Impact of a "vegetables first" approach to complementary feeding on later intake and liking of vegetables in infants: a study protocol for a randomised controlled trial

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dc.citation.issue1
dc.citation.volume22
dc.contributor.authorRapson JP
dc.contributor.authorvon Hurst PR
dc.contributor.authorHetherington MM
dc.contributor.authorConlon CA
dc.coverage.spatialEngland
dc.date.accessioned2023-08-24T02:41:50Z
dc.date.accessioned2023-09-04T01:41:42Z
dc.date.available2021-07-26
dc.date.available2023-08-24T02:41:50Z
dc.date.available2023-09-04T01:41:42Z
dc.date.issued2021-12
dc.date.updated2023-08-22T03:44:06Z
dc.description© The Author(s). 2021en_US
dc.description.abstractBACKGROUND: Vegetables as first complementary foods for infants may programme taste preferences that lead to improved vegetable intake in children. Yet few studies have investigated the impact of a "vegetables first" approach to complementary feeding, especially in New Zealand. The purpose of this randomised control trial is to investigate the effect of starting complementary feeding with vegetables only on infants' later intake and liking of vegetables, compared to those starting with fruit and vegetables. METHODS/DESIGN: One-hundred and twenty mother-infant pairs living in Auckland, New Zealand, will be randomised to receive either vegetables only (intervention) or fruit and vegetables (control) for 28 days, starting from the first day of complementary feeding at around 4-6 months of age. Infants will be presented with a brassica (broccoli), followed by a green leafy vegetable (spinach) and sweet fruit (pear) at 9 months of age. The primary outcome measures of intake of each food will be assessed using a weighed food diary. Secondary outcome measures of overall intake, liking and wanting of vegetables will be assessed using a food frequency questionnaire, liking tool and video coding tool, respectively, at 9, 12, and 24 months of age. Infant growth and iron status will be assessed as part of health screening and monitoring at baseline, post intervention and 9 months of age. Other biological samples to be collected include infant stool samples, vitamin D (mother and infant), iron status (mother), and mothers' diet. DISCUSSION: This randomised, controlled trial will be the first to our knowledge to investigate a "vegetables first" approach to complementary feeding on infants' liking and intake of vegetables in New Zealand. Comparison against standard practice (fruit and vegetables as first foods) should complement other trials underway, such as the Baby's First Bites and Nordic OTIS trial. Results may contribute to the evidence supporting complementary feeding guidelines in New Zealand and worldwide. TRIAL REGISTRATION: Australian New Zealand Clinical Trial Registry ACTRN12619000737134 . Registered on 16 May 2019.
dc.description.confidentialfalse
dc.edition.editionDecember 2021
dc.format.extent488-
dc.identifierARTN 488
dc.identifier10.1186/s13063-021-05374-7
dc.identifierhttps://www.ncbi.nlm.nih.gov/pubmed/34311749
dc.identifier.citationRapson JP, von Hurst PR, Hetherington MM, Conlon CA. (2021). Impact of a "vegetables first" approach to complementary feeding on later intake and liking of vegetables in infants: a study protocol for a randomised controlled trial.. Trials. 22. 1. (pp. 488-).
dc.identifier.doi10.1186/s13063-021-05374-7
dc.identifier.eissn1745-6215
dc.identifier.elements-typejournal-article
dc.identifier.harvestedMassey_Dark
dc.identifier.issn1745-6215
dc.identifier.urihttp://hdl.handle.net/10179/20005
dc.languageeng
dc.publisherBioMed Central Ltd
dc.publisher.urihttps://trialsjournal.biomedcentral.com/articles/10.1186/s13063-021-05374-7
dc.relation.isPartOfTrials
dc.rightsCC BY 4.0en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en_US
dc.subjectFood preference
dc.subjectInfants
dc.subjectIntroducing vegetables
dc.subjectVegetable intake
dc.subjectWeaning
dc.subjectAustralia
dc.subjectChild
dc.subjectDiet
dc.subjectFeeding Behavior
dc.subjectFemale
dc.subjectFood Preferences
dc.subjectFruit
dc.subjectHumans
dc.subjectInfant
dc.subjectInfant Nutritional Physiological Phenomena
dc.subjectNew Zealand
dc.subjectRandomized Controlled Trials as Topic
dc.subjectVegetables
dc.titleImpact of a "vegetables first" approach to complementary feeding on later intake and liking of vegetables in infants: a study protocol for a randomised controlled trial
dc.typeJournal article
pubs.elements-id447625
pubs.organisational-groupOther
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