Development of feeding practices during the first 5 years of life

L D Hammer1, S Bryson, W S Agras

  • 1Department of Pediatrics, Stanford University School of Medicine, Palo Alto, Calif 94304, USA. lhammer@stanford.edu

Insights

Late bottle-feeding was common in a well-educated cohort, linked to maternal return-to-work timing. Further study is needed on prolonged bottle use

Area of Science:

  • Pediatric Nutrition
  • Infant Feeding Practices
  • Maternal Health

Background:

  • Understanding the transition from breastfeeding and bottle-feeding to solid foods is crucial for infant development.
  • Factors influencing the duration of these feeding methods require further investigation.

Purpose of the Study:

  • To investigate the transition from breast and bottle feeding to solid feeding.
  • To identify factors affecting the duration of breast and bottle feeding in infants.

Main Methods:

  • A cohort of 191 healthy, full-term infants from a community sample was followed from birth.
  • Feeding practices were assessed until complete weaning from breast and bottle feeding.
  • Participants were from middle-class families with relatively well-educated parents.

Main Results:

  • Over 90% of infants were breastfed for at least two weeks.
  • Later maternal return to work was associated with earlier breast weaning and later bottle weaning.
  • A significant proportion of infants continued bottle feeding beyond 24 months (40%), 36 months (16%), and 48 months (8%).

Conclusions:

  • The high rate of prolonged bottle-feeding in this cohort was unexpected and correlated with maternal work status.
  • The long-term effects of extended bottle use on infant growth and adiposity warrant additional research.
Abstract

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