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Infant feeding patterns in the first 6 months: an assessment in full-term infants
Neta Nevo1, Lisa Rubin, Ada Tamir
1Department of Pediatrics, Ministry of Health, Israel.
Insights
Parents frequently switch infant formulas due to perceived issues like regurgitation or restlessness, often without consulting healthcare professionals. These changes are common in the first six months of a baby's life.
Area of Science:
- Pediatrics
- Infant Nutrition
- Consumer Behavior
Background:
- The infant formula market is extensive, offering diverse products for infant growth stages.
- Healthy infants often experience unnecessary formula changes.
- This study investigates factors driving formula switches in infants.
Purpose of the Study:
- To identify factors influencing infant formula changes within the first six months of life.
- To understand parental choices regarding initial formula selection and subsequent modifications.
- To examine reasons for supplementing breastfeeding with formula and formula thickening practices.
Main Methods:
- Interviewed 200 parents of infants aged 6 to 18 months using a detailed questionnaire.
- Conducted interviews in child and maternal health care centers.
- Focused on feeding patterns, specifically infant formula changes, in the first six months.
Main Results:
- 47% of infants changed formula within the first 6 months; 67% switched to another cow's milk-based formula.
- Primary reasons for switching were regurgitation (24%) and restlessness (18%).
- Lower birth z scores and higher Deltaz2 were linked to more formula changes; healthcare professional influence was minimal.
Conclusions:
- Parental concerns about common infant symptoms (perceived intolerance) are the main driver for formula switching.
- Parents typically decide to switch formulas independently, without consulting healthcare professionals.
- This highlights a gap in professional guidance for infant feeding decisions.
Background:
The infant formula market has grown significantly and offers a wide range of products for the different stages of healthy infant growth. Healthy infants often go through a series of unnecessary changes of formulas. The present study aimed to identify the factors leading to switches to alternative formulas. We studied the feeding patterns in the first 6 months of babies born at term, particularly changes in infant formulas. We also investigated the reasons for choosing the first formula, infant formula changes, the addition of formulas to supplement breast-feeding, and various aspects related to formula thickening.
Patients And Methods:
Two hundred parents of babies ages 6 to 18 months were interviewed. The interviews included a detailed questionnaire and were conducted in child and maternal health care centers.
Results:
Forty-seven percent of these infants underwent changes in their formula in the first 6 months of life, most of which (67%) were to another cow's milk-based formula. The main reasons for switching a formula were regurgitation or vomiting (24%) followed by restlessness (18%). Lower z scores at birth and a higher Deltaz2 (z score at the time of the questionnaire minus z score at birth) were associated with significantly more formula changes. The impact of pediatricians and other health care professionals on the choice of infant nutrition was surprisingly negligible.
Conclusions:
The most common reason for switching a formula was concern regarding common infantile symptoms or behavior patterns perceived by parents to be related to formula intolerance. The decision to switch formula was usually made by the parents without consulting a health professional.
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