Factors associated with early introduction of complementary feeding and consumption of non-recommended foods among Dutch infants: The BeeBOFT study

Lu Wang, Amy Van Grieken, Laura A. Van Der Velde, Eline Vlasblom, Maaike Beltman, Monique P. L'Hoir, Magda M. Boere-Boonekamp, Hein Raat*

*Corresponding author for this work

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Abstract

Background: Timing and types of complementary feeding in infancy affect nutritional status and health later in life. The present study aimed to investigate the factors associated with early introduction of complementary feeding (i.e., before age 4 months), and factors associated with infants consumption of non-recommended foods, including sweet beverages and snack foods. Methods: This study used cross-sectional data from the BeeBOFT study (n = 2157). Data on complementary feeding practices and potential determinants were obtained by questionnaire at infant's age of 6 months. Logistic regression models were used to investigate factors associated with early introduction of complementary feeding and infants' consumption of non-recommended foods. Results: 21.4% of infants had received complementary feeding before 4 months of age. At the age of 6 months, 20.2% of all infants were consuming sweet beverages daily and 16.5% were consuming snack foods daily. Younger maternal age, lower maternal educational level, absence or shorter duration of breastfeeding, parental conviction that "my child always wants to eat when he/she sees someone eating" and not attending day-care were independently associated with both early introduction of complementary feeding and the consumption of non-recommended foods. Higher maternal pre-pregnancy BMI and infant postnatal weight gain were associated only with early introduction of complementary feeding. Conclusions: We identified several demographical, biological, behavioral, psychosocial, and social factors associated with inappropriate complementary feeding practices. These findings are relevant for designing intervention programs aimed at educating parents. Trial registration: The trail is registered at Netherlands Trial Register, trail registration number: NTR1831. Retrospectively registered on May 29, 2009.

Original languageEnglish
Article number388
JournalBMC public health
Volume19
Issue number1
DOIs
Publication statusPublished - 8 Apr 2019

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Infant Nutritional Physiological Phenomena
Food
Snacks
Beverages
Logistic Models
Mothers
Maternal Age
Breast Feeding
Nutritional Status
Netherlands
Weight Gain
Cross-Sectional Studies
Eating
Parents
Psychology
Pregnancy

Keywords

  • Introduction of complementary feeding
  • Risk factors
  • Snack foods
  • Sweet beverage

Cite this

Wang, Lu ; Van Grieken, Amy ; Van Der Velde, Laura A. ; Vlasblom, Eline ; Beltman, Maaike ; L'Hoir, Monique P. ; Boere-Boonekamp, Magda M. ; Raat, Hein. / Factors associated with early introduction of complementary feeding and consumption of non-recommended foods among Dutch infants : The BeeBOFT study. In: BMC public health. 2019 ; Vol. 19, No. 1.
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title = "Factors associated with early introduction of complementary feeding and consumption of non-recommended foods among Dutch infants: The BeeBOFT study",
abstract = "Background: Timing and types of complementary feeding in infancy affect nutritional status and health later in life. The present study aimed to investigate the factors associated with early introduction of complementary feeding (i.e., before age 4 months), and factors associated with infants consumption of non-recommended foods, including sweet beverages and snack foods. Methods: This study used cross-sectional data from the BeeBOFT study (n = 2157). Data on complementary feeding practices and potential determinants were obtained by questionnaire at infant's age of 6 months. Logistic regression models were used to investigate factors associated with early introduction of complementary feeding and infants' consumption of non-recommended foods. Results: 21.4{\%} of infants had received complementary feeding before 4 months of age. At the age of 6 months, 20.2{\%} of all infants were consuming sweet beverages daily and 16.5{\%} were consuming snack foods daily. Younger maternal age, lower maternal educational level, absence or shorter duration of breastfeeding, parental conviction that {"}my child always wants to eat when he/she sees someone eating{"} and not attending day-care were independently associated with both early introduction of complementary feeding and the consumption of non-recommended foods. Higher maternal pre-pregnancy BMI and infant postnatal weight gain were associated only with early introduction of complementary feeding. Conclusions: We identified several demographical, biological, behavioral, psychosocial, and social factors associated with inappropriate complementary feeding practices. These findings are relevant for designing intervention programs aimed at educating parents. Trial registration: The trail is registered at Netherlands Trial Register, trail registration number: NTR1831. Retrospectively registered on May 29, 2009.",
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Factors associated with early introduction of complementary feeding and consumption of non-recommended foods among Dutch infants : The BeeBOFT study. / Wang, Lu; Van Grieken, Amy; Van Der Velde, Laura A.; Vlasblom, Eline; Beltman, Maaike; L'Hoir, Monique P.; Boere-Boonekamp, Magda M.; Raat, Hein.

In: BMC public health, Vol. 19, No. 1, 388, 08.04.2019.

Research output: Contribution to journalArticleAcademicpeer-review

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T1 - Factors associated with early introduction of complementary feeding and consumption of non-recommended foods among Dutch infants

T2 - The BeeBOFT study

AU - Wang, Lu

AU - Van Grieken, Amy

AU - Van Der Velde, Laura A.

AU - Vlasblom, Eline

AU - Beltman, Maaike

AU - L'Hoir, Monique P.

AU - Boere-Boonekamp, Magda M.

AU - Raat, Hein

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N2 - Background: Timing and types of complementary feeding in infancy affect nutritional status and health later in life. The present study aimed to investigate the factors associated with early introduction of complementary feeding (i.e., before age 4 months), and factors associated with infants consumption of non-recommended foods, including sweet beverages and snack foods. Methods: This study used cross-sectional data from the BeeBOFT study (n = 2157). Data on complementary feeding practices and potential determinants were obtained by questionnaire at infant's age of 6 months. Logistic regression models were used to investigate factors associated with early introduction of complementary feeding and infants' consumption of non-recommended foods. Results: 21.4% of infants had received complementary feeding before 4 months of age. At the age of 6 months, 20.2% of all infants were consuming sweet beverages daily and 16.5% were consuming snack foods daily. Younger maternal age, lower maternal educational level, absence or shorter duration of breastfeeding, parental conviction that "my child always wants to eat when he/she sees someone eating" and not attending day-care were independently associated with both early introduction of complementary feeding and the consumption of non-recommended foods. Higher maternal pre-pregnancy BMI and infant postnatal weight gain were associated only with early introduction of complementary feeding. Conclusions: We identified several demographical, biological, behavioral, psychosocial, and social factors associated with inappropriate complementary feeding practices. These findings are relevant for designing intervention programs aimed at educating parents. Trial registration: The trail is registered at Netherlands Trial Register, trail registration number: NTR1831. Retrospectively registered on May 29, 2009.

AB - Background: Timing and types of complementary feeding in infancy affect nutritional status and health later in life. The present study aimed to investigate the factors associated with early introduction of complementary feeding (i.e., before age 4 months), and factors associated with infants consumption of non-recommended foods, including sweet beverages and snack foods. Methods: This study used cross-sectional data from the BeeBOFT study (n = 2157). Data on complementary feeding practices and potential determinants were obtained by questionnaire at infant's age of 6 months. Logistic regression models were used to investigate factors associated with early introduction of complementary feeding and infants' consumption of non-recommended foods. Results: 21.4% of infants had received complementary feeding before 4 months of age. At the age of 6 months, 20.2% of all infants were consuming sweet beverages daily and 16.5% were consuming snack foods daily. Younger maternal age, lower maternal educational level, absence or shorter duration of breastfeeding, parental conviction that "my child always wants to eat when he/she sees someone eating" and not attending day-care were independently associated with both early introduction of complementary feeding and the consumption of non-recommended foods. Higher maternal pre-pregnancy BMI and infant postnatal weight gain were associated only with early introduction of complementary feeding. Conclusions: We identified several demographical, biological, behavioral, psychosocial, and social factors associated with inappropriate complementary feeding practices. These findings are relevant for designing intervention programs aimed at educating parents. Trial registration: The trail is registered at Netherlands Trial Register, trail registration number: NTR1831. Retrospectively registered on May 29, 2009.

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