Diet Beverage Intake during Lactation and Associations with Infant Outcomes in the Infant Feeding Practices Study II

被引:5
作者
Huang, Qiushi [1 ]
Murphy, Jeanne [2 ]
Smith, Emily R. [1 ,3 ]
Sylvetsky, Allison C. [1 ]
机构
[1] George Washington Univ, Milken Inst Sch Publ Hlth, Dept Exercise & Nutr Sci, 950 New Hampshire Ave NW,Suite 200, Washington, DC 20052 USA
[2] George Washington Univ, Sch Nursing, 1919 Penn Ave NW,Suite 500, Washington, DC 20006 USA
[3] George Washington Univ, Milken Inst Sch Publ Hlth, Dept Global Hlth, 950 New Hampshire Ave NW,Suite 400, Washington, DC 20052 USA
关键词
human milk; breastfeeding; low-calorie sweetener; maternal; infant; nutrition; vomiting; ARTIFICIALLY SWEETENED BEVERAGES; NONNUTRITIVE SWEETENERS; MATERNAL CONSUMPTION; PREGNANCY;
D O I
10.3390/nu13093154
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Consumption of diet beverages (DB) containing low-calorie sweeteners (LCS) is widespread in the United States. LCS are ingested by nursing infants upon maternal DB consumption, which may impact infants' weight and health. This study aims to examine cross-sectional associations between infants' LCS exposure via maternal DB intake during lactation and infants' health outcomes. Six hundred and eighty-two mother-infant dyads at three months postpartum, from the Infant Feeding Practices Study II, 2005-2007, were included in the analysis. Maternal DB consumption during lactation was estimated using the serving size and frequency of DB consumption reported on the diet history questionnaire. Infants' LCS exposure was estimated by multiplying maternal DB consumption and breastfeeding intensity. Infant outcomes included weight, weight-for-age and BMI-for-age z-scores, overweight, and gastrointestinal (GI) symptoms including diarrhea, reflux, and vomiting. Associations between infants' LCS exposure and continuous and categorical outcomes were examined using linear and logistic regressions adjusting for confounders, respectively. Forty-three percent of lactating women reported DB consumption. While no significant associations were observed between infants' LCS exposure and BMI-for-age or risk of overweight, infants' LCS exposure was associated with a 2.78-fold increased risk of vomiting (95% confidence interval 1.05-7.34). Potential adverse effects of LCS exposure on GI symptoms require further study, and null findings on infant weight should be interpreted with caution, given the small sample size. Additional research is needed to inform recommendations for or against DB consumption during lactation.
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页数:9
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