Cent Eur J Nurs Midw 2016, 7(1):368-376 | DOI: 10.15452/CEJNM.2016.07.0002

Age of the introduction of the first complementary food and determinants of its early introduction by Slovak mothers

Slávka Mrosková1,*, Alena Schlosserová2, Dagmar Magurová1
1 Department of Nursing, Faculty of Health Care, University of Prešov in Prešov, Slovakia
2 Department of Midwifery, Faculty of Health Care, University of Prešov in Prešov, Slovakia

Aim: To assess the age of introduction of complementary food (CF) and the factors leading to early introduction of CF (≤ four months).

Design: Cross-sectional study.

Methods: In the period October 2011 to April 2012 we conducted research on 405 mothers of infants living in the Slovak Republic, particularly in the regions of Prešov (56.0%) and Košice (20.5%). The questionnaire, of our own design, integrated 13 factors. Statistical analysis included descriptive statistics and logistic regression (95% CI).

Results: The first CF was introduced at 5.5 months (M = 5.47; SD = 1.22; range 1.0 to 10.0). Early introduction of CF was identified in 24.2% of children. A significantly higher risk of early introduction of first CF was found in respondents with: lower maternal age (OR = 4.436), lower levels of education (secondary education without GCE/vocational qualifications - OR = 10.140), lower maternal awareness of healthy nutrition (OR = 2.996), lower levels of satisfaction with their financial situation (OR = 1.927), and in single mothers (OR = 5.143), and children receiving combined milk nutrition rather than purely breastfeeding (OR = 3.888).

Conclusion: Recognition of the factors leading to early introduction of CF allows the implementation of effective prevention strategies by health professionals.

Keywords: complementary food, infant, early introduction of complementary food, maternal age, mother's education

Received: May 5, 2015; Accepted: August 20, 2015; Published: March 30, 2016  Show citation

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Mrosková S, Schlosserová A, Magurová D. Age of the introduction of the first complementary food and determinants of its early introduction by Slovak mothers. Central European Journal of Nursing and Midwifery. 2016;7(1):368-376. doi: 10.15452/CEJNM.2016.07.0002.
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    References

    1. Agostoni C, Decsi T, Fewtrell M, Goulet O, Kolacek S, Koletzko B, Michaelsen KF, Moreno L, Puntis J, Rigo J, Shamir R, Szajewska H, Turck D, van Goudoever J; ESPGHAN Committee on Nutrition. Complementary feeding: a commentary by the ESPGHAN Committee on Nutrition. Journal of Pediatric Gastroenterology and Nutrition. 2008;46(1):99-110. Go to original source... Go to PubMed...
    2. AIHW. 2010 Australian national infant feeding survey: indicator results. Canberra: Australian Institute of Health and Welfare; 2011. Available from: http://www.aihw.gov.au/publication-detail/?id=10737420927
    3. Alvisi P, Brusa S, Alboresi S, Amarri S, Bottau P, Cavagni G, Corradini B, Landi L, Loroni L, Marani M, Osti IM, PovesiDascola C, Caffarelli C, Valeriani L, Agostoni C. Recommendations on complementary feeding for healthy, full-term infants. Italian Journal of Pediatrics. 2015;41(1):36. Go to original source... Go to PubMed...
    4. Brodribb W, Miller Y. Introducing solids and water to Australian infants. Journal of Human Lactation. 2013;29(2):214-221. Go to original source... Go to PubMed...
    5. Bolling K, Grant C, Hamlyn B, Thornton A. Infant feeding survey 2005. The Information Centre; 2007.
    6. Brekke HK, Ludvigsson JF, van Odijk J, Ludvigsson J. Breastfeeding and introduction of solid foods in Swedish infants: the all babies in Southeast Sweden study. The British Journal of Nutrition. 2005;94(3):377-382. Go to original source... Go to PubMed...
    7. Centers for Disease Control and Prevention. Infant feeding practices Study II and its year six follow-up. 2009 [cited 2014 Oct 10]. Available from: http://www.cdc.gov/ifps/index.htm
    8. Clayton HB, Li R, Perrine CG, Scanlon KS. Prevalence and reasons for introducing infants early to solid foods: variations by milk feeding type. Pediatrics. 2013;131(4):1108-1114. Go to original source... Go to PubMed...
    9. Dratva J, Merten S, Ackermann-Liebrich U. The timing of complementary feeding of infants in Switzerland: compliance with the Swiss and the WHO guidelines. Acta Paediatrica. 2006;95(7):818-825. Go to original source... Go to PubMed...
    10. European Food Safety Authority. Scientific opinion on the appropriate age for introduction of complementary feeding of infants. EFSA Journal. 2009;7(12):1423 [cited 2013 Jul 1]. Available from: http://www.efsa.europa.eu/en/scdocs/doc/1423.pdf Go to original source...
    11. Foterek K, Hilbig A, Alexy U. Breast-feeding and weaning practices in the DONALD study: age and time trends. Journal of Pediatric Gastroenterology and Nutrition. 2014;58(3):361- 367. Go to original source... Go to PubMed...
    12. Friel JK, Isaak CA, Hanning R, Miller A. Complementary food consumption of Canadian infants. The Open Nutrition Journal. 2009;3:11-16. Go to original source...
    13. Frühauf P. Umělá výživa kojence. In: Švejcar J. et al. Péče o dítě. Praha: Havlíček Brain Team; 2009. p. 153-162. (in Czech)
    14. Frühauf P. Nemléčná výživa kojenců a batolat (příkrmy). Pediatria pre prax. 2006;5:253-255. (in Czech)
    15. Furková K, Skraková M. Anémia. In: Šašinka M. et al. Pediatria. Bratislava: HERBA; 2007. p. 676-692. (in Slovak)
    16. Grummer-Strawn LM, Scanlon KS, Fein SB. Infant feeding and feeding transitions during the first year of life. Pediatrics. 2008;122(Suppl 2):S36-42. Go to original source... Go to PubMed...
    17. Hendricks K, Briefel R, Novak T, Ziegler P. Maternal and child characteristics associated with infant and toddler feeding practices. Journal of the American Dietetic Association. 2006;106(Suppl 1):S135-148. Go to original source... Go to PubMed...
    18. Kovács L. Výživa. In: Šašinka M. et al. Pediatria. Bratislava: HERBA; 2007. p. 35-47. (in Slovak)
    19. Kronborg H, Foverskov E, Vaeth M. Predictors for early introduction of solid food among Danish mothers and infants: an observational study. BMC Pediatrics. 2014;14:243. Go to original source... Go to PubMed...
    20. Kudlova E, Rames J. Food consumption and feeding patterns of Czech infants and toddlers living in Prague. European Journal of Clinical Nutrition. 2007;61(2):239-247. Go to original source... Go to PubMed...
    21. Michaelsen KF, Weaver L, Branca F, Robertson A. Feeding and nutrition of infants and young children. Guidelines for the WHO European region, with emphasis on the former Soviet countries. 1th ed. WHO; 2003.
    22. Nevoral J. Výživa v kojeneckém věku. In: Nevoral J. et al. Výživa v dětském věku. Praha: H@H; 2003. p. 105-119. (in Czech)
    23. Newby RM, Davies PS. A prospective study of the introduction of complementary foods in contemporary Australian infants: What, when and why? Journal of Paediatrics and Child Health. 2015;51(2):186-191. Go to original source... Go to PubMed...
    24. Norris JM, Barriga K, Hoffenberg EJ, Taki I, Miao D, Haas JE, Emery LM, Sokol RJ, Erlich HA, Eisenbarth GS, Rewers M. Risk of celiac disease autoimmunity and timing of gluten introduction in the diet of infants at increased risk of disease. JAMA. 2005;293(19):2343-2351. Go to original source... Go to PubMed...
    25. Ontario Society of Nutrition Professionals in Public Health. Pediatric nutrition guidelines for primary health care providers. 2011 [cited 2012 Mar 25]. Available from: http://www.beststart.org/OnTrack_English/local_resources/Pediatric%20Nutrition%20Guidelines%20for%20Primary%20Health%20Care%20Providers.pdf
    26. Przyrembel H. Food Safety. In: Koletzko B. et al. Pediatric nutrition in practice. 2nd ed. Switzerland: KARGER; 2008. p. 71-75. Go to original source...
    27. Rebhan B, Kohlhuber M, Schwegler U, Koletzko BV, Fromme H. Infant feeding practices and associated factors through the first 9 months of life in Bavaria, Germany. Journal of Pediatric Gastroenterology and Nutrition. 2009;49(4):467-473. Go to original source... Go to PubMed...
    28. Scott JA, Binns CW, Graham KI, Oddy WH. Predictors of the early introduction of solid foods in infants: results of a cohort study. BMC Pediatrics. 2009;9:60. Go to original source... Go to PubMed...
    29. Schiess, S, Grote V, Saglioni S, Lugue V, Martin F, Stolarczyk A, Vecchi F, Koletzko B; European Childhood Obesity Project. Introduction of complementary feeding in 5 European countries. Journal of Pediatric Gastroenterology and Nutrition. 2010;50(1):92-98. Go to original source... Go to PubMed...
    30. Schneidrová D. Podpora kojení a stav výživy kojenců v České republice na konci 90. let: Analýza faktorů ve vztahu k délce kojení v prvních šesti měsících života dítěte. Praha: Univerzita Karlova, Karolinum; 2005. (in Czech)
    31. Tarrant RC, Younger KM, Sheridan-Pereira M, White MJ, Kearney JM. Factors associated with weaning practices in term infatns: a prospective observational study in Ireland. The British Journal of Nutrition. 2010;104(10):1544-1554. Go to original source... Go to PubMed...
    32. The Health & Social Care Information Centre. Infant Feeding Survey - 2005, Main Report [NS]. 2007 [cited 2012 Sep 12]. Available from: http://www.ic.nhs.uk/pubs/ifs2005
    33. Vingraite J, Bartkeviciute R, Michaelsen KF. A cohort study of term infants from Vilnius, Lithuania: feeding patterns. Acta Paediatrica. 2004;93(10):1349-1355. Go to original source...
    34. Wijndaele K, Lakshman R, Landsbaugh JR, Ong KK, Ogilvie D. Determinants of early weaning and use of unmodified cowʼs milk in infants: a systematic review. Journal of the American Dietetic Association. 2009;109(12):2017-2028. Go to original source... Go to PubMed...
    35. World Health Organization. Global strategy for infant and young child feeding. 1th ed. Geneva; 2003.

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