Factors associated with the timing of introduction of complementary feeding: the Generation R Study

Tromp, Ilse; Briedé, S; Jong, Jessica C. Kiefte-de; Renders, Carry M.; Jaddoe, Vincent W.V.; Franco, Oscar H.; Hofman, Albert; Raat, Hein; Moll, Henriëtte A.

doi:10.1038/ejcn.2013.50

Cited by 35 publications

(40 citation statements)

References 16 publications

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“…Hence, foods may be introduced later to children who are already allergic [27,47,48] or have a family history of allergy [47,49]. However, we found no indications of reverse causation in our study based on a questionnaire sent to the parents in retrospect and, thus, we did not perform additional analyses on this matter.…”

Section: Discussionmentioning

confidence: 65%

Late introduction of fish and eggs is associated with increased risk of allergy development – results from the FARMFLORA birth cohort

Jönsson

Barman

Brekke

et al. 2017

Food & Nutrition Research

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The prevalence of allergy is markedly low in children growing up on farms. An increasing number of studies indicate that the timing of food introduction may affect allergy development. We aimed to investigate if protection against allergy in farm environments may be mediated through differences in food-introduction practices between farm and non-farm families, using an explorative approach. Twenty-eight farm and 37 non-farm children were included in the FARMFLORA birth cohort. Practices of breastfeeding and introduction of formulas and complementary foods were collected by questionnaires at 6, 12, and 18 months of age. Allergy was diagnosed by pediatricians at 3 years of age. The only difference in food-introduction practices observed between farm and non-farm children was an earlier introduction of nuts in farmers (median month: 11 [IQR: 8–6] in farmers, 15 [12–19] in non-farmers). One farm child (4%) and 10 non-farm children (27%) were allergic at 3 years of age. Lower risk of allergy development was associated with early exclusive breastfeeding (continuous variable; OR = 0.59, 95% CI: 0.39–0.89), but also having received eggs (OR = 0.08, 95% CI: 0.13–0.54) and fish (logistic regression not applicable, P = 0.01 in likelihood ratio testing [χ2]) at 10 months of age or earlier compared to later. Our results were not affected by reverse causation, as judged by a questionnaire sent to the families in retrospect. Timing of introduction of complementary foods is unlikely to contribute to the lower risk of allergy among farm children. Although early exclusive breastfeeding was associated with a lower rate of allergy development, postponed introduction of complementary foods might increase the risk of developing allergy. Owing to the limited sample size, our results are only indicative, but support prior findings.

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Section: Discussionmentioning

confidence: 65%

Late introduction of fish and eggs is associated with increased risk of allergy development – results from the FARMFLORA birth cohort

Jönsson

Barman

Brekke

et al. 2017

Food & Nutrition Research

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“…This could be due to the fact that education has an immense benefit in promoting the optimal maternal nutrition and health seeking behavior [15]. In addition, other studies persistently claimed that mothers’ education has a profound effect on children’s nutritional status and caring practice [15, 32–34]. …”

Section: Discussionmentioning

confidence: 99%

Determinants of timely initiation of complementary feeding among mothers with children aged 6–23 months in Lalibela District, Northeast Ethiopia, 2015

2016

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BackgroundOptimal complementary feeding alone prevents six percent of child mortality, but it has continued to be considered as sub-optimal in Ethiopia. Therefore, this study aimed to assess timely initiation of complementary feeding and associated factors among mothers with children aged 6–23 months in Lalibela District.MethodsA community-based cross-sectional study was conducted from March 01 to April 29, 2015. Four hundred twenty-one mother-child pairs were selected by the systematic random sampling technique. An interviewer-administered questionnaire was used to collect data. A multivariable logistic regression analysis was employed to identify factors associated with timely initiation of complementary feeding. The Adjusted Odds Ratio (AOR) with a 95 % Confidence Interval (CI) was computed to assess the strength of association, and variables with a P-value of <0.05 were considered as statistically significant in the multivariable analysis.ResultsThe study demonstrated that, the prevalence of timely initiation of complementary feeding was 63 %. In addition, mother’s education [AOR = 4.33, 95 % CI: 1.99, 9.40], antenatal care follow up [AOR = 5.90, 95 % CI: 2.45, 14.21], and institutional delivery [AOR = 2.54, 95 % CI: 1.33, 4.82] were found key determinants of timely initiation of complementary feeding.ConclusionIn this community, timely initiation of complementary feeding was lower than the World Health Organization cut-off point for good practice of complementary feeding. Therefore, intensifying utilization of antenatal care and institutional delivery helps to improve the coverage of timely initiation of complementary feeding. Furthermore, the focus needs to be on uneducated women.

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“…Early introduction of solid foods is associated with young maternal age, low maternal education, formula feeding, multiparity, shorter breastfeeding duration and higher maternal BMI [13,14].…”

Section: Introductionmentioning

confidence: 99%

Infant Feeding Practices in the First Year of Life in a Metropolitan Italian Cohort

Cinelli¹,

Fabrizi²,

Shashaj³

et al. 2018

JFNR

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Infant feeding choices are pivotal for growth and may affect the risk of overweight later in life. The objective of the study was to explore: (i) adherence to World Health Organization (WHO, exclusive breast feeding, BF, in the first 6 months) and European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPHGAN, complementary feeding, CF, between 17 and 26 weeks of age and cow's milk introduction at 1 year of age) recommendations; (ii) and the effect of these practice on infants' anthropometrics and adiposity at 1 year of age. The study was based on the sample of infants (n = 462) from the -Feeding‖ cohort whose feeding behaviours were monthly investigated from birth to 1 year of age and anthropometrics, thickness of epicardial adipose (EAT), abdominal subcutaneous, and visceral adipose tissues, measured at 1 year of age. Exclusively breast-fed infants were 69.5% (n=321) at birth but 19.9% (n=92) at 6 months of age. CF was introduced at the median age of 5 (4-6), with 64.5% (n=298) of infants complying the ESPHGAN guidelines, while cow's milk was introduced at the age of 11 (10-12) months. Age of CF was associated with weight-to-length ratio (coeff.= -0.002, 95% CI -0.003 to -0.000, p = 0.018, r). Age of cow's milk introduction with weight-to-length ratio as well (coeff.= 0.001, 95% CI 0.000, 0.002, p=0.025; and EAT (coeff.=0.038, 95% CI 0.012 to 0.063, p = 0.004) at 1-y. Feeding practices complied with WHO recommendations in one infant out of five, and ESPHGAN recommendations in about seven out of ten. Early CF and cow's milk were both associated with anthropometrics at 1-y, while exclusively BF was not.

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Factors associated with the timing of introduction of complementary feeding: the Generation R Study

Cited by 35 publications

References 16 publications

Late introduction of fish and eggs is associated with increased risk of allergy development – results from the FARMFLORA birth cohort

Late introduction of fish and eggs is associated with increased risk of allergy development – results from the FARMFLORA birth cohort

Determinants of timely initiation of complementary feeding among mothers with children aged 6–23 months in Lalibela District, Northeast Ethiopia, 2015

Infant Feeding Practices in the First Year of Life in a Metropolitan Italian Cohort

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