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Age of cow milk introduction and growth among 3-5-year-old children
Izabela Soczynska1,2, David Dai3, Deborah L O'Connor1,4
1Department of Nutritional Sciences, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Insights
Introducing cow milk earlier in infancy is linked to increased height in children up to age five. This early cow milk consumption did not affect weight status. Pediatricians and parents can use this information when deciding on infant feeding practices.
Area of Science:
- Pediatric Nutrition
- Child Growth and Development
- Dietary Habits
Background:
- The optimal age for introducing cow milk to infants remains a topic of discussion among healthcare professionals.
- Understanding the impact of early cow milk introduction on child development is crucial for establishing feeding guidelines.
Purpose of the Study:
- To investigate the association between the age of cow milk introduction and subsequent childhood growth.
- To determine if early cow milk consumption influences height and weight status in children under five years of age.
Main Methods:
- A secondary analysis was conducted on data from a prospective cohort study involving healthy children under five years old.
- The study examined the age of cow milk introduction as the primary exposure and height-for-age z-score as the primary outcome.
- Multiple linear regression was used to analyze the relationships between cow milk introduction timing and growth parameters, including BMI z-score and milk consumption volume.
Main Results:
- Earlier introduction of cow milk was significantly associated with greater height in children aged 3-5 years (P < 0.001).
- Each month earlier cow milk was introduced correlated with a 0.03 higher height-for-age z-score unit.
- No significant association was found between the timing of cow milk introduction and the volume of cow milk consumed or BMI z-score.
Conclusions:
- Earlier introduction of cow milk is linked to increased height in young children, but not to weight status.
- Further research is warranted to elucidate the causal relationship between early cow milk consumption and childhood height.
- These findings offer valuable insights for pediatricians and parents regarding the timing of cow milk introduction.
Objective:
To evaluate the association between the age of cow milk introduction and childhood growth.
Design:
A secondary analysis of a prospective cohort study.
Setting:
Toronto, Canada.
Participants:
Healthy children <5 years of age enrolled in the TARGet Kids! practice-based research network. The primary exposure was the age of cow milk introduction. The primary outcome was height-for-age z-score. Secondary outcomes were volume of cow milk consumed (cups/d) and BMI z-score. Outcomes were measured at the last visit before 5 years of age. Multiple linear regression was used to examine these relationships.
Results:
Among 1981 children, introduction of cow milk at a younger age was associated with greater height by 3-5 years of age (P < 0·001). Each month earlier that cow milk was introduced was associated with 0·03 higher height-for-age z-score unit (95 % CI -0·05, -0·02) or 0·1 cm (95 % CI -0·15, -0·12 cm). At 4 years of age, the height difference between a child introduced to cow milk at 9 v. 12 months was 0·4 cm (95 % CI -0·45, -0·35 cm). There was no association between the timing of cow milk introduction and volume of cow milk consumed per day or BMI z-score.
Conclusions:
Earlier introduction of cow milk was associated with greater height but not with weight status in children aged 3-5 years. Further research is needed to understand the casual relationship between earlier cow milk consumption and childhood height. These findings may be important for paediatricians and parents when considering when to introduce cow milk.
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