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Infant feeding patterns over the first year of life: influence of family characteristics
A Betoko1, M-A Charles, R Hankard
1INSERM, CESP, Centre for research in Epidemiology and Population Health, UMR-S 1018, Epidemiology of diabetes, obesity and chronic kidney disease over the life course, Villejuif, France. aisha.betoko@inserm.fr
Insights
Infant feeding patterns in the first year are linked to family characteristics. Maternal education, age, and region influence these early eating habits, impacting later food preferences and health.
Area of Science:
- Pediatric Nutrition
- Maternal and Child Health
- Behavioral Science
Background:
- Early eating patterns influence later food preferences and are linked to childhood overweight and obesity.
- Understanding infant feeding practices is crucial for public health interventions.
- Family characteristics play a significant role in shaping infant dietary behaviors.
Purpose of the Study:
- To identify distinct infant feeding patterns within the first year of life.
- To investigate the associations between identified feeding patterns and various family characteristics.
- To provide insights into factors influencing early childhood nutrition.
Main Methods:
- Analysis of 1004 infants from the EDEN mother-child cohort.
- Maternal self-report data collected at birth, 4, 8, and 12 months.
- Principal component analysis and linear regressions to identify feeding patterns and their associations with family factors.
Main Results:
- Three primary feeding patterns were identified: 'late complementary food (CF) introduction and ready-prepared baby foods,' 'longer breastfeeding, late CF introduction, and home-made foods,' and 'use of adults' foods.'
- Maternal factors like age, education, parity, and income were associated with specific feeding patterns.
- Recruitment center also showed a relationship with all identified feeding patterns.
Conclusions:
- Maternal education, age, parity, and geographic region are key determinants of infant feeding patterns.
- Further research is necessary to explore the links between these feeding patterns, infant growth, and subsequent food preferences.
Background/Objectives:
Early eating patterns and behaviors can determine later eating habits and food preferences and they have been related to the development of childhood overweight and obesity. We aimed to identify patterns of feeding in the first year of life and to examine their associations with family characteristics.
Subjects/Methods:
Our analysis included 1004 infants from the EDEN mother-child cohort. Feeding practices were assessed through maternal self-report at birth, 4, 8 and 12 months. Principal component analysis was applied to derive patterns from breastfeeding duration, age at complementary food (CF) introduction and type of food used at 1 year. Associations between patterns and family characteristics were analyzed by linear regressions.
Results:
The main source of variability in infant feeding was characterized by a pattern labeled 'late CF introduction and use of ready-prepared baby foods'. Older, more educated, primiparous women with high monthly income ranked high on this pattern. The second pattern, labeled 'longer breastfeeding, late CF introduction and use of home-made foods' was the closest to infant feeding guidelines. Mothers ranking high on this pattern were older and more educated. The third pattern, labeled 'use of adults' foods' suggests a less age-specific diet for the infants. Mothers ranking high on this pattern were often younger and multiparous. Recruitment center was related to all patterns.
Conclusions:
Not only maternal education level and age, but also parity and region are important contributors to the variability in patterns. Further studies are needed to describe associations between these patterns and infant growth and later food preferences.
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