scholarly journals Complementary feeding may pose a risk of simultaneous exposures to aflatoxin M1 and deoxynivalenol in Indian infants and toddlers: Lessons from a mini-survey of food samples obtained from Kolkata, India

2019 ◽  
Vol 123 ◽  
pp. 9-15 ◽  
Author(s):  
Phani M. Gummadidala ◽  
Mayomi H. Omebeyinje ◽  
James A. Burch ◽  
Paramita Chakraborty ◽  
Prasanta K. Biswas ◽  
...  
Keyword(s):  
Complementary Feeding ◽  
Food Samples ◽  
Aflatoxin M1 ◽  
Infants And Toddlers

scholarly journals Association Between Added Sugars from Infant Formulas and Rapid Weight Gain in US Infants and Toddlers

2021 ◽  
Author(s):  
Kai Ling Kong ◽  
Brenda Burgess ◽  
Katherine S Morris ◽  
Tyler Re ◽  
Holly R Hull ◽  
...  
Keyword(s):  
Weight Gain ◽  
Complementary Feeding ◽  
Infants And Toddlers ◽  
Rapid Weight Gain ◽  
Cross Sectional ◽  
Added Sugar ◽  
Added Sugars ◽  
Solid Foods ◽  
Sectional Analysis ◽  
Weight For Age

ABSTRACT Background Formulas often contain high amounts of added sugars, though little research has studied their connection to obesity. Objectives This study assessed the contribution of added sugars from formulas during complementary feeding on total added sugar intakes, and the association between these sugars and upward weight-for-age percentile (WFA%) crossing (i.e., participants crossing a higher threshold percentile were considered to have an upward crossing). Methods Data from three 24-hour dietary recalls for infants (n = 97; 9–12 months) and toddlers (n = 44; 13–15 months) were obtained in this cross-sectional analysis. Foods and beverages with added sugars were divided into 17 categories. Pearson's correlations were used to test relations between added sugar intake and upward WFA% crossing, followed by multivariable regressions when significant. ANOVA compared intakes of all, milk-based, and table foods between primarily formula-fed compared with breastfed participants. Multivariable regressions were used to test effects of added sugars and protein from all foods compared with added sugars and protein from milk-based sources on upward WFA% crossing. Results Added sugars from formulas comprised 66% and 7% of added sugars consumed daily by infants and toddlers, respectively. A significant association was observed between upward WFA% crossing and added sugars from milk-based sources after controlling for gestational age, sex, age, introduction to solid foods, mean energy intakes, and maternal pre-pregnancy BMI and education (β = 0.003; 95% CI, 0.000–0.007; P = 0.046). Primarily formula-fed participants consumed nearly twice the energy from added sugars (P = 0.003) and gained weight faster (upward WFA% crossing = 1.1 ± 1.2 compared with 0.3 ± 0.6, respectively; P < 0.001) than their breastfed counterparts. Conclusions Added sugars in formulas predict rapid weight gain in infants and toddlers. Educating mothers on lower-sugar options may enhance childhood obesity prevention.

scholarly journals Complementary feeding patterns of Filipino infants and toddlers lack diversity, especially among children from poor households

2020 ◽  
Author(s):  
Emma F Jacquier ◽  
Imelda Angeles-Agdeppa ◽  
Yvonne Lenighan ◽  
Marvin B Toledo ◽  
Mario V Capanzana
Keyword(s):  
Human Milk ◽  
Complementary Feeding ◽  
Vegetable Consumption ◽  
Household Wealth ◽  
Infants And Toddlers ◽  
Complementary Foods ◽  
Nutrition Survey ◽  
Wealth Status ◽  
Powdered Milk ◽  
Poor Households

Abstract Consumption of nutritionally adequate complementary foods is essential for optimal growth and development of infants and toddlers, particularly in developing countries. The aim of this study was to describe percentages of consumption, energy contribution (6-23.9mo), and usual nutrient intakes (12-23.9mo) from complementary foods among Filipino infants and toddlers stratified by household wealth. Data from 1087 infants and toddlers from the 2013 National Nutrition Survey were included. Dietary intake data was assessed using a 24Hr recall and population food intakes were stratified into pre-defined wealth categories. Breast milk, infant formula, powdered milk and rice were the most commonly consumed foods and beverages across the age groups. Several differences in complementary feeding by wealth status were observed. Infants and toddlers from poor households reported significantly greater consumption of human milk, in comparison to those from the rich households who reported a significantly greater consumption of infant/toddler formula (P>0.05). A higher percentage of toddlers from rich households consumed protein-containing foods, cookies and cakes. There was no difference in fruit and vegetable consumption between wealth groups in 6-11.9mo and 18-23.9mo children. Human milk and formula were the top contributors to energy in 6.11.9mo and 12-17.9mo children, while rice was the top energy contributor in 18-23.9mo children. Intakes of protein, fat, vitamin C, B vitamins, vitamin D, vitamin E, iron and calcium were higher in 12-23.9mo children from rich households. Interventions are required to enable caregivers of young Filipino children to provide complementary foods of high nutritional quality, particularly among children from the poor households.

scholarly journals Exploring Physicians’ Perspectives on the Introduction of Complementary Foods to Infants and Toddlers

Nutrients ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 3559
Author(s):  
Łukasz Dembiński ◽  
Aleksandra Banaszkiewicz ◽  
Katarzyna Dereń ◽  
Aleksandra Pituch-Zdanowska ◽  
Teresa Jackowska ◽  
...  
Keyword(s):  
Complementary Feeding ◽  
Significant Problem ◽  
Infants And Toddlers ◽  
Nutritional Counseling ◽  
Complementary Foods ◽  
The Subject

Complementary feeding is the subject of many recommendations regarding the benefits of its use, illustrating its crucial impact on further health. However, it still poses a significant problem for caregivers, and thus for doctors. This survey focused on nutritional problems faced by the parents of infants and toddlers, as well as how physicians deal with these problems. Based on the responses from 303 doctors, it was determined that the time and sequence of introducing complementary foods raise the greatest doubts in parents. This study also found that at least one-third of pediatricians experience difficulties in providing effective nutritional counseling. Increasing the nutritional awareness of physicians can allow them to provide more appropriate support to parents.

scholarly journals Dietary Exposure and Risk Assessment of Aflatoxin M1 for Children Aged 1 to 9 Years Old in Serbia

2021 ◽  
Author(s):  
Dragan R Milićević ◽  
Jelena Milešević ◽  
Mirjana Gurinovic ◽  
Saša Janković ◽  
Jasna Đinović ◽  
...  
Keyword(s):  
Age Groups ◽  
Daily Intake ◽  
Dietary Exposure ◽  
Food Samples ◽  
Aflatoxin M1 ◽  
Risk Characterization ◽  
Detection Rates ◽  
Risk Of Exposure ◽  
Group 1

The present study was conducted to estimate the exposure and risk characterization of the children population of Serbia to Aflatoxin M1 (AFM1) from milk and milk-based food. A total of 3404 samples comprising of milk and different milk-based food samples were collected from various regions of Serbia from 2017 to 2019. Evaluation of the AFM1 exposure was carried out using the deterministic method, whereas risk characterization was evaluated with the calculation of the Margin of Exposure (MOE) and the risk of Hepatocellular Carcinoma (HCC). Detection rates for AFM1 in milk and milk-based food samples ranged between 2% and 79%, with the highest incidence (79%) and mean level (22.34  0,018 ng kg-1) of AFM1 was detected in pasteurized and UHT milk. According to the three consumption estimates, the values of EDI were higher for toddlers as compared with children. Children aged 1–3 years had the highest risk of exposure to AFM1 in milk, with an estimated daily intake of 0.164 and 0.193 ng kg-1 bw day-1 using a lower bound (LB) and the upper bound (UB) exposure scenarios, respectively. Such difference could result from the higher consumption versus weight. Based on the EDI found in this study, the risk of AFM1 due to consumption of milk and milk-based food was low since MOE values obtained were 10000. In addition, the risk of HCC cases/year/105 individuals of different age groups showed that the value of HCC using potency estimates of 0.0017 (mean) was maximum (0.00034) in the age group 1–3 years which indicates no health risk for the evaluated groups. The present study revealed the importance of controlling and preventing AFM1 contamination in milk through continuous monitoring and regular inspection to reduce the risk of AFM1 exposure, especially in children.

scholarly journals Complementary feeding patterns of Filipino infants and toddlers lack diversity, especially among children from poor households

2020 ◽  
Author(s):  
Emma F Jacquier ◽  
Imelda Angeles-Agdeppa ◽  
Yvonne Lenighan ◽  
Marvin B Toledo ◽  
Mario V Capanzana
Keyword(s):  
Human Milk ◽  
Complementary Feeding ◽  
Vegetable Consumption ◽  
Household Wealth ◽  
Infants And Toddlers ◽  
Complementary Foods ◽  
Nutrition Survey ◽  
Wealth Status ◽  
Powdered Milk ◽  
Poor Households

Abstract Consumption of nutritionally adequate complementary foods is essential for optimal growth and development of infants and toddlers, particularly in developing countries. The aim of this study was to describe percentages of consumption, energy contribution (6-23.9mo), and usual nutrient intakes (12-23.9mo) from complementary foods among Filipino infants and toddlers stratified by household wealth. Data from 1087 infants and toddlers from the 2013 National Nutrition Survey were included. Dietary intake data was assessed using a 24Hr recall and population food intakes were stratified into pre-defined wealth categories. Breast milk, infant formula, powdered milk and rice were the most commonly consumed foods and beverages across the age groups. Several differences in complementary feeding by wealth status were observed. Infants and toddlers from poor households reported significantly greater consumption of human milk, in comparison to those from the rich households who reported a significantly greater consumption of infant/toddler formula (P>0.05). A higher percentage of toddlers from rich households consumed protein-containing foods, cookies and cakes. There was no difference in fruit and vegetable consumption between wealth groups in 6-11.9mo and 18-23.9mo children. Human milk and formula were the top contributors to energy in 6.11.9mo and 12-17.9mo children, while rice was the top energy contributor in 18-23.9mo children. Intakes of protein, fat, vitamin C, B vitamins, vitamin D, vitamin E, iron and calcium were higher in 12-23.9mo children from rich households. Interventions are required to enable caregivers of young Filipino children to provide complementary foods of high nutritional quality, particularly among children from the poor households.

scholarly journals Dietary Exposure and Risk Assessment of Aflatoxin M1 for Children Aged 1 to 9 Years Old in Serbia

Nutrients ◽  
2021 ◽  
Vol 13 (12) ◽  
pp. 4450
Author(s):  
Dragan R. Milićević ◽  
Jelena Milešević ◽  
Mirjana Gurinović ◽  
Saša Janković ◽  
Jasna Đinović-Stojanović ◽  
...  
Keyword(s):  
Continuous Monitoring ◽  
Age Groups ◽  
Daily Intake ◽  
Dietary Exposure ◽  
Food Samples ◽  
Aflatoxin M1 ◽  
Estimated Daily Intake ◽  
Detection Rates ◽  
Risk Of Exposure ◽  
Group 1

The present study was conducted to estimate the exposure and characterize the risk for the child population of Serbia to Aflatoxin M1 (AFM1) from milk and milk-based food. A total of 3404 samples comprising milk and different milk-based food samples were collected from various regions of Serbia from 2017 to 2019. Evaluation of AFM1 exposure was carried out using the deterministic method, whereas risk characterization was evaluated using the margin of exposure (MOE) and the risk of hepatocellular carcinoma (HCC). Detection rates for AFM1 in milk and milk-based food samples ranged between 2% and 79%, with the highest incidence (79%) and mean level (22.34 ± 0.018 ng kg−1) of AFM1 being detected in pasteurized and UHT milk. According to the three consumption estimates, the values of estimated daily intake (EDI) were higher for toddlers as compared with children aged 3–­9 years. Children aged 1–3 years had the highest risk of exposure to AFM1 in milk, with an estimated daily intake of 0.164 and 0.193 ng kg−1 bw day−1 using lower bound (LB) and upper bound (UB) exposure scenarios, respectively. Such difference could result from the higher consumption to weight in younger children. Based on the estimated daily intake (EDI) found in this study, the risk of AFM1 exposure due to consumption of milk and milk-based food was low since the MOE values obtained were > 10,000. In addition, the risk of HCC cases/year/105 individuals of different age groups showed that the value of HCC, using potency estimates of 0.0017 (mean), was maximum (0.00034) in the age group 1–3 years, which indicates no health risk for the evaluated groups. The present study revealed the importance of controlling and preventing AFM1 contamination in milk through continuous monitoring and regular inspection to reduce the risk of AFM1 exposure, especially in children.

scholarly journals Complementary feeding patterns of Filipino infants and toddlers lack diversity, especially among children from poor households

2020 ◽  
Author(s):  
Emma F Jacquier ◽  
Imelda Angeles-Agdeppa ◽  
Yvonne Lenighan ◽  
Marvin B Toledo ◽  
Mario V Capanzana
Keyword(s):  
Human Milk ◽  
Complementary Feeding ◽  
Vegetable Consumption ◽  
Household Wealth ◽  
Infants And Toddlers ◽  
Complementary Foods ◽  
Nutrition Survey ◽  
Poor Households ◽  
Significant Difference ◽  
Filipino Children

Abstract Background: Consumption of nutritionally adequate complementary foods is essential for optimal growth and development of infants and toddlers, including those in developing countries. The aim of this study was to describe the food and beverage consumption patterns among 6-23.9 month old Filipino infants and toddlers, by household wealth. Methods: Data from 1087 infants and toddlers from the 2013 National Nutrition Survey were included. Dietary intake data was assessed using a 24Hr recall and population food intakes were stratified into pre-defined wealth categories. Results: Breast milk, infant formula, powdered milk and rice were the most commonly consumed foods and beverages across the age groups. Several differences in complementary feeding by wealth status were observed. Infants from poor households (69%) reported significantly greater consumption of human milk, than those from rich households (42%) who reported a significantly greater consumption of infant/toddler formula (Poor: 22%, Rich: 56%) (P>0.05). A higher percentage of toddlers from rich households consumed protein-containing foods, cookies and cakes. There was a significant difference in vegetable consumption in 12-17.9 month old children (Poor: 17%, Rich: 31%; P=0.021). Human milk and formula were the top contributors to energy in 6.11.9mo and 12-17.9mo children, while rice was the top energy contributor in 18-23.9mo children. Conclusion: Milk and rice were the main dietary components in all Filipino children. However, intakes of a number of nutrients including protein, fat, vitamin B/C/D/E and iron and calcium were lower in children from poor households. Interventions are required to enable caregivers of young Filipino children to provide complementary foods of high nutritional quality, particularly among children from the poor households.

scholarly journals Complementary feeding patterns of Filipino infants and toddlers lack diversity, especially among children from poor households

BMC Nutrition ◽  
2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Emma F. Jacquier ◽  
Imelda Angeles-Agdeppa ◽  
Yvonne M. Lenighan ◽  
Marvin B. Toledo ◽  
Mario V. Capanzana
Keyword(s):  
Human Milk ◽  
Complementary Feeding ◽  
Vegetable Consumption ◽  
Household Wealth ◽  
Infants And Toddlers ◽  
Complementary Foods ◽  
Nutrition Survey ◽  
Poor Households ◽  
Significant Difference ◽  
Filipino Children

Abstract Background Consumption of nutritionally adequate complementary foods is essential for optimal growth and development of infants and toddlers, including those in developing countries. The aim of this study was to describe the food and beverage consumption patterns among 6–23.9 month old Filipino infants and toddlers, by household wealth. Methods Data from 1087 infants and toddlers from the 2013 National Nutrition Survey were included. Dietary intake data was assessed using a 24Hr recall and population food intakes were stratified into pre-defined wealth categories. Results Breast milk, infant formula, powdered milk and rice were the most commonly consumed foods and beverages across the age groups. Several differences in complementary feeding by wealth status were observed. Infants from poor households (69%) reported significantly greater consumption of human milk, than those from rich households (42%) who reported a significantly greater consumption of infant/toddler formula (Poor: 22%, Rich: 56%) (P < 0.05). A higher percentage of toddlers from rich households consumed protein-containing foods, cookies and cakes. There was a significant difference in vegetable consumption in 12–17.9 month old children (Poor: 17%, Rich: 31%; P = 0.021). Human milk and formula were the top contributors to energy in 6–17.9 month old children, while rice was the top energy contributor in 18–23.9 month old children. Conclusion Milk and rice were the main dietary components in all Filipino children, contributing up to 60% of energy in the infants from poorer households. Consumption of protein-containing foods and vegetables were typically lower in poorer households. Interventions are required to enable caregivers of young Filipino children to provide complementary foods of high nutritional quality, particularly among children from the poor households.

scholarly journals Complementary Feeding Practices and Parental Pressure to Eat among Spanish Infants and Toddlers: A Cross-Sectional Study

2021 ◽  
Vol 18 (4) ◽  
pp. 1982
Author(s):  
Michelle Klerks ◽  
Sergio Roman ◽  
Maria Jose Bernal ◽  
Juan Francisco Haro-Vicente ◽  
Luis Manuel Sanchez-Siles
Keyword(s):  
Health Care Professionals ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Full Time ◽  
Infants And Toddlers ◽  
Child Feeding ◽  
Cross Sectional ◽  
Parental Pressure ◽  
Almost All

The introduction of complementary foods is a crucial stage in the development and determination of infants’ health status in both the short and longer-term. This study describes complementary feeding practices among infants and toddlers in Spain. Also, relationships among sample characteristics (both parents and their child), feeding practices (timing, type of complementary food), and parental pressure to eat were explored. Cognitive interviewing with 18 parents was used to refine the survey questions. Responses from a national random sample of 630 parents, who were responsible for feeding their infants and toddlers aged 3–18 months, were obtained. Solids, often cereals and/or fruits first, were introduced at a median age of five months. Fish and eggs were introduced around the age of nine and ten months. Almost all children were fed with home-prepared foods at least once per week (93%), and in 36% of the cases, salt was added. Interestingly, higher levels of parental pressure to eat were found in female infants, younger parents, parents with a full-time job, the southern regions of Spain, and in infants who were not fed with home-prepared foods. Our insights underline the importance of clear feeding recommendations that can support health care professionals in promoting effective strategies to improve parental feeding practices.

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