Skip to main content
Canadian Journal of Public Health = Revue Canadienne de Santé Publique logoLink to Canadian Journal of Public Health = Revue Canadienne de Santé Publique
. 1999 Nov 1;90(6):403–407. doi: 10.1007/BF03404146

Infant Feeding Practices in Ottawa-Carleton: The Introduction of Solid Foods

Beth S Kwavnick 113,, Debra J Reid 213, Michel R Joffres 113, Judith Read Guernsey 113
PMCID: PMC6979970  PMID: 10680267

Abstract

Infant feeding guidelines regarding the introduction of solid foods are generally not well known in Canada. The guidelines recommend that solid foods be introduced between four to six months of age, depending on the developmental readiness of the infant. In order to understand the underlying factors and patterns which contribute to the introduction of solid foods in infants, data were analyzed from three cross-sectional surveys of parents of six-month-old infants from the Ottawa-Carleton region (n=373, 1988; n=330, 1992; n=338, 1996) conducted by the Ottawa-Carleton Health Department. Multivariable analysis showed that mothers who: did not breastfeed, were younger, had lower education, smoked or had partners that smoked, and lacked support after birth, were more likely to introduce solid foods before four months of age. These data support the need for nutrition education programs to increase adherence to the new Nutrition for Healthy Term Infants guidelines.

Footnotes

This work was completed as part of Beth Kwavnick’s MSc thesis at Dalhousie University and was supervised by Dr. J. Guernsey.

References

  • 1.Fomon SJ. What are infants fed in the United States? Pediatrics. 1975;56(3):350–54. [PubMed] [Google Scholar]
  • 2.Fomon SJ. Reflections on infant feeding in the 1970s and 1980s. Am J Clin Nutr. 1987;46:171–82. doi: 10.1093/ajcn/46.1.171. [DOI] [PubMed] [Google Scholar]
  • 3.Myres AW. A retrospective look at infant feeding practices in Canada: 1965–1978. J Can Dietet Assoc. 1979;40(3):201–10. [Google Scholar]
  • 4.HealthWelfare Canada. Ottawa. 1982. Canadian Infant Feeding Patterns. [Google Scholar]
  • 5.Mackey A, Orr RD. Infant feeding practices in metropolitan, urban and small communities in Newfoundland. J Can Dietet Assoc. 1978;39(3):236. [Google Scholar]
  • 6.Vobecky J, Kelly A, Munan L. Étude épidémi-ologique des habitudes alimentaires pendant les premières années de vie: allaitement et aliments solides. La vie médicale. 1972;1:934. [Google Scholar]
  • 7.Escott J. Time to Introduction of Solids and Development [thesis] Guelph, ON: University of Guelph; 1976. [Google Scholar]
  • 8.Yeung DL, Leung M, Hall J, et al. Longitudinal survey of infant nutrition. J Can Dietet Assoc. 1979;40(4):288–95. [Google Scholar]
  • 9.Yeung DL, Pennell MD, Leung M, et al. Infant feeding practices. Nutrition Reports International. 1981;23(2):249–60. [Google Scholar]
  • 10.Clark LL, Beal VA. Age of introduction of solid foods to infants in Manitoba. J Can Dietet Assoc. 1981;42:72–78. [Google Scholar]
  • 11.Sauve RS, Geggie JH. Growth and dietary status of preterm and term infants during the first two years of life. Can J Public Health. 1991;82:95–100. [PubMed] [Google Scholar]
  • 12.Tanaka PA, Yeung DL, Anderson GH. Infant feeding practices: 1984–85 versus 1977–78. Can Med Assoc J. 1987;136:940–44. [PMC free article] [PubMed] [Google Scholar]
  • 13.Greene-Finestone L, Feldman W, Heick H, et al. Infant feeding practices and socio- demographic factors in Ottawa-Carleton. Can J Public Health. 1989;80:173–76. [PubMed] [Google Scholar]
  • 14.Williams PL, Innis SM, Vogel AMP. Breastfeeding and weaning practices in Vancouver. Can J Public Health. 1996;87(4):231–36. [PubMed] [Google Scholar]
  • 15.Valaitis RK, Ciliska DK, Sheeshka JD, et al. Surveying infant feeding practices. Can Nurse. 1996;92(4):21. [PubMed] [Google Scholar]
  • 16.Bourgoin GL, Lahaie NR, Rheaume BA, et al. Factors influencing the duration of breastfeeding in the Sudbury region. Can J Public Health. 1997;88(4):238–41. doi: 10.1007/BF03404789. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 17.Canadian Paediatric Society, Dietitians of Canada . Health Canada. Ottawa: Nutrition for Healthy Term Infants.; 1998. [Google Scholar]
  • 18.Roy CC. Dialogues Infant Nutr. 1979. Food allergies and gastrointestinal disorders; p. 8. [Google Scholar]
  • 19.Halken S. The effect of hypo-allergenic formulas in infants at risk of allergic disease. European Journal of Clinical Nutrition. 1995;49(suppl1):S77–S83. [PubMed] [Google Scholar]
  • 20.Kajosaari M. Atopy prevention in childhood: The role of diet. Prospective 5-year follow-up of high-risk infants with six months exclusive breastfeeding and solid food elimination. Pediatr Allergy Immunol. 1994;5(6Suppl):26–28. doi: 10.1111/j.1399-3038.1994.tb00344.x. [DOI] [PubMed] [Google Scholar]
  • 21.Forsyth JS, Ogston SA, Clark A, et al. Relation between early introduction of solid food to infants and their weight and illnesses during the first two years of life. BMJ. 1993;306(6892):1572–76. doi: 10.1136/bmj.306.6892.1572. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 22.Fergusson DM, Horwood LJ. Early solid food diet and eczema in childhood: A 10-year longitudinal study. Pediatr Allergy Immunol. 1994;5(6Suppl):44–47. doi: 10.1111/j.1399-3038.1994.tb00347.x. [DOI] [PubMed] [Google Scholar]
  • 23.Saarinen UM, Siimes MA. Iron absorption from breast milk, cow’s milk, and iron-supplemented formula: An opportunistic use of changes in total body iron determined by hemoglobin, ferritin, and body weight in 132 infants. Pediatric Research. 1979;12:143–47. doi: 10.1203/00006450-197903000-00001. [DOI] [PubMed] [Google Scholar]
  • 24.Oski FA, Landaw SA. Inhibition of iron absorption from human milk by baby food. Am J Dis Child. 1980;134:459–60. doi: 10.1001/archpedi.1980.02130170009004. [DOI] [PubMed] [Google Scholar]
  • 25.Davies DP, Behjat MA, Mandal BK. The declining incidence of infantile hypernatremic dehydration in Great Britain. Am J Dis Child. 1979;133:148–50. doi: 10.1001/archpedi.1979.02130020038007. [DOI] [PubMed] [Google Scholar]
  • 26.Wilkinson PW, Davies DP. When and why are babies weaned? BMJ. 1978;1:1682–83. doi: 10.1136/bmj.1.6128.1682. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 27.ESPGAN Committee on Nutrition. Guidelines on infant nutrition. III. Recommendations for infant feeding. Acta Paediatr Scand. 1982;302(suppl):1–27. [PubMed] [Google Scholar]
  • 28.Pam F. Personal communication. 1997. Midwifery Group of Ottawa. [Google Scholar]
  • 29.Suzanne L. Personal communication. 1997. Midwifery Collective. [Google Scholar]
  • 30.Debora D. Personal communication. 1997. Ottawa-Carleton Health Department. [Google Scholar]
  • 31.Statistics Canada. Telephone Statistics 1988. Ottawa: Industry, Science and Technology Canada; 1990. pp. 56–203. [Google Scholar]
  • 32.Statistics Canada. Telephone Statistics 1992. Ottawa: Industry, Science and Technology Canada; 1994. pp. 56–203. [Google Scholar]
  • 33.Statistics Canada. Telephone Statistics 1996. Ottawa: Industry, Science and Technology Canada; 1997. [Google Scholar]
  • 34.Ottawa-Carleton Health Department. Infant Care Survey. 1996. [Google Scholar]
  • 35.Ottawa-Carleton Health Department. Infant Care Survey. 1992. [Google Scholar]
  • 36.Ottawa-Carleton Health Department. Parent Child Health Survey. 1990. [Google Scholar]
  • 37.Kwavnick BS. An Investigation of Infant Feeding Practices: The Relationship Between Maternal and Infant Factors and the Introduction of Solid Foods [thesis] Halifax, NS: Dalhousie University; 1998. [Google Scholar]
  • 38.Health Canada. Breastfeeding in Canada: A Review and Update (draft) 1997. [Google Scholar]
  • 39.Ford RPK, Mitchell EA, Scragg R, et al. Factors adversely associated with breast feeding in New Zealand. J Paediatr Child Health. 1994;30:483–89. doi: 10.1111/j.1440-1754.1994.tb00717.x. [DOI] [PubMed] [Google Scholar]
  • 40.Visness CM, Kennedy KI. Maternal employment and breast-feeding: Findings from the 1988 National Maternal and Infant Health Survey. Am J Public Health. 1997;87(5):945–50. doi: 10.2105/AJPH.87.6.945. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 41.Neumann CG, Alpaugh M. Birthweight doubling time: A fresh look. Pediatrics. 1976;57(4):469–73. [PubMed] [Google Scholar]
  • 42.Peters DC, Worthington-Roberts B. Infant feeding practices of middle-class breastfeeding and formula-feeding mothers. Birth. 1982;9(2):91–95. doi: 10.1111/j.1523-536X.1982.tb01629.x. [DOI] [PubMed] [Google Scholar]
  • 43.Hoffmans MDAF, Obermann-de Boer GL, Florack EIM, et al. Energy, nutrient and food intake during infancy and early childhood: The Leiden preschool children study. Human Nutrition: Applied Nutrition. 1986;40A:421–30. [PubMed] [Google Scholar]
  • 44.Lerebours B, Czernichow P, Pellerin AM, et al. L’alimentation du nourrisson jusqu’a 4 mois en Seine-Maritime. Arch Fr Pediatr. 1991;48:391–95. [PubMed] [Google Scholar]
  • 45.Whitehead RG, Paul AA, Ahmed EA. Weaning practices in the United Kingdom and variations in anthropometric development. Acta Paediatr Scand. 1986;14-23(Suppl):323. doi: 10.1111/j.1651-2227.1986.tb10346.x. [DOI] [PubMed] [Google Scholar]
  • 46.Persson LA, Samuelson G. From breastmilk to family food: Infant feeding in three Swedish communities. Acta Paediatr Scand. 1984;73:685–92. doi: 10.1111/j.1651-2227.1984.tb09996.x. [DOI] [PubMed] [Google Scholar]
  • 47.Owles EN, Hitchcock NE, Gracey M. Feeding patterns of Australian infants: Birth to one year. Human Nutrition: Applied Nutrition. 1982;36A:202–7. [PubMed] [Google Scholar]
  • 48.Ford RK, Schluter PJ, Mitchell EA, et al. Factors associated with the age of introduction of solids into the diet of New Zealand infants. J Paediatr Child Health. 1995;31:469–72. doi: 10.1111/j.1440-1754.1995.tb00860.x. [DOI] [PubMed] [Google Scholar]
  • 49.Spigelblatt L, Laine-Ammara G, Arsenault L, et al. Influence d’une éducation suivie auprès des mères sur l’introduction trop rapide des solides dans l’alimentation du nourrisson. Pédiatrie. 1991;46(5):475–79. [PubMed] [Google Scholar]
  • 50.Debra Reid . Ottawa-Carleton Health Department. 1997. [Google Scholar]
  • 51.Nafstad P, Jaakkola JK, Hagen JA, et al. Weight gain during the first year of life in relation to maternal smoking and breast feeding in Norway. J Epidemiol Commun Health. 1997;51:261–65. doi: 10.1136/jech.51.3.261. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 52.Horta BL, Victora CG, Menezes AM, et al. Environmental tobacco smoke and breastfeeding duration. Am J Epidemiol. 1997;146(2):128–33. doi: 10.1093/oxfordjournals.aje.a009243. [DOI] [PubMed] [Google Scholar]
  • 53.Lyon AJ. Effects of smoking on breast feeding. Arch Dis Child. 1983;58:378–80. doi: 10.1136/adc.58.5.378. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 54.Andersen AN, Lund-Andersen C, Larsen JF, et al. Suppressed prolactin but normal neurophysin levels in cigarette smoking breast-feeding women. Clinical Endocrinology. 1982;17:363–68. doi: 10.1111/j.1365-2265.1982.tb01601.x. [DOI] [PubMed] [Google Scholar]
  • 55.Baron JA, Bulbrook RD, Wang DY, et al. Cigarette smoking and prolactin in women. BMJ. 1986;293:482–83. doi: 10.1136/bmj.293.6545.482. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 56.Blake CA, Sawyer CH. Nicotine blocks the suckling-induced rise in circulating prolactin in lactat-ing rats. Science. 1972;177:619–21. doi: 10.1126/science.177.4049.619. [DOI] [PubMed] [Google Scholar]
  • 57.Weitzman M, Gortmaker S, Sobol A. Maternal smoking and behavior problems of children. Pediatrics. 1992;90(3):342–49. [PubMed] [Google Scholar]
  • 58.Nafstad P, Jaakkola JJK, Hagen JA, et al. Breasfeeding, maternal smoking and lower respiratory tract infections. Eur Respir J. 1996;9:2623–29. doi: 10.1183/09031936.96.09122623. [DOI] [PubMed] [Google Scholar]
  • 59.Stoddard JJ, Miller T. Impact of parental smoking on the prevalence of wheezing respiratory illness in children. Am J Epidemiol. 1995;141:96–102. doi: 10.1093/oxfordjournals.aje.a117418. [DOI] [PubMed] [Google Scholar]
  • 60.Weinburger MM. American Council on Science and Health. Cigarettes: What the Warning Label Doesn’t Tell You: The First Comprehensive Guide to the Health Consequences of Smoking. New York: Prometheus Books; 1997. Environmental tobacco smoke and pediatric illnesses. [Google Scholar]
  • 61.Wright AL, Holberg C, Martinez FD, et al. Relationship of parental smoking to wheezing and nonwheezing lower respiratory tract illnesses in infancy. J Pediatr. 1991;118:207–14. doi: 10.1016/S0022-3476(05)80484-6. [DOI] [PubMed] [Google Scholar]
  • 62.Palmer G. The Politics of Breastfeeding. London: Pandora Press; 1993. [Google Scholar]
  • 63.Levitt CL. Canada urged to ban free infant-formula samples. Can Med Assoc J. 1995;152(10):1587. [PMC free article] [PubMed] [Google Scholar]
  • 64.Position of the American Dietetic Association. Promotion of breast-feeding. J Am Dietet Assoc. 1997;97(6):662–66. doi: 10.1016/S0002-8223(97)00167-3. [DOI] [PubMed] [Google Scholar]
  • 65.American Academy of Pediatrics Work Group on Breastfeeding. Breastfeeding and the use of human milk. Pediatrics. 1997;100(6):1035–39. doi: 10.1542/peds.100.6.1035. [DOI] [PubMed] [Google Scholar]
  • 66.Levitt CL, Kaczorowski J, Hanvey L, et al. Breast-feeding policies and practices in Canadian hospitals providing maternity care. Can Med Assoc J. 1996;155(2):181–88. [PMC free article] [PubMed] [Google Scholar]
  • 67.Burglehaus MJ, Smith LA, Sheps SB, et al. Physicians and breastfeeding: Beliefs, knowledge, self-efficacy and counselling practices. Can J Public Health. 1997;88(6):383–87. doi: 10.1007/BF03403911. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 68.Dettwyler KA. Beauty and the breast: The cultural context of breastfeeding in the United States. In: Stuart-Macadam P, Dettwyler KA, editors. Breastfeeding — Biocultural Perspectives. New York: Aldine de Gruyter; 1995. [Google Scholar]
  • 69.Persson LA, Carlgren G. Measuring children’s diets: Evaluation of dietary assessment techniques in infancy and childhood. Int J Epidemiol. 1984;13(4):506–17. doi: 10.1093/ije/13.4.506. [DOI] [PubMed] [Google Scholar]
  • 70.Kleinbaum DG, Kupper LL. Applied Regression Analysis and Other Multivariable Methods. Massachussetts: Duxbury Press; 1978. [Google Scholar]

Articles from Canadian Journal of Public Health = Revue Canadienne de Santé Publique are provided here courtesy of Springer

RESOURCES