Related Experiment Video
Updated: Apr 28, 2026

Breakfast Habits among Schoolchildren in the City of Uruguaiana, Brazil
Published on: July 29, 2020
Patterns of nutrients' intake at six months in the northeast of Italy: a cohort study
Paola Pani, Claudia Carletti, Alessandra Knowles
1Health Services Research and International Health, Institute for Maternal and Child Health IRCCS Burlo Garofolo, Via dell'Istria 65/1, 34137 Trieste, Italy. adriano.cattaneo@burlo.trieste.it.
Insights
Most infants at six months received complementary foods, not exclusive breastfeeding. This led to higher caloric and nutrient intake, potentially impacting future health.
Area of Science:
- Pediatric Nutrition
- Infant Feeding Practices
- Public Health
Background:
- Adequate complementary feeding is crucial for long-term infant health.
- Early introduction of solids impacts infant development and well-being.
Purpose of the Study:
- To describe infant feeding practices at six months in Trieste, Italy.
- To assess nutrient intake and its association with breastfeeding status.
Main Methods:
- A cohort of 268 infants had feeding data collected via diaries and questionnaires.
- Nutrient intake was estimated using the Italian food composition database.
- Breastmilk intake was quantified by frequency and duration of breastfeeding sessions.
Main Results:
- At six months, 70% of infants were breastfed, and 94% received complementary foods.
- Non-breastfed infants had significantly higher caloric, carbohydrate, protein, and fat intake.
- Higher consumption of commercial baby foods was observed in non-breastfed infants.
Conclusions:
- Most infants received complementary foods before exclusive breastfeeding cessation, contrary to recommendations.
- Energy intake from complementary foods was approximately 50% higher than recommended.
- Discrepancies in feeding practices may have implications for infant nutrition and future health outcomes.
Background:
Adequate complementary feeding is recognized as an important predictor of health later in life. The objective of this study was to describe the feeding practices and nutrients' intake, and their association with breastfeeding at six months of age, in a cohort of infants enrolled at birth in the maternity hospital of Trieste, Italy.
Methods:
Out of 400 infants enrolled at birth, 268 (67%) had complete data gathered through a 24-hour feeding diary on three separate days at six months, and two questionnaires administered at birth and at six months. Data from feeding diaries were used to estimate nutrients' intakes using the Italian food composition database included in the software. To estimate the quantity of breastmilk, information was gathered on the frequency and length of breastfeeds.
Results:
At six months, 70% of infants were breastfed and 94% were given complementary foods. The average daily caloric intake was higher in non-breastfed (723 Kcal) than in breastfed infants (547 Kcal, p < 0.001) due to energy provided by complementary foods (321 vs. 190 Kcal, p < 0.001) and milk (363 vs. 301 Kcal, p = 0.007). Non-breastfed infants had also higher intakes of carbohydrates, proteins, and fats. The mean intake of macronutrients was within recommended ranges in both groups, except for the higher protein intake in non-breastfed infants. These consumed significantly higher quantities of commercial baby foods than breastfed infants.
Conclusions:
Contrary to what is recommended, 94% of infants were not exclusively breastfed and were given complementary foods at six months. The proportion of daily energy intake from complementary foods was around 50% higher than recommended and with significant differences between breastfed and non-breastfed infants, with possible consequences for future nutrition and health.
Related Concept Videos
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
Regulation of Food Intake
Absorption of Nutrients
Enterocytes, which are specialized polar epithelial cells, line the mucosa of the small intestinal walls. These cells...
Dietary Connections
Anatomy of the Intestines
Small Intestines
The small intestine is an ~7 meter-long tube with an inner diameter of just 2.5 cm. Since most nutrients are absorbed here, the inner lining of the...
Assessment of the Gastrointestinal System II: Health Perception Pattern
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:

