Meat as complementary food for older breastfed infants and toddlers: a randomized, controlled trial in rural China

Food Nutr Bull. 2014 Dec;35(4 Suppl):S188-92. doi: 10.1177/15648265140354S304.

Abstract

Background: Because of its contribution to dietary diversity and to favorable intakes of micronutrients, including iron and zinc, meat is hypothesized to be a valuable complementary food for the infant and young child. However, the evidence base remains limited.

Objective: To compare the difference in anthropometric measurements of rural Chinese infants and toddlers 6 to 18 months of age who received a daily supplement of meat or cereal for 12 months.

Methods: This cluster-randomized, controlled study provided a daily supplement of either meat (n = 514, 20 clusters) or cereal (n = 957, 40 clusters) starting as a first complementary food at 6 months of age. Anthropometric measurements were assessed longitudinally.

Results: After 12 months of intervention, the meat group (δ13.01 ± 1.9 cm) had greater (p = .01) linear growth than the cereal group (δ12.75 ± 1.8 cm) and a smaller decrease in length-for-age z-score (LAZ) over time (-0.43 ± 0.72 in the meat group vs. -0.54 ± 0.67 in the cereal group), after adjustment for baseline length, LAZ, maternal education, work status, and maternal height and weight.

Conclusions: Linear growth was modestly greater in the meat group than in the cereal group. LAZ was substantially negative at 6 months, and the intervention did not prevent ongoing decline over the course of the study.

Trial registration: ClinicalTrials.gov NCT00726102.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anthropometry
  • Body Height
  • Body Weight
  • Breast Feeding*
  • China
  • Diet
  • Edible Grain
  • Educational Status
  • Humans
  • Infant
  • Infant Nutritional Physiological Phenomena*
  • Meat*
  • Mothers
  • Rural Population

Associated data

  • ClinicalTrials.gov/NCT00726102