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Prolonged bottle feeding in a cohort of children: does it affect caloric intake and dietary composition?

D L Safer1, S Bryson, W S Agras

  • 1Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, CA 94304, USA.

Clinical Pediatrics
|October 5, 2001
PubMed

Insights

Prolonged bottle feeding beyond age one in children is linked to increased milk and calcium intake. This study found no evidence of negative impacts on total calories, iron, or obesity risk factors.

Area of Science:

  • Pediatric Nutrition
  • Childhood Dietary Habits
  • Public Health

Background:

  • Limited data exists on the nutritional consequences of prolonged bottle feeding beyond one year of age.
  • Understanding dietary patterns in early childhood is crucial for long-term health outcomes.

Purpose of the Study:

  • To assess the impact of prolonged bottle feeding on caloric intake and dietary composition in children at 3.5 years of age.
  • To provide evidence-based information for pediatricians and parents regarding bottle-feeding practices.

Main Methods:

  • A 24-hour dietary assessment was conducted on 165 children followed from infancy.
  • Children were categorized into bottle-fed and weaned groups at 3.5 years old.
  • Nutritional intake, including milk, calories, macronutrients, and iron, was analyzed.

Main Results:

  • Bottle-fed children consumed significantly more milk and had higher daily calcium intake.
  • Bottle-fed children received fewer calories from carbohydrates and a greater percentage of calories from protein.
  • No significant differences were observed in total caloric intake, iron intake, juice volume, or calories from fat.

Conclusions:

  • Continuing bottle feeding beyond age one is associated with increased milk and calcium consumption.
  • Prolonged bottle feeding was not linked to decreased iron intake or increased risk factors for adiposity in this cohort.
  • Findings can inform pediatricians advising parents on appropriate feeding practices.

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