The home environment and its relation to bottle feeding outcomes in the first year of life

Alaina Martens1, Thomas Carpenito2, Morgan Hines1

  • 1Department of Communication Sciences and Disorders, Northeastern University, 228C Forsyth Building, 360 Huntington Ave, Boston, MA 02115, United States.

Midwifery
|November 13, 2022
PubMed

Insights

The home environment significantly impacts infant bottle feeding. Early home environment factors correlate with milk intake at 3 months and feeding skills at 12 months.

Area of Science:

  • Pediatric Nutrition
  • Developmental Psychology
  • Environmental Health

Background:

  • Infant development is influenced by the home environment and caregiver interactions.
  • Limited research exists on the home environment's impact on early feeding within the first year.
  • This study investigates the relationship between the home environment and infant bottle feeding outcomes.

Purpose of the Study:

  • To examine the association between the home environment and infant bottle feeding outcomes.
  • To assess these relationships at 3 and 12 months of age.
  • To understand how environmental factors influence infant feeding behaviors.

Main Methods:

  • Seventy-two infants were studied at 3 months, and fifty-five at 12 months.
  • The Infant-Toddler Home Observation for Measurement of Environment Inventory (IT-HOME) assessed the home environment.
  • Oral feeding was observed using the Oral Feeding Skills (OFS) scale, with caregiver questionnaires (Neo-EAT, Pedi-EAT) collecting feeding data.

Main Results:

  • At 3 months, IT-HOME Involvement correlated with increased milk volume offered.
  • At 12 months, IT-HOME Acceptance and Variety subscales related to oral transfer rate.
  • The IT-HOME Organization subscale was associated with caregiver-reported feeding behaviors and eating patterns at 12 months.

Conclusions:

  • The home environment significantly influences infant bottle feeding outcomes throughout the first year.
  • Specific home environment aspects correlate with milk intake, oral feeding efficiency, and caregiver-reported feeding behaviors.
  • Clinical practice should consider the home environment alongside infant feeding skills, warranting further research with larger, diverse populations.
Abstract

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