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The SHIFT study: exploring the role of a baby-led feeding approach on infant growth - implications for childhood obesity

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DOI (Published version): 10.23889/SUthesis.59591

Abstract

Recently, a baby-led weaning method of complementary feeding, where infants are allowed to self-feed whole foods has grown in popularity. Proponents of the method posit that it may reduce risk of overweight because the self-feeding aspect (and the lower level of maternal control that this affords) i...

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Published: Swansea 2020
Online Access: https://cronfa.swan.ac.uk/Record/cronfa59591
URI: https://cronfa.swan.ac.uk/Record/cronfa59591
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spelling 2022-03-28T11:29:49.4686505 v2 59591 2022-03-11 The SHIFT study: exploring the role of a baby-led feeding approach on infant growth - implications for childhood obesity e6ed433db8a59b5e3077e3de5888a98a 0000-0003-2182-6314 Sara Jones Sara Jones true false 2022-03-11 PHAC Recently, a baby-led weaning method of complementary feeding, where infants are allowed to self-feed whole foods has grown in popularity. Proponents of the method posit that it may reduce risk of overweight because the self-feeding aspect (and the lower level of maternal control that this affords) is likely to allow infants to better regulate their appetite, and this has been supported by exploratory research (Brown & Lee, 2011b; Brown & Lee, 2012). However, the impact of the method on infant growth has been largely untested, with studies focusing on the potential effects of baby-led weaning on later overweight (Townsend & Pitchford, 2012; Brown & Lee, 2015). Furthermore, studies focus on the self-feeding aspect of the baby-led weaning method, and do not consider the impact of, and the interaction with other feeding behaviours. The SHIFT (Studying Healthy Infant Feeding and growth Trajectories) study explored associations between aspects of infant feeding; milk-feeding, the age of introduction to complementary foods, the transition from milk onto foods, the method of introduction to food (self-feeding or spoon-fed), diet and texture offered, and growth outcomes of infants aged 6-12 months. This research did not find a conclusive association between the baby-led weaning method (i.e. self-feeding) and infant growth. However, behaviours which could be considered to be more broadly ‘baby-led’ in approach; breastfeeding, later age of introduction to complementary foods and a gradual transition from milk onto a diet consisting of mainly whole foods, appeared to foster healthier weight gain trajectories. These findings support the WHO (2003b) recommendation for ‘responsive’ infant feeding. Why mothers choose a more baby-led or parent-led approach is complex; concerns around infant weight, intake and behaviour are commonly cited as driving parent-led behaviour (Redsell et al., 2010; Clayton et al., 2013; Brown & Harries, 2015), and were also reported by mothers in this study. The SHIFT study provides the impetus for effective support for parents in infant feeding, so that they feel confident adopting a baby-led, responsive approach. Thesis Swansea infant feeding, childhood obesity, breastfeeding, baby-led weaning, infant growth 9 3 2020 2020-03-09 10.23889/SUthesis.59591 https://cronfa.swan.ac.uk/Record/cronfa59591 ORCiD identifier: https://orcid.org/0000-0003-2182-6314 COLLEGE NANME Public Health COLLEGE CODE PHAC Swansea University Brown, Amy E. ; Lee, Michelle D. Doctoral Ph.D Swansea University studentship 2022-03-28T12:08:56.7007217 2022-03-11T13:40:23.3870441 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health Sara Jones 0000-0003-2182-6314 1 59591__23682__c5982c8f0b7d4c979f7682f230783546.pdf Jones_Sara_W_ PhD_Thesis_Final_Cronfa.pdf 2022-03-28T11:29:49.4686505 Output 2873099 application/pdf E-Thesis – open access true Copyright: The author, Sara Wyn Jones, 2020. true eng
title The SHIFT study: exploring the role of a baby-led feeding approach on infant growth - implications for childhood obesity
spellingShingle The SHIFT study: exploring the role of a baby-led feeding approach on infant growth - implications for childhood obesity
Sara Jones
title_short The SHIFT study: exploring the role of a baby-led feeding approach on infant growth - implications for childhood obesity
title_full The SHIFT study: exploring the role of a baby-led feeding approach on infant growth - implications for childhood obesity
title_fullStr The SHIFT study: exploring the role of a baby-led feeding approach on infant growth - implications for childhood obesity
title_full_unstemmed The SHIFT study: exploring the role of a baby-led feeding approach on infant growth - implications for childhood obesity
title_sort The SHIFT study: exploring the role of a baby-led feeding approach on infant growth - implications for childhood obesity
author_id_str_mv e6ed433db8a59b5e3077e3de5888a98a
author_id_fullname_str_mv e6ed433db8a59b5e3077e3de5888a98a_***_Sara Jones
author Sara Jones
author2 Sara Jones
format Staff Thesis
publishDate 2020
institution Swansea University
doi_str_mv 10.23889/SUthesis.59591
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 - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
url https://cronfa.swan.ac.uk/Record/cronfa59591
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description Recently, a baby-led weaning method of complementary feeding, where infants are allowed to self-feed whole foods has grown in popularity. Proponents of the method posit that it may reduce risk of overweight because the self-feeding aspect (and the lower level of maternal control that this affords) is likely to allow infants to better regulate their appetite, and this has been supported by exploratory research (Brown & Lee, 2011b; Brown & Lee, 2012). However, the impact of the method on infant growth has been largely untested, with studies focusing on the potential effects of baby-led weaning on later overweight (Townsend & Pitchford, 2012; Brown & Lee, 2015). Furthermore, studies focus on the self-feeding aspect of the baby-led weaning method, and do not consider the impact of, and the interaction with other feeding behaviours. The SHIFT (Studying Healthy Infant Feeding and growth Trajectories) study explored associations between aspects of infant feeding; milk-feeding, the age of introduction to complementary foods, the transition from milk onto foods, the method of introduction to food (self-feeding or spoon-fed), diet and texture offered, and growth outcomes of infants aged 6-12 months. This research did not find a conclusive association between the baby-led weaning method (i.e. self-feeding) and infant growth. However, behaviours which could be considered to be more broadly ‘baby-led’ in approach; breastfeeding, later age of introduction to complementary foods and a gradual transition from milk onto a diet consisting of mainly whole foods, appeared to foster healthier weight gain trajectories. These findings support the WHO (2003b) recommendation for ‘responsive’ infant feeding. Why mothers choose a more baby-led or parent-led approach is complex; concerns around infant weight, intake and behaviour are commonly cited as driving parent-led behaviour (Redsell et al., 2010; Clayton et al., 2013; Brown & Harries, 2015), and were also reported by mothers in this study. The SHIFT study provides the impetus for effective support for parents in infant feeding, so that they feel confident adopting a baby-led, responsive approach.
published_date 2020-03-09T04:17:01Z
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