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Starting complementary feeding with vegetables only increases vegetable acceptance at 9 months: a randomized

Jeanette P Rapson1, Pamela R von Hurst1, Marion M Hetherington2

  • 1School of Sport, Exercise and Nutrition, Massey University, Auckland, New Zealand.

The American Journal of Clinical Nutrition
|June 9, 2022
PubMed
Summary

Introducing complementary feeding (CF) with vegetables only to infants enhances their vegetable intake and acceptance later in life. This strategy may improve long-term child vegetable consumption.

Keywords:
food preferenceinfantsintroducing vegetablesvegetable intakeweaning

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Area of Science:

  • Pediatric Nutrition
  • Infant Feeding Practices
  • Dietary Acceptance

Background:

  • Early dietary experiences significantly influence lifelong food preferences.
  • Complementary feeding (CF) is a critical period for establishing healthy eating habits.
  • Introducing vegetables early may improve acceptance compared to fruit-and-vegetable combinations.

Purpose of the Study:

  • To determine if starting CF with vegetables only increases vegetable acceptance later in infancy.
  • To compare vegetable intake in infants exposed to vegetables only versus those receiving fruit and vegetables.

Main Methods:

  • A randomized controlled trial involving 117 infants aged 4-6 months.
  • Infants were assigned to either a vegetables-only or a fruit-and-vegetable group for the first 4 weeks of CF.
  • Primary outcome was target vegetable intake (broccoli, spinach) at 9 months; secondary outcomes included overall vegetable intake and iron status.

Main Results:

  • Infants fed vegetables first consumed significantly more broccoli and spinach at 9 months.
  • Vegetables-only group showed faster consumption rates and greater acceptance of target vegetables.
  • Overall vegetable intake was higher in the vegetables-only group, with no adverse effect on iron status.

Conclusions:

  • Introducing vegetables as the first complementary food is an effective strategy for increasing vegetable intake and acceptance in infants.
  • This early exposure may foster a preference for vegetables, contributing to healthier eating patterns throughout childhood.
  • The findings support prioritizing vegetables in early infant feeding to improve long-term dietary habits.