Adherence to complementary feeding recommendations for infants and implications for public health

Bibliographic Data

ID15097563
AuthorsSuzanne Fegan (corresponding author), Emma Bassett, Yingwei Peng (0000-0001-7391-9788, Queen's University), Kathleen O’connor (0000-0003-2948-8911, Queen's University), Kathleen Steel O’Connor
Year2016
Volume19
Issue4
Pages638-649
Publication date2016-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980015001433
PMID25989814
OpenAlexW2263835163
LanguageEN
Citations received6
References cited29

Objective The current study investigates (i) the extent to which breast-feeding and non-breast-feeding mothers follow the Canadian Nutrition for Healthy Term Infants (NHTI) recommendations; (ii) the first complementary foods given and the differences by breast-feeding status; (iii) whether any breast-feeding is associated with earlier introduction to complementary foods relative to non-breast-feeding, after controlling for potentially confounding factors; and (iv) the need for improvements in timing and resources of interventions by examining breast-feeding rates over time and information sources used by mothers. Design Longitudinal data from the Kingston, Frontenac, and Lennox & Addington (KFL&A) Infant Feeding Survey were used. Mothers completed a survey at the end of their hospital stay and were interviewed by telephone at 2, 4, 6 and 12 months thereafter. Setting The study took place in the KFL&A region of Ontario, Canada. Subjects The sample consisted of 325 mothers who gave birth to a live infant of at least 36 weeks’ gestation and a birth weight of at least 1500 g at Kingston General Hospital between January and July of 2008. Results Four in five mothers introduced complementary foods prior to 6 months. Mothers not breast-feeding at 6 months introduced water, juice, infant cereals, fruit and vegetables, and foods not recommended by Canada’s Food Guide sooner than breast-feeding mothers. Breast-feeding mothers were more likely to introduce milks appropriately, but had low adherence to giving their infants vitamin D supplements. Conclusions To support adherence to NHTI recommendations, interventions should be conducted during early infancy and deliver consistent, evidence-based recommendations

Breast feeding · Breast milk · Breastfeeding · Confounding · Environmental health · Gestation · Infant formula · Pregnancy · Psychological intervention · Public health · Breastfeeding Practices and Influences · Child Nutrition and Feeding Issues · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Nursing · Pediatrics

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