Evaluation of the complementary feeding practices, dietary intake, and nutritional status of infants on a cow's milk protein elimination diet.
Study Goal
The researchers aimed to evaluate the nutritional status and feeding practices of infants on a cow's milk protein elimination diet, including calcium intake.
Results Summary
The study found that infants on the elimination diet had higher nutritional intake but lower body weight values, with 31.5% showing calcium deficiency, though none received supplementation.
Population
Infants aged 4-18 months on a cow's milk protein elimination diet compared to healthy infants without dietary restrictions.
Effective Dosage
Not specified
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
cow's milk protein elimination diet | increase | median age of introduction of solid foods | infants aged 4-18 months | 5.0 × 4.0 months | was later | #1 |
cow's milk protein elimination diet | increase | median age of introduction of water | infants aged 4-18 months | 5.5 × 4.0 months | was later | #2 |
cow's milk protein elimination diet | decrease | consumption of soft drinks and industrialized cookies | infants aged 4-18 months | - | was less frequent | #3 |
cow's milk protein elimination diet | decrease | complementary feeding inadequacies | infants aged 4-18 months | 2.75 × 3.50 | lower index | #4 |
cow's milk protein elimination diet | decrease | Z scores for weight/age | infants aged 4-18 months | - | presented lower individual values | #5 |
cow's milk protein elimination diet | decrease | Z scores for weight/height | infants aged 4-18 months | - | presented lower individual values | #6 |
cow's milk protein elimination diet | decrease | Z scores for body mass index/age | infants aged 4-18 months | - | presented lower individual values | #7 |
cow's milk protein elimination diet | increase | energy intake | infants aged 4-18 months | 117.4 × 81.3 kcal/kg of weight | were fed with higher amounts | #8 |
cow's milk protein elimination diet | increase | macro-and micronutrients intake | infants aged 4-18 months | - | were fed with higher amounts | #9 |
cow's milk protein elimination diet | decrease | calcium consumption | 31.5% of the infants | - | was a deficit | #10 |
cow's milk protein elimination diet | increase | complementary feeding practices | infants | - | presented more adequate | #11 |
cow's milk protein elimination diet | increase | nutritional intake | infants | - | presented higher | #12 |
cow's milk protein elimination diet | decrease | body weight values | infants | - | presented lower | #13 |
OBJECTIVE: To evaluate the complementary feeding practices, food intake, and nutritional status of infants on a cow's milk protein elimination diet. METHODS: A cross-sectional and observational study was conducted to compare infants aged 4-18 months who were on a cow's milk protein elimination diet with a control group of healthy infants without any dietary restrictions. General information on the child's health, demographic data, and food consumption were collected. RESULTS: The study included 96 infants in the elimination diet group and 99 in the control group. In the elimination diet group, the median age (in months) of introduction of solid foods (5.0 × 4.0; p < 0.001) and water (5.5 × 4.0; p < 0.05) was later, consumption of soft drinks and industrialized cookies was less frequent (p < 0.05), and a lower index of complementary feeding inadequacies (2.75 × 3.50; p < 0.001) was observed. The elimination diet group presented lower individual values of Z scores for weight/age, weight/height, and body mass index/age, although they were fed with higher amounts of energy (117.4 × 81.3 kcal/kg of weight; p < 0.001) and macro-and micronutrients, except for vitamin A. In the elimination diet group, breast milk and its substitutes contributed to more than 67% of energy intake. Although calcium consumption was a deficit in 31.5% of the infants, none received supplementation. CONCLUSION: Infants on an elimination diet presented more adequate complementary feeding practices and higher nutritional intake, despite lower body weight values.