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Introducing solid foods to infants in the Asia Pacific region
1School of Public Health and Curtin Health Innovation Research Institute, Curtin University, Perth, Western Australia, GPO Box U1987 Perth, Western Australia 6845, Australia. madoka.inoue@curtin.edu.au.
Insights
Introducing solid foods to infants is crucial for development. This review found early introduction and low-nutrient rice-based foods common in the Asia Pacific, highlighting the need for improved infant feeding practices and education.
Area of Science:
- Pediatrics
- Nutrition Science
- Public Health
Background:
- Optimal infant growth requires timely introduction of nutritionally appropriate solid foods.
- Infant solid food introduction receives less research focus compared to breastfeeding.
- The Asia Pacific region's infant feeding practices require thorough examination.
Purpose of the Study:
- To review and understand trends in the introduction of solid foods in the Asia Pacific region.
- To analyze the timing and types of solid foods given to infants.
- To identify associations between infant feeding practices and infant health outcomes.
Main Methods:
- A review of nine studies utilizing a standardized questionnaire on infant feeding practices.
- Analysis of data on the timing and types of solid foods introduced.
- Comparison of infant feeding practices with World Health Organization (WHO) recommendations.
Main Results:
- All reviewed studies indicated shorter-than-recommended exclusive breastfeeding durations.
- Solid foods were introduced earlier than WHO guidelines suggest.
- Rice or rice products were the most common first solid foods, often lacking adequate energy density and micronutrients.
- The timing of solid food introduction was frequently linked to breastfeeding duration.
Conclusions:
- Infant feeding practices in the Asia Pacific region often deviate from optimal recommendations.
- Early introduction of solid foods and reliance on low-nutrient options like rice pose risks.
- Improved infant nutrition requires discouraging prelacteal feeding, enhancing breastfeeding education, and promoting healthier food choices.
Abstract:
For infants' optimal growth and development, the introduction of nutritionally suitable solid foods at the appropriate time is essential. However, less attention has been paid to this stage of infant life when compared with studies on breastfeeding initiation and duration. The practice of introducing solid foods, including the types of foods given to infants, in the Asia Pacific region was reviewed. In total nine studies using the same questionnaire on infant feeding practices were analysed to gain a better understanding of trends in the introduction of solid foods in this region. All studies showed less than optimal duration of exclusive breastfeeding indicating an earlier time of introduction of solid foods than recommended by the WHO. Most mothers commonly used rice or rice products as the first feed. In many studies, the timing of introducing solid foods was associated with breastfeeding duration. Compared with the Recommended Nutrient Intakes for infants aged above six months, rice/rice products are of lower energy density and have insufficient micronutrients unless they have been fortified. Although the timing of introducing solid foods to infants is important in terms of preventing later health problems, the quality of the foods should also be considered. Recommendations to improve the introduction of solid foods include measures to discourage prelacteal feeding, facilitating breastfeeding education and providing better information on healthier food choices for infants.
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