Human Milk Feeding and Ultraprocessed Food Intake in Toddlerhood.

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY
Breastfeeding Medicine Pub Date : 2024-08-01 Epub Date: 2024-05-29 DOI:10.1089/bfm.2024.0104
Samrawit F Yisahak, Caroline A Racke, Karolina M Edlund, Sarah A Keim
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Abstract

Objective: The objective of the study was to estimate associations between early-life human milk feeding and ultraprocessed food (UPF) intake at two timepoints during toddlerhood among children born at <35 weeks' gestation. Study Design: Children were enrolled in the Omega Tots trial (2012-2017, Ohio) at 10-17 months' corrected age after having discontinued human milk and formula feeding. Caregivers reported children's human milk feeding history at baseline and past month diet through a food frequency questionnaire at baseline and follow-up (180 days later). We used the NOVA classification system to estimate UPF intake. We estimated covariate-adjusted associations between human milk feeding (ever and duration) and UPF intake at baseline and follow-up using linear and logistic regression. Results: Nearly 89% (n = 295) of 333 toddlers had received human milk but only 4.2% (n = 14) were fed exclusively human milk to 6 months of age. UPFs represented 37.7 (standard deviation [SD] = 13.2)% and 43.4 (SD = 11.3)% of total calories at the two timepoints. Human milk feeding (exclusive or otherwise) was unassociated with UPF intake in toddlerhood (e.g., months of exclusive human milk feeding with the number of daily servings of UPFs at follow-up: β = -0.09, 95% confidence interval [CI]: -0.26, 0.08). Conclusion: In this sample of toddlers born preterm, any exposure to as well as the duration of human milk feeding was unassociated with UPF intake during the second year of life. These results require replication in larger samples given the small number of children in some human milk feeding categories.

幼儿期的母乳喂养和超加工食品摄入量。
研究目的该研究的目的是估算在俄亥俄州出生的儿童在学步期的两个时间点早期母乳喂养与超加工食品(UPF)摄入量之间的关系:儿童在停止母乳和配方奶喂养后,在 10-17 个月矫正年龄时参加欧米茄幼儿试验(2012-2017 年,俄亥俄州)。护理人员在基线和随访(180 天后)时通过食物频率问卷报告儿童的基线母乳喂养史和过去一个月的饮食情况。我们使用 NOVA 分类系统来估算 UPF 摄入量。我们使用线性回归和逻辑回归估算了基线和随访时母乳喂养(曾经喂养和持续时间)与 UPF 摄入量之间的协变量调整关系。结果显示在333名幼儿中,近89%(n = 295)的幼儿喝过人奶,但只有4.2%(n = 14)的幼儿在6个月大前只喝人奶。在两个时间点,UPF 分别占总热量的 37.7%(标准差 [SD] = 13.2)和 43.4%(标准差 = 11.3)。母乳喂养(纯母乳喂养或其他方式)与幼儿期的 UPF 摄入量无关(例如,纯母乳喂养的月数与随访时的每日 UPF 份数:β=-0.09,95% 置信区间 [CI]:-0.26,0.08)。结论在这一早产幼儿样本中,母乳喂养的任何接触和持续时间与幼儿第二年的UPF摄入量无关。鉴于某些母乳喂养类别的儿童人数较少,这些结果需要在更大的样本中重复。
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来源期刊
Breastfeeding Medicine
Breastfeeding Medicine OBSTETRICS & GYNECOLOGY-PEDIATRICS
CiteScore
4.20
自引率
11.10%
发文量
130
审稿时长
6-12 weeks
期刊介绍: Breastfeeding Medicine provides unparalleled peer-reviewed research, protocols, and clinical applications to ensure optimal care for mother and infant. The Journal answers the growing demand for evidence-based research and explores the immediate and long-term outcomes of breastfeeding, including its epidemiologic, physiologic, and psychological benefits. It is the exclusive source of the Academy of Breastfeeding Medicine protocols. Breastfeeding Medicine coverage includes: Breastfeeding recommendations and protocols Health consequences of artificial feeding Physiology of lactation and biochemistry of breast milk Optimal nutrition for the breastfeeding mother Breastfeeding indications and contraindications Managing breastfeeding discomfort, pain, and other complications Breastfeeding the premature or sick infant Breastfeeding in the chronically ill mother Management of the breastfeeding mother on medication Infectious disease transmission through breast milk and breastfeeding The collection and storage of human milk and human milk banking Measuring the impact of being a “baby-friendly” hospital Cultural competence and cultural sensitivity International public health issues including social and economic issues.
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