From milk to solids: a reference standard for the transitional eating process in infants and preschool children in Japan
Objective: This paper aims to establish a potential reference standard for the process of transition from milk to solid food in infants and preschool children in Japan, using the transitional food process (TFP) scale described by Sakashita et al. The background for variation and delay in the process...
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| Published in | European Journal of Clinical Nutrition Vol. 58; no. 4; pp. 643 - 653 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | English |
| Published |
London
Springer Science and Business Media LLC
01.04.2004
Nature Publishing Group UK Nature Publishing Nature Publishing Group |
| Subjects | |
| Online Access | Get full text |
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| Abstract | Objective: This paper aims to establish a potential reference standard for the process of transition from milk to solid food in infants and preschool children in Japan, using the transitional food process (TFP) scale described by Sakashita et al. The background for variation and delay in the process are also discussed. Design: A randomized sample survey covering entire Japan. Setting: Mailing self-completion of questionnaires. Subjects: Randomized sample of 14 000 children aged 0-6 y and their family from 13 prefectures in Japan, namely Hokkaido, Aomori, Iwate, Niigata, Tokyo, Saitama, Fukui, Nagano, Nagoya, Hyogo, Yamaguchi, Kagoshima, and Okinawa. Methodology: Questionnaires requesting the TFP scale and background factors were sent to 14 000 children and families. The percentile ages were calculated. An eating ability index (EAI: number of accepted foods/total number of foods) x 100) was calculated. Regression analysis by analysis of covariance (ANCOVA; SPSS, 1997) was used to determine the influence of background factors on EAI. Results: From the 6747 (48.2%) effective answers received, percentile curves of the acceptability of each food on the scale were drawn, and used as initial reference standards. The 50 percentile age range of these 20 standard foods covers from 5 to 42 months after birth. The sensitive period for increasing the acceptance of foods in children was between 6 months and 2 1/2y of age. ANCOVA regression model (R 2=0.605) showed that EAI was mostly influenced by age (P=0.000), followed by feeding style (P=0.000), infant food preparation (P=0.000), information source (P=0.000), and birth order (P=0.003). The dominant cause of digestive system problems was shown to be infection, not too-hard food. It seems that breast feeding, bottle feeding with chewing-type nipples, and the manner of preparing infant foods from the family table promote the progress in acceptance. Children whose mothers followed the information given in books or magazines showed a slower progress. Conclusions: It seems appropriate to use this reference standard in the study of the transitional process from milk to solid food in infants and preschool children in Japan. |
|---|---|
| AbstractList | Objective
: This paper aims to establish a potential reference standard for the process of transition from milk to solid food in infants and preschool children in Japan, using the transitional food process (TFP) scale described by Sakashita
et al.
The background for variation and delay in the process are also discussed.
Design
: A randomized sample survey covering entire Japan.
Setting
: Mailing self-completion of questionnaires.
Subjects
: Randomized sample of 14 000 children aged 0–6 y and their family from 13 prefectures in Japan, namely Hokkaido, Aomori, Iwate, Niigata, Tokyo, Saitama, Fukui, Nagano, Nagoya, Hyogo, Yamaguchi, Kagoshima, and Okinawa.
Methodology
: Questionnaires requesting the TFP scale and background factors were sent to 14 000 children and families. The percentile ages were calculated. An eating ability index (EAI: number of accepted foods/total number of foods) × 100) was calculated. Regression analysis by analysis of covariance (ANCOVA; SPSS, 1997) was used to determine the influence of background factors on EAI.
Results
: From the 6747 (48.2%) effective answers received, percentile curves of the acceptability of each food on the scale were drawn, and used as initial reference standards. The 50 percentile age range of these 20 standard foods covers from 5 to 42 months after birth. The sensitive period for increasing the acceptance of foods in children was between 6 months and 2½y of age. ANCOVA regression model (
R
2
=0.605) showed that EAI was mostly influenced by age (
P
=0.000), followed by feeding style (
P
=0.000), infant food preparation (
P
=0.000), information source (
P
=0.000), and birth order (
P
=0.003). The dominant cause of digestive system problems was shown to be infection, not too-hard food. It seems that breast feeding, bottle feeding with chewing-type nipples, and the manner of preparing infant foods from the family table promote the progress in acceptance. Children whose mothers followed the information given in books or magazines showed a slower progress.
Conclusions
: It seems appropriate to use this reference standard in the study of the transitional process from milk to solid food in infants and preschool children in Japan.
Sponsorship
: Grant-in-Aid for Scientific Research, provided by the Japanese Ministry of Education, Culture, Sports, Science and Technology Project No. 07838030. Objective: This paper aims to establish a potential reference standard for the process of transition from milk to solid food in infants and preschool children in Japan, using the transitional food process (TFP) scale described by Sakashita et al. The background for variation and delay in the process are also discussed. Design: A randomized sample survey covering entire Japan. Setting: Mailing self-completion of questionnaires. Subjects: Randomized sample of 14 000 children aged 0-6 y and their family from 13 prefectures in Japan, namely Hokkaido, Aomori, Iwate, Niigata, Tokyo, Saitama, Fukui, Nagano, Nagoya, Hyogo, Yamaguchi, Kagoshima, and Okinawa. Methodology: Questionnaires requesting the TFP scale and background factors were sent to 14 000 children and families. The percentile ages were calculated. An eating ability index (EAI: number of accepted foods/total number of foods) x 100) was calculated. Regression analysis by analysis of covariance (ANCOVA; SPSS, 1997) was used to determine the influence of background factors on EAI. Results: From the 6747 (48.2%) effective answers received, percentile curves of the acceptability of each food on the scale were drawn, and used as initial reference standards. The 50 percentile age range of these 20 standard foods covers from 5 to 42 months after birth. The sensitive period for increasing the acceptance of foods in children was between 6 months and 2 1/2y of age. ANCOVA regression model (R 2=0.605) showed that EAI was mostly influenced by age (P=0.000), followed by feeding style (P=0.000), infant food preparation (P=0.000), information source (P=0.000), and birth order (P=0.003). The dominant cause of digestive system problems was shown to be infection, not too-hard food. It seems that breast feeding, bottle feeding with chewing-type nipples, and the manner of preparing infant foods from the family table promote the progress in acceptance. Children whose mothers followed the information given in books or magazines showed a slower progress. Conclusions: It seems appropriate to use this reference standard in the study of the transitional process from milk to solid food in infants and preschool children in Japan. This paper aims to establish a potential reference standard for the process of transition from milk to solid food in infants and preschool children in Japan, using the transitional food process (TFP) scale described by Sakashita et al. The background for variation and delay in the process are also discussed. A randomized sample survey covering entire Japan. Mailing self-completion of questionnaires. Randomized sample of 14 000 children aged 0-6 y and their family from 13 prefectures in Japan, namely Hokkaido, Aomori, Iwate, Niigata, Tokyo, Saitama, Fukui, Nagano, Nagoya, Hyogo, Yamaguchi, Kagoshima, and Okinawa. Questionnaires requesting the TFP scale and background factors were sent to 14,000 children and families. The percentile ages were calculated. An eating ability index (EAI: number of accepted foods/total number of foods) x 100) was calculated. Regression analysis by analysis of covariance (ANCOVA; SPSS, 1997) was used to determine the influence of background factors on EAI. From the 6747 (48.2%) effective answers received, percentile curves of the acceptability of each food on the scale were drawn, and used as initial reference standards. The 50 percentile age range of these 20 standard foods covers from 5 to 42 months after birth. The sensitive period for increasing the acceptance of foods in children was between 6 months and 2(1/2) y of age. ANCOVA regression model (R2=0.605) showed that EAI was mostly influenced by age (P=0.000), followed by feeding style (P=0.000), infant food preparation (P=0.000), information source (P=0.000), and birth order (P=0.003). The dominant cause of digestive system problems was shown to be infection, not too-hard food. It seems that breast feeding, bottle feeding with chewing-type nipples, and the manner of preparing infant foods from the family table promote the progress in acceptance. Children whose mothers followed the information given in books or magazines showed a slower progress. It seems appropriate to use this reference standard in the study of the transitional process from milk to solid food in infants and preschool children in Japan. This paper aims to establish a potential reference standard for the process of transition from milk to solid food in infants and preschool children in Japan, using the transitional food process (TFP) scale described by Sakashita et al. The background for variation and delay in the process are also discussed.OBJECTIVEThis paper aims to establish a potential reference standard for the process of transition from milk to solid food in infants and preschool children in Japan, using the transitional food process (TFP) scale described by Sakashita et al. The background for variation and delay in the process are also discussed.A randomized sample survey covering entire Japan.DESIGNA randomized sample survey covering entire Japan.Mailing self-completion of questionnaires.SETTINGMailing self-completion of questionnaires.Randomized sample of 14 000 children aged 0-6 y and their family from 13 prefectures in Japan, namely Hokkaido, Aomori, Iwate, Niigata, Tokyo, Saitama, Fukui, Nagano, Nagoya, Hyogo, Yamaguchi, Kagoshima, and Okinawa.SUBJECTSRandomized sample of 14 000 children aged 0-6 y and their family from 13 prefectures in Japan, namely Hokkaido, Aomori, Iwate, Niigata, Tokyo, Saitama, Fukui, Nagano, Nagoya, Hyogo, Yamaguchi, Kagoshima, and Okinawa.Questionnaires requesting the TFP scale and background factors were sent to 14,000 children and families. The percentile ages were calculated. An eating ability index (EAI: number of accepted foods/total number of foods) x 100) was calculated. Regression analysis by analysis of covariance (ANCOVA; SPSS, 1997) was used to determine the influence of background factors on EAI.METHODOLOGYQuestionnaires requesting the TFP scale and background factors were sent to 14,000 children and families. The percentile ages were calculated. An eating ability index (EAI: number of accepted foods/total number of foods) x 100) was calculated. Regression analysis by analysis of covariance (ANCOVA; SPSS, 1997) was used to determine the influence of background factors on EAI.From the 6747 (48.2%) effective answers received, percentile curves of the acceptability of each food on the scale were drawn, and used as initial reference standards. The 50 percentile age range of these 20 standard foods covers from 5 to 42 months after birth. The sensitive period for increasing the acceptance of foods in children was between 6 months and 2(1/2) y of age. ANCOVA regression model (R2=0.605) showed that EAI was mostly influenced by age (P=0.000), followed by feeding style (P=0.000), infant food preparation (P=0.000), information source (P=0.000), and birth order (P=0.003). The dominant cause of digestive system problems was shown to be infection, not too-hard food. It seems that breast feeding, bottle feeding with chewing-type nipples, and the manner of preparing infant foods from the family table promote the progress in acceptance. Children whose mothers followed the information given in books or magazines showed a slower progress.RESULTSFrom the 6747 (48.2%) effective answers received, percentile curves of the acceptability of each food on the scale were drawn, and used as initial reference standards. The 50 percentile age range of these 20 standard foods covers from 5 to 42 months after birth. The sensitive period for increasing the acceptance of foods in children was between 6 months and 2(1/2) y of age. ANCOVA regression model (R2=0.605) showed that EAI was mostly influenced by age (P=0.000), followed by feeding style (P=0.000), infant food preparation (P=0.000), information source (P=0.000), and birth order (P=0.003). The dominant cause of digestive system problems was shown to be infection, not too-hard food. It seems that breast feeding, bottle feeding with chewing-type nipples, and the manner of preparing infant foods from the family table promote the progress in acceptance. Children whose mothers followed the information given in books or magazines showed a slower progress.It seems appropriate to use this reference standard in the study of the transitional process from milk to solid food in infants and preschool children in Japan.CONCLUSIONSIt seems appropriate to use this reference standard in the study of the transitional process from milk to solid food in infants and preschool children in Japan. Objective: This paper aims to establish a potential reference standard for the process of transition from milk to solid food in infants and preschool children in Japan, using the transitional food process (TFP) scale described by Sakashita et al. The background for variation and delay in the process are also discussed. Design: A randomized sample survey covering entire Japan. Setting: Mailing self-completion of questionnaires. Subjects: Randomized sample of 14,000 children aged 0-6 y and their family from 13 prefectures in Japan, namely Hokkaido, Aomori, Iwate, Niigata, Tokyo, Saitama, Fukui, Nagano, Nagoya, Hyogo, Yamaguchi, Kagoshima, and Okinawa. Methodology: Questionnaires requesting the TFP scale and background factors were sent to 14,000 children and families. The percentile ages were calculated. An eating ability index (EAI: number of accepted foods/total number of foods) x 100) was calculated. Regression analysis by analysis of covariance (ANCOVA; SPSS, 1997) was used to determine the influence of background factors on EAI. Results: From the 6747 (48.2%) effective answers received, percentile curves of the acceptability of each food on the scale were drawn, and used as initial reference standards. The 50 percentile age range of these 20 standard foods covers from 5 to 42 months after birth. The sensitive period for increasing the acceptance of foods in children was between 6 months and 2 1/2 y of age. ANCOVA regression model (R2=0.605) showed that EAI was mostly influenced by age (P=0.000), followed by feeding style (P=0.000), infant food preparation (P=0.000), information source (P=0.000), and birth order (P=0.003). The dominant cause of digestive system problems was shown to be infection, not too-hard food. It seems that breast feeding, bottle feeding with chewing-type nipples, and the manner of preparing infant foods from the family table promote the progress in acceptance. Children whose mothers followed the information given in books or magazines showed a slower progress. Conclusions: It seems appropriate to use this reference standard in the study of the transitional process from milk to solid food in infants and preschool children in Japan. [PUBLICATION ABSTRACT] Objective: This paper aims to establish a potential reference standard for the process of transition from milk to solid food in infants and preschool children in Japan, using the transitional food process (TFP) scale described by Sakashita et al. The background for variation and delay in the process are also discussed.Design: A randomized sample survey covering entire Japan.Setting: Mailing self-completion of questionnaires.Subjects: Randomized sample of 14 000 children aged 0–6 y and their family from 13 prefectures in Japan, namely Hokkaido, Aomori, Iwate, Niigata, Tokyo, Saitama, Fukui, Nagano, Nagoya, Hyogo, Yamaguchi, Kagoshima, and Okinawa.Methodology: Questionnaires requesting the TFP scale and background factors were sent to 14 000 children and families. The percentile ages were calculated. An eating ability index (EAI: number of accepted foods/total number of foods) × 100) was calculated. Regression analysis by analysis of covariance (ANCOVA; SPSS, 1997) was used to determine the influence of background factors on EAI.Results: From the 6747 (48.2%) effective answers received, percentile curves of the acceptability of each food on the scale were drawn, and used as initial reference standards. The 50 percentile age range of these 20 standard foods covers from 5 to 42 months after birth. The sensitive period for increasing the acceptance of foods in children was between 6 months and 2½y of age. ANCOVA regression model (R2=0.605) showed that EAI was mostly influenced by age (P=0.000), followed by feeding style (P=0.000), infant food preparation (P=0.000), information source (P=0.000), and birth order (P=0.003). The dominant cause of digestive system problems was shown to be infection, not too-hard food. It seems that breast feeding, bottle feeding with chewing-type nipples, and the manner of preparing infant foods from the family table promote the progress in acceptance. Children whose mothers followed the information given in books or magazines showed a slower progress.Conclusions: It seems appropriate to use this reference standard in the study of the transitional process from milk to solid food in infants and preschool children in Japan.Sponsorship: Grant-in-Aid for Scientific Research, provided by the Japanese Ministry of Education, Culture, Sports, Science and Technology Project No. 07838030. |
| Audience | Professional Academic |
| Author | Inoue, N Sakashita, R Kamegai, T |
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| Keywords | development mastication infant children food Human Ability Acceptance Questionnaire Methodology Digestive system Family study Infant Standard Breast feeding Birth Feeding Infection Information source Infant food Processed food Child Public health Milk |
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| PublicationTitle | European Journal of Clinical Nutrition |
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| Snippet | Objective: This paper aims to establish a potential reference standard for the process of transition from milk to solid food in infants and preschool children... Objective : This paper aims to establish a potential reference standard for the process of transition from milk to solid food in infants and preschool children... This paper aims to establish a potential reference standard for the process of transition from milk to solid food in infants and preschool children in Japan,... |
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| SubjectTerms | Age Age Factors analysis of covariance Babies Biological and medical sciences Birth Bottle feeding Breast feeding Child Child, Preschool Children Clinical Nutrition Critical period Diet Digestive system Eating Epidemiology Families & family life Family Feeding and Eating Disorders Feeding and Eating Disorders - etiology Female Food food preparation Food processing Human physiology applied to population studies and life conditions. Human ecophysiology Humans Infant Infant Food Infant Food - adverse effects infant foods Infants information sources ingestion Internal Medicine Japan Male Mastication Mathematical analysis Medical sciences Medicine Medicine & Public Health Metabolic Diseases Milk mothers Nipples Nutritional survey. Food supply and nutritional requirement original-communication Preschool children Public Health Questionnaires Reference Standards Regression analysis Regression models Ryukyu Archipelago surveys Surveys and Questionnaires teats |
| Title | From milk to solids: a reference standard for the transitional eating process in infants and preschool children in Japan |
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