Infancy is a time of plasticity in development of taste preference. Complementary feeding (CF) may be a "sensitive period" for learning new taste preferences and establishing healthy dietary behaviors that may track later in life. Among 1162 children in the U.S. prospective cohort study Project Viva, we aimed to identify patterns of CF behaviors around 1 year and examine associations with diet quality in early childhood (median age 3.1y). We identified patterns of CF using latent class analysis (LCA) and examined later diet quality based on scores on the Youth Healthy Eating Index (YHEI). We identified four distinct CF patterns (latent classes). Later YHEI scores were highest in the class characterized by "breast milk and delayed sweets and fruit juice" and lowest in the "picky eaters" class. The classes defined as "late flavor introduction and delayed sweets" and "early flavor introduction and more fruit juice" had similar, moderate scores. Our results suggest that CF patterns that increase food acceptance and discourage the innate preference for sweetness may have persistent influences on diet quality.
Keywords: Youth Healthy Eating Index; complementary feeding; diet quality; latent class analysis; taste preference.
Conflict of interest statement
The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.
Association of Infant Feeding Patterns with Taste Preferences in European Children and Adolescents: A Retrospective Latent Profile Analysis.Nutrients. 2019 May 9;11(5):1040. doi: 10.3390/nu11051040. Nutrients. 2019. PMID: 31075915 Free PMC article.
Girls' picky eating in childhood is associated with normal weight status from ages 5 to 15 y.Am J Clin Nutr. 2016 Dec;104(6):1577-1582. doi: 10.3945/ajcn.116.142430. Epub 2016 Oct 26. Am J Clin Nutr. 2016. PMID: 27797710 Free PMC article.
Associations between commercial complementary food consumption and fruit and vegetable intake in children. Results of the DONALD study.Appetite. 2015 Feb;85:84-90. doi: 10.1016/j.appet.2014.11.015. Epub 2014 Nov 15. Appetite. 2015. PMID: 25447022
Does Breastfeeding Shape Food Preferences? Links to Obesity.Ann Nutr Metab. 2017;70 Suppl 3:8-15. doi: 10.1159/000478757. Epub 2017 Sep 14. Ann Nutr Metab. 2017. PMID: 28903109 Review.
Early Eating Behaviours and Food Acceptance Revisited: Breastfeeding and Introduction of Complementary Foods as Predictive of Food Acceptance.Curr Obes Rep. 2016 Mar;5(1):113-20. doi: 10.1007/s13679-016-0202-2. Curr Obes Rep. 2016. PMID: 26956951 Free PMC article. Review.