Evidence gaps and research needs in current guidance on feeding children from birth to 24 months

Atkinson, Stephanie A.; Jimenez, Elizabeth Yakes; Pérez‐Escamilla, Rafael

doi:10.1139/apnm-2020-0893

Cited by 5 publications

(2 citation statements)

References 8 publications

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“…Breastfeeding exclusivity ≥5 months was computed by collapsing responses from a PUMF exclusive breastfeeding variable, calculated from infant age (unavailable in PUMF dataset), breastfeeding initiation, and introduction of liquids or solids (ordinal response options increasing by 1 month, up to ≥6 months). Exclusive breastfeeding to ≥5 months is another cut-off to capture breastfeeding trends (World Health Organization n.d.), and may provide potential insights into responsive infant feeding given that caregivers may follow infant signs of readiness (e.g., sitting independently, ability to cue interest in food and satiety) rather than strict age guidelines to initiate complementary feeding (Atkinson et al 2021). Total breastfeeding duration (continuous data; months) in the PUMF was available among respondents who either were no longer breastfeeding at the time of the survey or never initiated; note that 21% of respondents (unweighted n = 1093) who were still breastfeeding at the time of the survey are excluded.…”

Section: Methodsmentioning

confidence: 99%

Breastfeeding in Canada: predictors of initiation, exclusivity, and continuation from the 2017–2018 Canadian Community Health Survey

Chan

Labonté

Francis

et al. 2023

Appl. Physiol. Nutr. Metab.

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Human milk is the ideal source of nutrition for infants, however adherence to breastfeeding recommendations is suboptimal and availability of Canadian breastfeeding data is limited. Using the 2017-2018 Canadian Community Health Survey Public Use Microdata File (Maternal Experiences Module, n=5,558, weighted n=1,669,462) we computed breastfeeding indicators, and explored sociodemographic, health and geographical predictors of breastfeeding with univariate logistic regression models. Nationally, of all participants who gave birth in the preceding 5 years, 91% initiated breastfeeding, 43% exclusively breastfed to ≥5 months and 35% to ≥6 months, 56% reported any breastfeeding at ≥6 months, and 31% reported breastfeeding at ≥12 months. Breastfeeding cessation was most commonly attributed to insufficient milk supply (25%), but reasons differed significantly by breastfeeding duration. Breastfeeding initiation, exclusivity for ≥5 months, and extended ≥12 months all differed by geographic region, and by most sociodemographic and health characteristics. Positive breastfeeding outcomes were highest in British Columbia, and lowest in Quebec and the Atlantic region, and generally higher if caregivers had recently immigrated to Canada, were married, >30 years of age, not White, non-smoking, had completed post-secondary education, and had an annual household income >$40,000. These disparities indicate the need for tailored, equitable approaches to breastfeeding support, and continued regional monitoring of breastfeeding outcomes.

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Section: Methodsmentioning

confidence: 99%

Breastfeeding in Canada: predictors of initiation, exclusivity, and continuation from the 2017–2018 Canadian Community Health Survey

Chan

Labonté

Francis

et al. 2023

Appl. Physiol. Nutr. Metab.

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“…In this commentary, we summarize the RF-related findings from a recent US National Academies of Sciences, Engineering, and Medicine (National Academies) consensus study report examining consistency in infant and young child feeding (IYCF) recommendations in guidelines from high-income countries ( 12 ) and discuss implications for future IYCF guidelines. This commentary complements 2 previous ones detailing the implications of the consensus study to registered dietitian nutritionists ( 13 ) and researchers ( 14 ).…”

Section: Introductionmentioning

confidence: 61%

Responsive Feeding Recommendations: Harmonizing Integration into Dietary Guidelines for Infants and Young Children

Pérez‐Escamilla

Jimenez

Dewey

2021

Current Developments in Nutrition

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Responsive feeding (RF) involves reciprocal nurturing feeding practices between the caregiver and the child that encourage the child to develop preferences for healthy foods and beverages and to eat autonomously. In this commentary, we summarize RF-related findings from a recent US National Academies of Sciences, Engineering, and Medicine (National Academies) consensus study report examining consistency in infant and young child feeding (IYCF) recommendations in guidelines from high-income countries, and we discuss implications for future IYCF guidelines. Although existing guidelines included generally consistent messages about several RF behaviors, such as the importance of encouraging self-feeding and self-regulation in infants and toddlers, they generally did not present the recommendations as part of a cohesive RF interdisciplinary framework. Moving forward, evidence-based RF recommendations should be routinely incorporated and identified in dietary guidance for IYCF based on a consensus definition of RF grounded in sound responsive parenting and feeding frameworks. We recommend replicating the National Academies’ scoping review in low- and middle- income countries and mixed-methods implementation science research to improve our understanding of how best to disseminate and implement RF-related recommendations across settings (e.g., home and early care and education centers), taking the social determinants of health into account.

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Nutrition guidance for infants: Nutrient-based reference intakes and feeding recommendations

Atkinson

2023

Encyclopedia of Human Nutrition

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Evidence gaps and research needs in current guidance on feeding children from birth to 24 months

Cited by 5 publications

References 8 publications

Breastfeeding in Canada: predictors of initiation, exclusivity, and continuation from the 2017–2018 Canadian Community Health Survey

Breastfeeding in Canada: predictors of initiation, exclusivity, and continuation from the 2017–2018 Canadian Community Health Survey

Responsive Feeding Recommendations: Harmonizing Integration into Dietary Guidelines for Infants and Young Children

Nutrition guidance for infants: Nutrient-based reference intakes and feeding recommendations

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