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 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 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 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 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 &lt; 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.

The Nightmare of Reason and Regression into the Night of the World

2018 ◽  
pp. 119-139
Author(s):  
Wes Furlotte
Keyword(s):  
Mental Illness ◽  
Significant Problem ◽  
The Unconscious ◽  
The World ◽  
The Subject ◽  
Radical Freedom ◽  
Finite Subjectivity

This chapter critically reads finite subjectivity in terms of its natural, instinctual dimension. The chapter’s objective is to further substantiate the significant problem Hegel’s conception of nature poses to his project of radical freedom. Developing a sense of subjectivity’s potential for “regression”, the chapter seeks to outline how, as in the case of acute psychopathology, subjectivity’s ordering of its instinctual dimension might be undermined. Hegelian regression, therefore, is a haywire inversion where the logical superiority of spirit’s freedom is subordinated to the ontologically prior register of instinct. Extrapolating from this analysis, the chapter contends that the unconscious-instinctual depth of the subject is never entirely abandoned; this abyss (Schacht) of indeterminacy lingers within the matrices of finite spirit and has the perpetual possibility of breaking-loose to the detriment of subjectivity’s free self-actualizing activity. Consequently, a reconstruction of Hegel’s account of mental illness forcefully demonstrates how nature remains a perpetual source of trauma for finite subjectivity and, therefore, the life of spirit.

scholarly journals Nutrient intakes from complementary foods consumed by young children (aged 12–23 months) from North Wollo, northern Ethiopia: the need for agro-ecologically adapted interventions

2012 ◽  
Vol 16 (10) ◽  
pp. 1741-1750 ◽  
Author(s):  
Kaleab Baye ◽  
Jean-Pierre Guyot ◽  
Christèle Icard-Vernière ◽  
Claire Mouquet-Rivier
Keyword(s):  
Young Children ◽  
Vitamin A ◽  
Vitamin C ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Grass Pea ◽  
Nutrient Intakes ◽  
Complementary Foods ◽  
Broad Beans ◽  
North Wollo

AbstractObjectiveTo characterize current feeding practices and to evaluate the adequacy of energy and nutrient intakes of young children in subsistence farming rural households in North Wollo, Ethiopia.DesignA cross-sectional study examining sociodemographic status, anthropometry, breast-feeding and complementary feeding practices using two in-home non-consecutive 24 h recalls.SettingsTwo rural villages in the highlands and lowlands of Gobalafto district, North Wollo.SubjectsSeventy-six young children aged 12–23 months, thirty-nine from the lowlands and thirty-seven from the highlands.ResultsAbout 33 % of the children, ∼46 % in the highlands and 24 % in the lowlands (P = 0·05), were stunted. Complementary diets were low in animal products, fruits and vegetables. Cereals and legumes were the major sources of energy, protein, Ca, Fe, Zn and vitamin A. Legumes with potentially toxic components (grass pea, broad beans) and low nutrient-dense beverages such as tea were frequently consumed. Intakes of energy, Ca, Zn, vitamin A and vitamin C from complementary foods were below WHO recommendations assuming average breast-milk intakes. In contrast, Fe and protein intakes and densities met WHO recommendations. Although vitamin C intakes and densities were higher (P < 0·05) for the lowlands, they remained far below WHO recommendations.ConclusionsInterventions promoting the WHO guiding principles for complementary feeding practices and behaviours that take the agro-ecological contexts into account are needed here. Furthermore, specific recommendations should be formulated to discourage the consumption of grass pea, broad beans and low nutrient-dense beverages such as tea.

scholarly journals Effect of Different Complementary Feeding on Iron Deficiency Anemia and Growth in Breastfed Infants: Home-Made VS Commercial

2019 ◽  
Vol 55 (2) ◽  
pp. 112
Author(s):  
Roedi Irawan ◽  
Nur Aisiyah Widjaja ◽  
Meta Herdiana Hanindita
Keyword(s):  
Iron Deficiency ◽  
Iron Deficiency Anemia ◽  
Serum Iron ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Child Growth ◽  
Complementary Food ◽  
Deficiency Anemia ◽  
Complementary Foods ◽  
Breastfed Infants

After approximately 6 months of age, term breastfed infants are increasingly depend on other sources of iron to avoid iron deficiency anemia, due to the depletion of the low concentration of iron in human milk. The appropriate complementary feeding must include a balance composition of foods containing an adequate amount of macro- and micronutrients to avoid iron deficiency anemia. This study aimed to compare the risk of iron deficiency and growth in breastfeed infants receiving commercial fortified complementary foods or home-made. A cross-sectional study was held on April-June 2016 to evaluate infants aged 6-24 months with breast feeding intake for 6 month of life. Complementary feeding practices were determined by questionnaire; an unquantified food frequency and feeding practices questionnaire was used to determine usual food intake. Biochemical assessment of haemoglobin (Hb), serum ferritin (SF) and serum iron (SI) level were measured. Anthropometric were assessed using WHO Child Growth Standard 2005. Statistical analysis used were Chi-square Test. Thirty eight infants were enrolled, mean age of 16.2 (SD 10.5) months. 17 infants consumed commercial complementary foods and 21 infants use home-made. Infants with home-made had lower Hb level, SF and SI  than those receiving commercial complementary food, and had higher risk of underweight, stunted and wasted. Infants with home-made complementary food had lower haemoglobin, serum feritin and serum iron levels than those in fortified complementary food CF; and a higher risk of stunted and wasted than children with commercial fortified CF.

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