Impact of a Modified Version of Baby-Led Weaning on Infant Food and Nutrient Intakes: The BLISS Randomized Controlled Trial
Despite growing international interest in Baby-Led Weaning (BLW), we know almost nothing about food and nutrient intake in infants following baby-led approaches to infant feeding. The aim of this paper was to determine the impact of modified BLW (i.e., Baby-Led Introduction to SolidS; BLISS) on food...
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| Veröffentlicht in: | Nutrients 2018-06, Vol.10 (6), p.740 |
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| creator | Williams Erickson, Liz Taylor, Rachael W Haszard, Jillian J Fleming, Elizabeth A Daniels, Lisa Morison, Brittany J Leong, Claudia Fangupo, Louise J Wheeler, Benjamin J Taylor, Barry J Te Morenga, Lisa McLean, Rachael M Heath, Anne-Louise M |
| description | Despite growing international interest in Baby-Led Weaning (BLW), we know almost nothing about food and nutrient intake in infants following baby-led approaches to infant feeding. The aim of this paper was to determine the impact of modified BLW (i.e., Baby-Led Introduction to SolidS; BLISS) on food and nutrient intake at 7⁻24 months of age. Two hundred and six women recruited in late pregnancy were randomized to Control (
= 101) or BLISS (
= 105) groups. All participants received standard well-child care. BLISS participants also received lactation consultant support to six months, and educational sessions about BLISS (5.5, 7, and 9 months). Three-day weighed diet records were collected for the infants (7, 12, and 24 months). Compared to the Control group, BLISS infants consumed more sodium (percent difference, 95% CI: 35%, 19% to 54%) and fat (6%, 1% to 11%) at 7 months, and less saturated fat (-7%, -14% to -0.4%) at 12 months. No differences were apparent at 24 months of age but the majority of infants from both groups had excessive intakes of sodium (68% of children) and added sugars (75% of children). Overall, BLISS appears to result in a diet that is as nutritionally adequate as traditional spoon-feeding, and may address some concerns about the nutritional adequacy of unmodified BLW. However, BLISS and Control infants both had high intakes of sodium and added sugars by 24 months that are concerning. |
| doi_str_mv | 10.3390/nu10060740 |
| format | Article |
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= 101) or BLISS (
= 105) groups. All participants received standard well-child care. BLISS participants also received lactation consultant support to six months, and educational sessions about BLISS (5.5, 7, and 9 months). Three-day weighed diet records were collected for the infants (7, 12, and 24 months). Compared to the Control group, BLISS infants consumed more sodium (percent difference, 95% CI: 35%, 19% to 54%) and fat (6%, 1% to 11%) at 7 months, and less saturated fat (-7%, -14% to -0.4%) at 12 months. No differences were apparent at 24 months of age but the majority of infants from both groups had excessive intakes of sodium (68% of children) and added sugars (75% of children). Overall, BLISS appears to result in a diet that is as nutritionally adequate as traditional spoon-feeding, and may address some concerns about the nutritional adequacy of unmodified BLW. However, BLISS and Control infants both had high intakes of sodium and added sugars by 24 months that are concerning.</description><identifier>ISSN: 2072-6643</identifier><identifier>EISSN: 2072-6643</identifier><identifier>DOI: 10.3390/nu10060740</identifier><identifier>PMID: 29880769</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>added sugars ; Age Factors ; Babies ; Baby foods ; Child Development ; Child, Preschool ; Children ; diet ; Feeding ; Feeding Behavior ; Feeding Methods - adverse effects ; Female ; Food ; Food intake ; Humans ; Infant ; Infant Behavior ; infant feeding ; Infant Food ; infant foods ; Infant Nutritional Physiological Phenomena ; Infants ; Lactation ; Male ; New Zealand ; nutrient intake ; Nutrients ; Nutrition Assessment ; nutritional adequacy ; Nutritional Status ; Nutritive Value ; Pregnancy ; Randomization ; randomized clinical trials ; saturated fats ; Sodium ; Sugar ; Weaning ; women</subject><ispartof>Nutrients, 2018-06, Vol.10 (6), p.740</ispartof><rights>2018. This work is licensed under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2018 by the authors. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c505t-ebe7e5119c2acbac60b976a2b67b2f1a34bdfed353aad9d7a88ec9ce985eca683</citedby><cites>FETCH-LOGICAL-c505t-ebe7e5119c2acbac60b976a2b67b2f1a34bdfed353aad9d7a88ec9ce985eca683</cites><orcidid>0000-0003-3526-0091 ; 0000-0003-2856-0782 ; 0000-0003-3348-5238 ; 0000-0002-6450-8677 ; 0000-0002-0370-9424 ; 0000-0002-0005-328X ; 0000-0001-6312-7795</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6024590/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6024590/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29880769$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Williams Erickson, Liz</creatorcontrib><creatorcontrib>Taylor, Rachael W</creatorcontrib><creatorcontrib>Haszard, Jillian J</creatorcontrib><creatorcontrib>Fleming, Elizabeth A</creatorcontrib><creatorcontrib>Daniels, Lisa</creatorcontrib><creatorcontrib>Morison, Brittany J</creatorcontrib><creatorcontrib>Leong, Claudia</creatorcontrib><creatorcontrib>Fangupo, Louise J</creatorcontrib><creatorcontrib>Wheeler, Benjamin J</creatorcontrib><creatorcontrib>Taylor, Barry J</creatorcontrib><creatorcontrib>Te Morenga, Lisa</creatorcontrib><creatorcontrib>McLean, Rachael M</creatorcontrib><creatorcontrib>Heath, Anne-Louise M</creatorcontrib><title>Impact of a Modified Version of Baby-Led Weaning on Infant Food and Nutrient Intakes: The BLISS Randomized Controlled Trial</title><title>Nutrients</title><addtitle>Nutrients</addtitle><description>Despite growing international interest in Baby-Led Weaning (BLW), we know almost nothing about food and nutrient intake in infants following baby-led approaches to infant feeding. The aim of this paper was to determine the impact of modified BLW (i.e., Baby-Led Introduction to SolidS; BLISS) on food and nutrient intake at 7⁻24 months of age. Two hundred and six women recruited in late pregnancy were randomized to Control (
= 101) or BLISS (
= 105) groups. All participants received standard well-child care. BLISS participants also received lactation consultant support to six months, and educational sessions about BLISS (5.5, 7, and 9 months). Three-day weighed diet records were collected for the infants (7, 12, and 24 months). Compared to the Control group, BLISS infants consumed more sodium (percent difference, 95% CI: 35%, 19% to 54%) and fat (6%, 1% to 11%) at 7 months, and less saturated fat (-7%, -14% to -0.4%) at 12 months. No differences were apparent at 24 months of age but the majority of infants from both groups had excessive intakes of sodium (68% of children) and added sugars (75% of children). Overall, BLISS appears to result in a diet that is as nutritionally adequate as traditional spoon-feeding, and may address some concerns about the nutritional adequacy of unmodified BLW. However, BLISS and Control infants both had high intakes of sodium and added sugars by 24 months that are concerning.</description><subject>added sugars</subject><subject>Age Factors</subject><subject>Babies</subject><subject>Baby foods</subject><subject>Child Development</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>diet</subject><subject>Feeding</subject><subject>Feeding Behavior</subject><subject>Feeding Methods - adverse effects</subject><subject>Female</subject><subject>Food</subject><subject>Food intake</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant Behavior</subject><subject>infant feeding</subject><subject>Infant Food</subject><subject>infant foods</subject><subject>Infant Nutritional Physiological Phenomena</subject><subject>Infants</subject><subject>Lactation</subject><subject>Male</subject><subject>New Zealand</subject><subject>nutrient intake</subject><subject>Nutrients</subject><subject>Nutrition Assessment</subject><subject>nutritional adequacy</subject><subject>Nutritional Status</subject><subject>Nutritive Value</subject><subject>Pregnancy</subject><subject>Randomization</subject><subject>randomized clinical trials</subject><subject>saturated fats</subject><subject>Sodium</subject><subject>Sugar</subject><subject>Weaning</subject><subject>women</subject><issn>2072-6643</issn><issn>2072-6643</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkkFv1DAQhS0EotXSCz8AWeKCkAKOndgxByS6ohBpAYkucLQmzqR1SezFTpAKfx6vWkrhgi8ePX96Gr8ZQh6W7JkQmj33S8mYZKpid8ghZ4oXUlbi7q36gByldMH2RzElxX1ywHXT5FIfkp_ttAM70zBQoO9C7waHPf2MMbng9-oxdJfFJmtfELzzZzTLrR_Az_QkhJ6C7-n7ZY4Os9L6Gb5iekG350iPN-3pKf2YgTC5H9lhHfwcwzjmchsdjA_IvQHGhEfX94p8Onm9Xb8tNh_etOtXm8LWrJ4L7FBhXZbacrAdWMk6rSTwTqqODyWIqusH7EUtAHrdK2gatNqibmq0IBuxIi-vfHdLN2Fvc6cRRrOLboJ4aQI48_eLd-fmLHw3kvGq1iwbPLk2iOHbgmk2k0sWxxE8hiUZzlWZ88z5_h9lNW_yvCqR0cf_oBdhiT4nYXjJmlrpMk9rRZ5eUTaGlCION32XzOw3wPzZgAw_uv3TG_T3vMUvAUyr6Q</recordid><startdate>20180607</startdate><enddate>20180607</enddate><creator>Williams Erickson, Liz</creator><creator>Taylor, Rachael W</creator><creator>Haszard, Jillian J</creator><creator>Fleming, Elizabeth A</creator><creator>Daniels, Lisa</creator><creator>Morison, Brittany J</creator><creator>Leong, Claudia</creator><creator>Fangupo, Louise J</creator><creator>Wheeler, Benjamin J</creator><creator>Taylor, Barry J</creator><creator>Te Morenga, Lisa</creator><creator>McLean, Rachael M</creator><creator>Heath, Anne-Louise M</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>7S9</scope><scope>L.6</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-3526-0091</orcidid><orcidid>https://orcid.org/0000-0003-2856-0782</orcidid><orcidid>https://orcid.org/0000-0003-3348-5238</orcidid><orcidid>https://orcid.org/0000-0002-6450-8677</orcidid><orcidid>https://orcid.org/0000-0002-0370-9424</orcidid><orcidid>https://orcid.org/0000-0002-0005-328X</orcidid><orcidid>https://orcid.org/0000-0001-6312-7795</orcidid></search><sort><creationdate>20180607</creationdate><title>Impact of a Modified Version of Baby-Led Weaning on Infant Food and Nutrient Intakes: The BLISS Randomized Controlled Trial</title><author>Williams Erickson, Liz ; Taylor, Rachael W ; Haszard, Jillian J ; Fleming, Elizabeth A ; Daniels, Lisa ; Morison, Brittany J ; Leong, Claudia ; Fangupo, Louise J ; Wheeler, Benjamin J ; Taylor, Barry J ; Te Morenga, Lisa ; McLean, Rachael M ; Heath, Anne-Louise M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c505t-ebe7e5119c2acbac60b976a2b67b2f1a34bdfed353aad9d7a88ec9ce985eca683</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>added sugars</topic><topic>Age Factors</topic><topic>Babies</topic><topic>Baby foods</topic><topic>Child Development</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>diet</topic><topic>Feeding</topic><topic>Feeding Behavior</topic><topic>Feeding Methods - 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The aim of this paper was to determine the impact of modified BLW (i.e., Baby-Led Introduction to SolidS; BLISS) on food and nutrient intake at 7⁻24 months of age. Two hundred and six women recruited in late pregnancy were randomized to Control (
= 101) or BLISS (
= 105) groups. All participants received standard well-child care. BLISS participants also received lactation consultant support to six months, and educational sessions about BLISS (5.5, 7, and 9 months). Three-day weighed diet records were collected for the infants (7, 12, and 24 months). Compared to the Control group, BLISS infants consumed more sodium (percent difference, 95% CI: 35%, 19% to 54%) and fat (6%, 1% to 11%) at 7 months, and less saturated fat (-7%, -14% to -0.4%) at 12 months. No differences were apparent at 24 months of age but the majority of infants from both groups had excessive intakes of sodium (68% of children) and added sugars (75% of children). Overall, BLISS appears to result in a diet that is as nutritionally adequate as traditional spoon-feeding, and may address some concerns about the nutritional adequacy of unmodified BLW. However, BLISS and Control infants both had high intakes of sodium and added sugars by 24 months that are concerning.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>29880769</pmid><doi>10.3390/nu10060740</doi><orcidid>https://orcid.org/0000-0003-3526-0091</orcidid><orcidid>https://orcid.org/0000-0003-2856-0782</orcidid><orcidid>https://orcid.org/0000-0003-3348-5238</orcidid><orcidid>https://orcid.org/0000-0002-6450-8677</orcidid><orcidid>https://orcid.org/0000-0002-0370-9424</orcidid><orcidid>https://orcid.org/0000-0002-0005-328X</orcidid><orcidid>https://orcid.org/0000-0001-6312-7795</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Nutrients, 2018-06, Vol.10 (6), p.740 |
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| source | PubMed (Medline); MDPI - Multidisciplinary Digital Publishing Institute; MEDLINE; EZB Electronic Journals Library; PubMed Central Open Access |
| subjects | added sugars Age Factors Babies Baby foods Child Development Child, Preschool Children diet Feeding Feeding Behavior Feeding Methods - adverse effects Female Food Food intake Humans Infant Infant Behavior infant feeding Infant Food infant foods Infant Nutritional Physiological Phenomena Infants Lactation Male New Zealand nutrient intake Nutrients Nutrition Assessment nutritional adequacy Nutritional Status Nutritive Value Pregnancy Randomization randomized clinical trials saturated fats Sodium Sugar Weaning women |
| title | Impact of a Modified Version of Baby-Led Weaning on Infant Food and Nutrient Intakes: The BLISS Randomized Controlled Trial |
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