UMR1153 Epidemiology and Biostatistics Sorbonne Paris Cité Center (CRESS), Early Origin of Child Health and Development Team (ORCHAD), INSERM, Paris, France.
Paris Descartes University, France.
Matern Child Nutr. 2018 Jan;14(1). doi: 10.1111/mcn.12477. Epub 2017 Jun 14.
Breastfeeding is recommended until 6 months of age, but a wide range of infant formula is available for nonbreastfed or partially breastfed infants. Our aim was to describe infant formula selection and to examine social- and health-related factors associated with this selection. Analyses were based on 13,291 infants from the French national birth cohort Etude Longitudinale Française depuis l'Enfance. Infant diet was assessed at Month 2 by phone interview and monthly from Months 3 to 10 via internet/paper questionnaires. Infant formulas were categorized in 6 groups: extensively or partially hydrolysed, regular with or without prebiotics/probiotics, and thickened with or without prebiotics/probiotics. Associations between type of infant formula used at 2 months and family or infant characteristics were assessed by multinomial logistic regressions. At Month 2, 58.1% of formula-fed infants were fed with formula enriched in prebiotics/probiotics, 31.5% with thickened formula, and 1.4% with extensively hydrolysed formula. The proportion of formula-fed infants increased regularly, but the type of infant formula used was fairly stable between 2 and 10 months. At Month 2, extensively hydrolysed formulas were more likely to be used in infants with diarrhoea or regurgitation problems. Partially hydrolysed formulas were more often used in families with high income, with a history of allergy, or with infants with regurgitation issues. Thickened formulas were used more with boys, preterm infants, infants with regurgitation issues, or in cases of early maternal return to work. The main factors related to the selection of infant formula were family and infant health-related ones.
母乳喂养推荐至 6 月龄，但也有广泛的婴儿配方奶粉可供非母乳喂养或部分母乳喂养的婴儿选择。本研究旨在描述婴儿配方奶粉的选择情况，并探讨与这种选择相关的社会和健康因素。分析基于法国儿童纵向研究的 13291 名婴儿。婴儿饮食在 2 月龄时通过电话访谈评估，3 月龄至 10 月龄时每月通过互联网/纸质问卷评估。婴儿配方奶粉分为 6 组：深度或部分水解配方、常规配方加或不加益生元/益生菌、增稠配方加或不加益生元/益生菌。使用的婴儿配方奶粉类型与家庭或婴儿特征之间的关系通过多项逻辑回归进行评估。在 2 月龄时，58.1%的配方奶喂养婴儿使用添加益生元/益生菌的配方奶，31.5%使用增稠配方奶，1.4%使用深度水解配方奶。配方奶喂养婴儿的比例逐月增加，但在 2 至 10 月龄之间，使用的婴儿配方奶粉类型相对稳定。在 2 月龄时，有腹泻或反流问题的婴儿更有可能使用深度水解配方奶粉。部分水解配方奶粉更常被收入较高、有过敏史或有反流问题的家庭使用。增稠配方奶粉更多地用于男婴、早产儿、有反流问题的婴儿，或母亲较早返回工作岗位的情况下。选择婴儿配方奶粉的主要因素与家庭和婴儿健康相关。
