Many Infants and Young Children Are Not Compliant with Mexican and International Complementary Feeding Recommendations for Milk and Other Beverages

Nutrients. 2018 Apr 10;10(4):466. doi: 10.3390/nu10040466.

Abstract

Mexican and international authorities provide guidelines for milk and beverage consumption for young children. This study classifies beverages as appropriate or inappropriate by age (0-5.9, 6-11.9, and 12-23.9 months) and details consumption patterns, amounts consumed, and the associated socio-demographic characteristics. Analysis of the Mexican National Nutrition and Health Survey (ENSANUT 2012) was conducted (n = 949). Among 0-5.9 month olds, 66.7% consumed either breast milk, infant formula, or a combination with no other beverages, whereas 29.3% consumed breast milk and/or infant formula with water (mean = 58 g/day) and/or other beverages (mean = 115 g/day), such as 100% fruit juice, milk, and sugar-sweetened beverages (SSBs). For infants 6-11.9 months, appropriate beverages include breast milk, infant formula, and water; only 40.2% met these recommendations. Many 6-11.9 month olds consumed age-inappropriate beverages, including milk (31%) and SSBs (35%). After 12 months of age, appropriate beverages include water, milk, and a limited amount of 100% fruit juice and SSBs; 32.4% complied fully, 18.3% consumed appropriate and inappropriate beverages, and 49.3% consumed only inappropriate beverages. Among 12-23.9 month olds, 58% consumed milk, 18% juice, and 42% water while 63% consumed SSBs. Many infants and young children are not compliant with Mexican and international breastfeeding and complementary feeding guidelines for beverages. Communication and guidance about age-appropriate beverages should be improved.

Keywords: ENSANUT 2012; beverages intake; infant diet; milk intake; young child diet.

Publication types

  • Comparative Study

MeSH terms

  • Age Factors
  • Animals
  • Beverages* / adverse effects
  • Bottle Feeding* / adverse effects
  • Breast Feeding*
  • Child Development
  • Child, Preschool
  • Cross-Sectional Studies
  • Dietary Sugars / administration & dosage
  • Dietary Sugars / adverse effects
  • Feeding Behavior*
  • Female
  • Humans
  • Infant
  • Infant Behavior*
  • Infant, Newborn
  • Male
  • Mexico
  • Milk* / adverse effects
  • Nutrition Surveys
  • Nutritional Status
  • Nutritive Value
  • Recommended Dietary Allowances*

Substances

  • Dietary Sugars