Food, water, energy, and macronutrient intake of non-breastfed infants and young children (0-3 years)

Eur J Nutr. 2020 Feb;59(1):67-80. doi: 10.1007/s00394-018-1883-y. Epub 2019 Jan 16.

Abstract

Purpose: The French Nutri-Bébé 2013 study aimed to assess the nutritional intake of infants and young children in comparison with the recommendations of the 2013 European Food Safety Authority (EFSA).

Methods: This cross-sectional study enrolled a random sample of families selected according to the Quota sampling method. A 3-day dietary record was conducted and supervised by two face-to-face interviews. All foods and beverages consumed were qualitatively and quantitatively reported in a diary, and their composition calculated using a food composition database.

Results: A total of 1035 non-breastfed children were included. Formula was abandoned early, amounting to approximately 50% of the total food intake at 7 months in 50% of infants and 22% at 1 year. A similar trend was observed for specific complementary foods. After 1 year, 50% of children consumed cow's milk, which was semi-skimmed in 88% of cases. Drinking water intake was low. Protein intake reached 1.4 times the average requirements before 3 months, 2 times at 8-9 months, and > 4 times at 30-35 months. Fat intake was below the EFSA adequate intake (AI) in > 90% of children. Alpha-linolenic acid intake was equal to or greater than the AI in all infants < 3 months, 85% of children at 6 months, 34% at 12-17 months, and 8% >24 months. Regardless of age, docosahexaenoic acid (DHA) intake was less than the AI.

Conclusion: Strong discrepancies are observed between the actual and recommended intake in young, non-breastfed children namely, a high-protein intake, and a low fat intake, especially DHA.

Keywords: Infant; Macronutrient intake; Nutrition survey; Water intake; Young child.

MeSH terms

  • Child, Preschool
  • Cross-Sectional Studies
  • Diet / methods*
  • Diet Records*
  • Energy Intake*
  • Female
  • France
  • Humans
  • Infant
  • Infant Formula
  • Male
  • Nutrients / administration & dosage*
  • Nutrition Surveys / methods
  • Nutrition Surveys / statistics & numerical data*
  • Water / administration & dosage*

Substances

  • Water