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Infant formula feeding practices in a prospective population based study
Hazel Ann Smith1, Jonathan O'B Hourihane2,3, Louise C Kenny3,4
1Paediatrics & Child Health, Clinical Investigations Unit, Cork University Hospital, Wilton, Cork, Ireland. smith.hazelann@gmail.com.
Insights
Most parents start infants on whey-based formula but switch to non whey-based formula before 12 months. Perceived infant hunger, not medical advice, drives this change in infant formula choice.
Area of Science:
- Pediatrics
- Infant Nutrition
- Public Health
Background:
- Standard whey-based infant formula is recommended for formula-fed infants.
- Limited data exists on parental adherence to whey-based formula for the first year.
- Parental motivations for infant formula selection are largely unknown.
Purpose of the Study:
- To describe the use of whey-based and non whey-based infant formula by parents in the first year of life.
- To identify reasons for parental formula switching.
Main Methods:
- Utilized data from the Cork BASELINE Birth Cohort Study.
- Examined infant feeding at 2, 6, and 12 months.
- Employed descriptive analysis and logistic regression.
Main Results:
- Whey-based formula use decreased significantly over the first year (62.4% at 2 months to 12.8% at 12 months).
- No consistent parental or infant factors influenced whey-based formula use.
- Perceived infant hunger was the primary reason for switching to non whey-based formula.
Conclusions:
- Most infants start on whey-based formula but transition to non whey-based formula before 12 months.
- Parental perception of satiety, not professional advice, is the main driver for formula changes.
- Further research is needed on the growth effects of different infant formulas.
Background:
It is recommended that formula-fed infants are given standard whey-based infant formula throughout the first year of life, unless otherwise advised by healthcare professionals. To our knowledge it has not yet been explored if parents are using a whey-based infant formula throughout the first 12 months of life. Reasons for parental choice of formula are also unknown. Therefore, the objective of this paper was to describe parental administration of whey-based and non whey-based infant formula in the first year of life.
Methods:
Data collected as part of the Cork BASELINE Birth Cohort Study examined infant feeding practices at 2, 6 and 12 months of age. Descriptive analysis explored infant feeding practices and parental reasons for changing from a whey-based to a non whey-based infant formula. Multiple logistic regression investigated parental and infant characteristics associated with the use of whey-based infant formula.
Results:
In total, 62.4%, 40.4% and 12.8% parent(s) at 2, 6 and 12 months, respectively, gave their infant whey-based infant formula. No parental or infant characteristic was found to consistently influence the use of whey-based infant formula. The most common reason reported by parent(s) for changing their infant's formula to a non whey-based formula was that they perceived their baby as being hungry.
Conclusion:
The majority of parent(s) commence their infants on whey-based formula, but most change to non whey-based formula before 12 months of age. Parental perception of infant satiety and not healthcare advice was the most common reason for changing from a whey-based to a non whey-based infant formula. Additional research is now required to investigate the effect of whey-based and non whey-based infant formula on infant growth.
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