Examination of breastfeeding rates and other feeding practices among US infants and toddlers: results from the NHANES 2009 – 2014

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
Jovanna Orozco (Creator)
Institution
The University of North Carolina at Greensboro (UNCG )
Web Site: http://library.uncg.edu/
Advisor
Jigna Dharod

Abstract: The purpose of Part I of this research was to assess the relationship between household food insecurity and infant feeding practices, including initiation and duration of breastfeeding and introduction to solids and beverages among U.S. infants and toddlers ages 0 to 24 months. Data from 3 cycles of the National Health and Nutrition Examination Surveys (2009 – 2014) was used for this study. 2,069 infants and toddlers were included in Phase I analyses. Survey-weighted analyses revealed that the breastfeeding initiation rate was 74.4% among this population, lower than the estimated breastfeeding initiation rate by the CDC. 43.5% were introduced to other foods prior to 4 months of age. Stratified analyses revealed that lowest initiation and duration rates of breastfeeding occurred among non-Hispanic Blacks. Overall, no significant differences were observed by household food security status after controlling for covariates in multiple regression analysis. The purpose of Part II of this research was to assess the nutrient intakes of U.S. infants and toddlers ages 6 to 24 months, compare their adequacy to the Dietary Reference Intakes (DRIs), and assess differences by race/ethnicity. 1,160 infants and toddlers were included in Phase II analyses. About 1/3 of infants ages 6 to 11.9 months did not meet the daily carbohydrate or total fat requirement, and about a quarter did not meet the vitamin A or iron requirements. 55.4% of infants exceeded the UL for vitamin A. Among toddlers ages 12 to 24 months, 96.6% did not meet the requirement for dietary fiber, most exceeded sodium and vitamin A, but 40.5% did not meet iron. By race/ethnicity, Hispanics were at higher risk of not meeting requirements.

Additional Information

Publication
Dissertation
Language: English
Date: 2020
Keywords
Breastfeeding, Epidemiology, Food security, Infant feeding practices, NHANES, Race/ethnicity
Subjects
Breastfeeding
Infants $x Nutrition
Toddlers $x Nutrition
Food security
Race
Ethnicity

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