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Published on: June 5, 2012
Gastrointestinal and respiratory morbidity when introducing eggs as complementary food: a randomised controlled trial
Regina Nakiranda1, Linda Malan2, Hannah Ricci2,3
1North-West University (Centre of Excellence for Nutrition), Potchefstroom, South Africa. reginaki30@gmail.com.
Insights
Daily egg consumption in infants aged 6-9 months was linked to a higher incidence and longer duration of gastrointestinal morbidity. This finding suggests potential risks associated with introducing eggs during complementary feeding.
Area of Science:
- Nutrition Science
- Pediatric Health
- Public Health
Background:
- Complementary feeding is crucial for infant development.
- Eggs are a nutrient-dense food source for young children.
- Understanding the impact of specific foods on infant morbidity is essential.
Purpose of the Study:
- To investigate the incidence and duration of morbidity symptoms in infants receiving daily eggs.
- To assess the secondary outcomes of a randomized controlled trial on infant feeding.
- To explore the relationship between egg consumption and gastrointestinal/respiratory morbidity.
Main Methods:
- Secondary analysis of a randomized controlled trial (RCT) involving 500 infants (6-9 months).
- Weekly morbidity data collection via symptom diaries.
- Qualitative data gathered through focus group discussions.
- Statistical analysis including odds ratios (OR) and regression models.
Main Results:
- The intervention group (daily eggs) showed a ~5% higher incidence of gastrointestinal morbidity (17.0% vs. 11.9%).
- Gastrointestinal morbidity was 1.4 times higher without fever and tended to be 4 times higher with fever in the intervention group.
- The duration of gastrointestinal and respiratory morbidity was 1.5 days longer in infants consuming eggs daily (P=0.041).
Conclusions:
- Complementary feeding with eggs may increase the risk of gastrointestinal morbidity in infants.
- Further research is needed to confirm these findings and understand the mechanisms.
- Careful consideration of food introduction timing and potential risks is advised in infant nutrition.
Abstract:
We investigated the incidence and duration of morbidity symptoms among infants aged 6 to 9 months from a low socioeconomic community receiving one egg daily for 6 months. This was a secondary outcome of a randomised controlled trial (RCT) of 500 infants conducted in Jouberton, South Africa. The primary outcome was linear growth. Morbidity data were collected weekly using a symptoms diary and qualitative data with focus group discussions at the endpoint. Ethical approval was obtained from the North-West University Health Research Ethics Committee. The intervention group had a ~ 5% higher incidence of gastrointestinal morbidity (17.0%) compared to the control group (11.9%). Gastrointestinal morbidity without fever tended to be 1.4 times higher in the intervention group (OR: 1.43, 95% CI: 1.03, 1.93; P = 0.058) and tended to be 4 times higher with fever (OR: 4.07, 95% CI: 0.86, 19.23; P = 0.077). The duration of total gastrointestinal and respiratory morbidity was 1.5 days longer in the intervention group (β: 1.491; 95% CI 0.064, 2.918; P = 0.041). Complementary feeding with eggs may have contributed towards an increased risk for gastrointestinal morbidity.
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