Factors associated with the introduction of complementary feeding in the French ELFE cohort study.

Autor: Bournez M; Centre des Sciences du Goût et de l'Alimentation, AgroSup Dijon, CNRS, INRA, Université Bourgogne Franche-Comté, Dijon, France.; Centre Hospitalier Universitaire de Dijon, Hopital d'Enfants, Peediatrics, Dijon, France., Ksiazek E; Centre des Sciences du Goût et de l'Alimentation, AgroSup Dijon, CNRS, INRA, Université Bourgogne Franche-Comté, Dijon, France., Wagner S; INSERM, CRESS, ORCHAD team, Villejuif, France.; Paris Descartes University, CRESS, Villejuif, France., Kersuzan C; ALISS UR1303, INRA, Université Paris-Saclay, Ivry-sur-Seine, France., Tichit C; ALISS UR1303, INRA, Université Paris-Saclay, Ivry-sur-Seine, France.; Centre Maurice Halbwachs, CNRS, ENS, EHESS, Paris, France., Gojard S; ALISS UR1303, INRA, Université Paris-Saclay, Ivry-sur-Seine, France.; Centre Maurice Halbwachs, CNRS, ENS, EHESS, Paris, France., Thierry X; Institut national d'études démographiques, Paris, France., Charles MA; INSERM, CRESS, ORCHAD team, Villejuif, France.; Paris Descartes University, CRESS, Villejuif, France., Lioret S; INSERM, CRESS, ORCHAD team, Villejuif, France.; Paris Descartes University, CRESS, Villejuif, France., de Lauzon-Guillain B; INSERM, CRESS, ORCHAD team, Villejuif, France.; Paris Descartes University, CRESS, Villejuif, France., Nicklaus S; Centre des Sciences du Goût et de l'Alimentation, AgroSup Dijon, CNRS, INRA, Université Bourgogne Franche-Comté, Dijon, France.
Jazyk: angličtina
Zdroj: Maternal & child nutrition [Matern Child Nutr] 2018 Apr; Vol. 14 (2), pp. e12536. Date of Electronic Publication: 2017 Oct 20.
DOI: 10.1111/mcn.12536
Abstrakt: The objectives of this study were to estimate the age of complementary feeding introduction (CFI) and investigate the related health, demographic, and socio-economic factors. Analyses were based on 10,931 infants from the French national birth cohort ELFE, born in 2011. Health, demographic, and socio-economic data concerning infants and parents were collected at birth (face-to-face interviews and medical records) and 2 months (telephone interviews). Data on milk feeding and CFI practices were collected at birth and 2 months then monthly from 3 to 10 months using online or paper questionnaires. The associations between both health and social factors and CFI age were tested by multivariable multinomial logistic regressions. The mean CFI age was 5.2 ± 1.2 months; 26% of the infants started complementary feeding before 4 months of age (CF < 4 months), 62% between 4 and 6 months of age, and 12% after 6 months of age (CF > 6 months). CF < 4 months was more likely when mothers smoked, were overweight/obese, younger (<29 years), and used their personal experience as an information source in child caregiving and when both parents were not born in France. CF < 4 months was less likely when the infant was a girl, second-born, when the mother breastfed longer, and had attended at least one birth preparation class. Mothers of second-born infants and who breastfed their child longer were more likely to introduce CF > 6 months. Couples in which fathers were born in France and mothers were not born in France were less likely to introduce CF > 6 months. CF < 4 months occurred in more than 25% of the cases. It is important to continue promoting clear CFI recommendations, especially in smoking, overweight, young, not born in France, and nonbreastfeeding mothers.
(© 2017 John Wiley & Sons Ltd.)
Databáze: MEDLINE
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