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. 1993 Jun 12;306(6892):1572–1576. doi: 10.1136/bmj.306.6892.1572

Relation between early introduction of solid food to infants and their weight and illnesses during the first two years of life.

J S Forsyth 1, S A Ogston 1, A Clark 1, C D Florey 1, P W Howie 1
PMCID: PMC1678034  PMID: 8329916

Abstract

OBJECTIVE--To assess the relations between early introduction of solid food and infant weight, gastrointestinal illness, and allergic illnesses during the first two years of life. DESIGN--Prospective observational study of infants followed up for 24 months after birth. SETTING--Community setting in Dundee. PATIENTS--671 newborn infants, of whom 455 were still available for study at 2 years of age. MAIN OUTCOME MEASURES--Infants' diet, weight, and incidence of gastrointestinal illness, respiratory illness, napkin dermatitis, and eczema at 2 weeks and 2, 3, 4, 6, 9, 12, 15, 18, 21, and 24 months of age. RESULTS--The infants given solid food at an early age (at < 8 weeks or 8-12 weeks) were heavier than those introduced to solids later (after 12 weeks) at 4, 8, 13, and 26 weeks of age (p < 0.01) but not at 52 and 104 weeks. At their first solid feed those given solids early were heavier than infants of similar age who had not yet received solids. The incidence of gastrointestinal illness, wheeze, and nappy dermatitis was not related to early introduction of solids. There was a significant but less than twofold increase in respiratory illness at 14-26 weeks of age and persistent cough at 14-26 and 27-39 weeks of age among the infants given solids early. The incidence of eczema was increased in the infants who received solids at 8-12 weeks of age. CONCLUSION--Early introduction of solid food to infants is less harmful than was previously reported. Longer follow up is needed, but, meanwhile, a more relaxed approach to early feeding with solids should be considered.

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Selected References

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  1. Aberg N., Engström I. Natural history of allergic diseases in children. Acta Paediatr Scand. 1990 Feb;79(2):206–211. doi: 10.1111/j.1651-2227.1990.tb11440.x. [DOI] [PubMed] [Google Scholar]
  2. Agras W. S., Kraemer H. C., Berkowitz R. I., Hammer L. D. Influence of early feeding style on adiposity at 6 years of age. J Pediatr. 1990 May;116(5):805–809. doi: 10.1016/s0022-3476(05)82677-0. [DOI] [PubMed] [Google Scholar]
  3. Andrae S., Axelson O., Björkstén B., Fredriksson M., Kjellman N. I. Symptoms of bronchial hyperreactivity and asthma in relation to environmental factors. Arch Dis Child. 1988 May;63(5):473–478. doi: 10.1136/adc.63.5.473. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Asscher A. W., McLachlan M. S., Jones R. V., Meller S., Sussman M., Harrison S., Johnston H. H., Sleight G., Fletcher E. W. Screening for asymptomatic urinary-tract infection in schoolgirls. A two-centre feasibility study. Lancet. 1973 Jul 7;2(7819):1–4. doi: 10.1016/s0140-6736(73)91943-0. [DOI] [PubMed] [Google Scholar]
  5. Chandra R. K. Prospective studies of the effect of breast feeding on incidence of infection and allergy. Acta Paediatr Scand. 1979 Sep;68(5):691–694. doi: 10.1111/j.1651-2227.1979.tb18439.x. [DOI] [PubMed] [Google Scholar]
  6. Cogswell J. J., Mitchell E. B., Alexander J. Parental smoking, breast feeding, and respiratory infection in development of allergic diseases. Arch Dis Child. 1987 Apr;62(4):338–344. doi: 10.1136/adc.62.4.338. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Fergusson D. M., Horwood L. J., Beautrais A. L., Shannon F. T., Taylor B. Eczema and infant diet. Clin Allergy. 1981 Jul;11(4):325–331. doi: 10.1111/j.1365-2222.1981.tb01602.x. [DOI] [PubMed] [Google Scholar]
  8. Fergusson D. M., Horwood L. J., Shannon F. T. Asthma and infant diet. Arch Dis Child. 1983 Jan;58(1):48–51. doi: 10.1136/adc.58.1.48. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Fergusson D. M., Horwood L. J., Shannon F. T. Early solid feeding and recurrent childhood eczema: a 10-year longitudinal study. Pediatrics. 1990 Oct;86(4):541–546. [PubMed] [Google Scholar]
  10. Jarrett E. E. Perinatal influences on IgE responses. Lancet. 1984 Oct 6;2(8406):797–799. doi: 10.1016/s0140-6736(84)90716-5. [DOI] [PubMed] [Google Scholar]
  11. Kramer M. S. Does breast feeding help protect against atopic disease? Biology, methodology, and a golden jubilee of controversy. J Pediatr. 1988 Feb;112(2):181–190. doi: 10.1016/s0022-3476(88)80054-4. [DOI] [PubMed] [Google Scholar]
  12. Milla P. J. The weanling's gut. Acta Paediatr Scand Suppl. 1986;323:5–13. doi: 10.1111/j.1651-2227.1986.tb10345.x. [DOI] [PubMed] [Google Scholar]
  13. Popkin B. M., Adair L., Akin J. S., Black R., Briscoe J., Flieger W. Breast-feeding and diarrheal morbidity. Pediatrics. 1990 Dec;86(6):874–882. [PubMed] [Google Scholar]
  14. Shukla A., Forsyth H. A., Anderson C. M., Marwah S. M. Infantile overnutrition in the first year of life: a field study in Dudley, Worcestershire. Br Med J. 1972 Dec 2;4(5839):507–515. doi: 10.1136/bmj.4.5839.507. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Stuff J. E., Nichols B. L. Nutrient intake and growth performance of older infants fed human milk. J Pediatr. 1989 Dec;115(6):959–968. doi: 10.1016/s0022-3476(89)80750-4. [DOI] [PubMed] [Google Scholar]
  16. Taitz L. S. Infantile overnutrition among artificially fed infants in the Sheffield region. Br Med J. 1971 Feb 6;1(5744):315–316. doi: 10.1136/bmj.1.5744.315. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Thorogood M., Clark R., Harker P., Mann J. I. Infant feeding and overweight in two Oxfordshire towns. J R Coll Gen Pract. 1979 Jul;29(204):427–430. [PMC free article] [PubMed] [Google Scholar]
  18. Wilkinson P. W., Davies D. P. When and why are babies weaned? Br Med J. 1978 Jun 24;1(6128):1682–1683. doi: 10.1136/bmj.1.6128.1682. [DOI] [PMC free article] [PubMed] [Google Scholar]

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