title: Short-term effect of complementary feeding frequency on total ad libitum consumption in 6- to 10-month-old breast fed Indian infants.
abstract: OBJECTIVE
  To evaluate the short-term effect of frequency of complementary feeding on total ad libitum consumption in breast fed infants.
  
  
  METHODS
  Twenty infants between 6 to 10 months of age were studied in a tertiary hospital in New Delhi for 48 hours. A traditional gruel made of rice and pulses (mean (SD) caloric density 54.22 (7.08) kcal/100 g) was offered in a randomized manner three (n = 10) or four (n = 10) times per day to the subjects over the first 24 hours with the subjects crossing over in the next 24 hours. They were allowed ad libitum breast feeding with no other food or fluid during the study period. Total caloric intake from breast milk and semisolids was computed for each day.
  
  
  RESULTS
  There was no difference in the total caloric consumption with a semisolid feeding frequency of three or four times per day. The frequency of breast feeding and the breast feeding duration were also comparable (P > 0.05). However, breast milk intake was lower with a semisolid feeding frequency of 4 times/day (mean difference -61.2 g/d [95% confidence interval (CI) -122.2-0.32]; P = 0.051). The time required for feeding was higher (mean difference 14.75 min; P < 0.001), whereas the per meal intake of semisolids was lower with four semisolid feeds per day (mean difference -5.5 kcal/meal; [95% CI -10.19 to -0.81]; P = 0.024).
  
  
  CONCLUSIONS
  In the short term, a change in semisolid feeding frequency from three to four times per day does not result in enhanced energy consumption because of lower breast milk intake.
authors.affiliation: Department of Pediatrics, Maulana Azad Medical College, New Delhi, India.
authors.forename: P K
authors.initials: PK
authors.lastname: Singh
authors.forename: H P S
authors.initials: HP
authors.lastname: Sachdev
authors.forename: J
authors.initials: J
authors.lastname: Nagpal
authors.forename: M
authors.initials: M
authors.lastname: Bajaj
authors.forename: A P
authors.initials: AP
authors.lastname: Dubey
mesh_terms: D001942:Breast Feeding; D018592:Cross-Over Studies; D002149:Energy Intake / Q000502:physiology*; D005260:Female; D006801:Humans; D007194:India; D007223:Infant; D007225:Infant Food; D007227:Infant Nutritional Physiological Phenomena; D008297:Male; D008895:Milk, Human; D009753:Nutritive Value; D014886:Weaning