School of Exercise and Nutrition Sciences, Deakin University, Burwood, Australia.
Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Australia.
BMC Public Health. 2022 May 10;22(1):934. doi: 10.1186/s12889-022-13228-3.
Immigrant children from low- and middle-income countries (e.g. India) have higher obesity rates than children from high-income countries (e.g. Australia). Infant feeding practices are a key modifiable risk factor to prevent childhood obesity. This study compared infant feeding practices such as breastfeeding, infant formula feeding, timing of introduction to other liquids and solids of Indian-born versus Australian-born mothers living in Australia.
Data of children aged between 0-24 months from the 2010-2011 Australian National Infant Feeding Survey were analysed. Infant feeding practices between Indian-born mothers (n = 501) and Australian-born mothers (n = 510) were compared. Multiple regression models with adjustments for covariates, such as maternal demographic factors, were conducted.
Compared to infants of Australian-born mothers, infants of Indian-born mothers were breastfed for 2.1 months longer, introduced solids 0.6 months later and water 0.4 months later (p < 0.001). Moreover, infants of Indian-born mothers were 2.7 times more likely to be currently breastfeeding, 70% less likely to currently consume solids and 67% less likely to consume solids before six months (p < 0.001). In contrast, infants of Indian-born mothers were introduced to fruit juice 2.4 months earlier, water-based drinks 2.8 months earlier and cow's milk 2.0 months earlier than infants of Australian-born mothers (p < 0.001). Additionally, infants of Indian-born mothers were 2.7 times more likely to consume fruit juice (p < 0.001) than the infants of Australian-born mothers.
Significant differences exist in infant feeding practices of Indian-born and Australian-born mothers (some health promoting and some potentially obesogenic). The evidence of early introduction of sweetened fluids in infants of Indian-born mothers provides an opportunity to support parents to delay introduction to promote optimal infant growth..
来自中低收入国家（如印度）的移民儿童比来自高收入国家（如澳大利亚）的儿童肥胖率更高。婴儿喂养方式是预防儿童肥胖的一个关键可改变的风险因素。本研究比较了印度出生的母亲与澳大利亚出生的母亲在澳大利亚所采用的婴儿喂养方式，如母乳喂养、婴儿配方奶喂养、引入其他液体和固体食物的时间。
对 2010-2011 年澳大利亚全国婴儿喂养调查中 0-24 个月儿童的数据进行了分析。比较了印度出生的母亲（n=501）和澳大利亚出生的母亲（n=510）的婴儿喂养方式。对调整了母亲人口统计学因素等混杂因素的多回归模型进行了分析。
与澳大利亚出生的母亲的婴儿相比，印度出生的母亲的婴儿母乳喂养时间长 2.1 个月，引入固体食物时间晚 0.6 个月，引入水时间晚 0.4 个月（p<0.001）。此外，印度出生的母亲的婴儿当前母乳喂养的可能性高 2.7 倍，当前食用固体食物的可能性低 70%，食用固体食物在 6 个月前的可能性低 67%（p<0.001）。相比之下，印度出生的母亲的婴儿更早地引入了果汁（早 2.4 个月）、水基饮料（早 2.8 个月）和牛奶（早 2.0 个月）（p<0.001）。此外，印度出生的母亲的婴儿食用果汁的可能性高 2.7 倍（p<0.001）。
印度出生的母亲和澳大利亚出生的母亲在婴儿喂养方式上存在显著差异（有些是促进健康的，有些则可能导致肥胖）。印度出生的母亲的婴儿早期引入含糖饮料的证据为支持父母延迟引入这些饮料以促进婴儿最佳生长提供了机会。
