scholarly journals Concerning Impact of Decreasing Infant Cereal Consumption on Essential Nutrient Intakes of Breastfed Babies: Feeding Infants and Toddlers Study (FITS) 2016 (P11-064-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Kristen Finn ◽  
Brian Kineman ◽  
Ryan Carvalho
Keyword(s):  
Infant Formula ◽  
Nutrient Intakes ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Dietary Recall ◽  
Breastfed Infants ◽  
Funding Sources ◽  
Calcium Phosphorus ◽  
Dietary Nutrient ◽  
Essential Nutrient

Abstract Objectives Infant cereal consumption among 6–11.9 month old infants has declined from 72% in 2002 to 52% in 2016. This is especially concerning for breastfed infants since infant cereal is a top source of iron and other key nutrients. The purpose of this study is to determine how infant cereal consumption impacts nutrient intakes of breastfed infants. Methods FITS 2016 is a cross sectional survey of caregivers across the U.S. assessing food and nutrient intakes. A 24 hour dietary recall was administered to caregivers of children aged 0–47.9 months (n = 3235). For this analysis, only infants aged 6–11.9 months who were either breastfed (no infant formula provided, n = 296) or mixed fed (breastmilk and infant formula provided, n = 102) were included. If any amount of infant cereal was consumed, the infant was considered a cereal user. Dietary supplements were excluded to determine usual nutrient intakes from diet only. Infants were categorized as a breastfed cereal user, breastfed non-user, mixed fed cereal user, or mixed fed non-user. The percentage of infants with dietary nutrient intakes below the adequate intake (AI) or estimated average requirement (EAR) were analyzed for significant differences between cereal users and non-users among breastfed and mixed fed infants using paired T-tests. Results Among breastfed infants, a significantly higher percentage of cereal users had intakes above the EAR or AI level for iron, vitamin C, thiamine, riboflavin, niacin, vitamin B6, folate, vitamin B12, calcium, phosphorus, magnesium, vitamin A, zinc, potassium, and choline compared to non-users (See Figure 1). Among mixed fed infants, a significantly higher percentage of cereal users had intakes above the EAR or AI level for iron, magnesium, and choline (See Figure 2). Most infants had inadequate intakes of vitamin D. Conclusions Breastfed and mixed fed infants who consume infant cereal are more likely to have adequate intakes of iron, choline, and magnesium than their non-infant cereal consuming counterparts. Among breastfed infants, infant cereal consumers are also more likely to consume adequate amounts of 12 other nutrients compared to non-users. Infant cereal is a source of many key nutrients and is an important complementary food, especially for breastfed infants. Funding Sources Nestlé Research Center, Switzerland. Supporting Tables, Images and/or Graphs

scholarly journals Estimated Absorbed Zinc Intake Is Low in Breastfed 6–11.9 Month Old Infants: Data From the Feeding Infants and Toddlers (FITS) Study, 2016

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 742-742
Author(s):  
Kristen Finn ◽  
Joel Hampton ◽  
Steven Abrams
Keyword(s):  
At Risk ◽  
Human Milk ◽  
Food Sources ◽  
Initial Time ◽  
Dietary Reference Intake ◽  
Cross Sectional ◽  
Dietary Recall ◽  
Breastfed Infants ◽  
Funding Sources ◽  
The Mean

Abstract Objectives To calculate daily absorbed zinc (Zn) intakes, evaluate and rank dietary Zn sources, and assess the percentage of 6–11.9 month old breastfed, mixed fed, and formula fed infants at risk for inadequate absorbed Zn based on their intake and dietary Zn sources. Methods FITS is a cross-sectional dietary survey of children aged 0–47.9 months in the U.S. For this analysis, Zn absorption factors utilized in the Dietary Reference Intake (DRI) methodology (50% for human milk, 30% for all other sources) were applied to all food sources of Zn in the 24 hour dietary recall for 6–11.9 month old infants (n = 902). The estimated amount of Zn in human milk (0.83μg/ml) and the absorbed Zn requirement for 6–12 month old infants (836μg/day) were based on DRI methodology. Dietary Zn sources were ranked according to contribution to total calculated absorbed Zn. Differences in calculated mean absorbed Zn intakes and the percentage of infants falling below the daily absorbed zinc requirement among breastfed (n = 296), mixed fed (n = 102), and formula fed infants (n = 448) were assessed by unpaired t-tests. Results Among 6–8.9 month old breastfed infants, the mean absorbed Zn (0.58 μg/day) and percentage of infants falling below the daily dietary intake requirement (90.9%) were significantly different than mixed fed, (1.32μg/day and 14.5% below) or formula fed infants (2.17μg/day and 0.1% below, p < 0.0001 for all comparisons). Among 9–11.9 month old infants, the mean absorbed Zn intakes and percentage of infants falling below the daily requirement improved, but remained significantly different across all feeding types (1.00 μg/day and 33.4% of infants below in breastfed, 1.33μg/day and 13.8% below in mixed fed, 2.41μg/day and 0.0% below in formula fed, p < 0.0001 for all comparisons except difference in means for breastfed vs. mixed fed p = 0.0011). The primary sources of calculated absorbed Zn were human milk or infant formula followed by infant cereal and then meat. Conclusions Using established factors to account for bioavailability of dietary Zn sources, the majority of breastfed older infants are at risk for inadequate Zn intake, especially during the initial time of introduction of solid foods. Focusing on high Zn containing intake, including meat and fortified cereals may be important to assure adequate Zn intake. Funding Sources Nestlé Research, Switzerland and Nestlé Nutrition, Arlington, VA.

scholarly journals A cross sectional survey in paediatricians pertaining to management of functional gastrointestinal disorders in infants: Indian perspectives

2020 ◽  
Vol 7 (10) ◽  
pp. 2015
Author(s):  
Shrish Bhatnagar ◽  
Roshan R. Mane ◽  
Irfan A. Shaikh ◽  
Ganesh Kadhe
Keyword(s):  
Quality Of Life ◽  
Parental Education ◽  
Functional Gastrointestinal Disorders ◽  
Gastrointestinal Disorders ◽  
Cross Sectional Survey ◽  
Management Options ◽  
Cross Sectional ◽  
Breastfed Infants ◽  
Best Management

Background: Functional gastrointestinal disorders (FGIDs) in infants and toddlers possess extensive burden to the parents and healthcare professionals. Guidelines addressing the practices in diagnosis and management of FGIDs in infants in Indian subcontinent is unavailable. Hence this study assessed current knowledge, attitude and practice of pediatricians in diagnosis and treatment of FGIDs.Methods: A cross-sectional survey based on a structured questionnaire assessed pediatrician’s knowledge about prevalence and profile of most common GI disorders in pediatric age groups (birth to 12 months), association of FGIDs with different feeding practices, impact of FGID on quality of life, various management options and physician preferred method of treatment.Results: Colic was rated as the most common GI disorder, followed by gassiness/fussiness, regurgitation and constipation. About 59% pediatricians come across FGIDs more in formula-fed infants compared to breastfed infants (4.2%) and 93.9% pediatricians affirm that FGIDs affect quality of life. Approximately 91% pediatricians believed reassurance and education was the best management option, which was also reported as the preferred mode of management by about 89% pediatricians, whereas pharmacological therapies were the least preferred (1.6%). For breastfed infants suffering with regurgitation, colic or constipation, majority pediatricians opted for switching to 100% whey partially hydrolysed protein formula; sequentially followed by use of pre/probiotics and switch to extensively hydrolyzed protein formula.Conclusions: Parental education and reassurance offer an ideal mode of management of FGIDs. Partially hydrolysed protein formula may be considered one of the best management options irrespective of the FGID condition in infants who are breastfeed.

scholarly journals Association Between Dietary Quality and Postpartum Depression in Lactating Women: A Cross-Sectional Survey in Urban China

2021 ◽  
Vol 8 ◽  
Author(s):  
Chenlu Yang ◽  
Ai Zhao ◽  
Hanglian Lan ◽  
Zhongxia Ren ◽  
Jian Zhang ◽  
...  
Keyword(s):  
Postpartum Depression ◽  
Depression Scale ◽  
Prevalence Ratio ◽  
Urban China ◽  
Dietary Quality ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Lactating Women ◽  
Dietary Recall ◽  
Food Variety

Background: Evidence on the effects of dietary quality on the risk of postpartum depression in the Chinese population is limited. This study aimed to examine the association between dietary quality and postpartum depression in Chinses lactating women.Methods: A total of 939 participants from 10 cities were included in this analysis. A one-time 24-h dietary recall was used to obtain the data on food consumption and dietary quality was assessed based on Diet Balance Index. The Edinburgh postnatal depression scale was considered at a cutoff point of 10 to detect postpartum depression. Poisson regression models were used to explore the association of dietary quality with postpartum depression.Results: Depressed women tended to have a more inadequate intake of vegetables and have more insufficient food variety. The median (25th, 75th) of the overall high bound score (HBS), low bound score (LBS), and diet quality distance (DQD) was 9 (5, 14), 30 (25, 37), and 40 (34, 47), respectively. Compared with subjects with the lowest quartile of LBS, those with the highest quartile of LBS had a higher risk of postpartum depression [adjusted prevalence ratio (aPR), 1.08; 95% confidence interval (95% CI), 1.01, 1.15; P for trend, 0.043]. We also observed a significant association between DQD and postpartum depression (Q4 vs. Q1: aPR, 1.07; 95% CI: 1.00, 1.14; P for trend, 0.036).Conclusion: Poor dietary quality was associated with postpartum depression in Chinese lactating women.

scholarly journals Dietary intakes and body mass indices of non-pregnant, non-lactating (NPNL) women from the Coastal and Guinea savannah zones of Ghana

2012 ◽  
Vol 12 (49) ◽  
pp. 5843-5861
Author(s):  
GY Kobati ◽  
◽  
A Lartey ◽  
GS Marquis ◽  
EK Colecraft ◽  
...  
Keyword(s):  
Body Mass ◽  
Coastal Zone ◽  
Formal Education ◽  
Maternal Nutrition ◽  
Dietary Intakes ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Dietary Recall ◽  
Working Day ◽  
Savannah Zone

Adequate maternal nutrition prior to pregnancy is important for maternal health and favourable pregnancy outcomes. However, information on the dietary intakes of NonPregnant, Non-Lactating (NPNL) women in Ghana is lacking. A cross-sectional survey was undertaken to compare the dietary intakes of NPNL women of children aged 2 to 5 years who are either living in the Coastal (n=79) or Guinea Savannah (n=89) zones. Data were collected using various methods namely interviewer administered socio-demographic questionnaire, 24hr dietary recall records, with data collected on one working and one non-working day within a week, and a 1-week food frequency questionnaire. Body mass index was derived from height and weight measurements. Women in the Coastal Savannah zone had significantly (p=0.05) more formal education (3.9 ± 2.5 years) and earned a higher (p<0.001) weekly income (Gh¢ 6.8 ± 2.7) than women in the Guinea Savannah zone with educational level and incomes of 2.2±1.6 years and Gh¢ 3.9±2.4 respectively. More women in the Coastal zone had significantly (p<0.05) fewer births and were heads of their households. Cereal-based foods were consumed daily by all women during the two-day observation period. Fish was the predominant animal source food in the diet in both zones. Significantly (p<0.05) more women in the Guinea Savannah zone did not meet their Estimated Average Requirements (EAR) for protein (81%), vitamin A (94.4%), and vitamin C (72%) compared to women in the Coastal zone (44%, 22%, and 31% respectively).The diets of both groups of women were low in calcium. Generally, women in the Coastal zone had a significantly (p<0.001) higher BMI (24.2 ± 4.6 kg/m2) than their counterparts in the Guinea Savannah zone (21.3± 2.4 kg/m2).The overall quality of dietary intakes and nutritional status of women in the Guinea Savannah zone was poorer than that of Coastal women. Dietary deficiencies are also present in NPNL women in Ghana. Efforts are needed to improve diet quality and to increase access to resources especially for women in the Guinea Savannah zone of Ghana.

scholarly journals Nutrient intakes and sources of fiber among children with low and high dietary fiber intake: the 2016 feeding infants and toddlers study (FITS), a cross-sectional survey

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Kristen Finn ◽  
Emma Jacquier ◽  
Brian Kineman ◽  
Heidi Storm ◽  
Ryan Carvalho
Keyword(s):  
Young Children ◽  
Dietary Fiber ◽  
Diet Quality ◽  
Whole Grains ◽  
Mean Difference ◽  
Fiber Intake ◽  
Nutrient Intakes ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Dietary Fiber Intake

Abstract Background Increasing dietary fiber intake in children may improve overall diet quality. The purpose of this study was to compare nutrient intakes and sources of fiber between young children with low and high fiber intakes utilizing data from the Feeding Infants and Toddlers Study (FITS) 2016. Methods The FITS 2016 was a nationwide, cross sectional survey of caregivers designed to assess food and nutrient intakes, feeding behaviors, and dietary patterns among infants and young children living in the U.S. Energy adjusted macro and micronutrient intakes (nutrients/1000 kcals) of children with energy adjusted fiber intakes (g/1000 kcals) in the highest quartile were compared to those in the lowest quartile with paired t-tests. Sources of fiber for each quartile were ranked according to percent of total fiber intake. Results Children with fiber intakes in the highest quartile had significantly lower intakes of total fat (mean difference ranged from 7.4–9.6 g, p < 0.0005) and saturated fat (mean difference ranged from 4 to 5.8 g, p < 0.0005), and significantly higher intakes of vitamin B-6 (mean difference ranged from 0.3–0.4 mg, p < 0.0005), magnesium (mean difference ranged from 57.2–61.8 mg, p < 0.0005), iron (mean difference ranged from 2.2–3.7 mg, p < 0.0005), and potassium (mean difference ranged from 318.2 mg to 446.1 mg, p < 0.0005) compared to children in the lowest quartile across all age groups. Children in the highest quartile had higher intakes of nut butters, legumes, fruits, and vegetables and consumed a greater percentage of grains as whole grains than those in the lowest quartile. Conclusion Encouraging intake of fruits, vegetables, legumes, nut butters, and at least 75% of grains as whole grains may help young children improve dietary fiber intake and overall diet quality.

scholarly journals Relationships between Motivations for Food Choices and Consumption of Food Groups: A Prospective Cross-Sectional Survey in Manufacturing Workers in Brazil

Nutrients ◽  
2020 ◽  
Vol 12 (5) ◽  
pp. 1490 ◽  
Author(s):  
Anissa M. Souza ◽  
Ingrid W.L. Bezerra ◽  
Gabriela S. Pereira ◽  
Karina G. Torres ◽  
Raiane M. Costa ◽  
...  
Keyword(s):  
Negative Correlation ◽  
Weight Control ◽  
Nutritional Value ◽  
Food Choices ◽  
Ethical Concern ◽  
Food Groups ◽  
White Meat ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Dietary Recall

Motivations for food choices may determine consumption, and understanding that relationship may help direct strategies for formulating diets. This study aimed to identify associations between motivations for food choices and consumption of food groups. An observational cross-sectional survey was conducted in 921 manufacturing workers from 33 companies in Brazil, based on a stratified two-stage probability sample. Motivations for food choices were assessed with the Food Choice Questionnaire, and intake of food groups was measured using 24-h dietary recall. Consumption was classified into 31 food groups defined according to their nutritional value and the NOVA classification. Data were analyzed with multilevel mixed-effects regression. The results showed that sensory appeal and price were the most important motivations for food choices, while ethical concern was less important. Sensory appeal was positively associated with consumption of industrialized condiments (p = 0.022), price showed a negative correlation with consumption of plant oils (p = 0.022), ethical concern showed positive correlation within consumption white meat (p = 0.065) and negative correlation within pasta dishes (p < 0.001). Regarding the NOVA classification, health correlated with an increase in consumption of unprocessed foods (p = 0.017) and weight control with a decrease in consumption of processed culinary ingredients (p = 0.057).

scholarly journals Accuracy of a 24-Hour Recall of a Measured Snack (P13-005-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Allison Childress ◽  
Nik Dhurandhar ◽  
John Dawson ◽  
Jordan Lichthardt
Keyword(s):  
Food Addiction ◽  
Cross Sectional Study ◽  
Potato Chips ◽  
Cross Sectional ◽  
Recall Accuracy ◽  
Dietary Recall ◽  
Funding Sources ◽  
Before And After ◽  
Food Recall ◽  
Texas Tech University

Abstract Objectives To assess food recall accuracy in the general population and determine recall differences in persons with and without food addiction (FA) as identified by the Yale Food Addiction Scale. We hypothesized that food recall is inaccurate for individuals regardless of FA status. Furthermore, subjects with FA will have a more accurate food recall compared to those without FA. Methods Twenty-two individuals pair-matched based on gender, race, age, and BMI, participated in this cross-sectional study (11 FA and 11 control). In the outpatient clinic setting, subjects were offered ad libitum a highly palatable snack (Lays™ potato chips and plain M&M's™) approximately 3 hours after drinking a meal replacement shake. The snacks were covertly weighed before and after consumption to note the true intake. A link to an ASA-24 hour dietary recall was emailed to the participant the following day and the information collected was compared with the true measured intake of the snack. Results All participants under-reported an average of 3 g of M&M'sTM and 6 g of Lay'sTM potato chips, corresponding to 15 kcal and 34 kcal (total of 49 kcal). Overall, subjects under-reported M&M'sTM intake by 14.3% and Lay'sTM intake by 25.5%. Persons with FA under-reported M&M'sTM intake by 6.8% and Lay'sTM intake by 24.8%; the controls under-reported M&M'sTM intake by 21.9% and Lay'sTM intake by 26.3%. Differences in reporting accuracy were not significantly different in the paired sample. Conclusions Reporting of 49 fewer calories of a 169 calorie snack can be considered substantial underreporting. Individuals appear unable to recall food intake accurately even when recalled within 24 h of consumption. FA does not seem to influence overall food recall accuracy differently. Moreover, the % variations in underreporting between the two varieties of snacks, and between FA or non FA groups suggests correcting underreporting by a single correction factor is not a viable option. A larger sample size would assist in the accuracy of conclusions. Funding Sources Texas Tech University.

scholarly journals Comparison of Four Methods to Estimate the Prevalence of Dietary Supplement Use Among U.S. Children

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1172-1172
Author(s):  
Shinyoung Jun ◽  
Alexandra E Cowan ◽  
Jaime Gahche ◽  
Janet Tooze ◽  
Kevin Dodd ◽  
...  
Keyword(s):  
Dietary Supplement ◽  
Assessment Method ◽  
Nutrient Intakes ◽  
Specific Product ◽  
Dietary Recall ◽  
Supplement Use ◽  
Funding Sources ◽  
Using Data ◽  
Dietary Supplement Use ◽  
Method Of Assessment

Abstract Objectives Little is known whether the prevalence of dietary supplement (DS) use among children varies by assessment method as it does among adults. We assessed the prevalence of use of different DS product types among U.S. children using four different combinations of assessment methods constructed from two instruments (i.e., frequency-based questionnaire and 24-hour dietary recall (24HR)). Methods DS use information is collected in the National Health and Nutrition Examination Survey (NHANES) via a 30-day frequency questionnaire in conjunction with an in-home inventory (Dietary Supplement and Prescription Medicine, DSMQ) and during up to two 24HR. NHANES 2013–2016 data were used to estimate the prevalence of use of any DS and selected types of DS products among 8369 children (≤18y) using four methods constructed from DSMQ and 24HR: 1) DSMQ; 2) 24HR day 1; 3) 24HR day 1 and day 2; and 4) DSMQ and ≥1 24HR. Results About one-third (34.4%) of children took at least one DS in the previous 30 days according to the DSMQ. This decreased to 21.0% when data from only the 24HR day 1 were used, increased to 26.2% when data from both the 24HR day 1 and day 2 were used, and increased further to 37.3% when data from the DSMQ and ≥1 24HR were combined. Similar patterns were found when stratified by age (&lt;1y, 1–3y, 4–8y, 9–13y, and 14–18y). Prevalence of use of specific product types also differed by method of assessment, but the percentages of those using specific products among DS users were similar across methods. The most commonly consumed products were multivitamin-minerals (73.6% to 75.5%, depending on the method). Many of these products contained over 100% of the Daily Value for some vitamins and minerals. Conclusions Prevalence estimates of DS use differed by method among U.S. children, which may be related to the length of the reference period of assessment. Accurately capturing DS users is critical because nutrient intakes from DS can contribute substantially total nutrient intakes. Our findings suggest that using data from both DSMQ and 24HR captures more DS users compared to a single instrument alone. Funding Sources This work was supported through the National Institutes of Health.

scholarly journals Contribution of forest foods to dietary intake and their association with household food insecurity: a cross-sectional study in women from rural Cameroon

2016 ◽  
Vol 19 (17) ◽  
pp. 3185-3196 ◽  
Author(s):  
Robert Fungo ◽  
John Muyonga ◽  
Margaret Kabahenda ◽  
Archileo Kaaya ◽  
Clement A Okia ◽  
...  
Keyword(s):  
Dietary Intake ◽  
Food Insecurity ◽  
Food Consumption ◽  
Dietary Diversity ◽  
Household Food Insecurity ◽  
Nutrient Intakes ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Household Food ◽  
Forest Foods

AbstractObjectiveTo determine the contribution of forest foods to dietary intake and estimate their association with household food insecurity.DesignCross-sectional survey conducted among 279 households. Using a 7 d recall questionnaire, information on household food consumption was collected from women and used to determine the household dietary diversity score, food variety score and forest food consumption score (FFCS). Household Food Insecurity Access Scale (HFIAS) score was determined and Spearman rank correlation was used to establish the relationship between consumption of forest foods and HFIAS score. Women’s dietary intake was estimated from two 24 h recalls. The contribution of forest foods to women’s nutrient intakes was calculated and women’s nutrient intakes were compared with estimated average nutrient requirements.SettingRural forest-dependent households in twelve villages in eastern and southern Cameroon.SubjectsHousehold heads and their non-pregnant, non-lactating spouses.ResultsForty-seven unique forest foods were identified; of these, seventeen were consumed by 98 % of respondents over the course of one week and by 17 % of women during the two 24 h recall periods. Although forest foods contributed approximately half of women’s total daily energy intake, considerably greater contributions were made to vitamin A (93 %), Na (100 %), Fe (85 %), Zn (88 %) and Ca (89 %) intakes. Despite a highly biodiverse pool of foods, most households (83 %) suffered from high food insecurity based on the HFIAS. A significant inverse correlation was observed between the HFIAS score and the FFCS (r2=−0·169, P=0·0006), demonstrating that forest foods play an important role in ensuring food security in these forest-dependent communities.ConclusionsForest foods are widely consumed by forest-dependent communities. Given their rich nutrient content, they have potential to contribute to food and nutrition security.

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