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Published on: October 29, 2021
[Complementary feedings and socioeconomic factors]
Insights
Early infant feeding guidelines aim to reduce food allergy risks. Socio-economic factors significantly impact complementary feeding practices and allergen introduction in infants up to one year old.
Area of Science:
- Pediatrics
- Nutrition Science
- Public Health
Background:
- Current recommendations advise initiating complementary infant feeding between 4 to 6 months to mitigate food allergy risks.
- Understanding adherence to these guidelines and influencing factors is crucial for infant health.
- Socio-economic status is a potential determinant in following early feeding advice.
Purpose of the Study:
- To describe complementary feeding practices in infants up to one year of age.
- To analyze socio-economic and other criteria influencing adherence to infant feeding recommendations.
- To assess the introduction of key foods, including allergens and omega-3 rich fats.
Main Methods:
- An observational, descriptive quantitative study was conducted.
- Data was collected via anonymous surveys from mothers of 163 infants (12-47 months old).
- The study took place in 10 doctor's offices in Saint-Etienne between November 2016 and February 2017.
Main Results:
- Over two-thirds of infants started complementary feeding between 4-6 months.
- Lower maternal education levels correlated with later introduction of gluten and meat, and earlier cessation of infant formula.
- Mothers with lower socio-economic status or multiparity introduced fewer fruits and vegetables.
Conclusions:
- Significant disparities exist in infant feeding practices, influenced by socio-economic factors.
- General practitioners must educate parents, particularly those from lower socio-economic backgrounds, on early food and allergen introduction.
- Further research is needed to address these disparities and improve adherence to feeding guidelines.
Introduction:
In order to limit the risk of food allergies, it is recommended to begin complementary feedings for infants between the ages of 4 and 6 months old. The objective of this study is to describe how complementary feedings are carried out until the age of 1 year old and to analyze criteria, especially socio-economic, that influence compliance with recommendations.
Methods:
This observational and descriptive quantitative study lasted from November 21st, 2016 to February 21st, 2017 and took place in 10 doctor's offices around the city of Saint-Etienne. Anonymous surveys were distributed to the mothers of children aged between 12 and 47 months old inclusive, born at term, and with a weight above 2.5 kg.
Results:
More than 2/3rds of the 163 children included started complementary feedings between 4 and 6 months old. Gluten (P = 0.02) and meat (P = 0.016) were introduced later and infant formulas (P = 0.005) were stopped sooner when the mother's education level was low. The average number of fruit and vegetables was smaller when the mother had a low socio-economic level or if she was multiparous. At the age of one, fewer than 20% of the children had consumed fat content rich in omega-3. At the same age, 70% had consumed egg and 12.3% nuts, which are some of the major allergens.
Conclusion:
These outcomes show the need for general practitioners to inform parents, especially those with a low socio-economic level, about early food introduction, including allergens.
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