University of Buffalo at State University of New York study: What baby eats depends on Mom’s social class

9 Nov

Patti Neighmond reported in the NPR story, It Takes More Than A Produce Aisle To Refresh A Food Desert:

“The next part of the intervention is to create demand,” he says, “so the community wants to come to the store and buy healthy fruits and vegetables and go home and prepare those foods in a healthy way, without lots of fat, salt or sugar.”
Ortega directs a UCLA project that converts corner stores into hubs of healthy fare in low-income neighborhoods of East Los Angeles. He and colleagues work with community leaders and local high school students to help create that demand for nutritious food. Posters and signs promoting fresh fruits and vegetables hang in corner stores, such as the Euclid Market in Boyle Heights, and at bus stops. There are nutrition education classes in local schools, and cooking classes in the stores themselves….
The jury’s still out on whether these conversions of corner stores are actually changing people’s diets and health. The evidence is still being collected.
http://www.npr.org/blogs/thesalt/2014/02/10/273046077/takes-more-than-a-produce-aisle-to-refresh-a-food-desert

In other words, much of the obesity problem is due to personal life style choices and the question is whether government can or should regulate those choices. The issue is helping folk to want to make healthier food choices even on a food stamp budget. See, Cheap Eats: Cookbook Shows How To Eat Well On A Food Stamp Budget http://www.npr.org/blogs/thesalt/2014/08/01/337141837/cheap-eats-cookbook-shows-how-to-eat-well-on-a-food-stamp-budget    A University of Buffalo study reports that what a baby eats depends on the social class of the mother.

Roberto A. Ferdman of the Washington Post wrote in the article, The stark difference between what poor babies and rich babies eat:

The difference between what the rich and poor eat in America begins long before a baby can walk, or even crawl.
A team of researchers at the University at Buffalo School of Medicine and Biomedical Sciences found considerable differences in the solid foods babies from different socioeconomic classes were being fed. Specifically, diets high in sugar and fat were found to be associated with less educated mothers and poorer households, while diets that more closely followed infant feeding guidelines were linked to higher education and bigger bank accounts.
“We found that differences in dietary habits start very early,” said Xiaozhong Wen, the study’s lead author.
The researchers used data from the Infant Feeding Practices study, an in depth look at baby eating habits, which tracked the diets of more than 1,500 infants up until age one, and documented which of 18 different food types—including breast milk, formula, cow’s milk, other milk (like soy milk), other dairy foods (like yogurt), other soy foods (like tofu), 100 percent fruit or vegetable juice, and sweet drinks, among others – their mothers fed them. Wen’s team at the University at Buffalo focused on what the infants ate over the course of a week at both 6- and 12-months old.
In many cases, infants were fed foods that would surprise even the least stringent of mothers. Candy, ice cream, soda, and french fries, for instance, were among the foods some of the babies were being fed. Researchers divided the 18 different food types into four distinct categories, two of which were ideal for infant consumption—”formula” and “infant guideline solids”—two of which were not—”high/sugar/fat/protein” and “high/regular cereal.” It became clear which babies tended to be fed appropriately, and which did not….
http://www.washingtonpost.com/blogs/wonkblog/wp/2014/11/04/the-stark-difference-between-what-poor-babies-and-rich-babies-eat/

Citation:

What do American babies eat? A lot depends on Mom’s socioeconomic background
Date: October 30, 2014

Source: University at Buffalo
Summary:
Dietary patterns of babies vary according to the racial, ethnic and educational backgrounds of their mothers, pediatrics researchers have found. For example, babies whose diet included more breastfeeding and solid foods that adhere to infant guidelines from international and pediatric organizations were associated with higher household income — generally above $60,000 per year — and mothers with higher educational levels ranging from some college to post-graduate education. http://www.sciencedaily.com/releases/2014/10/141030133532.htm
Sociodemographic Differences and Infant Dietary Patterns
1. Xiaozhong Wen, MD, PhDa,
2. Kai Ling Kong, PhDa,
3. Rina Das Eiden, PhDb,
4. Neha Navneet Sharmac, and
5. Chuanbo Xie, MD, PhDa
+ Author Affiliations
1. aDivision of Behavioral Medicine, Department of Pediatrics, School of Medicine and Biomedical Sciences,
2. bResearch Institute on Addictions, and
3. cDepartment of Psychology, State University of New York at Buffalo, Buffalo, New York
Abstract
OBJECTIVES: To identify dietary patterns in US infants at age 6 and 12 months, sociodemographic differences in these patterns, and their associations with infant growth from age 6 to 12 months.
METHODS: We analyzed a subsample (760 boys and 795 girls) of the Infant Feeding Practices Study II (2005–2007). Mothers reported their infants’ intakes of 18 types of foods in the past 7 days, which were used to derive dietary patterns at ages 6 and 12 months by principal component analysis.
RESULTS: Similar dietary patterns were identified at ages 6 and 12 months. At 12 months, infants of mothers who had low education or non-Hispanic African American mothers (vs non-Hispanic white) had a higher score on “High sugar/fat/protein” dietary pattern. Both “High sugar/fat/protein” and “High dairy/regular cereal” patterns at 6 months were associated with a smaller increase in length-for-age z score (adjusted β per 1 unit dietary pattern score, −1.36 [95% confidence interval (CI), −2.35 to −0.37] and −0.30 [−0.54 to −0.06], respectively), while with greater increase in BMI z score (1.00 [0.11 to 1.89] and 0.32 [0.10 to 0.53], respectively) from age 6 to 12 months. The “Formula” pattern was associated with greater increase in BMI z score (0.25 [0.09 to 0.40]). The “Infant guideline solids” pattern (vegetables, fruits, baby cereal, and meat) was not associated with change in length-for-age or BMI z score.
CONCLUSIONS: Distinct dietary patterns exist among US infants, vary by maternal race/ethnicity and education, and have differential influences on infant growth. Use of “Infant guideline solids” with prolonged breastfeeding is a promising healthy diet for infants after age 6 months.
Key Words:
• infant
• dietary patterns
• feeding
• nutrition
• growth
• epidemiology
• Accepted August 11, 2014.
• Copyright © 2014 by the American Academy of Pediatrics

Here is the press release:

What do American babies eat? A lot depends on Mom’s socioeconomic background, UB study finds
Dietary patterns start developing as early as 6 and 12 months of age
By Ellen Goldbaum
Release Date: October 30, 2014
BUFFALO, N.Y. – You have to be at least 2 years old to be covered by U.S. dietary guidelines. For younger babies, no official U.S. guidance exists other than the general recommendation by national and international organizations that mothers exclusively breastfeed for at least the first six months.
So what do American babies eat?
That’s the question that motivated researchers at the University at Buffalo School of Medicine and Biomedical Sciences to study the eating patterns of American infants at 6 months and 12 months old, critical ages for the development of lifelong preferences.
The team found that dietary patterns of the children varied according to the racial, ethnic and educational backgrounds of their mothers.
For example, babies whose diet included more breastfeeding and solid foods that adhere to infant guidelines from international and pediatric organizations were associated with higher household income – generally above $60,000 per year – and mothers with higher educational levels ranging from some college to post-graduate education.
The study, “Sociodemographic differences and infant dietary patterns,” was published this month in Pediatrics.
“We found that differences in dietary habits start very early,” says Xiaozhong (pronounced Shao-zong) Wen, MBBS, PhD, assistant professor in the UB Department of Pediatrics and lead author on the paper.
Studying the first solid foods that babies eat can provide insight into whether or not they will develop obesity later on, he explains.
“Dietary patterns are harder to change later if you ignore the first year, a critical period for the development of taste preferences and the establishment of eating habits,” he says.
Wen conducts research in the UB Department of Pediatrics’ Behavioral Medicine division, studying how and why obesity develops in infants and young children.
In the study, babies whose dietary pattern was high in sugar, fat and protein or high in dairy foods and regular cereals were associated with mothers whose highest education level was some or all of high school, who had low household income — generally under $25,000/year — and who were non-Hispanic African-Americans.
Both the higher sugar/fat/protein pattern and the higher dairy pattern resulted in faster gain in body mass index scores from ages 6 to 12 months for the babies.
Babies who consumed larger amounts of formula, indicating little or no breastfeeding, were associated with being born through emergency caesarean section and enrollment in the Special Supplemental Nutrition program for Women and Infant Children (WIC). Wen notes that one possible reason for high formula consumption in this group is that WIC provides financial assistance for formula purchases.
Some of the unhealthy “adult foods” consumed by 6- and 12-month-old babies in the study included items inappropriate for infants, such as candy, ice cream, sweet drinks and French fries.
“There is substantial research to suggest that if you consistently offer foods with a particular taste to infants, they will show a preference for these foods later in life,” Wen explains. “So if you tend to offer healthy foods, even those with a somewhat bitter taste to infants, such as pureed vegetables, they will develop a liking for them. But if you always offer sweet or fatty foods, infants will develop a stronger preference for them or even an addiction to them.
“This is both an opportunity and a challenge,” says Wen. “We have an opportunity to start making dietary changes at the very beginning of life.”
The researchers also found that babies whose diets consisted mainly of high fat/sugar/protein foods were associated with slower gain in length-for-age scores from 6 to 12 months.
“We’re not sure why this happens,” explains Wen, “but it’s possible that because some of these foods that are high in sugar, fat or protein are so palatable they end up dominating the baby’s diet, replacing more nutritious foods that could be higher in calcium and iron, therefore inhibiting the baby’s bone growth.”
The UB researchers based their analysis on a subsample covering more than 1,500 infants, nearly evenly split between genders, from the Infant Feeding Practices Study II conducted by the U.S. Food and Drug Administration and the Centers for Disease Control and Prevention from 2005 to 2007. In that study, mothers reported which of 18 different food types their 6- and 12-month old babies ate in a week; those data then were used to develop infant dietary patterns.
Co-authors with Wen are Kai Ling Kong, PhD and Chuanbo Xie, MD, PhD, of the Department of Pediatrics; Rina Das Eiden, PhD of UB’s Research Institute on Addictions and Neha Navneet Sharma of the Department of Psychology in the UB College of Arts and Sciences.
The project was funded by a seed grant from the UB Department of Pediatrics.

Media Contact Information
Ellen Goldbaum
News Content Manager, Medicine
Tel: 716-645-4605
goldbaum@buffalo.edu
Twitter: @egoldbaum
http://www.buffalo.edu/news/releases/2014/10/061.html

For a really good discussion of the effects of poverty on children, read the American Psychological Association (APA), Effects of Poverty, Hunger, and Homelessness on Children and Youth:

What are the effects of child poverty?
• Psychological research has demonstrated that living in poverty has a wide range of negative effects on the physical and mental health and wellbeing of our nation’s children.
• Poverty impacts children within their various contexts at home, in school, and in their neighborhoods and communities.
• Poverty is linked with negative conditions such as substandard housing, homelessness, inadequate nutrition and food insecurity, inadequate child care, lack of access to health care, unsafe neighborhoods, and underresourced schools which adversely impact our nation’s children.
• Poorer children and teens are also at greater risk for several negative outcomes such as poor academic achievement, school dropout, abuse and neglect, behavioral and socioemotional problems, physical health problems, and developmental delays.
• These effects are compounded by the barriers children and their families encounter when trying to access physical and mental health care.
• Economists estimate that child poverty costs the U.S. $500 billion a year in lost productivity in the work force and spending on health care and the criminal justice system.
Poverty and academic achievement
• Poverty has a particularly adverse effect on the academic outcomes of children, especially during early childhood.
• Chronic stress associated with living in poverty has been shown to adversely affect children’s concentration and memory which may impact their ability to learn.
• School drop out rates are significantly higher for teens residing in poorer communities. In 2007, the dropout rate of students living in low-income families was about 10 times greater than the rate of their peers from high-income families (8.8% vs. 0.9%).
• The academic achievement gap for poorer youth is particularly pronounced for low-income African American and Hispanic children compared with their more affluent White peers.
• Underresourced schools in poorer communities struggle to meet the learning needs of their students and aid them in fulfilling their potential.
• Inadequate education contributes to the cycle of poverty by making it more difficult for low-income children to lift themselves and future generations out of poverty. http://www.apa.org/pi/families/poverty.aspx

Moi blogs about education issues so the reader could be perplexed sometimes because moi often writes about other things like nutrition, families, and personal responsibility issues. Why? The reader might ask? Children will have the most success in school if they are ready to learn. Ready to learn includes proper nutrition for a healthy body and the optimum situation for children is a healthy family. Many of society’s problems would be lessened if the goal was a healthy child in a healthy family.

Related:

Dr. Wilda Reviews Book: ‘Super Baby Food’

http://drwildareviews.wordpress.com/2013/09/11/dr-wilda-reviews-book-super-baby-food/

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