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American Academy of Pediatrics
Article

Sociodemographic Differences and Infant Dietary Patterns

Xiaozhong Wen, Kai Ling Kong, Rina Das Eiden, Neha Navneet Sharma and Chuanbo Xie
Pediatrics October 2014, peds.2014-1045; DOI: https://doi.org/10.1542/peds.2014-1045
Xiaozhong Wen
aDivision of Behavioral Medicine, Department of Pediatrics, School of Medicine and Biomedical Sciences,
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Kai Ling Kong
aDivision of Behavioral Medicine, Department of Pediatrics, School of Medicine and Biomedical Sciences,
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Rina Das Eiden
bResearch Institute on Addictions, and
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Neha Navneet Sharma
cDepartment of Psychology, State University of New York at Buffalo, Buffalo, New York
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Chuanbo Xie
aDivision of Behavioral Medicine, Department of Pediatrics, School of Medicine and Biomedical Sciences,
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Abstract

OBJECTIVES: To identify dietary patterns in US infants at age 6 and 12 months, sociodemographic differences in these patterns, and their associations with infant growth from age 6 to 12 months.

METHODS: We analyzed a subsample (760 boys and 795 girls) of the Infant Feeding Practices Study II (2005–2007). Mothers reported their infants’ intakes of 18 types of foods in the past 7 days, which were used to derive dietary patterns at ages 6 and 12 months by principal component analysis.

RESULTS: Similar dietary patterns were identified at ages 6 and 12 months. At 12 months, infants of mothers who had low education or non-Hispanic African American mothers (vs non-Hispanic white) had a higher score on “High sugar/fat/protein” dietary pattern. Both “High sugar/fat/protein” and “High dairy/regular cereal” patterns at 6 months were associated with a smaller increase in length-for-age z score (adjusted β per 1 unit dietary pattern score, −1.36 [95% confidence interval (CI), −2.35 to −0.37] and −0.30 [−0.54 to −0.06], respectively), while with greater increase in BMI z score (1.00 [0.11 to 1.89] and 0.32 [0.10 to 0.53], respectively) from age 6 to 12 months. The “Formula” pattern was associated with greater increase in BMI z score (0.25 [0.09 to 0.40]). The “Infant guideline solids” pattern (vegetables, fruits, baby cereal, and meat) was not associated with change in length-for-age or BMI z score.

CONCLUSIONS: Distinct dietary patterns exist among US infants, vary by maternal race/ethnicity and education, and have differential influences on infant growth. Use of “Infant guideline solids” with prolonged breastfeeding is a promising healthy diet for infants after age 6 months.

  • infant
  • dietary patterns
  • feeding
  • nutrition
  • growth
  • epidemiology
  • Accepted August 11, 2014.
  • Copyright © 2014 by the American Academy of Pediatrics

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Pediatrics
Vol. 147, Issue 4
1 Apr 2021
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Sociodemographic Differences and Infant Dietary Patterns
Xiaozhong Wen, Kai Ling Kong, Rina Das Eiden, Neha Navneet Sharma, Chuanbo Xie
Pediatrics Oct 2014, peds.2014-1045; DOI: 10.1542/peds.2014-1045

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Sociodemographic Differences and Infant Dietary Patterns
Xiaozhong Wen, Kai Ling Kong, Rina Das Eiden, Neha Navneet Sharma, Chuanbo Xie
Pediatrics Oct 2014, peds.2014-1045; DOI: 10.1542/peds.2014-1045
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