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Evaluation of the complementary feeding practices, dietary intake, and nutritional status of infants on a cow's milk protein elimination diet.

Jornal de pediatria
January 1, 2022
Juliana Frizzo et al. (4 authors)
Journal ArticleObservational StudyResearch Support, Non-U.S. Gov'tAnimal StudyClinical
Study Details

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

Extracted Claims (13)
InterventionDirectionEndpointPopulationDosageImpactClaim #
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
Abstract

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.

Medical Subject Headings (MeSH)
AnimalsBreast FeedingCattleCross-Sectional StudiesEatingEnergy IntakeFemaleHumansInfantInfant Nutritional Physiological PhenomenaMilk HypersensitivityMilk ProteinsMilk, HumanNutritional Status
Study Links
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality75/10
Citation Metrics
Total Citations1
Citations/Year0.3
Relative Citation Ratio0.30
NIH Percentile15.5%
Research Impact Scores
APT Score0.25
Weight Score2.19
Normalized Score0.61
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