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Predictors of early introduction of complementary feeding: longitudinal study
Li Tang1, Andy H Lee, Colin W Binns
1School of Public Health, Curtin University, Perth, Western Australia, Australia.
Insights
Early introduction of complementary foods before six months is common in Sichuan Province. Breastfeeding education should emphasize the appropriate age for starting solids to improve infant health outcomes.
Area of Science:
- Pediatrics
- Public Health
- Nutrition Science
Background:
- Early introduction of complementary foods before six months poses risks to infant health, including shorter breastfeeding duration and increased morbidity.
- Understanding the determinants of early complementary feeding is crucial for public health interventions.
Purpose of the Study:
- To document the age of complementary food introduction in Sichuan Province.
- To identify factors associated with the early introduction of complementary feeding.
Main Methods:
- A prospective study involving 695 mothers in Jiangyou, China, from 2010-2011.
- Data collected through interviews at discharge and follow-up telephone calls at 1, 3, and 6 months postpartum.
- Cox regression analysis used to identify determinants of early complementary feeding.
Main Results:
- The median age for starting complementary feeding was 4.5 months.
- Mothers perceiving high breastfeeding rates among peers and returning to work later were less likely to introduce foods early.
- Infants regularly given infant formula before six months had a higher risk of premature complementary feeding.
Conclusions:
- Introducing complementary feeding before six months postpartum is prevalent in Jiangyou.
- Future breastfeeding education strategies in Sichuan must highlight the appropriate age and benefits of timely complementary food introduction.
Background:
Early introduction of complementary foods prior to 6 months of age may shorten breast-feeding duration and expose the infant to increased risk of morbidity and mortality. The aims of this study were to document the ages of complementary food introduction and to identify the determinants associated with early introduction of complementary feeding in Sichuan Province.
Methods:
A prospective study on infant feeding practices was conducted during 2010-2011 in Jiangyou, China. A total of 695 mothers were recruited and interviewed at discharge. The follow-up interviews were carried out by telephone at 1, 3 and 6 months postpartum. Cox regression analysis was performed to determine factors related to early introduction of complementary feeding.
Results:
The median age at start of complementary feeding was 4.5 months (95% confidence interval [CI]: 4.4-4.6 months). Mothers who perceived that most of their friends breast-fed (adjusted hazard ratio [HR], 0.70; 95%CI: 0.58-0.84) and those who returned to work when the infants were at least 6 months old were less likely to initiate complementary feeding early (adjusted HR, 0.73; 95%CI: 0.58-0.91), while infants who had been introduced to infant formula regularly before 6 months of age were at a higher risk of receiving complementary foods prematurely (adjusted HR, 1.81; 95%CI: 1.42-2.31).
Conclusions:
Introducing complementary feeding before 6 months postpartum was widely practiced in Jiangyou. The appropriate age at which to introduce complementary foods and its benefits need to be emphasized in the future breast-feeding education strategies in Sichuan.
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