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Longitudinal study of energy and nutrient intakes for infants from low-income, urban families

Published online by Cambridge University Press:  02 January 2007

Karen Nolan ,
Lawrence M Schell ,
Alice D Stark  and
Marta I Gómez
Karen Nolan*
Affiliation:
Bureau of Environmental and Occupational Epidemiology, New York State Department of Health, 547 River Street, Room 200, Troy, NY 12180-2216, USA:
Lawrence M Schell
Affiliation:
Department of Epidemiology, University at Albany, State University of New York, Albany, NY, USA
Alice D Stark
Affiliation:
Bureau of Environmental and Occupational Epidemiology, New York State Department of Health, 547 River Street, Room 200, Troy, NY 12180-2216, USA:
Marta I Gómez
Affiliation:
Bureau of Environmental and Occupational Epidemiology, New York State Department of Health, 547 River Street, Room 200, Troy, NY 12180-2216, USA:
*
*Corresponding author: Email [email protected]
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Abstract

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Objective:

To assess the energy and nutrient intakes of healthy infants from low-income families and to compare intakes with current recommendations.

Design:

We interviewed mother–infant pairs longitudinally when the infants were 3, 6, 9, 12, 18 and 24 months old. Food intake data were obtained by 24-hour dietary recalls. Selected nutrient intakes were calculated and compared with the Recommended Dietary Allowances (RDAs).

Subjects/setting:

Infants (n = 200) were the offspring of low-income, pregnant women recruited at the Albany County Department of Health, New York for the Albany Pregnancy and Infancy Lead Study, a prospective investigation of factors related to blood lead levels, including nutrition. Interviews were conducted during paediatric clinic visits.

Statistical analyses performed:

Means and standard deviations were used to describe energy and micronutrient intakes for age groups. The probability approach was utilised to examine the prevalence of inadequate intakes.

Results:

Mean energy and nutrient intakes generally met or exceeded the RDA. The exceptions were vitamin D and zinc for which observed means were below the RDA at several data points. Protein consumption was exceptionally high in this sample. The highest estimated prevalences of inadequate intakes were observed for iron, zinc and vitamin D at the older ages.

Conclusions:

This study identified several potential concerns about the diets of infants during the transition from infant food and formula to table foods. Low intakes of vitamin D, zinc and iron, especially at 12 and 18 months, were observed. High protein intakes were noted at all ages.

Keywords

United StatesInfantsDietary intakeNutrientsInadequate intake
Type
Research Article
Information
Public Health Nutrition , Volume 5 , Issue 3 , June 2002 , pp. 405 - 412
Copyright
Copyright © CABI Publishing 2002

References

1McDowell, MA, Briefel, RR, Alaimo, K, Bischof, AM, Caughman, CR, Carroll, MD, et al. Energy and macronutrient intakes of persons ages 2 months and over in the United States: Third National Health and Nutrition Examination Survey, Phase 1, 1988–91. Advance Data from Vital and Health Statistics, No. 255. Hyattsville, MD: National Center for Health Statistics 1994.Google Scholar
2Alaimo, K, McDowell, MA, Briefel, RR, Bischof, AM, Caughman, CR, Loria, CM, et al. Dietary intake of vitamins, minerals, and fiber of persons ages 2 months and over in the United States: Third National Health and Nutrition Examination Survey, Phase 1, 1988–91. Advance Data from Vital and Health Statistics, No. 258. Hyattsville, MD: National Center for Health Statistics 1994.Google Scholar
3Johnson, RK, Guthrie, H, Smiciklas-Wright, H, Wang, MQ. Characterizing nutrient intakes of children by sociodemographic factors. Public Health Rep. 1994; 109: 414–20.Google ScholarPubMed
4Ernst, JA, Brady, MS, Rickard, KA. Food and nutrient intake of 6- to 12-month-old infants fed formula or cow milk: a summary of four national surveys. J. Pediatr. 1990; 117: S86–S100.CrossRefGoogle ScholarPubMed
5Martinez, GA, Ryan, AS. Nutrient intake in the United States during the first 12 months of life. J. Am. Diet. Assoc. 1985; 85: 826–30.CrossRefGoogle ScholarPubMed
6Skinner, JD, Carruth, BR, Houck, K, Moran J, III, Coletta, F, Cotter, R, et al. Transitions in infant feeding during the first year of life. J. Am. Coll. Nutr. 1997; 16: 209–15.CrossRefGoogle ScholarPubMed
7Parraga, IM, Weber, MA, Engel, A, Reeb, KG, Lerner, E. Feeding patterns of urban black infants. J. Am. Diet. Assoc. 1988; 88: 796–800.CrossRefGoogle ScholarPubMed
8Kokinos, M, Dewey, KG. Infant feeding practices of migrant Mexican-American families in Northern California. Ecol. Food Nutr. 1986; 18: 209–20.CrossRefGoogle Scholar
9Brogan, BD, Fox, HM. Infant feeding practices of low- and middle-income families in Nebraska. J. Am. Diet. Assoc. 1984; 84: 560–3.CrossRefGoogle ScholarPubMed
10Skinner, JD, Carruth, BR, Houck, KS, Bounds, W, Morris, M, Cox, DR, et al. Longitudinal study of nutrient and food intakes of white preschool children aged 24 to 60 months. J. Am. Diet. Assoc. 1999; 99: 1514–21.CrossRefGoogle ScholarPubMed
11Zive, MM, Taras, HL, Broyles, SL, Frank-Spohrer, GC, Nader, PR. Vitamin and mineral intakes of Anglo-American and Mexican-American preschoolers. J. Am. Diet. Assoc. 1995; 95: 329–35.CrossRefGoogle ScholarPubMed
12Sanjur, D, Oyarzun, M, Furumoto, R, Parpia, B, Bueso, C, Rodriguez, L. Dietary patterns, nutrient intakes, and nutritional anthropometry of urban Puerto Rican toddlers. J. Nutr. Educ. 1994; 26: 171–9.CrossRefGoogle Scholar
13Sanjur, D, Garcia, A, Aguilar, R, Furumoto, R, Mort, M. Dietary patterns and nutrient intakes of toddlers from low-income families in Denver, Colorado. J. Am. Diet. Assoc. 1990; 90: 823–9.CrossRefGoogle ScholarPubMed
14Skinner, JD, Carruth, BR, Houck, KS, Coletta, F, Cotter, R, Ott, D, et al. Longitudinal study of nutrient and food intakes of infants aged 2 to 24 months. J. Am. Diet. Assoc. 1997; 97: 496–504.CrossRefGoogle ScholarPubMed
15Centers for Disease Control. Preventing Lead Poisoning in Young Children. Hyattsville, MD: US Department of Health and Human Services, 1991.Google Scholar
16Food and Nutrition Board. Recommended Dietary Allowances, 10th ed. Washington, DC: National Academy Press, 1989.Google Scholar
17Schell, LM, Stark, AD, Gomez, MI, Grattan, WA. Blood lead level, by year and season, among poor pregnant women. Arch. Environ. Health 1997; 52: 286–91.CrossRefGoogle ScholarPubMed
18Schell, LM, Ravenscroft, J, Czerwinski, SA, Stark, AD, Grattan, WA, Gordon, M. Social support and adverse pregnancy outcome in a high-risk population. J. Public Health Manag. Pract. 1997; 3: 13–26.CrossRefGoogle ScholarPubMed
19First DataBank/N-Squared Computing. Nutritionist IV Diet Analysis for Windows, Version 4.1. San Bruno, CA: First DataBank/N-Squared Computing, 1995.Google Scholar
20Borland, Inc. Visual dBase, Version 5.5. Scotts Valley, CA: Borland, Inc., 1995.Google Scholar
21SASI nstitute, Inc. The SAS System for Windows, Release 6.12. Cary, NC: SAS Institute, Inc., 1996.Google Scholar
22National Research Council. Nutrient Adequacy: Assessment Using Food Consumption Surveys. Washington, DC: National Academy Press, 1986.Google Scholar
23Institute of Medicine. Dietary Reference Intakes: Applications in Dietary Assessment. Washington, DC: National Academy Press, 2001.Google Scholar
24 Centers for Disease Control. CDC Growth Charts: United States [Online]. Available at http://www.cdc.gov/nchs/about/major/nhanes/growthcharts/datafiles.htm. US Department of Health and Human Services, 2001.Google Scholar
25Cid-Ruzafa, J, Caulfield, L, Barron, Y, West, S. Nutrient intakes and adequacy among an older population on the Eastern Shore of Maryland: The Salisbury Eye Evaluation. J. Am. Diet. Assoc. 1999; 99: 564–71.CrossRefGoogle ScholarPubMed
26Fomon, SJ. Infant Nutrition, 2nd ed. Philadelphia, PA: WB Saunders, 1974.Google Scholar
27American Academy of Pediatrics. Composition of human milk; normative data. In: Pediatric Nutrition Handbook. Elk Grove Village, IL: American Academy of Pediatrics, 1985; 363–8.Google Scholar
28Reeve, LE, Chesney, RW, DeLuca, HF. Vitamin D of human milk: identification of biologically active forms. Am. J. Clin. Nutr. 1982; 36: 122–6.CrossRefGoogle ScholarPubMed
29Michaelsen, KF, Samuelson, G, Graham, TW, Lonnerdal, B. Zinc intake, zinc status and growth in a longitudinal study of healthy Danish infants. Acta Paediatr. 1994; 83: 1115–21.CrossRefGoogle Scholar
30Purvis, GA, Bartholmey, SJ. Infant feeding practices: commercially prepared baby foods. In: Tsang, RC, Nichols, BF, eds. Nutrition During Infancy. Philadelphia, PA: Hanley & Belfus, 1988; 399–417.Google Scholar
31Tippett, KS, Mickle, SJ, Goldman, JD, Sykes, KE, Cook, DA, Wilson, JW, et al. Food and Nutrient Intakes by Individuals in the United States, 1 Day, 1989–1991. Washington, DC: US Department of Agriculture, 1995.Google Scholar
32Rose, D, Habicht, JP, Devaney, B. Household participation in the food stamp and WIC programs increases the nutrient intakes of preschool children. J. Nutr. 1998; 128: 548–55.CrossRefGoogle ScholarPubMed
33Persson, LA, Carlgren, G. Measuring children's diets: evaluation of dietary assessment techniques in infancy and childhood. Int. J. Epidemiol. 1984; 13: 506–17.CrossRefGoogle ScholarPubMed
34Ervin, R, Wright, J, Kennedy-Stephenson, J. Use of Dietary Supplements in the United States, 1988–94. Hyattsville, MD: US Department of Health and Human Services, 1999.Google ScholarPubMed