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Consumption of additional drinks by infants at 4 and 8 months – a study by ALSPAC¹,²

What this study showed

This study recorded the proportion of children who were receiving different types of milk at 4 and 8 months of age.

Its findings can assist health care professionals in recognising whom to target with information and support on infant feeding, to improve weaning patterns and childhood nutrition.

Key conclusions

When the Avon Longitudinal Study of Parents and Childhood (ALSPAC) investigated whether giving  supplementary drinks reduced milk consumption, they made some interesting discoveries:

  • At 8 months of age, 13.9% of infants were having no formula or breast milk1
  • Fewer infants under 12 months of age were fed cows’ milk compared with a nationally representative study conducted 5 years previously1
  • A mother’s education level was significantly linked to the choice of drinks given to infants2

Mothers were more likely to be giving cows' (or other animal) milk as a main drink to their 8-month-olds if they had had a vocational education, lived in council accommodation, had two or more children or were on low income.2

The authors concluded that a minority of 8-month-old infants are receiving nutritionally-appropriate drinks, despite current UK Department of Health guidelines.1
 
Over 1,000 babies aged 4 and 8 months were involved in the study. Their carers recorded all drinks consumed by the infant over a 24 hour period at two ages, detailing the type of drink and volume taken (see table below).1

Types of drinks consumed

Although many infants were given supplementary drinks by 4 months, this only led to a small reduction in milk intake.

The proportion of infants consuming various drinks at 4 and 8 months of age from records of dietary intake kept by the carers of 933 infants at 4 months and 1178 infants at 8 months of age.1

Drinks Consumed % at 4 months % at 8 months
 Infant Formula  69.7  71.4
 Breast milk              43  22.9
 Cows'/animal milk                    1.0  71.4
 Water                    8.7  19.7
 Fruit Drinks               25  -
 Squash/cordial          -  55.8
 Juice          -  14.9
 Diet Squash          -  6.4
 Herbal Teas           14.6  9.8
 Tea/Coffee           <1.0  3.2
 Warm drinks other than Tea/Coffee          <1.0  0.1
 Cold flavoured Milk drinks         -  <0.1
 Fizzy drinks        -  <0.1
 Gripe water         2.4  0.3

To find out more about ALSPAC, click here, alternatively you can visit: www.alspac.bris.ac.uk

References:

1.  Emmet P et al. Types of drinks consumed by infants at 4 and 8 months of age: a descriptive study. Public Health Nutrition. 2000; 3: 211-217.

2. Emmet P et al. Types of drinks consumed by infants at 4 and 8 months of age: sociodemographic variations. Journal Hum Nutr Dietet 2000; 13: 71-82.

IMPORTANT NOTICE:  SMA PROGRESS is a follow-on milk for babies over 6 months and is not intended to replace breast feeding.  When used in conjunction with solid feeding, it provides the nourishment essential to a baby's healthy and sustained growth.