A scoping review of squeeze pouch use among infants and children: Frequency, types, sociodemographic characteristics and parental experiences.

Abstract

Aims: Demand for infant and child foods in squeeze pouches is increasing, yet limited evidence exists to inform public health strategies on who uses them and why. The aim of this scoping review was to explore the frequency and types of squeeze pouches consumed by children, the sociodemographic characteristics of users and insights from parental experiences regarding their use.

Methods: A scoping review was conducted in accordance with the Joanna Briggs Institute guidelines for scoping reviews. Between January and April 2024, three databases were searched (MEDLINE, Scopus and CINAHL) in addition to grey literature. Two independent reviewers screened 125 articles, of which 16 underwent full-text review. Results were summarised narratively.

Results: Eleven studies across five countries were included. Eight studies reported on the prevalence of squeeze pouch consumption, ranging from 23.5% to 82.8% for infants and children. Frequency of intake ranged from daily (n = 4; 8.7%-29.2%), weekly (n = 7; 20.9%-75.2%), to monthly consumption (n = 7 16.7%-70.4%), depending on the study. Predominantly fruit- and dairy-based pouches were consumed. Frequent use was linked to higher deprivation, childcare use, larger families, early breastfeeding cessation and early solid food introduction. Studies on parental perceptions (n = 6) reported their perceived convenience, healthiness and low cost and concerns related to waste.

Conclusions: This review identified widespread use of squeeze pouches among infants and children, particularly fruit and dairy-based pouches. More research is needed on their nutritional impact to guide public health strategies promoting healthy early feeding practices.