Prevalence and maternal determinants of early and late introduction of complementary foods: results from the Growing Up in New Zealand cohort study.
Ferreira, SS
Marchioni, DML
Wall, CR
Gerritsen, S
Teixeira, JA
Grant, CC
Morton, SMB
Gontijo de Castro, T
- Publisher:
- CAMBRIDGE UNIV PRESS
- Publication Type:
- Journal Article
- Citation:
- Br J Nutr, 2023, 129, (3), pp. 491-502
- Issue Date:
- 2023-02-14
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Full metadata record
Field | Value | Language |
---|---|---|
dc.contributor.author | Ferreira, SS | |
dc.contributor.author | Marchioni, DML | |
dc.contributor.author | Wall, CR | |
dc.contributor.author | Gerritsen, S | |
dc.contributor.author | Teixeira, JA | |
dc.contributor.author | Grant, CC | |
dc.contributor.author | Morton, SMB | |
dc.contributor.author | Gontijo de Castro, T | |
dc.date.accessioned | 2023-11-07T03:14:41Z | |
dc.date.available | 2023-11-07T03:14:41Z | |
dc.date.issued | 2023-02-14 | |
dc.identifier.citation | Br J Nutr, 2023, 129, (3), pp. 491-502 | |
dc.identifier.issn | 0007-1145 | |
dc.identifier.issn | 1475-2662 | |
dc.identifier.uri | http://hdl.handle.net/10453/173168 | |
dc.description.abstract | A nationally generalisable cohort (n 5770) was used to determine the prevalence of non-timely (early/late) introduction of complementary food and core food groups and associations with maternal sociodemographic and health behaviours in New Zealand (NZ). Variables describing maternal characteristics and infant food introduction were sourced, respectively, from interviews completed antenatally and during late infancy. The NZ Infant Feeding Guidelines were used to define early (≤ 4 months) and late (≥ 7 months) introduction. Associations were examined using multivariable multinomial regression, presented as adjusted relative risk ratios and 95 % confidence intervals (RRR; 95% CI). Complementary food introduction was early for 40·2 % and late for 3·2 %. The prevalence of early food group introduction were fruit/vegetables (23·8 %), breads/cereals (36·3 %), iron-rich foods (34·1 %) and of late were meat/meat alternatives (45·9 %), dairy products (46·2 %) and fruits/vegetables (9·9 %). Compared with infants with timely food introduction, risk of early food introduction was increased for infants: breastfed < 6months (2·52; 2·19-2·90), whose mothers were < 30 years old (1·69; 1·46-1·94), had a diploma/trade certificate v. tertiary education (1·39; 1·1-1·70), of Māori v. European ethnicity (1·40; 1·12-1·75) or smoked during pregnancy (1·88; 1·44-2·46). Risk of late food introduction decreased for infants breastfed < 6 months (0·47; 0.27-0·80) and increased for infants whose mothers had secondary v. tertiary education (2·04; 1·16-3·60) were of Asian v. European ethnicity (2·22; 1·35, 3·63) or did not attend childbirth preparation classes (2·23; 1·24-4·01). Non-timely food introduction, specifically early food introduction, is prevalent in NZ. Interventions to improve food introduction timeliness should be ethnic-specific and support longer breast-feeding. | |
dc.format | Print-Electronic | |
dc.language | eng | |
dc.publisher | CAMBRIDGE UNIV PRESS | |
dc.relation.ispartof | Br J Nutr | |
dc.relation.isbasedon | 10.1017/S000711452200112X | |
dc.rights | info:eu-repo/semantics/openAccess | |
dc.subject | 0702 Animal Production, 0908 Food Sciences, 1111 Nutrition and Dietetics | |
dc.subject.classification | Nutrition & Dietetics | |
dc.subject.classification | 3003 Animal production | |
dc.subject.classification | 3006 Food sciences | |
dc.subject.classification | 3210 Nutrition and dietetics | |
dc.subject.mesh | Infant | |
dc.subject.mesh | Female | |
dc.subject.mesh | Pregnancy | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Cohort Studies | |
dc.subject.mesh | New Zealand | |
dc.subject.mesh | Prevalence | |
dc.subject.mesh | Breast Feeding | |
dc.subject.mesh | Infant Food | |
dc.subject.mesh | Infant Nutritional Physiological Phenomena | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Prevalence | |
dc.subject.mesh | Cohort Studies | |
dc.subject.mesh | Breast Feeding | |
dc.subject.mesh | Pregnancy | |
dc.subject.mesh | Infant Food | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Infant | |
dc.subject.mesh | New Zealand | |
dc.subject.mesh | Female | |
dc.subject.mesh | Infant Nutritional Physiological Phenomena | |
dc.subject.mesh | Infant | |
dc.subject.mesh | Female | |
dc.subject.mesh | Pregnancy | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Cohort Studies | |
dc.subject.mesh | New Zealand | |
dc.subject.mesh | Prevalence | |
dc.subject.mesh | Breast Feeding | |
dc.subject.mesh | Infant Food | |
dc.subject.mesh | Infant Nutritional Physiological Phenomena | |
dc.title | Prevalence and maternal determinants of early and late introduction of complementary foods: results from the Growing Up in New Zealand cohort study. | |
dc.type | Journal Article | |
utslib.citation.volume | 129 | |
utslib.location.activity | England | |
utslib.for | 0702 Animal Production | |
utslib.for | 0908 Food Sciences | |
utslib.for | 1111 Nutrition and Dietetics | |
pubs.organisational-group | /University of Technology Sydney | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health | |
utslib.copyright.status | open_access | * |
dc.date.updated | 2023-11-07T03:14:40Z | |
pubs.issue | 3 | |
pubs.publication-status | Published | |
pubs.volume | 129 | |
utslib.citation.issue | 3 |
Abstract:
A nationally generalisable cohort (n 5770) was used to determine the prevalence of non-timely (early/late) introduction of complementary food and core food groups and associations with maternal sociodemographic and health behaviours in New Zealand (NZ). Variables describing maternal characteristics and infant food introduction were sourced, respectively, from interviews completed antenatally and during late infancy. The NZ Infant Feeding Guidelines were used to define early (≤ 4 months) and late (≥ 7 months) introduction. Associations were examined using multivariable multinomial regression, presented as adjusted relative risk ratios and 95 % confidence intervals (RRR; 95% CI). Complementary food introduction was early for 40·2 % and late for 3·2 %. The prevalence of early food group introduction were fruit/vegetables (23·8 %), breads/cereals (36·3 %), iron-rich foods (34·1 %) and of late were meat/meat alternatives (45·9 %), dairy products (46·2 %) and fruits/vegetables (9·9 %). Compared with infants with timely food introduction, risk of early food introduction was increased for infants: breastfed < 6months (2·52; 2·19-2·90), whose mothers were < 30 years old (1·69; 1·46-1·94), had a diploma/trade certificate v. tertiary education (1·39; 1·1-1·70), of Māori v. European ethnicity (1·40; 1·12-1·75) or smoked during pregnancy (1·88; 1·44-2·46). Risk of late food introduction decreased for infants breastfed < 6 months (0·47; 0.27-0·80) and increased for infants whose mothers had secondary v. tertiary education (2·04; 1·16-3·60) were of Asian v. European ethnicity (2·22; 1·35, 3·63) or did not attend childbirth preparation classes (2·23; 1·24-4·01). Non-timely food introduction, specifically early food introduction, is prevalent in NZ. Interventions to improve food introduction timeliness should be ethnic-specific and support longer breast-feeding.
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