Maternal and Child Nutrition最新文献

{"title":"Associations Between Personality Traits, Self-Efficacy and Complementary Feeding Behavior Among Infant Caregivers in Western Rural China.","authors":"Xinru Zhou, Yiran Tian, Zhengjie Cai, Linhua Li, Yuju Wu, Guo Zeng, Jieyuan Feng, Scott Rozelle, Hein Raat, Huan Zhou","doi":"10.1111/mcn.70021","DOIUrl":"https://doi.org/10.1111/mcn.70021","url":null,"abstract":"<p><p>The effects of psychological factors on complementary feeding behavior have been widely described, yet the mechanisms underlying the complex relationships among personality traits, self-efficacy, and complementary feeding behavior remain unclear. This cross-sectional study was conducted using a multi-stage cluster sampling process to select caregiver-child dyads in Western rural China. Personality traits, self-efficacy, and complementary feeding behavior were evaluated respectively. Both multiple logistic regression and Bayesian network structure (BNs) were used to explore these associations. A total of 787 caregiver-child dyads were enrolled. Results from multiple logistic regression indicated that caregivers with medium (OR = 2.05, p < 0.001) or high (OR = 1.58, p = 0.04) levels of extraversion, as well as those with high self-efficacy recording complementary feeding (OR = 2.08, p < 0.001), significantly increased the likelihood of meeting the criteria for the Infant and Child Feeding Index (ICFI) qualification. Further, BNs were employed to elucidate the pathways of influence, revealing a direct association between the caregiver's level of extraversion, level of self-efficacy and the ICFI. Additionally, the analysis indicated that a caregiver's openness indirectly influenced the ICFI through its influence on self-efficacy regarding complementary feeding. This is one of few studies exploring associations between personality traits, self-efficacy, and complementary feeding behavior. The study highlights the importance of understanding individual differences in caregiving and suggests that interventions should focus on enhancing caregivers' self-efficacy, rather than solely targeting personality traits.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70021"},"PeriodicalIF":2.8,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tailoring Trials of Improved Practices (TIPs) to Improve Child Feeding and Use of Indigenous Preserved Foods in Drought-Affected Kenya: Considerations for Climate Shocks.","authors":"Everlyn Matiri, Lacey Ramirez, Abdinasir Elmi, Joseph Gaithuma, Rachel Kavithe, Martin Waweru, Margaret Kahiga, Justine A Kavle","doi":"10.1111/mcn.70018","DOIUrl":"https://doi.org/10.1111/mcn.70018","url":null,"abstract":"<p><p>This program assessment explored the use of indigenous preserved animal-source foods to improve complementary feeding practices, to identify the roles of mothers, fathers, and elder women in supporting infant and young child feeding (IYCF) practices and to develop recommendations for program implementation. The Trials of Improved Practices (TIPs) approach, food frequency, in-depth interviews, and focus group discussions methodologies were used to collect information on complementary feeding and use of indigenous preserved animal-source foods during a program assessment. Data was collected during Round 1-dry season and Round 2-prolonged drought. Sixty in-depth interviews were carried out with mothers of children 6-23 months of age, 12 elder women, and six focus groups with 26 fathers for a total of 98 program participants in pastoral communities in Marsabit and Isiolo Counties, Kenya. Program sites were affected by limited access and availability of animal-source foods and worsened household food insecurity. Nearly all mothers introduced camel milk, often fed raw, as a first food, before 1 year of age. Preserved meat and milk products were often prohibited or fed to older children due to cultural beliefs and norms. Most mothers experienced greater success in implementing TIPs recommendations during Round 1 versus Round 2 and stopped chewing food for the child, gave preserved meat, and fed eggs. Gendered divisions of labor and social norms around roles of fathers, elder women and mothers can hinder IYCF. Future programming should plan for climate-induced shocks, including amplifying indigenous food preservation and addressing gender and social norms to improve IYCF.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70018"},"PeriodicalIF":2.8,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Children's Experiences and Perceptions of Their School Food Environment Influence Their Food-Related Decisions In-School in Urban Ghana.","authors":"Akua Tandoh, Michelle Holdsworth, Richmond Aryeetey, Charles Agyemang, Amos Laar","doi":"10.1111/mcn.70011","DOIUrl":"https://doi.org/10.1111/mcn.70011","url":null,"abstract":"<p><p>School food environments play an important role in shaping children's food-related decisions, including where and what foods to acquire and consume on a school day. In Ghana, evidence indicates that food environments in and around schools may limit healthy food acquisition and consumption behaviour. This study aimed to understand how children's experiences and perceptions of their school food environment influence food acquisition and consumption decisions. Data from 18 focus group discussions with children (n = 157; aged 10-17 years) attending Public Basic Schools in the Greater Accra Region of Ghana were analysed, guided by the African urban food environment framework for creating healthy nutrition policies and interventions. Children's food decisions in school were found to be influenced by experiences and perceptions at multiple food environment levels: macro, physical and social levels in combination with individual-level factors. At the macro level, exposure to food advertisements on television emerged as an influence on food-related decisions. At the physical level, experiences and perceptions of environmental sanitation, food vendor hygiene practices, affordability, and food quality were consistently reported to influence decisions. Social-level experiences including influence from friends/peers, family (mostly caregivers/parents) and social qualities of food vendors also shaped food-related decisions. Caregiver/parental dietary advice was often linked to healthier acquisition and consumption decisions by children in school. The findings highlight the need for actions that work in synergy across multiple levels of the school food environment to create conditions that support children to acquire and consume healthier diets.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70011"},"PeriodicalIF":2.8,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A New Era for Maternal and Child Nutrition Implementation Science Research and Program Evaluation","authors":"Rafael Pérez-Escamilla,&nbsp;Victoria H. Moran","doi":"10.1111/mcn.70012","DOIUrl":"10.1111/mcn.70012","url":null,"abstract":"&lt;p&gt;Since its inception 2005, &lt;i&gt;Maternal &amp; Child Nutrition&lt;/i&gt; has prided itself on having been at the forefront of publishing high-quality studies based on innovative mixed implementation science methods. This issue includes a special section on lessons learned from the Alive &amp; Thrive (A&amp;T) initiative implemented in low- and middle-income countries located in south and southeast Asia and Sub-Saharan Africa to improve infant, young child, and adolescent nutrition (MIYCAN) outcomes. During 2009 and 2014, A&amp;T developed and implemented MIYCAN interventions at scale in three countries and subsequently expanded its work to six country-specific and two regional programs, to address maternal and adolescent nutrition in the context of agriculture and social protection programs (Frongillo et al. &lt;span&gt;2025&lt;/span&gt;).&lt;/p&gt;&lt;p&gt;The A&amp;T evidence presented in the special section of this issue and elsewhere (e.g., Menon et al. &lt;span&gt;2016&lt;/span&gt;; Kim et al. &lt;span&gt;2019&lt;/span&gt;, Sanghvi et al. &lt;span&gt;2022&lt;/span&gt;, &lt;span&gt;2025&lt;/span&gt;; Siekmans et al. &lt;span&gt;2024&lt;/span&gt;) highlights the great contributions that the field of implementation science in nutrition (Tumilowicz et al. &lt;span&gt;2018&lt;/span&gt;) has made in improving our understanding of best practices to scale up MIYCAN programs so that they are cost-effective and sustainable in the context of complex adaptive systems (Paina and Peters &lt;span&gt;2012&lt;/span&gt;). This body of work leaves little doubt that effective and sustainable programs with potential for dissemination require transparent and inclusive stakeholder engagement and advocacy, and clear goals from the start to guide policy, program codesign, impact pathways, costing and financing, and quality assurance based on mixed methods process and impact evaluations, and sound technical assistance. Furthermore, this work collectively illustrates the need to guide the program codesign with sound person and family centered social and behavioral change theories and systems frameworks rooted in equity principles. These conclusions align with other MIYCAN programs such as the &lt;i&gt;Suaahara&lt;/i&gt; project in Nepal (Frongillo et al. &lt;span&gt;2024&lt;/span&gt;), the &lt;i&gt;Becoming Breastfeeding Initiative&lt;/i&gt; that has supported the development and implementation of national breastfeeding programs in 10 countries across five world regions (Pérez-Escamilla et al. &lt;span&gt;2023&lt;/span&gt;), and large-scale micronutrient initiatives (Reerink et al. &lt;span&gt;2017&lt;/span&gt;).&lt;/p&gt;&lt;p&gt;The publication of this special section signals the end of one of the richest implementation science experiences in MIYCAF. The A&amp;T initiative has indeed generated a wealth of knowledge of scale up within countries and program dissemination across countries (i.e., scale out). Furthermore, it provides key case studies for understanding how program adaptations need to be implemented and monitored.&lt;/p&gt;&lt;p&gt;Moving forward it is key for researchers and program evaluators to continue expanding this work, adding more depth to ou","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":"21 2","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/mcn.70012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of a Behavioral Change Communication Strategy Coupled With Small-Quantity Lipid-Based or Micro-Nutrient Supplements on Stunting and Obesity in Children in Baja Verapaz, Guatemala: Results From a Cluster Randomized Controlled Trial.","authors":"Carolina Gonzalez Acero, Sebastian Martinez, Ana Perez-Exposito, Solis Winters","doi":"10.1111/mcn.13802","DOIUrl":"https://doi.org/10.1111/mcn.13802","url":null,"abstract":"<p><p>The co-existence of childhood stunting and obesity is a public health problem in Guatemala and Latin America. The objective of this study was to assess the effects of unsweetened small-quantity lipid-based nutrient supplements (SQ-LNS) coupled with a behavior change communication (BCC) strategy on the double burden of malnutrition. We conducted a three-arm randomized-control trial with two-stage cluster sampling of households with children under 4.5 months or a mother in the third trimester of pregnancy at baseline from 76 communities in Baja-Verapaz, Guatemala. Some 1268 households were randomly assigned to SQ-LNS or micronutrient powders (MNPs) paired with a multilevel participatory-ludic BCC strategy, or to MNPs only. Measures of mothers' nutrition knowledge and practices were collected at baseline and endline. Children's height, weight, and hemoglobin concentration were measured at endline. Treatment effects were estimated using regression models. The BCC strategy boosted caregiver nutrition knowledge from 4.2 (95% CI: 2.7, 5.7) to 4.6 percentage points (95% CI: 3.1, 6.1). Significant effects on nutrition practices of 3.0 percentage points (95% CI: 1.2, 4.8) were found only for caregivers with children receiving SQ-LNS. We found no detectable treatment effects on stunting or anemia. However, children exposed to SQ-LNS and the BCC strategy were 2.6 percentage points (95% CI: -5.0, -0.2) less likely to be overweight or obese (54.1% lower than the group receiving MNPs only). An intervention coupling a multilevel participatory-ludic BCC strategy with the use of unsweetened SQ-LNS holds promise for the prevention of childhood overweight and obesity, yet complementary interventions are required to address non-nutritional factors related to stunting in Guatemala.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e13802"},"PeriodicalIF":2.8,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bringing Child Health Closer to Families: Lessons From a Family MUAC Intervention in Urban and Rural South Africa.","authors":"Christiane Horwood, Sphindile Mapumulo, Silondile Luthuli, Zandile Kubeka, Nireshnee Reddy, Gilbert Tshitaudzi, Tshifiwa Mashamba, Nomonde Motshoeneng, Lyn Haskins","doi":"10.1111/mcn.70005","DOIUrl":"https://doi.org/10.1111/mcn.70005","url":null,"abstract":"<p><p>Mid-upper-arm circumference measurement (MUAC) is a simple, cost-effective approach to identify wasting in children. The Family MUAC intervention supported community health workers (CHWs) to mentor mothers and child caregivers to measure their children's MUAC at home. Sixty-four CHWs participated in seven sites in Gauteng and KwaZulu-Natal (KZN), South Africa. A cross-sectional survey was conducted to determine caregivers' ability to measure MUAC correctly and regularly. Ten households were randomly selected from household lists provided by each CHW. Fieldworkers collected data about the household, all children aged 6 months to 5 years living there and assessed caregiver's knowledge and skills in MUAC measurement. Data were collected in 521 households (Gauteng 201; KZN 351); 560 mothers/caregivers, (Gauteng 207; KZN 353) and 703 children (Gauteng 235; KZN 468) participated. Gauteng sites were high-density urban with small families in informal houses with access to water and sanitation, compared to rural KZN with larger households and poor water and sanitation access. Low household income and household food insecurity was the norm across all sites. In KZN a higher proportion of mothers/caregivers had received Family MUAC training compared to Gauteng (256/353; 72.5% vs. 93/270; 34.4%, p < 0001). Most trained mothers/caregivers achieved competency (263/349; 75.3%); this was significantly higher in KZN compared to Gauteng (215/256; 83.9% vs. 48/93; 51.6%; p < 0.001). Mothers/caregivers of 126/703 (17.9%) children recorded MUAC for ≥ 6 months (KZN 116/468, 24.8%; Gauteng 10/235, 4.3%). When designing community-based interventions for hard-to-reach communities it is important to address context-specific challenges to achieve sustainable high coverage.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70005"},"PeriodicalIF":2.8,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Descriptive Investigation of Infant Feeding Bottles Marketed in the UK Designed to Replicate Breastfeeding and the Evidence That Underpins Them.","authors":"Clare Maxwell, Becky Self, Kathryn Bould","doi":"10.1111/mcn.70008","DOIUrl":"https://doi.org/10.1111/mcn.70008","url":null,"abstract":"<p><p>Scant attention has been given to the marketing of infant feeding bottles and teats with claimed equivalence to breastfeeding. Such bottles are purported as having 'breast-like' qualities and to be interchangeable with breastfeeding, encouraging breastfeeding mothers to combine breast and bottle feeding. However, the introduction of bottle feeding alongside breastfeeding can have a negative impact on breastfeeding duration and lead to cessation. We investigated features of infant feeding bottles marketed in the United Kingdom to replicate breastfeeding and appraised the underpinning evidence. We searched online to identify the most popular bottles marketed for breastfeeding in the United Kingdom and captured marketing materials from the bottle brand websites, importing them into NVivo11 for data analysis. We coded data in relation to features of bottles associated with breastfeeding and used Johanna Briggs Institute (JBI) critical appraisal tools to appraise the evidence used to underpin the bottle features. We identified 10 bottle brands and 8 main advertised features of bottles aligned to breastfeeding. Features included bottles that simulated the breast, imitated breastfeeding physiology and aided combined breast and bottle feeding. Scientific evidence to support the bottle features was scarce, misleading, and inadequate, with only one study deemed to be high quality. Our findings show that infant feeding bottles are being marketed as equivalent to breastfeeding; however, the scientific evidence used to support features of these bottles is almost non-existent. Research on the impact of the marketing of bottles on breastfeeding and more effective controls of bottle company advertising are needed.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70008"},"PeriodicalIF":2.8,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital Marketing Claims and Their Association With the Perceptions of Parents of Children Under 2 Years Old of Commercial Milk Formulas in Mexico.","authors":"Valeria Aureoles-García, Mishel Unar-Munguía, Andrea Santos-Guzmán, Lizbeth Tolentino-Mayo, Rafael Pérez-Escamilla","doi":"10.1111/mcn.70001","DOIUrl":"https://doi.org/10.1111/mcn.70001","url":null,"abstract":"<p><p>We analysed digital marketing claims for commercial milk formula (CMF) and their association with parents' perceptions of the health and nutrition benefits of this industrialised product. The study sample consisted of 1074 parents ≥ 18 years old with internet access, with children < 2 years old, living in Mexico, who responded to an online survey between December 2020 and January 2021. The most frequent health-related, nutrition, technical, and emotional claims on websites and social media of major CMF brands, online pharmacies, and supermarkets were identified and linked to parents' potential exposure. The degree of favourable perception of CMF was estimated using a Likert scale and categorised as high versus low. Adjusted logistic regressions were used to assess the association between potential exposure to CMF claims and the parents' perceptions of these products. Parents who were potentially exposed to the following CMF claims on digital media: 'No sugar added' (OR: 1.5; 95% CI: 1.14-2.0), 'Prevents diseases' (OR: 1.4; 95% CI: 1.04-1.88), and 'Information related to COVID-19' (OR: 2.1; 95% CI: 1.57-2.74) were more likely to have a positive perception of CMF compared to those not exposed to these claims. In conclusion, parents' potential exposure to health-related and nutrition claims from leading CMF brands on websites and social media in Mexico was associated with a favourable perception of these products. The results support the World Health Assembly resolutions not to allow nutrition and health claims for CMFs, as they can be used to promote these products as equivalent or superior to breastfeeding. Action is needed to ensure that prohibition of CMF claims applies to digital media, as recommended by recent global guidelines.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70001"},"PeriodicalIF":2.8,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evidence-Based Lessons From Two Decades of Implementation Research on Complementary Feeding Programmes.","authors":"Tina G Sanghvi, Sandra Remancus, Edward A Frongillo, Rafael Perez-Escamilla, Chessa Lutter, Pooja Pandey Rana, Victor Ogbodo, Tuan Nguyen, Roger Mathisen","doi":"10.1111/mcn.13811","DOIUrl":"https://doi.org/10.1111/mcn.13811","url":null,"abstract":"<p><p>Child nutrition has serious long-term development implications. Evidence-based frameworks and models are urgently needed to reduce deficits in infants and young children's diets on a large scale. Our paper reviews 32 publications and five impact evaluations of programmes in Bangladesh, Ethiopia, Nepal, Nigeria and Vietnam to identify what worked and why; the quality of evidence, diversity of countries and multi-level interventions on a large scale were selection criteria. Key lessons are: the need for advocacy to prioritize complementary feeding; engagement of multiple stakeholders to reach national scale and to address diverse factors such as food access, harmful marketing of unhealthy foods and beverages, knowledge gaps, social norms and maternal self-efficacy. Applying a behavioural science lens, monitoring intervention coverage, targeting to reduce inequalities, engaging community leaders, motivating frontline workers and leveraging mass media to reach multiple audiences worked synergistically to produce impacts at scale. Despite different contexts and dietary diversity levels at baseline, rigorous evaluations documented substantial improvements attributable to the interventions in all five countries. The expenditures incurred varied by programme complexity and showed that they are manageable if the interventions focus on priority issues, are streamlined to fit existing platforms and reach large populations. With evidence of impact in diverse contexts, an evidence-based conceptual framework and tools for implementation, insights into how to adapt to country contexts and knowledge of what to budget, decision-makers can invest confidently in improving complementary feeding programmes.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e13811"},"PeriodicalIF":2.8,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Infant Diet Score Based on Health Records Is Associated With BMI: A Nationwide Mother-Child Cohort Study in Iceland (ICE-MCH).","authors":"Jenny Jonsdottir, Birna Thorisdottir, Kristjana Einarsdottir, Inga Thorsdottir","doi":"10.1111/mcn.70010","DOIUrl":"https://doi.org/10.1111/mcn.70010","url":null,"abstract":"<p><p>Nationwide health records provide innovative research opportunities. The aim of this study was to describe infant feeding in the first year of life amongst all infants in Iceland born January 2009 to June 2015 (N = 30,623), explore the feasibility of creating a composite infant diet score (IDS) for the period 0-12 months in a subset of infants with complete records from routine nutrition monitoring (n = 12,848), and examine its associations with BMI-for-age z-score (BMIz) at 12 and 18 months, maternal and birth characteristics. Recorded dietary variables included breastfeeding (> 90% at 2-3 weeks); exclusive breastfeeding (13% at 6 months); introduction of cow's milk (26% at 12 months); introduction of porridges, fruit/vegetables, meat, and fish (> 50% received ≥ one of those at 5 months); vitamin D supplements (95% at 12 months). The newly constructed IDS consisted of: duration of (i) exclusive and (ii) any breastfeeding; age of (iii) cow's milk and (iv) semi-solids/solids introduction; (v) an estimate of food variety; (vi) vitamin D supplement use. We used multiple linear and logistic regression adjusted for relevant factors to examine associations between infant feeding, birth and maternal factors, and BMIz > +2 (WHO Growth Standards, indicative of overweight/obesity). Compared with IDS quintile 5 (alignment with nutrition recommendations) IDS quintiles 1 and 2 had higher odds of overweight/obesity, at 12 months (aOR: 1.80; 95% CI: 1.20-2.74; aOR: 1.73; 95% CI: 1.16-2.64) and 18 months (aOR: 1.46; 95% CI: 1.04-2.04; aOR: 1.69; 95% CI: 1.22-2.34). Our novel IDS was associated with overweight/obesity and maternal and birth characteristics, supporting its value as a measure of infant nutrition quality.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70010"},"PeriodicalIF":2.8,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}