O'Donovan Sinéad M, Murray Deirdre M, Hourihane Jonathan O'B, Kenny Louise C, Irvine Alan D, Kiely Mairead
1Vitamin D Research Group,School of Food and Nutritional Science,University College Cork,Cork,Republic of Ireland.
2Department of Paediatrics and Child Health,University College Cork,Cork,Republic of Ireland.
Public Health Nutr. 2015 Oct;18(15):2864-73. doi: 10.1017/S136898001500018X. Epub 2015 Feb 18.
To describe adherence with infant feeding and complementary feeding guidelines.
Prospective study of infant feeding and complementary feeding practices were collected as part of the Cork BASELINE Birth Cohort Study.
Cork, Ireland.
Data are described for the 823 infants for whom a diary was completed.
Breast-feeding was initiated in 81 % of infants, and 34 %, 14 % and 1 % of infants were exclusively breast-fed at hospital discharge, 2 and 6 months, respectively. Stage one infant formula decreased from 71 % at 2 months to 13 % at 12 months. The majority of infants (79 %) were introduced to solids between 17 and 26 weeks and 18 % were given solid foods before 17 weeks. Mothers of infants who commenced complementary feeding prior to 17 weeks were younger (29·8 v. 31·5 years; P<0·001) and more likely to smoke (18 v. 8 %; P=0·004). The first food was usually baby rice (69 %), infant breakfast cereals (14 %) or fruit/vegetables (14 %). Meals were generally home-made (49 %), cereal-based (35 %), manufactured (10 %), dairy (3 %) and dessert-based (3 %). The median gap between the first-second, second-third, third-fourth and fourth-fifth new foods was 4, 2, 2 and 2 d, respectively.
We present the largest prospective cohort study to date on early infant feeding in Ireland. The rate of breast-feeding is low by international norms. Most mothers introduce complementary foods between 4 and 6 months with lengthy gaps between each new food/food product. There is a high prevalence of exposure to infant breakfast cereals, which are composite foods, among the first foods introduced.
描述婴儿喂养和辅食添加指南的依从情况。
作为科克基线出生队列研究的一部分，对婴儿喂养和辅食添加做法进行前瞻性研究。
爱尔兰科克
描述了823名完成日记记录的婴儿的数据。
81%的婴儿开始母乳喂养，分别有34%、14%和1%的婴儿在出院时、2个月和6个月时纯母乳喂养。1阶段婴儿配方奶粉从2个月时的71%降至12个月时的13%。大多数婴儿（79%）在17至26周开始添加辅食，18%的婴儿在17周之前就开始吃固体食物。在17周之前开始添加辅食的婴儿的母亲更年轻（29.8岁对31.5岁；P<0.001），且吸烟的可能性更大（18%对8%；P=0.004）。第一种食物通常是婴儿米粉（69%）、婴儿早餐谷物（14%）或水果/蔬菜（14%）。膳食通常是自制的（49%）、以谷物为基础的（35%）、加工的（10%）、奶制品类的（3%）和甜点类的（3%）。第一种新食物与第二种、第二种与第三种、第三种与第四种、第四种与第五种新食物之间的间隔中位数分别为4天、2天、2天和2天。
我们展示了迄今为止爱尔兰关于早期婴儿喂养的最大规模前瞻性队列研究。按照国际标准，母乳喂养率较低。大多数母亲在4至6个月之间开始添加辅食，每种新食物/食品之间间隔时间较长。在首次引入的食物中，婴儿早餐谷物这种复合食品的摄入率很高。
