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Complementary feeding patterns in preterm and term infants
Karin M Vissers1, Edith J M Feskens2, Johannes B van Goudoever3
1Department of Pediatrics, Hospital Gelderse Vallei, Willy Brandtlaan 10, Ede, 6710 HN, the Netherlands; Amsterdam University Medical Center, University of Amsterdam, Vrije Universiteit, Emma Children's Hospital Department of Pediatrics, De Boelelaan 1117, Amsterdam, 1081 HV, the Netherlands.
Complementary feeding patterns differ between preterm and term infants, with early vegetable introduction in preterm infants potentially benefiting growth. Further research is needed to refine guidelines for caregivers.
Area of Science:
- Pediatric Nutrition
- Infant Development
- Clinical Research
Background:
- Complementary feeding is crucial for infant nutrition and development.
- Clear guidelines for complementary feeding in preterm infants are lacking.
- Parental decision-making and long-term health impacts require further investigation.
Purpose of the Study:
- To explore and compare complementary feeding patterns in preterm versus term-born infants.
- To analyze the impact of early vegetable introduction on growth outcomes.
- To provide insights for developing evidence-based feeding protocols for preterm infants.
Main Methods:
- Utilized data from a randomized controlled trial on complementary feeding timing in preterm infants.
- Compared feeding practices between 255 preterm and 159 term-born infants.
- Analyzed Body Mass Index (BMI)-for-age and weight-for-height z-scores at two years.
Main Results:
- Preterm infants were more likely to receive vegetables first (85.4% vs. 68.8%).
- Early vegetable introduction was associated with lower BMI-for-age and weight-for-height z-scores at two years.
- Preterm infants consumed a greater variety of fruits and vegetables by six months corrected age (8.29 vs. 6.26).
Conclusions:
- Complementary feeding patterns significantly differ between preterm and term infants.
- Early vegetable introduction may have positive implications for preterm infant growth.
- Findings support the development of tailored feeding protocols and multinational research to refine guidelines.
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