203, 95% confidence interval: 1.034–1.401; p = 0.017), were significantly associated with higher hair Hg content. Weight gain after birth was not, however, significantly associated with hair Hg content after adjustment for the duration of breastfeeding as the dominant method of feeding. Low-level Hg exposure through breastfeeding and fish intake as a complementary food did not directly affect anthropometry in this population. If prolonged breastfeeding is expected, however, the Hg exposure through fish intake may need to be monitored for both mothers and infants.

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“…However, the portion of the nutrition education by specialists including pediatricians is very limited. Even worse, improper nutrition supply and dietary supplement abuse are concerned because parents rely on laymen including their friends or acquaintances [7]. …”

Section: Introductionmentioning

confidence: 99%

Dietary Supplements Use and Related Factors of Preschoolers in 3 Korean Cities

Kim

Lee

Kim

2013

Pediatr Gastroenterol Hepatol Nutr

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PurposeTo estimate the prevalence of dietary supplement (DS) use, investigate the related factors associated with DS use among preschoolers and support the adequate nutrition.MethodsWe conducted a questionnaire survey of mothers of children aged between 1 and 6 years who visited pediatric clinics in 3 Korean cities (Jeonju, Suncheon, Jeongeup) between October and November 2012 at Presbyterian Medical Center. The responses from 929 questionnaires were analyzed.ResultsApproximately 45.1% of the preschoolers used DS in the past month. The following factors were associated with greater use of DS: older age (p<0.001), whether or not the preschoolers attended kindergarten (p<0.001), higher mother's concern about the nutritional facts (p<0.001), whether or not the mother use DS (p<0.001), whether or not the mother counsel with a doctor or pharmacist about DS use (p<0.001). Vitamin·mineral supplements (77.5%) were the most commonly used DS among the preschoolers, followed by ginseng (49.3%) and probiotics (25.6%). Additionally, of the DS users, 95.9% gave DS to their healthy children. Of the users and non-users, 97.6% and 62.2%, respectively, indicated that they would like to have their children take DS. The information on DS was obtained from family or friends in 48.2% of the DS users and from doctors in only 6.1%.ConclusionApproximately half of the preschoolers in our study used DS, which might not have been medically indicated for most of them. Therefore, the role of professionals in counseling on desirable diet behaviors and DS use for preschoolers is warranted.

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Current feeding practices and maternal nutritional knowledge on complementary feeding in Korea

Cited by 11 publications

References 30 publications

Breastfeeding and Red Meat Intake Are Associated with Iron Status in Healthy Korean Weaning-age Infants

Breastfeeding and Red Meat Intake Are Associated with Iron Status in Healthy Korean Weaning-age Infants

Mercury Exposure in Healthy Korean Weaning-Age Infants: Association with Growth, Feeding and Fish Intake

Dietary Supplements Use and Related Factors of Preschoolers in 3 Korean Cities

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