Starting complementary feeding with vegetables only increases vegetable acceptance at 9 months: a randomized controlled trial

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dc.citation.issue1
dc.citation.volume116
dc.contributor.authorRapson JP
dc.contributor.authorVon Hurst PR
dc.contributor.authorHetherington MM
dc.contributor.authorMazahery H
dc.contributor.authorConlon CA
dc.coverage.spatialUnited States
dc.date.accessioned2023-08-22T20:30:23Z
dc.date.accessioned2023-09-04T01:41:44Z
dc.date.available2023-08-22T20:30:23Z
dc.date.available2023-09-04T01:41:44Z
dc.date.issued2022-07-09
dc.date.updated2023-08-22T04:31:28Z
dc.description(c) The Author/s 2022en_US
dc.description.abstractBACKGROUND: Starting complementary feeding (CF) with vegetables only may improve vegetable acceptance throughout childhood. OBJECTIVES: We aimed to test whether exposure to vegetables only during the first 4 wk of CF increases later vegetable acceptance compared with a control group receiving fruit and vegetables. METHODS: In this randomized, controlled, parallel-group study, 117 Auckland infants received either vegetables only (veg-only, n = 61) or a combination of fruit and vegetables (control, n = 56) for a duration of 4 wk, starting from the first day of CF at ∼4-6 mo of age. The primary outcome measure was intake of target vegetables (broccoli, spinach) provided by the study at 9 mo of age. Daily intake of vegetables (FFQs) at 9 mo was a supporting measure. Infants' iron status (serum ferritin, hemoglobin) was examined at all time points. RESULTS: The veg-only infants consumed more broccoli and spinach than controls [mean difference (95% CI): 11.83 (0.82, 22.84) g, P = 0.036 and 10.19 (0.50, 19.87) g, P = 0.039, respectively]. Intake of pear was comparable among intervention groups (P = 0.35). At 9 mo, veg-only infants consumed target vegetables at a faster rate [mean difference (95% CI): broccoli, 3.37 (1.26, 5.47), P = 0.002; spinach, 4.12 (0.80, 7.45), P = 0.016] and showed greater acceptance for target vegetables [mean difference (95% CI): broccoli, 0.38 (0.07, 0.70), P = 0.019; spinach, 032 (0.04, 0.60), P = 0.024] than controls. The rate of eating and acceptance of pear was comparable among intervention groups (P = 0.42 and P = 0.98, respectively). Also, veg-only infants consumed more vegetables than controls [86.3 (52.5, 146.3) compared with 67.5 (37.5, 101.3) g, respectively, P = 0.042]. Introducing vegetables as the first food was not associated with 9-mo iron status. CONCLUSIONS: Providing vegetables as first foods increased vegetable intake at 9 mo of age and may be an effective strategy for improving child vegetable consumption and developing preferences for vegetables in infancy.
dc.format.extent111-121
dc.identifierS0002-9165(22)00014-4
dc.identifierhttps://www.ncbi.nlm.nih.gov/pubmed/35679432
dc.identifier.citationRapson JP, von Hurst PR, Hetherington MM, Mazahery H, Conlon CA. (2022). Starting complementary feeding with vegetables only increases vegetable acceptance at 9 months: a randomized controlled trial.. Am J Clin Nutr. 116. 1. (pp. 111-121).
dc.identifier.doi10.1093/ajcn/nqac080
dc.identifier.eissn1938-3207
dc.identifier.elements-typejournal-article
dc.identifier.harvestedMassey_Dark
dc.identifier.issn0002-9165
dc.identifier.urihttp://hdl.handle.net/10179/20009
dc.languageeng
dc.publisherOxford University Press on behalf of the American Society for Nutrition
dc.relation.isPartOfAm J Clin Nutr
dc.rightsCC BY-NC 4.0en_US
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/en_US
dc.subjectfood preference
dc.subjectinfants
dc.subjectintroducing vegetables
dc.subjectvegetable intake
dc.subjectweaning
dc.subjectBrassica
dc.subjectFeeding Behavior
dc.subjectFood Preferences
dc.subjectFruit
dc.subjectHumans
dc.subjectInfant
dc.subjectInfant Nutritional Physiological Phenomena
dc.subjectIron
dc.subjectVegetables
dc.titleStarting complementary feeding with vegetables only increases vegetable acceptance at 9 months: a randomized controlled trial
dc.typeJournal article
pubs.elements-id453913
pubs.organisational-groupOther
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