Abstract
Objectives: The aim of the study was to identify current infant feeding practices among carers of preterm infants.
Design: Structured interviews on milk and complementary feeding practices were conducted with mothers of preterm infants at intervals until infants were 12 months corrected age.
Setting: Recruitment took place in three local Surrey hospitals over a 2 y period.
Subjects: Two-hundred and fifty-three preterm infants (139 male, 114 female) including 33 sets of twins and three sets of triplets were recruited.
Results: Forty-nine percent of the preterm infant group received first solid foods (the commencement of ‘weaning’) before the current Department of Health (DoH) guideline. The mean±s.e.m. weaning age from birth was 17.1±0.23 weeks. Ninety-five percent of the infants were weaned before the DoH guideline when the data was examined from term (mean 11.5±s.e.m. 0.21 weeks). Twenty-one percent were weaned before the DoH guideline for preterm infants which is that ‘the infant weighs at least 5 kg’ (mean 5.61±s.e.m. 0.01 kg). Human milk-fed infants were significantly lighter at weaning than combined milk-fed infants (5.32±0.12 vs 5.72±0.01 kg; P<0.05) even though they were weaned at a similar age. Infant formula-fed infants (mean weaning age from term 10.2±0.47 weeks) were weaned significantly earlier than both human milk-fed (11.9±0.49 weeks; P<0.05) and combined milk-fed (11.9±0.25 weeks; P<0.005) infants.
Conclusions: The introduction of complementary foods varied widely between carers of preterm infants and compliance with DoH guidelines was poor. Further studies on preterm infants are necessary to see if weaning practices affect long-term growth and morbidity and to provide a basis for the development of appropriate recommendations.
Sponsorship: This work was funded by the MAFF Food Intolerance Programme.
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References
Dewey KG, Heinig MJ, Nommsen LA, Peerson JM, Lönnerdal B . 1992 Growth of breast-fed and formula-fed infants from 0 to 18 months: the DARLING study Pediatrics 89: 1035–1041
DoH. 1994 Weaning and the weaning diet Department of Health. Report on Health and Social Subjects, no. 45 London: HMSO
Douglas JE, Byron M . 1996 Interview data on severe behavioural eating difficulties in young children Arch. Dis. Child. 75: 304–308
Foster K, Lader D, Cheesbrough S . 1997 Infant Feeding 1995 London: Office for National Statsitics
Gairdner D, Pearson J . 1998 Preterm–2 Y Length/Weight/Head Circumference Growth Chart Welwyn Garden City: Castlemead Publications
Garza C, Frongillo EA . 1998 Infant feeding recommendations [Editorial.] Am. J. Clin. Nutr. 67: 815–816
Lanigan JA, Bishop JA, Kimber AC, Morgan JB . 2001 Systematic review concerning the age of introduction of complemetary foods to the healthy full-term infant Eur. J. Clin. Nutr. 55: 309–320
Mills A, Tyler H . 1992 Food and Nutrient Intakes of British Infants aged 6–12 Months London: HMSO
Office for National Statistics. 1999 Birth Statistics Series FM1, no. 26, 1997 London: HMSO
Office of Population Censuses and Surveys. 1991 Standard Occupational Classification Vol. 3 Social Classification and Coding Methodology London: HMSO
Savage S-AH, Reilly JJ, Edwards CA, Durnin JVGA . 1998 Weaning practice in the Glasgow longitudinal infant growth study Arch. Dis. Child. 79: 153–156
Tin W, Wariyar U, Hey E . 1997 Changing prognosis of babies less than 28 weeks' gestation in the north of England between 1983 and 1994 Br. Med. J. 314: 107–111
WHO. 1995 The World Health Organisation's infant feeding recommendation WHO Wkly Epidemiol. Rec. 17: 117–220
Wilson AC, Forsyth JS, Greene SA, Irvine L, Hau C, Howie PW . 1998 Relation of infant diet to childhood health: seven year follow up of cohort of children in Dundee infant feeding study Br. Med. J. 316: 21–25
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Norris, F., Larkin, M., Williams, C. et al. Factors affecting the introduction of complementary foods in the preterm infant. Eur J Clin Nutr 56, 448–454 (2002). https://doi.org/10.1038/sj.ejcn.1601336
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DOI: https://doi.org/10.1038/sj.ejcn.1601336
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