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Published in: BMC Pediatrics 1/2010

Open Access 01-12-2010 | Research article

Canadian infants' nutrient intakes from complementary foods during the first year of life

Authors: James K Friel, Rhona M Hanning, Corinne A Isaak, Daniel Prowse, Angela C Miller

Published in: BMC Pediatrics | Issue 1/2010

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Abstract

Background

Complementary feeding is currently recommended after six months of age, when the nutrients in breast milk alone are no longer adequate to support growth. Few studies have examined macro- and micro-nutrient intakes from complementary foods (CF) only. Our purpose was to assess the sources and nutritional contribution of CF over the first year of life.

Methods

In July 2003, a cross-sectional survey was conducted on a nationally representative sample of mothers with infants aged three to 12 months. The survey was administered evenly across all regions of the country and included a four-day dietary record to assess infants' CF intakes in household (tablespoon) measures (breast milk and formula intakes excluded). Records from 2,663 infants were analyzed for nutrient and CF food intake according to 12 categories. Mean daily intakes for infants at each month of age from CF were pooled and compared to the Dietary Reference Intakes for the respective age range.

Results

At three months of age, 83% of infants were already consuming infant cereals. Fruits and vegetables were among the most common foods consumed by infants at all ages, while meats were least common at all ages except 12 months. Macro- and micro-nutrient intakes from CF generally increased with age. All mean nutrient intakes, except vitamin D and iron, met CF recommendations at seven to 12 months.

Conclusions

Complementary foods were introduced earlier than recommended. Although mean nutrient intakes from CF at six to 12 months appear to be adequate among Canadian infants, further attention to iron and vitamin D intakes and sources may be warranted.
Appendix
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Literature
4.
go back to reference Devaney B, Ziegler P, Pac S, Karwe V, Barr SI: Nutrient intakes of infants and toddlers. J Am Dietetic Assoc. 2004, 104 (Suppl 1): S14-21. 10.1016/j.jada.2003.10.022.CrossRef Devaney B, Ziegler P, Pac S, Karwe V, Barr SI: Nutrient intakes of infants and toddlers. J Am Dietetic Assoc. 2004, 104 (Suppl 1): S14-21. 10.1016/j.jada.2003.10.022.CrossRef
5.
go back to reference Institute of Medicine: Dietary Reference Intakes for calcium, phosphorus, magnesium, vitamin D, and fluoride. 2005, Washington, DC: National Academy Press Institute of Medicine: Dietary Reference Intakes for calcium, phosphorus, magnesium, vitamin D, and fluoride. 2005, Washington, DC: National Academy Press
6.
go back to reference Institute of Medicine: Dietary Reference Intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids. 2005, Washington, DC: National Academy Press Institute of Medicine: Dietary Reference Intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids. 2005, Washington, DC: National Academy Press
7.
go back to reference Institute of Medicine: Dietary Reference Intakes: The essential guide to nutrient requirements. 2006, Washington, DC: National Academy Press Institute of Medicine: Dietary Reference Intakes: The essential guide to nutrient requirements. 2006, Washington, DC: National Academy Press
9.
go back to reference Friel JK, Isaak CA, Hanning R, Miller A: Complementary Food Consumption of Canadian Infants. Open Nutr J. 2008, 2: 106-111. Friel JK, Isaak CA, Hanning R, Miller A: Complementary Food Consumption of Canadian Infants. Open Nutr J. 2008, 2: 106-111.
11.
go back to reference Jensen RG, Ed: Handbook of Milk Composition. 2005, San Diego: Academic Press Jensen RG, Ed: Handbook of Milk Composition. 2005, San Diego: Academic Press
16.
go back to reference Statistics Canada: Household Income Groups (24) in Constant (2005) Dollars, Household Type (3) and Presence and Combination of Children (11) for the Family Households of Canada, Provinces, Territories, Census Metropolitan Areas and Census Agglomerations, 2000 and 2005 - 20% Sample Data. Version current 1. 2007, (accessed 15 December 2008), [http://www.unicef.org/programme/breastfeeding/food.htm]March Statistics Canada: Household Income Groups (24) in Constant (2005) Dollars, Household Type (3) and Presence and Combination of Children (11) for the Family Households of Canada, Provinces, Territories, Census Metropolitan Areas and Census Agglomerations, 2000 and 2005 - 20% Sample Data. Version current 1. 2007, (accessed 15 December 2008), [http://​www.​unicef.​org/​programme/​breastfeeding/​food.​htm]March
17.
go back to reference Islam MM, Khatun M, Peerson JM, Ahmed T, Mollah MA, Dewey KG, Brown KH: Effects of energy density and feeding frequency of complementary foods on total daily energy intakes and consumption of breast milk by healthy breastfed Bangladeshi children. Am J Clin Nutr. 2008, 88: 84-94.PubMed Islam MM, Khatun M, Peerson JM, Ahmed T, Mollah MA, Dewey KG, Brown KH: Effects of energy density and feeding frequency of complementary foods on total daily energy intakes and consumption of breast milk by healthy breastfed Bangladeshi children. Am J Clin Nutr. 2008, 88: 84-94.PubMed
18.
go back to reference Dewey KG, Brown KH: Update on technical issues concerning complementary feeding of young children in developing countries and implications for intervention programs. Food Nutr Bull. 2003, 24: 5-26.CrossRefPubMed Dewey KG, Brown KH: Update on technical issues concerning complementary feeding of young children in developing countries and implications for intervention programs. Food Nutr Bull. 2003, 24: 5-26.CrossRefPubMed
19.
go back to reference Lutter CK, Rivera JA: Nutritional status of infants and young children and characteristics of their diets. J Nutr. 2003, 133: 2941S-2949S.PubMed Lutter CK, Rivera JA: Nutritional status of infants and young children and characteristics of their diets. J Nutr. 2003, 133: 2941S-2949S.PubMed
20.
go back to reference Gibson RS, Ferguson EL, Lehrfeld J: Complementary foods for infant feeding in developing countries: their nutrient adequacy and improvement. Eur J Clin Nutr. 1998, 52: 764-770. 10.1038/sj.ejcn.1600645.CrossRefPubMed Gibson RS, Ferguson EL, Lehrfeld J: Complementary foods for infant feeding in developing countries: their nutrient adequacy and improvement. Eur J Clin Nutr. 1998, 52: 764-770. 10.1038/sj.ejcn.1600645.CrossRefPubMed
21.
go back to reference Faber M: Complementary foods consumed by 6-1 2-month-old rural infants in South Africa are inadequate in micronutrients. Public Health Nutr. 2005, 8: 373-381. 10.1079/PHN2004685.CrossRefPubMed Faber M: Complementary foods consumed by 6-1 2-month-old rural infants in South Africa are inadequate in micronutrients. Public Health Nutr. 2005, 8: 373-381. 10.1079/PHN2004685.CrossRefPubMed
22.
go back to reference Heinig MJ, Nommsen LA, Peerson JM, Lonnerdal B, Dewey KG: Energy and protein intakes of breast-fed and formula-fed infants during the first year of life and their association with growth velocity: the DARLING Study. Am J Clin Nutr. 1993, 58: 152-161.PubMed Heinig MJ, Nommsen LA, Peerson JM, Lonnerdal B, Dewey KG: Energy and protein intakes of breast-fed and formula-fed infants during the first year of life and their association with growth velocity: the DARLING Study. Am J Clin Nutr. 1993, 58: 152-161.PubMed
23.
go back to reference Dewey KG: Nutrition, growth, and complementary feeding of the breastfed infant. Pediatr Clin North Am. 2001, 48: 87-104. 10.1016/S0031-3955(05)70287-X.CrossRefPubMed Dewey KG: Nutrition, growth, and complementary feeding of the breastfed infant. Pediatr Clin North Am. 2001, 48: 87-104. 10.1016/S0031-3955(05)70287-X.CrossRefPubMed
24.
go back to reference Butte NF, Wong WW, Hopkinson JM, Heinz CJ, Mehta NR, Smith EO: Energy requirements derived from total energy expenditure and energy deposition during the first 2 y of life. Am J Clin Nutr. 2000, 72: 1558-1569.PubMed Butte NF, Wong WW, Hopkinson JM, Heinz CJ, Mehta NR, Smith EO: Energy requirements derived from total energy expenditure and energy deposition during the first 2 y of life. Am J Clin Nutr. 2000, 72: 1558-1569.PubMed
25.
go back to reference Briefel RR, Reidy K, Karwe V, Devaney B: Feeding infants and toddlers study: improvements needed in meeting infant feeding recommendations. J Am Diet Assoc. 2004, 104: 31-37. 10.1016/j.jada.2003.10.020.CrossRef Briefel RR, Reidy K, Karwe V, Devaney B: Feeding infants and toddlers study: improvements needed in meeting infant feeding recommendations. J Am Diet Assoc. 2004, 104: 31-37. 10.1016/j.jada.2003.10.020.CrossRef
26.
go back to reference Fox MK, Reidy K, Novak T, Zeigler P: Sources of energy and nutrients in the diets of infants and toddlers. J Am Diet Assoc. 2006, 106: S28-S42.PubMed Fox MK, Reidy K, Novak T, Zeigler P: Sources of energy and nutrients in the diets of infants and toddlers. J Am Diet Assoc. 2006, 106: S28-S42.PubMed
27.
go back to reference Briefel R, Hanson C, Fox MK, Novak T, Ziegler p: Feeding Infants and Toddlers Study: Do vitamin and mineral supplements contribute to nutrient adequacy or excess among US infants and toddlers?. J Am Diet Assoc. 2006, 106: S52-S65.PubMed Briefel R, Hanson C, Fox MK, Novak T, Ziegler p: Feeding Infants and Toddlers Study: Do vitamin and mineral supplements contribute to nutrient adequacy or excess among US infants and toddlers?. J Am Diet Assoc. 2006, 106: S52-S65.PubMed
32.
go back to reference Davidsson L, Kastenmayer P, Szajewska H, Hurrell RF, Barclay D: Iron bioavailability in infants from an infant cereal fortified with ferric pyrophosphate or ferrous fumarate. Am J Clin Nutr. 2000, 71: 1597-1602.PubMed Davidsson L, Kastenmayer P, Szajewska H, Hurrell RF, Barclay D: Iron bioavailability in infants from an infant cereal fortified with ferric pyrophosphate or ferrous fumarate. Am J Clin Nutr. 2000, 71: 1597-1602.PubMed
33.
go back to reference Swain JH, Johnson LK, Hunt JR: An irradiated electrolytic iron fortificant is poorly absorbed by humans and is less responsive than FeSO4 to the enhancing effect of Ascorbic Acid. J Nutr. 2006, 136: 2167-2174.PubMed Swain JH, Johnson LK, Hunt JR: An irradiated electrolytic iron fortificant is poorly absorbed by humans and is less responsive than FeSO4 to the enhancing effect of Ascorbic Acid. J Nutr. 2006, 136: 2167-2174.PubMed
34.
go back to reference Innis SM, Nelson CM, Wadsworth LD, MacLaren IA, Lwanga D: Incidence of iron-deficiency anaemia and depleted iron stores among nine-month-old infants in Vancouver, Canada. Can J Public Health. 1997, 88 (2): 80-84.PubMed Innis SM, Nelson CM, Wadsworth LD, MacLaren IA, Lwanga D: Incidence of iron-deficiency anaemia and depleted iron stores among nine-month-old infants in Vancouver, Canada. Can J Public Health. 1997, 88 (2): 80-84.PubMed
35.
go back to reference Makrides M, Hawkes JS, Neumann MA, Gibson RA: Nutritional effect of including egg yolk in the weaning diet of breast-fed and formula-fed infants: a randomized controlled trial. Am J Clin Nutr. 2002, 75: 1084-1092.PubMed Makrides M, Hawkes JS, Neumann MA, Gibson RA: Nutritional effect of including egg yolk in the weaning diet of breast-fed and formula-fed infants: a randomized controlled trial. Am J Clin Nutr. 2002, 75: 1084-1092.PubMed
36.
go back to reference Coleman BL, Gutmanis I, Larsen LL, Leffley AC, MckIllop JM, Reitdyk AEA: Introduction of solid foods: Do mothers follow recommendations?. Can J Diet Prac Res. 2009, 70: 135-40. 10.3148/70.3.2009.135.CrossRef Coleman BL, Gutmanis I, Larsen LL, Leffley AC, MckIllop JM, Reitdyk AEA: Introduction of solid foods: Do mothers follow recommendations?. Can J Diet Prac Res. 2009, 70: 135-40. 10.3148/70.3.2009.135.CrossRef
38.
go back to reference Kattelmann KK, Ho M, Specker BL: Effect of timing of introduction of complementary foods on iron and zinc status of formula fed infants at 12, 24, and 36 months of age. J Am Diet Assoc. 2001, 101 (4): 443-7. 10.1016/S0002-8223(01)00114-6.CrossRefPubMed Kattelmann KK, Ho M, Specker BL: Effect of timing of introduction of complementary foods on iron and zinc status of formula fed infants at 12, 24, and 36 months of age. J Am Diet Assoc. 2001, 101 (4): 443-7. 10.1016/S0002-8223(01)00114-6.CrossRefPubMed
39.
go back to reference Mehta KC, Specker BL, Bartholmey S, Giddens J, Ho ML: Trial on timing of introduction to solids and food type on infant growth. Pediatrics. 1998, 102 (3): 569-73. 10.1542/peds.102.3.569.CrossRefPubMed Mehta KC, Specker BL, Bartholmey S, Giddens J, Ho ML: Trial on timing of introduction to solids and food type on infant growth. Pediatrics. 1998, 102 (3): 569-73. 10.1542/peds.102.3.569.CrossRefPubMed
40.
go back to reference Lanigan JA, Wells JCK, Lawson MS, Cole TJ, Lucas A: Number of days needed to assess energy and nutrient intake in infants and young children between 6 months and 2 years of age. Eur J Clin Nutr. 2004, 58: 745-50. 10.1038/sj.ejcn.1601872.CrossRefPubMed Lanigan JA, Wells JCK, Lawson MS, Cole TJ, Lucas A: Number of days needed to assess energy and nutrient intake in infants and young children between 6 months and 2 years of age. Eur J Clin Nutr. 2004, 58: 745-50. 10.1038/sj.ejcn.1601872.CrossRefPubMed
41.
go back to reference Yeung DL: Infant nutrition: a study of feeding practices and growth birth to 18 months. 1983, Ottawa, ON: The Canadian Public Health Association, 1 Yeung DL: Infant nutrition: a study of feeding practices and growth birth to 18 months. 1983, Ottawa, ON: The Canadian Public Health Association, 1
Metadata
Title
Canadian infants' nutrient intakes from complementary foods during the first year of life
Authors
James K Friel
Rhona M Hanning
Corinne A Isaak
Daniel Prowse
Angela C Miller
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2010
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/1471-2431-10-43

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