Katiforis Ioanna, Smith Claire, Haszard Jillian J, Styles Sara E, Leong Claudia, Taylor Rachael W, Conlon Cathryn A, Beck Kathryn L, von Hurst Pamela R, Te Morenga Lisa A, Daniels Lisa, Brown Kimberley J, Rowan Madeleine, Casale Maria, McLean Neve H, Cox Alice M, Jones Emily A, Bruckner Bailey R, Jupiterwala Rosario, Wei Andrea, Heath Anne-Louise M
Department of Human Nutrition, University of Otago, Dunedin, New Zealand.
Biostatistics Centre, University of Otago, Dunedin, New Zealand.
Matern Child Nutr. 2025 Jan;21(1):e13715. doi: 10.1111/mcn.13715. Epub 2024 Sep 2.
Optimal nutrition during infancy is critical given its influence on lifelong health and wellbeing. Two novel methods of infant complementary feeding, commercial baby food pouch use and baby-led weaning (BLW), are becoming increasingly popular worldwide. Household food insecurity may influence complementary feeding practices adopted by families, but no studies have investigated the use of BLW and baby food pouches in families experiencing food insecurity. The First Foods New Zealand study was a multicentre, observational study in infants 7.0-9.9 months of age. Households (n = 604) were classified into one of three categories of food insecurity (severely food insecure, moderately food insecure, and food secure). The use of complementary feeding practices was assessed via a self-administered questionnaire, both at the current age (mean 8.4 months) and retrospectively at 6 months. Mothers experiencing severe food insecurity had 5.70 times the odds of currently using commercial baby food pouches frequently (≥5 times/week) compared to food secure mothers (95% CI [1.54, 21.01]), reporting that pouches were 'easy to use' (89%) and made it 'easy to get fruits and vegetables in' (64%). In contrast, no evidence of a difference in the prevalence of current BLW was observed among mothers experiencing moderate food insecurity (adjusted OR; 1.28, 95% CI [0.73, 2.24]) or severe food insecurity (adjusted OR; 1.03, 95% CI [0.44, 2.43]) compared to food secure mothers. The high prevalence of frequent commercial baby food pouch use in food insecure households underscores the need for research to determine whether frequent pouch use impacts infant health.
鉴于婴儿期的最佳营养对终身健康和幸福有影响，因此至关重要。两种新型婴儿辅食喂养方法，即使用商业婴儿食品袋和婴儿主导式断奶（BLW），在全球范围内越来越受欢迎。家庭粮食不安全可能会影响家庭采用的辅食喂养方式，但尚无研究调查粮食不安全家庭中BLW和婴儿食品袋的使用情况。新西兰第一食品研究是一项针对7.0 - 9.9个月大婴儿的多中心观察性研究。家庭（n = 604）被分为三类粮食不安全状况之一（严重粮食不安全、中度粮食不安全和粮食安全）。通过自我填写问卷评估当前年龄（平均8.4个月）和回顾6个月时的辅食喂养方式使用情况。与粮食安全的母亲相比，经历严重粮食不安全的母亲当前频繁使用商业婴儿食品袋（≥每周5次）的几率高出5.70倍（95%置信区间[1.54, 21.01]），她们表示食品袋“易于使用”（89%），并且“便于摄入水果和蔬菜”（64%）。相比之下，与粮食安全的母亲相比，在经历中度粮食不安全（调整后的比值比；1.28，95%置信区间[0.73, 2.24]）或严重粮食不安全（调整后的比值比；1.03，95%置信区间[0.44, 2.43]）的母亲中，未观察到当前BLW患病率存在差异的证据。粮食不安全家庭中频繁使用商业婴儿食品袋的高患病率凸显了开展研究以确定频繁使用食品袋是否会影响婴儿健康的必要性。
