Family and infant characteristics associated with timing of core and non-core food introduction in early childhood

Eur J Clin Nutr. 2013 Jun;67(6):652-7. doi: 10.1038/ejcn.2013.63. Epub 2013 Mar 13.

Abstract

Background/objectives: To identify family and infant characteristics associated with timing of introduction of two food types: core foods (nutrient-dense) and non-core foods (nutrient-poor) in a population-based sample of mothers and infants.

Subjects/methods: Participants were 1861 mothers and infants from the Gemini twin birth cohort (one child per family). Family and infant characteristics were assessed when the infants were around 8 months old. Timing of introducing core and non-core foods was assessed at 8 and 15 months. As the distributions of timing were skewed, three similar-sized groups were created for each food type: earlier (core: 1-4 months; non-core: 3-8 months), average (core: 5 months; non-core: 9-10 months) and later introduction (core: 6-12 months; non-core: 11-18 months). Ordinal logistic regression was used to examine predictors of core and non-core food introduction, with bootstrapping to test for differences between the core and non-core models.

Results: Younger maternal age, lower education level and higher maternal body mass index were associated with earlier core and non-core food introduction. Not breastfeeding for at least 3 months and higher birth weight were specifically associated with earlier introduction of core foods. Having older children was specifically associated with earlier introduction of non-core foods.

Conclusions: There are similarities and differences in the characteristics associated with earlier introduction of core and non-core foods. Successful interventions may require a combination of approaches to target both food types.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • Birth Weight
  • Body Mass Index
  • Child Development*
  • Cohort Studies
  • Educational Status
  • England
  • Family Characteristics*
  • Feeding Behavior*
  • Female
  • Food Quality*
  • Humans
  • Infant
  • Infant Behavior*
  • Infant Food*
  • Infant Nutritional Physiological Phenomena*
  • Male
  • Mothers
  • Retrospective Studies
  • Siblings
  • Wales