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Exploring nutrient and energy intake in infants weaned using a baby-led or traditional feeding style / HANNAH ROWAN

Swansea University Author: HANNAH ROWAN

DOI (Published version): 10.23889/SUthesis.58475

Abstract

Baby-led Weaning (BLW), where infants self-feed whole foods rather than being spoon fed pureed foods, has grown in popularity over the last decade. Proponents of the method believe that BLW improves weight trajectories and food acceptance due to the infant being in control of how much they eat and t...

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Published: Swansea 2021
Institution: Swansea University
Degree level: Doctoral
Degree name: Ph.D
Supervisor: Brown, Amy ; Lee, Michelle
URI: https://cronfa.swan.ac.uk/Record/cronfa58475
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first_indexed 2021-10-27T12:45:45Z
last_indexed 2021-10-28T03:23:40Z
id cronfa58475
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spelling 2021-10-27T14:03:15.3889900 v2 58475 2021-10-27 Exploring nutrient and energy intake in infants weaned using a baby-led or traditional feeding style 3b8dedb45431e95b394f7a96bcfa1a67 HANNAH ROWAN HANNAH ROWAN true false 2021-10-27 Baby-led Weaning (BLW), where infants self-feed whole foods rather than being spoon fed pureed foods, has grown in popularity over the last decade. Proponents of the method believe that BLW improves weight trajectories and food acceptance due to the infant being in control of how much they eat and the focus on whole family foods, but there has been sparse research on the efficacy of the method, raising concerns amongst health professionals and impeding the support offered to families. The majority of the research conducted has focussed on weight trajectories, with most conducted outside of the UK. Therefore, using four studies, the aim of this thesis was to examine energy and nutrient intake amongst infants aged 6– 12 months following a baby-led versus spoon-feeding approach. The first study used an open-ended questionnaire to explore the experiences and concerns of 68 UK health professionals around BLW. Nutrient intake and eating behaviour was then compared for infants following BLW and spoon-feeding in 3 studies. The second (n=297) utilised a questionnaire to compare food intake, preferences and eating behaviours. The third (n=180) compared a 24 hour recall, while the fourth (n = 71) analysed detailed nutrient and energy intake using a three day weighed food diary. Overall, BLW infants were perceived to have greater satiety responsiveness and food acceptance. They consumed a wider variety of vegetables and protein rich foods and ate fewer commercial products. Differences were more pronounced at the start of weaning, with BLW infants having a more gradual transition to solid foods. Notably no difference in consumption of iron rich foods was found with iron intake below recommendations in both groups. The research does have limitations but suggests that BLW can provide sufficient energy and nutrient intake and may be a way of fostering positive eating behaviour. E-Thesis Swansea Baby-led weaning, complementary feeding, dietary intake, infant feeding, solid foods 27 10 2021 2021-10-27 10.23889/SUthesis.58475 COLLEGE NANME COLLEGE CODE Swansea University Brown, Amy ; Lee, Michelle Doctoral Ph.D 2021-10-27T14:03:15.3889900 2021-10-27T13:41:26.5876821 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Nursing HANNAH ROWAN 1 58475__21321__afcab4ad755f4a75aec5f931609d79c7.pdf Rowan_Hannah_PhD_Thesis_Final_Redacted_Signature.pdf 2021-10-27T13:57:22.2620542 Output 4890708 application/pdf E-Thesis – open access true Copyright: The author, Hannah Rowan, 2021. true eng
title Exploring nutrient and energy intake in infants weaned using a baby-led or traditional feeding style
spellingShingle Exploring nutrient and energy intake in infants weaned using a baby-led or traditional feeding style
HANNAH ROWAN
title_short Exploring nutrient and energy intake in infants weaned using a baby-led or traditional feeding style
title_full Exploring nutrient and energy intake in infants weaned using a baby-led or traditional feeding style
title_fullStr Exploring nutrient and energy intake in infants weaned using a baby-led or traditional feeding style
title_full_unstemmed Exploring nutrient and energy intake in infants weaned using a baby-led or traditional feeding style
title_sort Exploring nutrient and energy intake in infants weaned using a baby-led or traditional feeding style
author_id_str_mv 3b8dedb45431e95b394f7a96bcfa1a67
author_id_fullname_str_mv 3b8dedb45431e95b394f7a96bcfa1a67_***_HANNAH ROWAN
author HANNAH ROWAN
author2 HANNAH ROWAN
format E-Thesis
publishDate 2021
institution Swansea University
doi_str_mv 10.23889/SUthesis.58475
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Nursing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Nursing
document_store_str 1
active_str 0
description Baby-led Weaning (BLW), where infants self-feed whole foods rather than being spoon fed pureed foods, has grown in popularity over the last decade. Proponents of the method believe that BLW improves weight trajectories and food acceptance due to the infant being in control of how much they eat and the focus on whole family foods, but there has been sparse research on the efficacy of the method, raising concerns amongst health professionals and impeding the support offered to families. The majority of the research conducted has focussed on weight trajectories, with most conducted outside of the UK. Therefore, using four studies, the aim of this thesis was to examine energy and nutrient intake amongst infants aged 6– 12 months following a baby-led versus spoon-feeding approach. The first study used an open-ended questionnaire to explore the experiences and concerns of 68 UK health professionals around BLW. Nutrient intake and eating behaviour was then compared for infants following BLW and spoon-feeding in 3 studies. The second (n=297) utilised a questionnaire to compare food intake, preferences and eating behaviours. The third (n=180) compared a 24 hour recall, while the fourth (n = 71) analysed detailed nutrient and energy intake using a three day weighed food diary. Overall, BLW infants were perceived to have greater satiety responsiveness and food acceptance. They consumed a wider variety of vegetables and protein rich foods and ate fewer commercial products. Differences were more pronounced at the start of weaning, with BLW infants having a more gradual transition to solid foods. Notably no difference in consumption of iron rich foods was found with iron intake below recommendations in both groups. The research does have limitations but suggests that BLW can provide sufficient energy and nutrient intake and may be a way of fostering positive eating behaviour.
published_date 2021-10-27T04:15:01Z
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score 11.000887

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