Longitudinal Development of Infant Complementary Diet Diversity in 3 International Cohorts - 24/10/15
Abstract |
Objectives |
To evaluate international differences in the development of minimum dietary diversity (MDD) between 6 and 12 months of age.
Study design |
Breastfed infants (115, 100, and 109 in Shanghai, Cincinnati, and Mexico City, respectively) were enrolled near birth and dietary intake assessed weekly by 24-hour recall of food frequency. Diet diversity per month from age 6-12 months was assessed as at least 4 of 7 food groups provided on the previous day.
Results |
Across all cohorts, dietary diversity increased from 6 (31%) to 12 (92%) months of age. Shanghai infants were significantly more likely to achieve MDD than the other cohorts at each month of age. Meat/seafood accounted for a higher proportion of infant feeds in Shanghai compared with the other cohorts, and eggs were only fed in Shanghai, and proportional intake of dairy, grains, and fruit were highest in Cincinnati. Only 28% of Cincinnati infants fed >50% human milk achieved MDD between 6 and 12 months.
Conclusions |
The proportion of infants between 6 and 12 months achieving MDD was significantly higher in Shanghai than in Mexico City or Cincinnati at all ages. Of particular concern was low dietary diversity among highly breastfed Cincinnati cohort infants, suggesting a need for greater education of breastfeeding mothers about the need to introduce a diverse complementary food diet.
Le texte complet de cet article est disponible en PDF.Keyword : AAP, GEHM, MDD, WHO
Plan
| Supported by Mead Johnson Pediatric Nutrition Institute (MJPNI; research contract (#3140) [to J.W., Y.-M.P., G.R.-P., and A.M.), the Schmidlapp Women's Scholars Award (to J.W.), and Cincinnati Children's Hospital Medical Center Division of Biostatistics and Epidemiology (to J.W.). The MJPNI reviewed this work prior to submission, but did not alter the design, collection, analysis, interpretation or presentation of the data herein, and did not play a role in the decision to submit this manuscript. R.M. is an employee of MJPNI. The other authors declare no conflicts of interest. |
Vol 167 - N° 5
P. 969 - novembre 2015 Retour au numéro
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