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[Effects of the timing of complementary food on infant physical development]
Pin Li1, Ai Zhao2, Jian Zhang1
1Department of Nutrition and Food Hygiene, School of Public Health, Peking University, Beijing 100191, China.
Insights
Introducing complementary foods too early or too late may impact infant growth. Most infants receive timely food introduction between 4-6 months, but deviations can affect body mass index for age Z scores.
Area of Science:
- Pediatrics
- Infant Nutrition
- Developmental Science
Context:
- Optimal infant development hinges on appropriate nutrition.
- The introduction of complementary foods is a critical developmental milestone.
- Current guidelines recommend introducing solids around six months of age.
Purpose:
- To investigate the impact of complementary food introduction timing on infant development.
- To analyze the relationship between the timing of supplementary food and infant growth indicators.
- To compare the body mass index for age Z scores (BAZ) of infants receiving timely versus untimely complementary feeding.
Summary:
- A study followed 168 breastfed infants from birth to 8 months.
- Infants were categorized based on the timing of their first complementary food (reasonable vs. unreasonable).
- Unreasonable timing (too early or too late) was associated with significant differences in BAZ, particularly higher BAZ at 6 months.
Impact:
- Early or delayed complementary feeding may negatively affect infant growth trajectories.
- Findings suggest a short-term impact of feeding timing on infant body mass index for age Z scores.
- Highlights the importance of adhering to recommended complementary feeding schedules for healthy infant development.
Objective:
To analyze the timing of supplementary food and its effect on the development of infants at 6-8 months of age.
Methods:
A total of 168 breastfed healthy infants in Beijing and Chenzhou were selected and followed up from birth to 8 months of age. According to the time of the first supplementary food addition, the survey subjects were divided into a reasonable supplementary food group and an unreasonable supplementary food group. Repeated measures analysis was used to compare the differences in the Z scores of the two groups of infants.
Results:
Infants who added complementary food between 4-6 months accounted for 80.4%(n=135). There were 6.0%(n=10) of infants who added complementary food for more than 8 months of age(added too late), and the timing was earlier than 4 months old infants accounted for 6.5%(n=11). The result of repeated measurement analysis showed that the body mass index for age Z score(BAZ) of infants whose complementary foods were added at an unreasonable time was different from that of infants with reasonable complementary food addition(P=0.046). Infants whose complementary food was added at an unreasonable time had higher BAZ at the age of 6 months(β=0.615, 95%CI 0.053-1.178).
Conclusion:
Few infants add complementary foods too early or too late, and the timing of complementary foods for most infants was between 4-6 months of age. Unreasonable complementary food addition time might have a short-term impact on the infants' BAZ.
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